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Circadian Rhythm Sleep Disorders

Erhan Akıncı, Fatma Özlem Orhan.

Abstract
The circadian rhythm sleep disorders define the clinical conditions where sleep–wake rhythm is disrupted despite optimum environmental and social conditions. They occur as a result of the changes in endogenous circadian hours or non-compatibility of environmental factors or social life with endogenous circadian rhythm. The sleep–wake rhythm is disrupted continuously or in repeating phases depending on lack of balance between internal and external cycles. This condition leads to functional impairments which cause insomnia, excessive sleepiness or both in people. Application of detailed sleep anamnesis and sleep diary with actigraphy record, if possible, will be sufficient for diagnosis. The treatment aims to align endogenous circadian rhythm with environmental conditions. The purpose of this article is to review pathology, clinical characteristics, diagnosis and treatment of circadian rhythm disorder.

Key words: Circadian rhythm disorders, sleep disorders, melatonin, jet lag.



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