Minimal Criteria: A plus B plus C. Severity Criteria: Mild: Mild insomnia or mild excessive sleepiness, as defined on page 23; usually associated with a mild impairment of social or occupational functioning. Moderate: Moderate insomnia or moderate excessive sleepiness, as defined on page 23; usually associated with a moderate impairment of social or occupational functioning. Severe: Severe insomnia or severe excessive sleepiness, as defined on page 23; usually associated with a severe impairment of social or occupational functioning. Duration Criteria: 6 months or less. Subacute: More than 6 months but less than 1 year. 1 year or longer. Chronic: Bibliography: Kokkoris CP, Weitzman ED, Pollak CP, et al. Long-term ambulatory monitoring in a subject with a hypernychthemeral sleep-wake cycle disturbance. Sleep 1977;1:177–190. Miles LE, Raynal DM, Wilson MA. Blind man living in normal society has circadian rhythms of 24.9 hours. Science 1973; 198: 421–423. Miles LE, Wilson MA. High incidence of cyclic sleep-wake disorders in the blind. Sleep Res 1977; 6: 192. Okawa M. Sleep-waking rhythm and its central mechanism in humans: Studies of biological rhythm, com- puted tomography and autopsy of severely brain-damaged children. Adv Neurol 1985; 29: 346–365. Okawa M, Nanami T, Wada S, et al. Four congenitally blind children with circadian sleep-wake rhythm disorder. Sleep 1987; 10: 101–110. Weber AL, Cary MS, Conner N, Keyes P. Human non-24-hour sleep-wake cycles in an everyday environment. Sleep 1980; 2: 347–354. Adapted from: www.aasmnet.org
Minimal Criteria: A plus B plus C. Severity Criteria: Mild: Mild insomnia or mild excessive sleepiness, as defined on page 23; usually associated with a mild impairment of social or occupational functioning. Moderate: Moderate insomnia or moderate excessive sleepiness, as defined on page 23; usually associated with a moderate impairment of social or occupational functioning. Severe: Severe insomnia or severe excessive sleepiness, as defined on page 23; usually associated with a severe impairment of social or occupational functioning. Duration Criteria: 6 months or less. Subacute: More than 6 months but less than 1 year. Chronic: 1 year or longer. Bibliography: Kokkoris CP, Weitzman ED, Pollak CP, et al. Long-term ambulatory monitoring in a subject with a hypernychthemeral sleep-wake cycle disturbance. Sleep 1977;1:177–190. Miles LE, Raynal DM, Wilson MA. Blind man living in normal society has circadian rhythms of 24.9 hours. Science 1973; 198: 421–423. Miles LE, Wilson MA. High incidence of cyclic sleep-wake disorders in the blind. Sleep Res 1977; 6: 192. Okawa M. Sleep-waking rhythm and its central mechanism in humans: Studies of biological rhythm, com- puted tomography and autopsy of severely brain-damaged children. Adv Neurol 1985; 29: 346–365. Okawa M, Nanami T, Wada S, et al. Four congenitally blind children with circadian sleep-wake rhythm disorder. Sleep 1987; 10: 101–110. Weber AL, Cary MS, Conner N, Keyes P. Human non-24-hour sleep-wake cycles in an everyday environment. Sleep 1980; 2: 347–354. Adapted from: www.aasmnet.org
U3_L4_CheckpointD_Non24HourDisorder.docx