Table 3.
Summary of Recommendations
| Evaluation Tools | Shift Work Disorder | Jet Lag Disorder | Advanced Sleep Phase Disorder | Delayed Sleep Phase Disorder | Free Running Disorder | Irregular Sleep-Wake Rhythm |
|---|---|---|---|---|---|---|
| Polysomnography | Not Routinely Indicated (Standard) | Not Routinely Indicated (Standard) | Not Routinely Indicated (Standard) | Not Routinely Indicated (Standard) | Not Routinely Indicated (Standard) | Not Routinely Indicated (Standard) |
| Morningness-Eveningness Questionnaire (MEQ) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) |
| Circadian phase markers | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Insufficient evidence to recommend (Option) | Indicated (Option) | Insufficient evidence to recommend (Option) |
| Actigraphy for diagnosis | Indicated (Option) | Not routinely indicated (Option) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Option) | Indicated (Option) |
| Actigraphy for response to therapy | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) |
| Sleep log or diary | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) | Indicated (Guideline) |
| Therapy | ||||||
| Planned Sleep Schedules | Indicated (Standard) | Indicated (Option) | Indicated (Option) | Indicated (Option) | Indicated (Option) | Mixed modality indicated (Option/Guideline)* |
| Timed Light Exposure | Indicated (Guideline) | Indicated (Option) | Indicated (Option) | Indicated (Guideline) | Indicated (Option) | Indicated (Option) |
| Timed Melatonin Administration | Indicated (Guideline) | Indicated (Standard) | Indicated (Option) | Indicated (Guideline) | Indicated Sighted(Option) Indicated Unsighted (Guideline) | Indicated for certain population# (Option) |
| Hypnotics | Indicated (Guideline) | Indicated (Option) | - | Not Recommended (Option) | - | - |
| Stimulants | Indicated Caff (Option) | Indicated (Option) | - | - | - | - |
| Alerting Agents9 | Indicated (Guideline) | - | - | - | - | - |
*
Mixed modality therapy may be effective in elderly-demented/Nursing Home ISWR patients (Guideline) or those with moderate to severe mental retardation (Option)
#
Timed melatonin may be effective in those with moderate to severe mental retardation, but is not recommended at present for elderly-demented/Nursing Home patients (Option)
Caff = caffeine; Sighted=sighted persons; Unsighted=unsighted persons; - = no recommendation formulated due to lack of evidence.