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Diagnostic criteria for insufficient sleep syndrome (ICSD-3-TR)

Diagnostic criteria for insufficient sleep syndrome (ICSD-3-TR)
Criteria A through F must be met:
A The patient has daily periods of irrepressible need to sleep or daytime lapses into drowsiness or sleep, or in the case of prepubertal children, there is a complaint of behavioral abnormalities attributable to sleepiness.
B The patient's sleep time, established by personal or collateral history, sleep logs, or actigraphy*, is usually shorter than expected for age.
C The curtailed sleep pattern is present on most days for at least three months.
D The patient curtails sleep time by such measures as an alarm clock or being awakened by another person and generally sleeps longer when such measures are not used, such as on weekends or vacations.
E Extension of total sleep time results in the resolution of the symptoms of sleepiness.
F The symptoms and signs are not better explained by a circadian rhythm sleep-wake disorder or other current sleep disorder, medical disorder, mental disorder, or medication/substance use or withdrawal.

* If there is doubt about the accuracy of personal history or sleep logs, actigraphy should be performed, preferably for at least two weeks.

¶ In the case of long sleepers, reported habitual sleep durations may be normal based on age. However, these sleep durations may be insufficient for these patients.
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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