Materiały źródłowe

• #1 Therapeutics for Circadian Rhythm Sleep Disorders

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3020104/

  Delayed sleep phase disorder (DSPD) is one of the most common of the circadian rhythms sleep disorders. Limited data suggests that the prevalence rate is about 1.7% in the general population and 7% of those with insomnia complaints. Onset of this disorder typically occurs during adolescence or early adulthood. […] DSPD often presents as sleep-onset insomnia and/or excessive morning sleepiness associated with the chronic inability to fall asleep and wake up at socially acceptable times as required for work or school. Sleep onset time typically occurs between 2 am to 6 am, and wake times delayed into the late morning or early afternoon. When unrestricted by an imposed schedule, sleep latency and duration are normal. Waking in the early morning (i.e. 6-8 am) is very difficult for these patients, often requiring multiple alarms and the assistance of family members. DSPD patients report excessive sleepiness and impaired functioning in the morning, with marked improvement in alertness in the evening/night.

• #1 Delayed Sleep-Wake Phase – Sleep Education by the AASM

  https://sleepeducation.org/sleep-disorders/delayed-sleep-wake-phase/

  Symptoms of DSP include: A delayed sleep pattern in relation to desired sleep and wake times, Trouble falling asleep at the desired bedtime, Inability to wake up in the morning, Normal duration and quality of sleep when there is no need to go to sleep or wake up at a specific time, A stable but delayed sleep pattern for at least seven days. […] It is easy to confuse DSP with normal variations of sleep and other types of insomnia. Consulting with a sleep doctor is your best bet to help clarify current sleep problems. Your doctor will also be able to help you develop a plan to correct these problems. […] Strategically timed low dose melatonin use has been shown to be an effective treatment option in teens, and it may be somewhat effective in adults. Melatonin is a hormone that is widely available in supplement form. The hormone is naturally produced by your body and plays an important role in sleep. It helps regulate your sleep-wake cycle by signaling to your body when the time for sleep is approaching.

• #1 Pediatric delayed sleep phase disorder (DSPD) – Children’s Health Sleep Medicine

  https://www.childrens.com/specialties-services/conditions/delayed-sleep-phase-disorder

  Pediatric delayed sleep phase disorder (DSPD) is a delay in the normal sleep-wake nighttime patterns. […] DSPD is an uncontrollable and common sleeping issue in young adults and teenagers. It is sometimes referred to as delayed sleep phase syndrome (DSPS). It causes a shift in the normal sleep patterns by two or more hours (falling asleep at 11 p.m. instead of 9 p.m.) […] Children with DSPD are often referred to as „night owls”. As children age and have earlier waking times, the continual disruption in sleep patterns can impact their health or mental well-being. […] DSPD doesnt typically impact the quality of sleep once children and adolescents fall asleep they will rest with no or only a few interruptions. Children will also typically sleep a normal restful night when they are allowed to sleep as long as they wish (holidays, weekends or vacations) and not experience daytime sleepiness.

• #1 Therapeutics for Circadian Rhythm Sleep Disorders

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3020104/

  According to the International Classification Sleep Disorders (ICSD-2) the diagnosis is made by a history of a stable delay of the major sleep period relative to the desired sleep and wake times for at least 1-3 months, and is accompanied by clinically significant insomnia and/or excessive sleepiness. When allowed to sleep at the preferred delayed sleep phase, sleep quality and duration are typically within the normal range for age. In addition, sleep logs or actigraphy monitoring for at least 7 days is recommended to confirm a delayed pattern of the habitual sleep and wake cycle. […] Although the exact etiology of DSPD is unknown, it has been suggested that genetic predisposition, a longer than average endogenous circadian period or alterations in entrainment pathways can result in a delayed circadian phase. There is evidence of increased sensitivity to the phase shifting effect of evening light in DSPD patients. Thus, exposure to even moderate levels of light in the evening could delay circadian rhythms, as well as suppress the normal rise in melatonin in the evening, resulting in the delayed onset of the sleep-wake cycle. Furthermore, the typical late rise time of patients with DSPD reduces exposure to morning light in the phase advance zone of the phase response curve, which will perpetuate or exacerbate the already delayed circadian phase. In addition, recent evidence indicates that genetic mechanisms may also play a role. For example, the DSPD phenotype has been associated with polymorphisms of the circadian genes, Clock and Per3.

• #1 Delayed sleep-wake phase disorder – Nesbitt – Journal of Thoracic Disease

  https://jtd.amegroups.org/article/view/18434/html

  Delayed sleep-wake phase disorder (DSWPD) is the most commonly encountered of the circadian rhythm sleep-wake disorders (CRSDs), and is often confused with sleep initiation insomnia. […] This review highlights elements of our current understanding of the epidemiology, associations and pathophysiology of the disorder, before discussing how some of our knowledge of sleep and circadian physiology can be applied to guide treatment of it. […] A multifactorial approach is needed for the treatment of DSWPD, which addresses initial phase advancement (initiation), subsequent phase retention (maintenance), and due consideration of other disorders which may be associated with, or exacerbating, the problem, most notably ADHD, ASD, affective disorders and obsessive compulsive disorder (OCD). […] While Melatonin is the traditional mainstay, and perhaps best described, treatment for DSWPD, its use is seldom systematically prescribed or adhered to.

