Criteria A through F must be met: | |
A | The patient reports, or the patient's parent or caregiver observes, one or more of the following:
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B | The patient reports, or the patient's parent or caregiver observes, one or more of the following related to the nighttime sleep difficulty:
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C | The reported sleep-wake complaints cannot be explained purely by inadequate opportunity (ie, time allotted for sleep) or inadequate circumstances (ie, safety, darkness, quiet, and comfort) for sleep. |
D | The sleep disturbance and associated daytime symptoms occur at least three times per week. |
E | The sleep disturbance and associated daytime symptoms have been present for at least three months. |
F | The sleep disturbance and associated daytime symptoms are not solely due to another current sleep disorder, medical disorder, mental disorder, or medication/substance use. |
* In general, among adults, delays in sleep onset and periods of awakening in the middle of the night >30 minutes connote clinical significance. Thresholds in infants and children are less well established and are age-dependent. Among very young children, clinical significance also depends on the level of caregiver involvement needed for the child to sleep.
¶ In general, among adults, early morning awakening entails the termination of sleep >30 minutes before the desired rising time and a concomitant reduction in total sleep time compared with the usual premorbid sleep pattern.Do you want to add Medilib to your home screen?