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Delayed sleep phase syndrome in adolescents.

M J Thorpy1, E Korman, A J Spielman

  • 1Department of Neurology, Montefiore Medical Center, Bronx, NY 10467.

Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
|January 1, 1988
PubMed
Summary

Delayed sleep phase syndrome in adolescents causes difficulty sleeping and morning arousal. Weekend sleep patterns show increased total and REM sleep, impacting daytime alertness and potentially contributing to behavioral issues.

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Area of Science:

  • Sleep Medicine
  • Adolescent Health

Background:

  • Delayed sleep phase syndrome (DSPS) affects adolescents, causing sleep onset/awakening difficulties.
  • This condition is linked to daytime sleepiness, poor academic performance, and behavioral problems.

Purpose of the Study:

  • To describe clinical features of DSPS in adolescents.
  • To investigate sleep patterns and daytime sleepiness in adolescents with DSPS.

Main Methods:

  • Clinical features were assessed in 22 adolescents.
  • Polysomnography simulated weekday and weekend sleep patterns in 9 subjects.
  • Multiple sleep latency tests measured daytime sleep tendency.

Main Results:

  • Weekend sleep showed significantly increased total sleep time and REM sleep.

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  • Daytime sleepiness was highest in the morning, improving throughout the day.
  • Reduced weekday REM sleep and morning sleepiness may correlate with behavioral/educational difficulties.

    • Conclusions:

    • DSPS in adolescents is characterized by specific sleep/wake patterns.
    • Sleep schedule adjustments can effectively treat DSPS.
    • Understanding these patterns is crucial for managing associated behavioral and academic issues.