Circadian rhythm disorders among adolescents: assessment and treatment options
Summary Delayed 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...
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| Veröffentlicht in: | Medical journal of Australia 2013-10, Vol.199 (8), p.S16-S20 |
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| container_title | Medical journal of Australia |
| container_volume | 199 |
| creator | Bartlett, Delwyn J Biggs, Sarah N Armstrong, Stuart M |
| description | Summary
Delayed 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. |
| doi_str_mv | 10.5694/mja13.10912 |
| format | Article |
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Delayed 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.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/mja13.10912</identifier><identifier>PMID: 24138360</identifier><language>eng</language><publisher>Australia</publisher><subject>Adolescent ; Anatomy and physiology ; Anxiety Disorders - diagnosis ; Anxiety Disorders - epidemiology ; Anxiety Disorders - psychology ; Anxiety Disorders - therapy ; Australia ; Comorbidity ; Cross-Sectional Studies ; Depressive Disorder - diagnosis ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Depressive Disorder - therapy ; Diagnosis, Differential ; Educational Status ; Female ; Humans ; Male ; Melatonin - administration & dosage ; Pediatric medicine ; Phototherapy ; Respiratory tract diseases ; Risk Factors ; Sleep Disorders, Circadian Rhythm - diagnosis ; Sleep Disorders, Circadian Rhythm - epidemiology ; Sleep Disorders, Circadian Rhythm - psychology ; Sleep Disorders, Circadian Rhythm - therapy ; Sleep Initiation and Maintenance Disorders - diagnosis ; Sleep Phase Chronotherapy ; Young Adult</subject><ispartof>Medical journal of Australia, 2013-10, Vol.199 (8), p.S16-S20</ispartof><rights>2013 AMPCo Pty Ltd. All rights reserved</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3306-f29e4fe5d1eec29f8f875f2762b3d51dd5fe3a9f349a01bb865e940d854193ee3</citedby><cites>FETCH-LOGICAL-c3306-f29e4fe5d1eec29f8f875f2762b3d51dd5fe3a9f349a01bb865e940d854193ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fmja13.10912$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fmja13.10912$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24138360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bartlett, Delwyn J</creatorcontrib><creatorcontrib>Biggs, Sarah N</creatorcontrib><creatorcontrib>Armstrong, Stuart M</creatorcontrib><title>Circadian rhythm disorders among adolescents: assessment and treatment options</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Summary
Delayed 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.</description><subject>Adolescent</subject><subject>Anatomy and physiology</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety Disorders - therapy</subject><subject>Australia</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Diagnosis, Differential</subject><subject>Educational Status</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Melatonin - administration & dosage</subject><subject>Pediatric medicine</subject><subject>Phototherapy</subject><subject>Respiratory tract diseases</subject><subject>Risk Factors</subject><subject>Sleep Disorders, Circadian Rhythm - diagnosis</subject><subject>Sleep Disorders, Circadian Rhythm - epidemiology</subject><subject>Sleep Disorders, Circadian Rhythm - psychology</subject><subject>Sleep Disorders, Circadian Rhythm - therapy</subject><subject>Sleep Initiation and Maintenance Disorders - diagnosis</subject><subject>Sleep Phase Chronotherapy</subject><subject>Young Adult</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLw0AURgdRbK2u3EuWgqTOM8m4K8UnVRcquBsmmTs2JY86N0X6741tdenq8sHhcDmEnDI6VomWl_XCMjFmVDO-R4ZM8CRWIk33yZBSruKU6_cBOUJc9JMpnh6SAZdMZCKhQ_I0LUNhXWmbKMzX3byOXIltcBAwsnXbfETWtRVgAU2HV5FFBMS6H5FtXNQFsN1mtcuubBs8JgfeVggnuzsibzfXr9O7ePZ8ez-dzOJCCJrEnmuQHpRjAAXXPvNZqjxPE54Lp5hzyoOw2gupLWV5niUKtKQuU5JpASBG5HzrXYb2cwXYmbrsf6wq20C7QsOkFFoLydIevdiiRWgRA3izDGVtw9owan4Cmk1AswnY02c78Sqvwf2xv8V6gG6Br7KC9X8u8_gw4S8sEd8DhHvC</recordid><startdate>20131021</startdate><enddate>20131021</enddate><creator>Bartlett, Delwyn J</creator><creator>Biggs, Sarah N</creator><creator>Armstrong, Stuart M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131021</creationdate><title>Circadian rhythm disorders among adolescents: assessment and treatment options</title><author>Bartlett, Delwyn J ; Biggs, Sarah N ; Armstrong, Stuart M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3306-f29e4fe5d1eec29f8f875f2762b3d51dd5fe3a9f349a01bb865e940d854193ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Anatomy and physiology</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety Disorders - therapy</topic><topic>Australia</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive Disorder - therapy</topic><topic>Diagnosis, Differential</topic><topic>Educational Status</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Melatonin - administration & dosage</topic><topic>Pediatric medicine</topic><topic>Phototherapy</topic><topic>Respiratory tract diseases</topic><topic>Risk Factors</topic><topic>Sleep Disorders, Circadian Rhythm - diagnosis</topic><topic>Sleep Disorders, Circadian Rhythm - epidemiology</topic><topic>Sleep Disorders, Circadian Rhythm - psychology</topic><topic>Sleep Disorders, Circadian Rhythm - therapy</topic><topic>Sleep Initiation and Maintenance Disorders - diagnosis</topic><topic>Sleep Phase Chronotherapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bartlett, Delwyn J</creatorcontrib><creatorcontrib>Biggs, Sarah N</creatorcontrib><creatorcontrib>Armstrong, Stuart M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bartlett, Delwyn J</au><au>Biggs, Sarah N</au><au>Armstrong, Stuart M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circadian rhythm disorders among adolescents: assessment and treatment options</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2013-10-21</date><risdate>2013</risdate><volume>199</volume><issue>8</issue><spage>S16</spage><epage>S20</epage><pages>S16-S20</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><abstract>Summary
Delayed 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.</abstract><cop>Australia</cop><pmid>24138360</pmid><doi>10.5694/mja13.10912</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Anatomy and physiology Anxiety Disorders - diagnosis Anxiety Disorders - epidemiology Anxiety Disorders - psychology Anxiety Disorders - therapy Australia Comorbidity Cross-Sectional Studies Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - psychology Depressive Disorder - therapy Diagnosis, Differential Educational Status Female Humans Male Melatonin - administration & dosage Pediatric medicine Phototherapy Respiratory tract diseases Risk Factors Sleep Disorders, Circadian Rhythm - diagnosis Sleep Disorders, Circadian Rhythm - epidemiology Sleep Disorders, Circadian Rhythm - psychology Sleep Disorders, Circadian Rhythm - therapy Sleep Initiation and Maintenance Disorders - diagnosis Sleep Phase Chronotherapy Young Adult |
| title | Circadian rhythm disorders among adolescents: assessment and treatment options |
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