advanced sleep-phase syndrome; familial advanced sleep-phase syndrome (FASPS)
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Epidemiology
- common in the elderly
Pathology
Genetics
Clinical manifestations
- persistent early onset of sleep (8-9 PM)
- early morning awakening (3-5 AM)
- individuals are 'morning larks' with a 4 hours advance of the sleep, temperature & melatonin rhythms
- early sleep patterns are not associated with shortened sleep duration
- sleep duration > 7 hours
Differential diagnosis
Management
- reassurance & patient education
- improved sleep hygiene may be beneficial
- systematic gradual advancement of bedtime
- bright light therapy early in the evening
- typical indoor lighting is inadequate
- sunlight or commercially available light box is needed
More general terms
References
- ↑ UniProt http://www.uniprot.org/uniprot/P48730.html
- ↑ OMIM https://mirror.omim.org/entry/604348
- ↑ UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
- ↑ Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013 - ↑ Barion A, Zee PC. A clinical approach to circadian rhythm sleep disorders. Sleep Med. 2007 Sep;8(6):566-77 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17395535
- ↑ Morgenthaler TI, Lee-Chiong T, Alessi C et al Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Sleep. 2007 Nov;30(11):1445-59. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18041479
- ↑ Sack RL, Auckley D, Auger RR et al Circadian rhythm sleep disorders: part II, advanced sleep phase disorder, delayed sleep phase disorder, free-running disorder, and irregular sleep-wake rhythm. An American Academy of Sleep Medicine review. Sleep. 2007 Nov;30(11):1484-501. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18041481
- ↑ Zee PC, Attarian H, Videnovic A. Circadian rhythm abnormalities. Continuum (Minneap Minn). 2013 Feb;19(1 Sleep Disorders):132-47. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23385698 Free PMC Article
- ↑ Kim JH, Elkhadem AR, Duffy JF. Circadian Rhythm Sleep-Wake Disorders in Older Adults. Sleep Med Clin. 2022 Jun;17(2):241-252. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35659077 Free PMC article. Review.