• #1 Delayed Sleep Phase Syndrome (DSPS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/14295-delayed-sleep-phase-syndrome-dsps

  A healthcare provider may recommend the following changes to your sleep routine: Keep your bedroom or sleeping area cool. Close curtains or blinds to keep light out of your sleeping area. Relax before getting into bed. Turn off electronic devices like cell phones, televisions or video game consoles an hour before bedtime. Stick to the same sleep schedule on weekdays and weekends. […] Your healthcare provider may recommend taking an over-the-counter melatonin supplement to help shift your circadian rhythm. […] Delayed sleep phase syndrome doesn’t go away. Treatment is ongoing to manage it. […] There’s no cure for delayed sleep phase syndrome (DSPS). Treatment is effective at improving your sleep to reduce your symptoms. […] If you have trouble falling asleep at night and waking up in the morning, contact a healthcare provider. If you have a delayed sleep phase syndrome diagnosis and the changes to your sleep routine aren’t helping your symptoms, let your healthcare provider know so they can help you make adjustments to your treatment plan.

• #1 Therapeutics for Circadian Rhythm Sleep Disorders

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3020104/

  Patients with DSPD commonly experience repeated unsuccessful attempts at trying to fall asleep earlier, and often resort to the use of sedating medications and alcohol. Effective treatment requires a multimodal approach aimed to re-align circadian rhythms with the desired sleep and wake schedule. Non-pharmacological approaches including adherence to good sleep hygiene, avoidance of bright light in the evening and increasing light exposure in the morning are basic in any treatment program for DSPD. Based on the strength of evidence, the AASM practice parameters recommend timed morning light exposure and/or appropriately timed melatonin administration as effective treatments for DSPD. […] Numerous studies have demonstrated the ability of appropriately timed bright broad-spectrum light, typically between 2500 to 10,000 lux, to induce phase advancement of circadian rhythms. For the treatment of DSPD, exposure to bright light shortly after awakening in the morning (close to but after the nadir of the circadian core body temperature rhythm) will advance the timing of circadian rhythms and improve synchronization with the desired sleep and wake times. For example, bright light (2500 lux) for 2 hours in the morning has shown to successfully phase advance the circadian rhythm of core body temperature in DSPD patients.

• #1 Delayed sleep phase disorder | Healthify

  https://healthify.nz/health-a-z/d/delayed-sleep-phase-disorder

  Delayed sleep phase disorder is a sleep problem where your body’s internal clock (the 24 hour circadian rhythm) is shifted by up to 2 hours or more, causing problems with falling asleep and waking up at a socially normal time. […] Treatment mainly involves improving sleep hygiene and changing your lifestyle and bedtime environment to get better quality sleep. […] The goal of treatment for DSPD is to gradually shift your sleep-schedule to an earlier time over a number of weeks and then keep to it. You should try to reset your sleep routine. The treatment includes improving sleep habits and sleep hygiene. […] Bright light exposure in the first 1 or 2 hours of the morning helps to re-set your circadian rhythm. […] Sleep hygiene refers to your lifestyle routines and bedtime environment that make it easier or harder to get better quality sleep. Changes you can make to improve your sleep hygiene include: Avoiding TV, computer screens and mobile phones for an hour or two before bed, as the artificial blue light suppresses the production of melatonin and interferes with your natural cues to sleep. […] Melatonin supplements may be used to readjust your body clock to the desired time by taking it in the hours before your bedtime.

• #1 Therapeutics for Circadian Rhythm Sleep Disorders

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3020104/

  Of the pharmacologic approaches for DSPD, exogenous melatonin has been the most studied. The relatively small number of participants and the variability in the dose and timing of melatonin administration have limited most of these studies. Melatonin (5 mg) given 5 hours before sleep onset advanced sleep onset time by about 1.3 hours, wake time by 2 hours and DLMO by 1.5 hours, compared with placebo over a 4-6 week treatment period. In one study, patients also reported feeling more refreshed in the morning with melatonin treatment. However treatment with 5 mg did not change sleep architecture. Timing of melatonin administration can influence the magnitude of the phase shift in patients with DSPD, with earlier times being most effective. Melatonin given 5-6.5 hours prior to the individual DLMO resulted in the largest phase advances of melatonin profiles compared to administration closer (1.5 hours) before the DLMO.

• #1 Therapeutics for Circadian Rhythm Sleep Disorders

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3020104/

  Long-term effectiveness of melatonin for the treatment of DSPD has also been evaluated. One year after initiating a 6-week treatment with 5 mg melatonin taken daily at 10 pm, participants were surveyed regarding the efficacy of their treatment. Almost 97% of patients reported improvement, 80% of whom noted the change within the first 2 weeks. Side effects were usually minor with 57% reporting none at all and 34% noting slight morning fatigue. Of those helped by melatonin, 91% relapsed after treatment discontinued, with almost 30% reporting relapse within first 7 days, 15% within the first month and 42% within 2-6 months after treatment had stopped. Patients that relapsed immediately were found to have more severe symptoms of DSPD based on pretreatment actigraphy measures compared to those with a delayed relapse.

