[Insomnia in children with autism spectrum disorder].

In children and adolescents with autism spectrum disorder (ASD), an association has been identified between sleep problems, cognitive function, and affective dysregulation. This association exacerbates the core manifestations of autism and increases the risk of developing behavioral problems, irritability, hyperactivity, and inattention. The link between sleep problems and the central symptoms of ASD, along with their multiple associations with other health issues, demonstrates that addressing sleep problems from childhood improves physical and mental health, as well as cognitive and adaptive functioning. Medical treatment should follow a stepped algorithm, starting with pediatric longrelease melatonin (PRLM), followed by alimemazine, risperidone, and clonidine, depending on the patient's clinical response.