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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.

Abstract Circadian rhythm sleep-wake disorders (CRSWD) are a group of disorders, in which the timing of sleep and wakefulness significantly differs from a patient's expectations or socially acceptable times. The aimof the article is to present the current principles for the diagnosis and treatment of CRSWD in adults and children.
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 I. Physiology, assessment and therapeutic methods.

Authors

Mayor MeshTerms
Keywords

circadian sleep-wake rhythm disorders

diagnosis

treatment

Journal Title psychiatria polska
Publication Year Start




PMID- 29289963
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 II. Diagnosis and treatment.
PG  - 815-832
LID - 68918 [pii]
LID - 10.12740/PP/68918 [doi]
AB  - AIM: Circadian rhythm sleep-wake disorders (CRSWD) are a group of disorders, in
      which the timing of sleep and wakefulness significantly differs from a patient's 
      expectations or socially acceptable times. The aimof the article is to present
      the current principles for the diagnosis and treatment of CRSWD in adults and
      children. METHOD: Guidelines proposed as CRSWD treatment standard are based on
      the recommendations from the scientific societies involved in the sleep research 
      and medicine. Researchers participating in the guidelines preparation were
      invited by the Polish Sleep Research Society and the Section of Biological
      Psychiatry of the Polish Psychiatric Association based on their significant
      contribution to the circadian rhythm research and/or clinical experience in the
      treatment of these disorders. Finally, the guidelines were adjusted to the
      questions and comments given by the members of both Societies. RESULTS: Patients 
      with endogenous CRSWD are often misdiagnosed and treated for insomnia or
      hypersomnia. Therefore, each patient reporting sleep-wake disorders should be
      interviewed about the quality of sleep and its timing during free days (e.g.
      weekends, holidays). Avalid CRSWD diagnosis can be also established by using
      sleep diaries/logs and actigraphy. The treatment of choice for CRSWD is
      chronotherapy, which involves melatonin application, light therapy, and
      behavioral interventions. Sleep disorders associated with shift work and time
      zone changes are a growing health problem. Interventions for these disorders
      should primarily focus on prevention. CONCLUSIONS: The main problem in the
      treatment of CRSWD is an invalid diagnosis. Hypnotics and/or psychostimulants are
      often used instead of chronotherapeutic interventions, what can alleviate
      symptoms but is not an effective treatment.
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, Uniwersytet Medyczny 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 Polskiego
      Towarzystwa Badan nad Snem i Sekcji Psychiatrii Biologicznej Polskiego
      Towarzystwa Psychiatrycznego. Czesc II. Diagnoza i leczenie.
DEP - 20171029
PL  - Poland
TA  - Psychiatr Pol
JT  - Psychiatria polska
JID - 0103314
OTO - NOTNLM
OT  - circadian sleep-wake rhythm disorders
OT  - diagnosis
OT  - treatment
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 - 68918 [pii]
AID - 10.12740/PP/68918 [doi]
PST - ppublish
SO  - Psychiatr Pol. 2017 Oct 29;51(5):815-832. doi: 10.12740/PP/68918. Epub 2017 Oct
      29.