• #1 Delayed sleep phase – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-sleep-phase/diagnosis-treatment/drc-20353341

  Our caring team of Mayo Clinic experts can help you with your delayed sleep phase-related health concerns […] A health care professional works with you to create a treatment plan that can help adjust your sleep and wake times. […] Your plan may include: Improving sleep habits. Making lifestyle changes can improve your sleep habits. This is known as sleep hygiene. […] Melatonin supplements. Melatonin is a hormone that plays a role in the sleep-wake cycle. You may be prescribed a melatonin supplement to take in the early evening. This can help adjust your circadian rhythm to go to sleep earlier. […] Light therapy. Light exposure using a light box in the morning may adjust your circadian rhythm. […] Chronotherapy. For some people, health care professionals prescribe a sleep schedule that delays bedtime by 1 to 2.5 hours every six days. This is done until the desired bedtime is reached. You need to maintain your sleep schedule once it is established.

• #1 Sleeplessness and Circadian Rhythm Disorder Treatment & Management: Approach Considerations, Bright Light Therapy, Behavioral Therapy

  https://emedicine.medscape.com/article/1188944-treatment

  Therapy for circadian rhythm disturbances is largely behavioral. […] A combination of planned sleep scheduling, timed light exposure, and timed melatonin administration can be helpful. […] This is an important part of the treatment of circadian rhythm disorders. […] Bright light exposure in the evening should be avoided, and regular hours of eating and other activities should be enforced. […] Circadian rhythm disturbances respond very well to light therapy, especially bright light (600 lux). […] The timing of light therapy is also important because it affects the degree and direction of the rhythm shift. […] This behavioral treatment consists of a gradual shift in sleep time in accordance with the patient’s tendency. […] In delayed sleep-phase syndrome (DSPS), a progressive delay of 3 hours per day is prescribed, followed by strict maintenance of a regular bedtime hour once the desired schedule is achieved.

• #1 Delayed Sleep-Wake Phase – Sleep Education by the AASM

  https://sleepeducation.org/sleep-disorders/delayed-sleep-wake-phase/

  Bright light therapy is another proven technique for changing your internal circadian rhythms, but its specific use for DSP has not been well validated. In theory, exposure to bright light should occur shortly after waking up at the desired time in the morning. Then bright light in the evening hours should be avoided. Light therapy combined with behavioral therapy for children and adolescents may be a treatment option. […] Cognitive behavioral therapy helps you change actions or thoughts that keep you awake. It helps you develop habits that promote a healthy pattern of sleep.

• #1 Delayed sleep-wake phase disorder – Nesbitt – Journal of Thoracic Disease

  https://jtd.amegroups.org/article/view/18434/html

  As well as appropriately dosed and timed Melatonin, equal importance should be paid to the phase-delaying and Melatonin suppressing effects of evening light in individuals with DSWPD. […] Treatment of co-morbid insomnia is also very important, and patients may well benefit from a course of cognitive behavioural therapy for insomnia once a target phase advance has been approximated. […] Relapses in treatment and decompensation are common, and patients should be counselled for this eventuality, and encouraged to follow their original treatment plans should this occur.

• #1

  https://www.singhealth.com.sg/patient-care/conditions-treatments/circadian-rhythm-coping-shift-work

  Delayed sleep phase syndrome is more commonly seen in teenagers and may be related to a combination of physiologic and environmental factors. […] Developmental changes in the brains circadian centres during adolescence poor sleep hygiene associated with increasing amounts of school work, and the widespread use of computer devices and smartphones late into the night (which activate special receptors in the eye), combine to delay the bodys intrinsic sleep cycle. This results in the affected patients being only able to fall asleep in the early morning hours and waking up in the late morning or early afternoon, regardless of whether they are trying to fall asleep or not. […] This can cause significant disruptions to their schooling or work performance. […] Consultation with a sleep specialist is essential for accurate diagnosis and to exclude other common sleep conditions. An individualised treatment plan can then be tailored accordingly and this may include the following: […] Optimise sleep hygiene and maintain regular sleep-wake cycles, even on weekends […] Timed bright light exposure with a special phototherapy device at specific and individualised timings […] Timed melatonin administration.

• #1 Therapeutics for Circadian Rhythm Sleep Disorders

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3020104/

  Melatonin has also been investigated for the treatment of DSPD in children with attention deficit hyperactivity disorder (ADHD), and has been found to be effective and well tolerated, except for the rare occurrence of new-onset seizures. In an open label study, daily use of melatonin 3 mg at bedtime for 1 week to 3 months significantly shortened sleep onset latency in children with ADHD. In a larger study, children ages 6-12 years taking either 3 or 6 mg of melatonin at 7 pm daily for 3 weeks were shown to improve sleep onset and advance DLMO by 44 min on average. Improvements of core behavioral problems were also noted. A follow-up study found that approximately 65% of these children were still using melatonin daily and 11% occasionally, with parents reporting its effectiveness in improving sleep onset in 88% of participants. Parents also reported improvements in behavior and mood with long-term melatonin treatment. However, recurrence of delayed sleep timing occurred with discontinuation of treatment in most cases similar to previous studies in adults with DSPD.

