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Published on: August 8, 2019
Sleep, circadian rhythms, and delayed phase in adolescence
Stephanie J Crowley1, Christine Acebo, Mary A Carskadon
1Department of Psychology, Brown University, Providence, RI 02906, USA. Stephanie_Crowley@Brown.edu
Adolescent sleep patterns shift later due to biological and environmental factors. This review explores these changes, including delayed sleep phase syndrome (DSPS), and their underlying mechanisms.
Area of Science:
- Chronobiology
- Developmental Neuroscience
- Sleep Medicine
Background:
- Sleep/wake timing naturally shifts later in adolescents.
- Adolescence involves significant environmental, psychosocial, and biological changes impacting sleep.
- Understanding these shifts is crucial for adolescent health.
Purpose of the Study:
- To review sleep/wake patterns in adolescents.
- To examine factors influencing these changes.
- To discuss the two-process model and delayed sleep phase syndrome (DSPS).
Main Methods:
- Literature review of sleep/wake patterns during adolescence.
- Analysis of environmental, psychosocial, and biological factors.
- Outline of the two-process model (Process C and Process S).
Main Results:
- Adolescence is characterized by a later shift in sleep/wake timing.
- Environmental, psychosocial, and biological factors contribute to this shift.
- The two-process model helps explain these developmental changes.
Conclusions:
- Developmental changes in circadian (Process C) and homeostatic (Process S) sleep drives underlie adolescent sleep shifts.
- Delayed sleep phase syndrome (DSPS) may represent an extreme manifestation of these adolescent changes.
- Further understanding of DSPS etiology and treatment in adolescents is warranted.
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