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Practice parameters discuss the evaluation, treatment of circadian rhythm sleep disorders
Date:11/1/2007

WESTCHESTER, Ill. Practice parameters published in the November 1 issue of the journal SLEEP are a guide to the appropriate assessment and treatment of circadian rhythm sleep disorders (CRSDs). The standards will have a positive impact on professional behavior, patient outcomes and possibly health care costs.

The AASMs Standards of Practice Committee, who developed the practice parameters, commissioned content experts in CRSDs to review and grade evidence in the peer-reviewed scientific literature regarding the assessment and treatment of CRSDs.

The following are highlights of recommendations for the evaluation and therapy of CRSDs:

Standards (generally accepted patient-care strategies that reflects a high degree of clinical certainty):

  • Polysomnography rules out another primary sleep disorder in patients with symptoms suggestive of both a CRSD and another primary sleep disorder, but not for the diagnosis of CRSDs.

  • Planned napping before or during the night shift, as well as timed light exposure in the work environment and light restriction in the morning, all improve alertness and performance among night shift workers.

  • Melatonin administered at the appropriate time reduces symptoms of jet lag and improves sleep following travel across multiple time zones.

Guidelines (patient-care strategies that reflects a moderate degree of clinical certainty):

  • The use of a sleep log or diary assesses patients with a suspected CRSD.

  • Actigraphy assists in the evaluation of patients suspected of CRSDs. In addition, actigraphy is useful as an outcome measure in evaluating the response to treatment for CRSDs.

  • Melatonin promotes daytime sleep among night shift workers. Modafinil enhances alertness during the night shift for a shift work sleep disorder.

  • Morning light exposure is indicated in the tr
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Contact: Jim Arcuri
jarcuri@aasmnet.org
708-492-0930
American Academy of Sleep Medicine
Source:Eurekalert

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