2013 - Delayed Sleep Phase Disorder in Youth

2013 - Delayed Sleep Phase Disorder in Youth

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Our review of the science explaining one of the most common sleep disorders in teenagers

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Abstract

Purpose of review

For over 30 years, delayed sleep phase disorder (DSPD) has been defined as a debilitating sleep condition. Recently, there is more awareness of DSPD in young people, yet considerable information is needed to understand its cause and treatment. This review describes the latest research findings describing the clinical features, cause, and treatment of DSPD.

Recent findings

The prevalence of DSPD in adolescents and young adults ranges from 1 to 16%. The impact on the individuals is significant, particularly in the domains of school/work performance and mental health.
We describe various contributing factors including reduced homeostatic sleep pressure, a lengthened and delayed circadian rhythm, insensitivity to clock-resetting morning light, and heightened cognitive activity. Evening melatonin administration as a sole treatment appears promising, as is a combination of cognitive– behavior therapy and morning bright light.

Summary

Recent findings suggest clinicians to be aware of the clinical features (i.e., significant daytime sleepiness, anxiety and depression symptoms, potential for school dropout) of DSPD, as several biological features underpinning this disorder are unseen in clinical settings. We advise clinicians to become familiar with exogenous evening melatonin administration, and cognitive and behavioral techniques to simultaneously treat the delayed circadian rhythm and associated sleep-onset insomnia.

2021 - Circadian Typology and Implications for Adolescent Sleep Health

2021 - Circadian Typology and Implications for Adolescent Sleep Health

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Caffeine and Sleep in Adolescents: A Systematic Review

Caffeine and Sleep in Adolescents: A Systematic Review

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2018 - Brief school-based sleep interventions to assist adolescents' sleep

2018 - Brief school-based sleep interventions to assist adolescents' sleep

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2021 - Delayed sleep wake phase disorder in young adults

2021 - Delayed sleep wake phase disorder in young adults

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2018 - Readiness to change and commitment as predictors of therapy

2018 - Readiness to change and commitment as predictors of therapy

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