• #1 Delayed Sleep-Wake Phase Disorder in Teens (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/delayed-sleep-teens.html

  Delayed sleep-wake phase disorder is one of the most common sleep problems in teens. […] DSWPD can cause sleep deprivation (not getting enough sleep), which can lead to problems with focusing, mood swings, and low energy. […] Your teen’s doctor may recommend strategies that can help, such as improving sleep hygiene. This is an important first step in treating DSWPD. […] To help your teen manage DSWPD: Talk to your teen about practicing good sleep hygiene, such as keeping the bedroom cool, dark, and quiet. Start small, with one or two changes that your teen can manage, and celebrate small wins. […] While there’s no cure for DSWPD, many teens will grow out of it as they get older. By the time they reach young adulthood, their sleep-wake cycles often shift earlier.

• #1 Delayed Sleep Phase Syndrome: A common sleep disorder in adolescents, with important quality of life repercussions | Atención Primaria

  https://www.elsevier.es/es-revista-atencion-primaria-27-articulo-delayed-sleep-phase-syndrome-a-S0212656718308229

  Delayed Sleep Phase Syndrome: A common sleep disorder in adolescents, with important quality of life repercussions […] Primary care doctors should routinely screen for DSPS in adolescents by specifically inquiring about difficulties awakening, late bedtimes, excessive daytime sleepiness, and late weekend wake times. […] The initial treatment is based on adequate sleep hygiene and progressively adjusting the internal clock to social needs, following these basic guidelines: Get up at the same time every day (no differences greater than one hour between week-days and weekend). […] Psychosomatic symptoms, frequent in adolescents, can significantly worsen health-related quality of life (HRQoL) in this population, and sleep is an independent risk factor of worse HRQoL. […] Primary care doctors must know how to recognize DSPS to prevent school failure, adverse mood disorders and its negative effects on HRQoL.

• #1 Treatments for Delayed Sleep Phase Syndrome | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/sleep/delayed-sleep-phase-syndrome/treatments.html

  Those suffering from delayed sleep phase syndrome often only seek the help of a sleep specialist after they’ve unsuccessfully tried to change their sleep schedule on their own. […] Sleep specialists use two particular treatment methods to help patients with this syndrome, chronotherapy and light therapy. […] A light therapy used to manage circadian rhythm disorders such as delayed sleep phase syndrome (DSPS), by gradually enabling a shift to normal societal sleeping patterns.

• #1 Delayed Sleep-Wake Phase Disorder | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/delayed-sleep-wake-phase-disorder

  If your child or adolescent has been diagnosed with DSWPD, there are several treatment options, depending on the severity of the problem, your child’s general health, and other factors. It requires significant effort and commitment on the part of the child or adolescent. The goal of treatment is to “reset” the internal clock to a more normal schedule that is more compatible with the demands of school or work. Because DSWPD can be complex, treatment should usually be handled by a sleep medicine specialist. […] Specialists at Boston Children’s Hospital’s Sleep Center are experienced in treating children who have DSWPD, so your whole family can get a good night’s sleep.

• #1 Delayed Sleep Phase Syndrome | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/sleep/delayed-sleep-phase-syndrome.html

  Delayed sleep phase syndrome (DSPS) is a disorder in which a persons sleep is delayed by two hours or more beyond what is considered an acceptable or conventional bedtime. The delayed sleep then causes difficulty in being able to wake up at the desired time. […] People with delayed sleep phase syndrome generally have difficulty: […] Unless you have other sleep disorders, such a sleep apnea or insomnia, you may actually sleep well with DSPS, in terms of duration and quality of sleep. The problem is that the delay makes it difficult to wake up in time for a typical school or work day. […] If you have been unsuccessful in changing your sleeping pattern on your own, it may be time to seek the help of sleep disorder specialists. Our sleep specialists use two treatment methods to treat DSPS: […] Our sleep disorder experts create individual treatment plans so patients with delayed sleep phase syndrome (DSPS) can achieve normal sleep and wake times.

• #1 Delayed sleep-wake phase disorder – Thoracic and Sleep Group Queensland

  https://thoracicandsleep.com.au/medical-newsletter/delayed-sleep-wake-phase-disorder/

  Delayed sleep-wake phase disorder (DSWPD) is a circadian rhythm sleep-wake disorder characterised by late bedtime and waking on most days with delay of usually 2 hours in relation to conventional or desired times. […] Advise all patients on general sleep hygiene measures. […] The usual treatment involves altering entraining signals and maintaining regular sleep-wake times. […] Chronotherapy involves incrementally delaying the sleep schedule until the desired sleep schedule is reached. […] Strategically timed melatonin is suggested in most patients. […] Light therapy: involves a combination of bright light upon awakening and evening light restriction. […] Combination therapy is often employed and involves bright light plus melatonin, sleep scheduling, or cognitive behavioural therapy.

