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Diagnostic criteria for non-24-hour sleep-wake rhythm disorder (ICSD-3-TR)

Diagnostic criteria for non-24-hour sleep-wake rhythm disorder (ICSD-3-TR)
Criteria A through D must be met:
A There is a history of insomnia, excessive daytime sleepiness, or both, alternating with asymptomatic episodes, due to misalignment between the 24-hour light-dark cycle and the non-entrained endogenous circadian rhythm of sleep-wake propensity.
B Symptoms are present for at least three months.
C Sleep logs are required, accompanied by actigraphy monitoring, whenever possible, for at least 14 days, preferably longer for blind individuals. These demonstrate a pattern of sleep and wake times that typically delay each day.
D The sleep disturbance is not better explained by another current sleep disorder, medical disorder, mental disorder, or medication/substance use.
Reproduced with permission from: International Classification of Sleep Disorders, 3rd ed, text revision (ICSD-3-TR), American Academy of Sleep Medicine 2023. Copyright © 2023 American Academy of Sleep Medicine.
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