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Delayed Sleep-Wake Phase Disorder (DSWPD)

Waiz Wasey, MD, FAAFP Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Circadian rhythm sleep disorders (CRSDs) refer to a family of conditions that occur when an individual’s physiologically preferred timing of sleep is not following the norms of the d...

DIAGNOSIS

HISTORY

  • People with DSWPD report both sleep initiation insomnia and excessive sleepiness in the daytime. They do not initiate sleep until 2 to 6 hours later than normative sleep times, and th...

TREATMENT

  • The goal is to help the individual consistently initiate sleep at an earlier time. The principal therapies that advance sleep onset are properly timed exposure to full spectrum light and mel...

ONGOING CARE

PATIENT EDUCATION

American Academy of Family Physicians: http://www.aafp.org/afp/1999/0401/p1918.html 

REFERENCES

1
Magee M, Marbas EM, Wright KP Jr, et al. Diagnosis, cause, and treatment approaches for delayed sleep-wake phase disorder. Sleep Med Clin. 2016;11(3):389–401.
2
Abbott SM, Choi J, Wilson J, ...

CODES

ICD10

G47.21 Circadian rhythm sleep disorder, delayed sleep phase type 

SNOMED

80623000 Sleep-wake schedule disorder, delayed phase type 

CLINICAL PEARLS

  • The tendency to become “night-owlish” with adolescence is, to a large extent, a biologically programmed phenomenon.

  • DSWPD can be diagnosed with careful history taking and sleep logs; re...

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