• #1 Bergen Open Research Archive: Delayed Sleep Phase Disorder. Prevalence, sleep, circadian rhythm and treatment

  https://bora.uib.no/bora-xmlui/handle/1956/6956

  Short-term treatment of patients with DSPD involving bright light and melatonin alongside gradual advancement of rise time produced a phase advance irrespective of treatment condition. […] Long-term treatment with bright light and melatonin alongside gradual advancement of rise time allowed maintenance of the sleep rhythm whereas termination of treatment caused relapse into delayed sleep times.

• #1 Delayed Sleep Phase Syndrome: Symptoms, Causes, and Treatment

  https://www.verywellmind.com/delayed-sleep-phase-syndrome-symptoms-causes-and-treatment-7110083

  Delayed sleep phase syndrome can lead to chronic sleep deprivation, which can impact your health and your quality of life in many ways. […] These are some treatment and coping strategies for delayed sleep phase syndrome: Chronotherapy is a behavioral technique that involves gradually shifting your sleep time and wake-time by making your sleep time slightly earlier each day, until you achieve a more traditional sleep-wake schedule. […] If you’re experiencing any cognitive, emotional, or behavioral symptoms due to the condition or lack of sleep, it may be helpful to visit a mental healthcare provider. They can also help you cope with other negative consequences linked to the condition, such as poor academic/work performance and strained family relationships. […] Delayed sleep phase disorder can make it hard for you to get enough sleep on most days, which can affect your health, safety, and well-being. Taking steps to treat the condition and reset your body clock can help improve your health, your performance at work/school, and your social and family life.

• #1 Delayed sleep phase – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-sleep-phase/symptoms-causes/syc-20353340

  Delayed sleep phase care at Mayo Clinic […] A treatment plan might include making changes to sleep habits, taking melatonin supplements and using light therapy. […] See a health care professional if you have persistent symptoms of delayed sleep-wake phase disorder. Or make an appointment for your child if you think your child has symptoms of delayed sleep-wake phase disorder that don’t go away. […] Also make an appointment if you or your child regularly has trouble waking in the morning or has excessive daytime drowsiness.

• #1 What Is Delayed Sleep Phase Syndrome? – Sleep Care Online

  https://www.sleepcareonline.com/articles/what-is-delayed-sleep-phase-syndrome/?srsltid=AfmBOooJbxyxXa4lMy-zd8H5u0Rc17r7lBdJATEGKgRdO19Nm2jzhhl_

  Sleep disorders should be taken seriously. Speak to your doctor about any sleep problems and about getting a diagnosis and treatment. Sleep specialists can help designate the type of sleep disorder you have and possible connections with other types of sleep disorders. […] Following some lifestyle adjustments can also help you sleep better. Establish a consistent sleep routine. Maintaining a consistent sleep schedule helps your body adjust to patterns of sleep. Other impactful changes to your sleep routine can include: keeping your bedroom a cool temperature, taking a warm bath, drinking tea, or doing other calming activities to get your body ready for sleep, avoiding caffeinated drinks, alcohol, and smoking too close to bedtime, turning off electronic devices. […] Medication, like melatonin, might be recommended by your doctor to help you adjust your circadian rhythm and sleep better.

• #2 Delayed Sleep Phase Syndrome (DSPS): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/14295-delayed-sleep-phase-syndrome-dsps

  Delayed sleep phase syndrome (DSPS) is a shift in your biological clock that makes it difficult to fall asleep and wake up. Treatment is available to help you reset your internal clock. […] Delayed sleep phase syndrome is a condition that affects your ability to fall asleep and wake up on time. The delay in your sleep schedule is off by at least two hours. This condition affects your internal clock. […] Symptoms of delayed sleep phase syndrome include: Not falling asleep at the desired bedtime or aligned with societal norms. Difficulty waking up at the desired time or aligned with societal norms. […] A healthcare provider may recommend the following to treat delayed sleep phase syndrome: Changing your sleeping habits, Adjusting your bedtime schedule, Light therapy, Taking medications.

• #2 Delayed Sleep Phase Syndrome: Causes, Symptoms & Treatments

  https://www.healthline.com/health/sleep-deprivation/delayed-sleep-phase-syndrome

  Delayed sleep phase syndrome (DSPS) is a type of circadian rhythm sleep disorder. Its also known as delayed sleep phase disorder or delayed sleep-wake phase disorder. […] DSPS is common. It can develop at any age, but it mostly affects teenagers and younger adults. Approximately 15 percent of adolescents and adults have DSPS. […] DSPS makes it hard to fall asleep at a conventional bedtime. The delay in your internal clock tells your body to stay alert. […] Because you cant get to sleep until late, DSPS also makes it hard to get up at a normal time. This is because your internal clock hasnt started telling your body to wake up. […] Daytime drowsiness occurs when you cant fall asleep but need to wake up at a certain time. During the day, you might find it difficult to focus and pay attention.

