• Med. J. Aust. · Oct 2013

    Review

    Circadian rhythm disorders among adolescents: assessment and treatment options.

    • Delwyn J Bartlett, Sarah N Biggs, and Stuart M Armstrong.
    • Sleep and Circadian Group, Woolcock Institute of Medical Research, Sydney, NSW, Australia. delwyn.bartlett@sydney.edu.au.
    • Med. J. Aust.. 2013 Oct 21;199(8):S16-20.

    AbstractDelayed sleep phase disorder (DSPD) - a circadian rhythm sleep disorder - is most commonly seen in adolescents. The differential diagnosis between DSPD and conventional psychophysiological insomnia is important for correct therapeutic intervention. Adolescent DSPD sleep duration is commonly 9 hours or more. Depression may be comorbid with DSPD. DSPD has a negative impact on adolescent academic performance. DSPD treatments include bright light therapy, chronotherapeutic regimens, and administration of melatonin as a chronobiotic (as distinct from a soporific). Attention to non-photic and extrinsic factors including healthy sleep parameters is also important to enable better sleep and mood outcomes in adolescents.

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