Teens Who Can’t Sleep: Insomnia or Delayed Sleep Phase Disorder?-View Presentation

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Video Summary

In this seminar, Dr. Argelinda Baroni, a clinical assistant professor and sleep specialist, outlines the differentiation and treatment of delayed sleep phase disorder (DSPD) from insomnia and idiopathic hypersomnia, particularly in children and adolescents. She emphasizes the need to identify DSPD by analyzing sleep patterns, environmental, and psychological factors. This condition is characterized by an inability to fall asleep and wake up at desired times, causing academic challenges and daytime sleepiness. Baroni highlights two case studies: Maggie, a 16-year-old with DSPD, and Sarah, a 17-year-old with idiopathic hypersomnia, characterized by excessive sleepiness and prolonged sleep that is unrefreshing.<br /><br />The seminar also discusses measuring excessive daytime sleepiness using the Epworth Sleepiness Scale and possible causes, such as genetic and environmental factors, including exposure to light from electronic devices. Treatment strategies for DSPD include behavioral interventions, bright light therapy, melatonin, and blue light reduction techniques. For idiopathic hypersomnia, treatment may involve wakefulness-promoting agents and lifestyle adjustments.<br /><br />Baroni stresses the importance of understanding the natural sleep cycle and adapting treatment plans based on individual needs. She also warns against confusing DSPD with insomnia, detailing the key diagnostic questions and treatment strategies. Lastly, she highlights the significance of maintaining a consistent sleep schedule and the potential for delayed school start times to mitigate sleep-related issues in adolescents.

Keywords

delayed sleep phase disorder

insomnia

idiopathic hypersomnia

children and adolescents

sleep patterns

Epworth Sleepiness Scale

behavioral interventions

bright light therapy

melatonin

sleep schedule