Persistent complaints are:
- Syndrome of frequent changes of the sleep-wake pattern
- Delayed Sleep Period Syndrome
- Early Sleep Syndrome
- Non-24-hour sleep-wake rhythm syndrome
- Irregular sleep-wake rhythm syndrome
The gastroduodenal ulcer can be a complication of this syndrome. The abuse of hypnotics, psychostimulants and alcohol is frequent.
. If the patient, who falls asleep very late in the night, is forced for work or family reasons to get up at a conventional time in the morning, he experiences chronic sleep deprivation and consequent symptoms during the day.
A postponement of the sleep phase is typical of adolescents who, if they add to this physiological tendency some incorrect habits, such as the use of PCs or tablets late in the day, can accentuate the disorder with a significant impact on performance and school attendance.
A daily diary of the sleep-wake cycle, drawn up for a few weeks, or an actigraphic monitoring of at least a week are very useful to arrive at the diagnosis and set the most appropriate pharmacological treatment (the most suitable is the one based on melatonin) and behavioral.
and of reduced efficiency during the day. What the patient complains about most is the inability to stay awake in the evening. . The patient may, in fact, complain of difficulty falling asleep at conventional hours and continuing to sleep for an adequate time; it may also report drowsiness and reduced efficiency during periods of wakefulness. Patients often do not realize that daytime naps and nighttime insomnia are closely related, and therefore sometimes abuse hypnotics and psychostimulants.
Not only the sleep-wake cycle, but also other biological functions, such as temperature and hormonal increases, lose their usual circadian rhythm.
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