• #2

  https://www.aurorahealthcare.org/services/sleep-disorders/delayed-sleep-phase-syndrome

  Delayed sleep phase syndrome affects your body’s natural sleep-wake cycle. If you have delayed sleep phase syndrome, your natural sleep pattern is delayed by two or more hours compared to conventional sleep times. […] Delayed sleep phase disorder causes you to fall asleep late at night and wake up later in the morning without trying. Its more than just being a night owl; its a chronic condition that can impact your daily life and make it difficult to maintain your regular schedule. […] Recognizing the signs of delayed sleep phase syndrome can help you seek appropriate treatment. Common symptoms include: Difficulty falling asleep at a conventional bedtime, Staying up later than usual or sleeping in, Trouble waking up in the morning, Daytime sleepiness or fatigue, Improved alertness and energy in the evening.

• #2 What Is Delayed Sleep Phase Syndrome? | Sleep.comBurger Menu Icon

  https://www.sleep.com/sleep-health/delayed-sleep-phase-disorder

  If your teenager is a night owl who sleeps well into the day, there might be a very good reason. Though many teens naturally have a later circadian rhythm, a particularly late sleep schedule could be due to delayed sleep-phase disorder (DSPD). […] DSPD is a circadian rhythm disorder that pushes back typical sleep and wake times by at least two hours. Though it affects approximately 13% of adults, it’s far more common in teenagers, impacting up to 16% of adolescents. […] “People with DSPD have difficulty going to sleep at the bedtime that is desired or necessary to get adequate sleep,” explains Dr. Michelle Caraballo, a pediatric pulmonologist and sleep specialist at UT Southwestern Medical Center. “They are often unable to fall asleep at the desired bedtime even when other factors (social media use, homework load, social demands, etc.) are taken away because their body’s natural circadian rhythm is to go to sleep very late and sleep very late. People with DSPD do not need more sleep than a typical person their age; their body simply prefers an alternative schedule that often does not fit the daytime demands of school or work hours.”

• #2 Delayed Sleep Phase Syndrome | Bangkok International Hospital (Brain x Bone)

  https://www.bangkokinternationalhospital.com/health-articles/disease-treatment/diseases-of-sleep-misuse

  The best thing to do is what is called a sleep diary (sleep diary). It should be done retrospectively for 1 2 weeks. Ideally, you should also wear a device called wrist actigraphy on your wrist for about 3- 7 days. […] In reality, this condition does not need treatment if it does not impact daily life. However, for some who are significantly affected by such a sleep cycle, it may be advisable to seek medical attention. Upon arrival at the hospital, an overall assessment and certain tests are conducted to measure melatonin levels in the body and to examine any irregularities in the sleep cycle. […] The primary focus of treatment is non-pharmacological. Treatments aim to adjust and strengthen the sleep cycle, including Bright-light therapy. For some who also have a melatonin deficiency, medication might be prescribed to increase the hormone levels in the body.

• #2 Delayed sleep phase – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-sleep-phase/diagnosis-treatment/drc-20353341

  Our caring team of Mayo Clinic experts can help you with your delayed sleep phase-related health concerns […] A health care professional works with you to create a treatment plan that can help adjust your sleep and wake times. […] Your plan may include: Improving sleep habits. Making lifestyle changes can improve your sleep habits. This is known as sleep hygiene. […] Melatonin supplements. Melatonin is a hormone that plays a role in the sleep-wake cycle. You may be prescribed a melatonin supplement to take in the early evening. This can help adjust your circadian rhythm to go to sleep earlier. […] Light therapy. Light exposure using a light box in the morning may adjust your circadian rhythm. […] Chronotherapy. For some people, health care professionals prescribe a sleep schedule that delays bedtime by 1 to 2.5 hours every six days. This is done until the desired bedtime is reached. You need to maintain your sleep schedule once it is established.

• #2 Delayed Sleep-Wake Phase Disorder (DSWPD) | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/1688638/all/Delayed_Sleep_Wake_Phase_Disorder__DSWPD_?q=Retinopathy

  Delayed sleep-wake phase disorder (DSWPD) is marked by a stable but persistent inability to initiate sleep at a desired time. Individuals are typically unable to initiate sleep until 2 to 6 hours later than societal norms (typically they initiate sleep after 2 AM), and this frequently results in insufficient sleep/sleepiness in the day that follows. […] In DSWPD (and all CRSDs), careful attention to sleep hygiene is necessary to establish and maintain a desired sleep schedule. The most important behavioral practices to prevent an undesirably late fall-asleep time are: Maintain a regular sleep/wake schedule 7 days/week. Avoid daytime napping. Minimize caffeine and stimulants. Avoid stimulating activities in the late evening, such as computer, TV, and social interactions. A 30-minute wind-down time prior to bedtime in which homework, socializing, and electronic devices are off-limits is helpful. […] Attempt to arise at a similar time on weekends as on school/work morningsadolescents who sleep ad lib on the weekends (sometimes into the afternoon) often find that they have especially great difficulty initiating sleep on Sunday night and, thus, get the week off to a bad start.

