Delayed sleep phase syndrome in adolescents

doi:10.1016/0197-0070(88)90014-9

Journal of Adolescent Health Care

Volume 9, Issue 1, January 1988, Pages 22-27

Journal of Adolescen...

https://doi.org/10.1016/0197-0070(88)90014-9 Get rights and content

Abstract

The delayed sleep phase syndrome is characterized by difficulty in falling asleep at a socially acceptable time of night and an inability to be easily aroused in the morning. Most commonly encountered in adolescents, this condition can produce daytime sleepiness and poor school performance, and it can lead to behavioral problems. The clinical features of the syndrome are described in 22 adolescents. Nine subjects participated in a protocol of polysomnographic recordings to simulate habitual “weekday” and “weekend” sleep patterns. There was a significant increase in total sleep time (p < 0.005) and REM sleep (p < 0.001) during the “weekend” sleep period. A multiple sleep latency test was performed between the two nights to assess daytime sleep tendency. Daytime sleepiness was maximal in the morning, with a tendency for greater alertness as the day progressed. The reduced amount of REM sleep during the “weekdays” plus the tendency for sleepiness in the mornings may contribute to the behavioral and educational difficulties seen in these patients. Recognition of this syndrome enables a specific sleep schedule change to be made that effectively treats the problem.

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Original articleDelayed sleep phase syndrome in adolescents

Abstract

Electroencephalogr Clin Neurophysiol

Circadian time-keeping in health and disease. Part I. Basic properties of circadian pacemakers

N Engl J Med

Circadian time-keeping in health and disease. Part II. Clinical implications of circadian rhythmicity

N Engl J Med

Delayed sleep phase syndrome

Arch Gen Psychiatry

A manual of standardized, terminology, techniques; and scoring system for sleep stages of human subjects

Chronotherapy: Resetting the circadian clocks of patients with delayed sleep phase insomnia

Sleep

EEG of human sleep

Extended sleep (hypersomnia) in young depressed patients

Am J Psychiatry

The second decade

Delayed sleep phase syndrome versus motivated sleep phase delay in adolescents

Sleep Res

Circadian rhythms and the circadian organization of living systems

Original article
Delayed sleep phase syndrome in adolescents