Abstract
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.
MeSH terms
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Adolescent
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Anxiety Disorders / diagnosis
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Anxiety Disorders / epidemiology
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Anxiety Disorders / psychology
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Anxiety Disorders / therapy
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Australia
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Comorbidity
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Cross-Sectional Studies
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Depressive Disorder / diagnosis
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Depressive Disorder / epidemiology
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Depressive Disorder / psychology
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Depressive Disorder / therapy
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Diagnosis, Differential
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Educational Status
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Female
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Humans
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Male
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Melatonin / administration & dosage
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Phototherapy
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Risk Factors
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Sleep Disorders, Circadian Rhythm / diagnosis*
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Sleep Disorders, Circadian Rhythm / epidemiology
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Sleep Disorders, Circadian Rhythm / psychology
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Sleep Disorders, Circadian Rhythm / therapy
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Sleep Initiation and Maintenance Disorders / diagnosis
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Sleep Phase Chronotherapy
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Young Adult