• #2

  https://www.advocatehealth.com/health-services/sleep-medicine/delayed-sleep-phase-syndrome

  Delayed sleep phase syndrome disrupts your natural sleep-wake cycle. If you have delayed sleep phase syndrome, your body’s internal clock is delayed by several hours, causing you to fall asleep and wake up later than usual. […] People with delayed sleep phase syndrome often find themselves wide awake late into the night and struggle to wake up early in the morning. This misalignment with societal norms can lead to chronic sleep deprivation, affecting your physical and mental health. […] Treatment for delayed sleep phase syndrome aims to shift your sleep-wake cycle to more conventional times. A sleep specialist will help you come up with effective strategies to improve your sleep pattern. Some strategies may include: […] Light therapy: Exposure to bright light in the morning can help reset your circadian cycle. Light therapy involves using a lightbox that emits intense light like natural sunlight, helping advance your sleep phase and improve sleep onset and wake times.

• #2 Sleeplessness and Circadian Rhythm Disorder Treatment & Management: Approach Considerations, Bright Light Therapy, Behavioral Therapy

  https://emedicine.medscape.com/article/1188944-treatment

  Therapy for circadian rhythm disturbances is largely behavioral. […] A combination of planned sleep scheduling, timed light exposure, and timed melatonin administration can be helpful. […] This is an important part of the treatment of circadian rhythm disorders. […] Bright light exposure in the evening should be avoided, and regular hours of eating and other activities should be enforced. […] Circadian rhythm disturbances respond very well to light therapy, especially bright light (600 lux). […] The timing of light therapy is also important because it affects the degree and direction of the rhythm shift. […] This behavioral treatment consists of a gradual shift in sleep time in accordance with the patient’s tendency. […] In delayed sleep-phase syndrome (DSPS), a progressive delay of 3 hours per day is prescribed, followed by strict maintenance of a regular bedtime hour once the desired schedule is achieved.

• #2 Delayed sleep phase | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/delayed-sleep-phase

  Melatonin supplements. Melatonin is a hormone that plays a role in the sleep-wake cycle. You may be prescribed a melatonin supplement to take in the early evening. This can help adjust your circadian rhythm to go to sleep earlier. […] Light therapy. Light exposure using a light box in the morning may adjust your circadian rhythm. […] Chronotherapy. For some people, health care professionals prescribe a sleep schedule that delays bedtime by 1 to 2.5 hours every six days. This is done until the desired bedtime is reached. You need to maintain your sleep schedule once it is established.

• #2 Advanced Sleep Phase Syndrome vs. Delayed Sleep Phase Syndrome

  https://www.dawn.health/blog/advanced-sleep-phase-syndrome-vs-delayed-sleep-phase-syndrome

  If you feel like you may have signs of ASPS or DSPS, talk to your doctor. Treatment can help you safely and effectively adjust your sleeping patterns or cope with keeping an unusual schedule. […] Changing your sleeping patterns can be difficult on your own, but certain strategies can help. Although ASPS and DSPS look a little different, their recommended treatments are very similar. […] Bright light therapy or phototherapy is also an effective technique for treating ASPS and DSPS. This method involves using bright lights to shift your sleep-wake times and reset your circadian rhythms. […] Although Cognitive Behavioral Therapy for Insomnia (CBT-I) was originally developed as an insomnia treatment, it is also an effective and well-known therapy for both ASPS and DSPS. CBT-I helps you learn more about your personal sleep habits and change your thoughts, attitudes, and behaviors surrounding rest.

• #2 Delayed sleep-wake phase disorder – Thoracic and Sleep Group Queensland

  https://thoracicandsleep.com.au/medical-newsletter/delayed-sleep-wake-phase-disorder/

  Delayed sleep-wake phase disorder (DSWPD) is a circadian rhythm sleep-wake disorder characterised by late bedtime and waking on most days with delay of usually 2 hours in relation to conventional or desired times. […] Advise all patients on general sleep hygiene measures. […] The usual treatment involves altering entraining signals and maintaining regular sleep-wake times. […] Chronotherapy involves incrementally delaying the sleep schedule until the desired sleep schedule is reached. […] Strategically timed melatonin is suggested in most patients. […] Light therapy: involves a combination of bright light upon awakening and evening light restriction. […] Combination therapy is often employed and involves bright light plus melatonin, sleep scheduling, or cognitive behavioural therapy.

• #2 Delayed Sleep Phase Syndrome: Symptoms, Causes, and More

  https://www.health.com/delayed-sleep-phase-syndrome-8575662

  Delayed sleep phase syndrome (DSPS) also called delayed sleep-wake phase disorder (DSWPD) is a sleep disorder that affects your circadian rhythm (or, your internal clock). As a result of this condition, your sleep-wake cycle gets delayed by two or more hours from a typical sleep pattern. […] While this condition can affect your quality of life, there are treatments available to help reduce your symptoms and improve your circadian rhythm. […] If you receive a diagnosis for DSPS, the goal of treatment is to shift your sleep cycle to an earlier or desired time and maintain that circadian rhythm. This way, you will be able to get sleep around the usual time other people do. Your healthcare provider may recommend the following treatment options: Taking medications, such as melatonin supplements […] Adopting good sleep hygiene, such as avoiding caffeine and large meals before bedtime and keeping your room cold, relaxed, and quiet.

