Validated tools for clinical evaluation of circadian rhythm sleep disorders in adults and children.
La Presse Médicale. 2018-11-01; 47(11-12): 977-981
Lire sur PubMed
1. Presse Med. 2018 Nov – Dec;47(11-12 Pt 1):977-981. doi:
10.1016/j.lpm.2018.10.017. Epub 2018 Nov 1.
[Validated tools for clinical evaluation of circadian rhythm sleep disorders in
adults and children].
[Article in French]
Taillard J(1), Mullens E(2); et le Groupe consensus chronobiologie et sommeil de
la Société française de recherche et médecine du sommeil (SFRMS).
(1)CHU Pellegrin, université de Bordeaux, USR 3413 SANPSY, CNRS, 33076 Bordeaux
cedex, France. Electronic address: .
(2)Laboratoire du sommeil, Fondation Bon Sauveur, 81000 Albi, France.
Circadian rhythm sleep-wake disorders are characterized either by sleep schedules
that do not correspond to the usual schedules usually imposed by the light/dark
cycle and by socio-professional activities, or by an unusual number of sleep
episodes 24h. These two anomalies of the sleep-wake cycle are caused by an
alteration of the circadian system or its mechanisms of entraining. The clinician
has various tools that will confirm the diagnosis of circadian rhythm sleep-wake
disorders. These diagnostic tools determine the alteration of the circadian
system by generally estimating the circadian phase or else confirm the
misalignment of sleep relative to the external environment. The purpose of this
work is to provide the clinician with the various recommended or suggested
(optional) tools to enable the diagnosis of each circadian rhythm sleep-wake
disorders. These recommendations were developed by a consensus of SFRMS experts
based more on their practice in the clinic than on a bibliographic study to
highlight levels of evidence.
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