Assessment and Treatment of Delayed Sleep Phase Disorder in Adolescents : Recent Innovations and Cautions - 31/05/14

Doi : 10.1016/j.jsmc.2014.02.005

Michael Gradisar, PhD ^a,^⁎ , Marcel G. Smits, MD, PhD ^b, Bjørn Bjorvatn, MD, PhD ^c
^a School of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia
^b Department of Neurology, Hospital Gelderse Vallei, Centre for Sleep-Wake Disorders and Chronobiology, Willy Brandtlaan 10, Ede, 6716 RP, The Netherlands
^c Department of Global Public Health and Primary Care, Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, University of Bergen, Jonas Lies vei 65, Bergen 5021, Norway

^∗Correspondence author.

Résumé

This article addresses the treatment of delayed sleep phase disorder (DSPD) in adolescents. As most of the previous literature on this disorder has been tailored primarily to young adults, the focus herein is on adolescents living in the “iEra” and the subjective experience of the adolescent with DSPD. New assessment methods of circadian misalignment, in addition to new medications and devices intended to advance sleep timing, are discussed. Preliminary evidence for the use of psychological therapies to augment classic chronobiological treatments for DSPD is presented.

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Keywords : Delayed sleep phase disorder, Delayed sleep phase syndrome, Adolescence, Daytime sleepiness, Sleep-onset latency, Melatonin, Dim-light melatonin onset, Bright-light therapy