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Treatment guidelines for Circadian Rhythm Sleep-Wake Disorders of the Polish Sleep Research Society and the Section of Biological Psychiatry of the Polish Psychiatric Association. Part I. Physiology, assessment and therapeutic methods.

Abstract Majority of the physiological processes in the human organism are rhythmic. The most common are the diurnal changes that repeat roughly every 24 hours, called circadian rhythms. Circadian rhythms disorders have negative influence on human functioning. The aim of this article is to present the current understanding of the circadian rhythms physiological role, with particular emphasis on the circadian rhythm sleep-wake disorders (CRSWD), principles of their diagnosis and chronobiological therapy. The guidelines are based on the review of recommendations from the scientific societies involved in sleep medicine and the clinical experiences of the authors. Researchers participating in the preparation of guidelines were invited by the Polish Sleep Research Society and the Section of Biological Psychiatry of the Polish Psychiatric Association, based on their significant contributions in circadian rhythm research and/or clinical experience in the treatment of such disorders. Finally, the guidelines were adjusted to the questions and comments given by the members of both Societies. CRSWD have a significant negative impact on human health and functioning. Standard methods used to assess CRSWD are sleep diaries and sleep logs, while the actigraphy, when available, should be also used. The most effective methods of CRSWD treatment are melatonin administration and light therapy. Behavioral interventions are also recommended. Afourteen-day period of sleep-wake rhythm assessment in CRSWD enables accurate diagnosis, adequate selection of chronobiological interventions, and planning adequate diurnal timing of their application. This type of assessment is quite easy, low-cost, and provides valuable indications how to adjust the therapeutic approach to the circadian phase of the particular patient.
PMID
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Treatment guidelines for Circadian Rhythm Sleep - Wake Disorders of the Polish Sleep Research Society and the Section of Biological Psychiatry of the Polish Psychiatric Association. Part II. Diagnosis and treatment.

Authors

Mayor MeshTerms
Keywords

assessment

circadian rhythm

physiology

Journal Title psychiatria polska
Publication Year Start




PMID- 29289962
OWN - NLM
STAT- In-Process
LR  - 20171231
IS  - 2391-5854 (Electronic)
IS  - 0033-2674 (Linking)
VI  - 51
IP  - 5
DP  - 2017 Oct 29
TI  - Treatment guidelines for Circadian Rhythm Sleep-Wake Disorders of the Polish
      Sleep Research Society and the Section of Biological Psychiatry of the Polish
      Psychiatric Association. Part I. Physiology, assessment and therapeutic methods.
PG  - 793-814
LID - 66810 [pii]
LID - 10.12740/PP/OnlineFirst/66810 [doi]
AB  - Majority of the physiological processes in the human organism are rhythmic. The
      most common are the diurnal changes that repeat roughly every 24 hours, called
      circadian rhythms. Circadian rhythms disorders have negative influence on human
      functioning. The aim of this article is to present the current understanding of
      the circadian rhythms physiological role, with particular emphasis on the
      circadian rhythm sleep-wake disorders (CRSWD), principles of their diagnosis and 
      chronobiological therapy. The guidelines are based on the review of
      recommendations from the scientific societies involved in sleep medicine and the 
      clinical experiences of the authors. Researchers participating in the preparation
      of guidelines were invited by the Polish Sleep Research Society and the Section
      of Biological Psychiatry of the Polish Psychiatric Association, based on their
      significant contributions in circadian rhythm research and/or clinical experience
      in the treatment of such disorders. Finally, the guidelines were adjusted to the 
      questions and comments given by the members of both Societies. CRSWD have a
      significant negative impact on human health and functioning. Standard methods
      used to assess CRSWD are sleep diaries and sleep logs, while the actigraphy, when
      available, should be also used. The most effective methods of CRSWD treatment are
      melatonin administration and light therapy. Behavioral interventions are also
      recommended. Afourteen-day period of sleep-wake rhythm assessment in CRSWD
      enables accurate diagnosis, adequate selection of chronobiological interventions,
      and planning adequate diurnal timing of their application. This type of
      assessment is quite easy, low-cost, and provides valuable indications how to
      adjust the therapeutic approach to the circadian phase of the particular patient.
FAU - Wichniak, Adam
AU  - Wichniak A
AD  - III Klinika Psychiatryczna i Osrodek Medycyny Snu IPiN w Warszawie.
FAU - Jankowski, Konrad S
AU  - Jankowski KS
AD  - Wydzial Psychologii UW.
FAU - Skalski, Michal
AU  - Skalski M
AD  - Klinika Psychiatryczna WUM.
FAU - Skwarlo-Sonta, Krystyna
AU  - Skwarlo-Sonta K
AD  - Zaklad Fizjologii Zwierzat, Wydzial Biologii UW.
FAU - Zawilska, Jolanta B
AU  - Zawilska JB
AD  - Zaklad Farmakodynamiki UM w Lodzi.
FAU - Zarowski, Marcin
AU  - Zarowski M
AD  - Pracownia Polisomnografii i Badan Snu, Katedra i Klinika Neurologii Wieku
      Rozwojowego UM im. K. Marcinkowskiego w Poznaniu.
FAU - Poradowska, Ewa
AU  - Poradowska E
AD  - III Klinika Psychiatryczna i Osrodek Medycyny Snu IPiN w Warszawie.
FAU - Jernajczyk, Wojciech
AU  - Jernajczyk W
AD  - Zaklad Neurofizjologii Klinicznej, Osrodek Medycyny Snu IPiN w Warszawie.
LA  - eng
LA  - pol
PT  - Journal Article
PT  - Review
TT  - Standardy leczenia zaburzen rytmu okolodobowego snu i czuwania opracowane przez
      Polskie Towarzystwo Badan nad Snem i Sekcje Psychiatrii Biologicznej Polskiego
      Towarzystwa Psychiatrycznego. Czesc I. Fizjologia, metody oceny i oddzialywania
      terapeutyczne.
DEP - 20171029
PL  - Poland
TA  - Psychiatr Pol
JT  - Psychiatria polska
JID - 0103314
OTO - NOTNLM
OT  - assessment
OT  - circadian rhythm
OT  - physiology
EDAT- 2018/01/01 06:00
MHDA- 2018/01/01 06:00
CRDT- 2018/01/01 06:00
PHST- 2018/01/01 06:00 [entrez]
PHST- 2018/01/01 06:00 [pubmed]
PHST- 2018/01/01 06:00 [medline]
AID - 66810 [pii]
AID - 10.12740/PP/OnlineFirst/66810 [doi]
PST - ppublish
SO  - Psychiatr Pol. 2017 Oct 29;51(5):793-814. doi: 10.12740/PP/OnlineFirst/66810.
      Epub 2017 Oct 29.