Abstract
This case study describes a 14-year-old male suffering from significant academic and personal difficulties, who has been diagnosed with depression, schizotypal personality disorder, and learning disabilities. Because of excessive sleepiness, assessment for a potential sleep disorder was performed. An overnight polysomnographic study revealed no primary sleep disorders. Wrist actigraphy revealed a non-24-hour sleep-wake pattern. Delay in temperature rhythm and dissociation with melatonin rhythms were also noted. Treatment with oral melatonin restored normal sleep-wake schedule. In a follow-up psychiatric evaluation, none of the above diagnoses were present. Greater awareness of sleep disorders may prevent psychiatric misdiagnosis of treatable sleep-wake schedule disorders.
| Original language | English |
|---|---|
| Pages (from-to) | 1271-1275 |
| Number of pages | 5 |
| Journal | Journal of the American Academy of Child and Adolescent Psychiatry |
| Volume | 44 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2005 |
| Externally published | Yes |
Bibliographical note
Funding Information:Supported by NIMH 5 T32 MH18,399-17, M01 RR00,827 (L.A.).
Funding
Supported by NIMH 5 T32 MH18,399-17, M01 RR00,827 (L.A.).
| Funders | Funder number |
|---|---|
| National Institute of Mental Health | T32MH018399, 5 T32 MH18,399-17, M01 RR00,827 |
| National Center for Research Resources | M01RR000827 |
Keywords
- Actigraphy
- Circadian rhythm sleep disorder
- Free running
- Melatonin
- Non-24-hour sleep-wake syndrome
