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Delayed Sleep-Wake Phase Disorder (DSWPD)

Jade M Stobbe, D.O. Reviewed 06/2022
 


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 of treatment in DSWPD 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 ...

ONGOING CARE

PATIENT EDUCATION

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

REFERENCES

1
Auger  RR, Burgess  HJ, Emens  JS, et al. Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep-wake disorders: advanced sleep-wake phas...

ADDITIONAL READING

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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