Delayed and advanced sleep phase symptoms

Isr J Psychiatry Relat Sci. 2002;39(1):11-8.

Abstract

Current criteria for circadian rhythm sleep disorders require a mismatch between the endogenous circadian sleep tendency and exogenous environmental requirements for sleep timing. To examine the prevalence of circadian rhythm sleep disorders by DSM-IV criteria, sleep complaints and objectively-measured sleep timing were sampled in a population aged 40-64 years. Randomly selected volunteers were interviewed concerning sleep complaints. Then, objective sleep timing was estimated from wrist activity recordings and environmental illumination data. In this age group, advance-related complaints (trouble staying awake until bedtime and troubled by waking up early in the morning) were found together in 7.4%. Less prevalent were delay-related complaints reported together in 3.1% (trouble falling asleep and trouble waking up in the morning). However, no significant correlations or clusters were found pairing these sleep complaints with recorded sleep timing. The distributions of objectively-recorded lights-out times and arising times were consistently later than the questionnaire-reported times. Thus, complaints suggesting circadian rhythm advance or delay mismatches were common, but evidently such complaints do not usually correspond with objective abnormalities of observed sleep timing.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Circadian Rhythm / physiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Sleep Stages / physiology*
  • Sleep Wake Disorders / epidemiology*