• #2 Delayed sleep phase – Hancock Health

  https://www.hancockhealth.org/zh/mayo-health-library/delayed-sleep-phase/

  Delayed sleep phase is a sleep disorder that affects the internal clock, known as circadian rhythm. A treatment plan might include making changes to sleep habits, taking melatonin supplements and using light therapy. Delayed sleep phase is caused by a persons internal clock being out of sync with the environment. A health care professional works with you to create a treatment plan that can help adjust your sleep and wake times. Your plan may include improving sleep habits. Melatonin is a hormone that plays a role in the sleep-wake cycle. You may be prescribed a melatonin supplement to take in the early evening. Light exposure using a light box in the morning may adjust your circadian rhythm. Chronotherapy is done until the desired bedtime is reached. […] Delayed sleep phase can affect children and adults of any age. However, delayed sleep phase is more common among teenagers and young adults. […] See a health care professional if you have persistent symptoms of delayed sleep-wake phase disorder.

• #2 Delayed Sleep Phase Syndrome: Causes, Symptoms & Treatments

  https://www.healthline.com/health/sleep-deprivation/delayed-sleep-phase-syndrome

  If you cant keep a normal sleep schedule, you may develop depression due to stress. […] DSPS treatment involves more than one method. The purpose of treatment is to normalize your sleep schedule by adjusting your body clock. […] With your doctors help, you can get your sleep back on track. Treatment aims to change your body clock with bright light therapy, melatonin, and good sleep hygiene. It might also involve adjusting your sleep and wake times. […] DSPS is most common in teenagers, but it can happen at any age. Talk to your doctor if you or your child is having sleep issues.

• #3 Delayed sleep phase – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/delayed-sleep-phase/diagnosis-treatment/drc-20353341

  Our caring team of Mayo Clinic experts can help you with your delayed sleep phase-related health concerns […] A health care professional works with you to create a treatment plan that can help adjust your sleep and wake times. […] Your plan may include: Improving sleep habits. Making lifestyle changes can improve your sleep habits. This is known as sleep hygiene. […] Melatonin supplements. Melatonin is a hormone that plays a role in the sleep-wake cycle. You may be prescribed a melatonin supplement to take in the early evening. This can help adjust your circadian rhythm to go to sleep earlier. […] Light therapy. Light exposure using a light box in the morning may adjust your circadian rhythm. […] Chronotherapy. For some people, health care professionals prescribe a sleep schedule that delays bedtime by 1 to 2.5 hours every six days. This is done until the desired bedtime is reached. You need to maintain your sleep schedule once it is established.

• #3 What Is Delayed Sleep Phase Syndrome? – Sleep Care Online

  https://www.sleepcareonline.com/articles/what-is-delayed-sleep-phase-syndrome/?srsltid=AfmBOooJbxyxXa4lMy-zd8H5u0Rc17r7lBdJATEGKgRdO19Nm2jzhhl_

  Sleep disorders should be taken seriously. Speak to your doctor about any sleep problems and about getting a diagnosis and treatment. Sleep specialists can help designate the type of sleep disorder you have and possible connections with other types of sleep disorders. […] Following some lifestyle adjustments can also help you sleep better. Establish a consistent sleep routine. Maintaining a consistent sleep schedule helps your body adjust to patterns of sleep. Other impactful changes to your sleep routine can include: keeping your bedroom a cool temperature, taking a warm bath, drinking tea, or doing other calming activities to get your body ready for sleep, avoiding caffeinated drinks, alcohol, and smoking too close to bedtime, turning off electronic devices. […] Medication, like melatonin, might be recommended by your doctor to help you adjust your circadian rhythm and sleep better.

• #3 Sleeplessness and Circadian Rhythm Disorder Treatment & Management: Approach Considerations, Bright Light Therapy, Behavioral Therapy

  https://emedicine.medscape.com/article/1188944-treatment

  Therapy for circadian rhythm disturbances is largely behavioral. […] A combination of planned sleep scheduling, timed light exposure, and timed melatonin administration can be helpful. […] This is an important part of the treatment of circadian rhythm disorders. […] Bright light exposure in the evening should be avoided, and regular hours of eating and other activities should be enforced. […] Circadian rhythm disturbances respond very well to light therapy, especially bright light (600 lux). […] The timing of light therapy is also important because it affects the degree and direction of the rhythm shift. […] This behavioral treatment consists of a gradual shift in sleep time in accordance with the patient’s tendency. […] In delayed sleep-phase syndrome (DSPS), a progressive delay of 3 hours per day is prescribed, followed by strict maintenance of a regular bedtime hour once the desired schedule is achieved.

Zobacz więcej