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My Grandmother Falls Asleep Watching TV. Is She Depressed?

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Comorbid Sleep and Psychiatric Disorders

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Abstract

Advanced sleep-wake phase disorder (ASWPD) is mainly seen in the elderly population with an estimated prevalence of 1–7%. Aging appears to impact the sleep-wake cycle. The elderly also appears to have reduced light exposure. This condition usually presents with excessive sleepiness in the evenings and insomnia in the early morning hours. Depression as a cause for early morning awakening should be ruled out. Treatment can include prescribed sleep-wake schedules, exercise, melatonin taken in the morning, and bright light exposure in the evening.

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Suggested Reading

  • Auger RR, Burgess HJ, Emens JS, Deriy LV, Thomas SM, Sharkey KM. Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep-wake disorders: advanced sleep-wake phase disorder (ASWPD), delayed sleep-wake phase disorder (DSWPD), non-24-hour sleep-wake rhythm disorder (N24SWD), and irregular sleep-wake rhythm disorder (ISWRD). An update for 2015. J Clin Sleep Med. 2015;11(10):1199–236.

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Author information

Authors and Affiliations

  1. Center for Sleep Medicine, Mayo Clinic, Rochester, MN, USA

    Candace Meinen & Meghna P. Mansukhani

  2. Department of Psychiatry and Psychology, MayoClinic, Rochester, MN, USA

    Bhanu Prakash Kolla

Authors
  1. Candace Meinen
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  2. Bhanu Prakash Kolla
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  3. Meghna P. Mansukhani
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Corresponding author

Correspondence to Bhanu Prakash Kolla .

Editor information

Editors and Affiliations

  1. Center for Sleep Medicine, VA North Texas Health Care System, Department of Psychiatry and Neurology and Neurotherapeutics UT, Southwestern Medical Center, Dallas, TX, USA

    Imran S. Khawaja

  2. Minneapolis VAHCS, Hennepin County Medical Center, and University of Minnesota Medical School, Minneapolis, MN, USA

    Thomas D. Hurwitz

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Meinen, C., Kolla, B.P., Mansukhani, M.P. (2019). My Grandmother Falls Asleep Watching TV. Is She Depressed?. In: Khawaja, I., Hurwitz, T. (eds) Comorbid Sleep and Psychiatric Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-11772-6_11

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  • DOI: https://doi.org/10.1007/978-3-030-11772-6_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11771-9

  • Online ISBN: 978-3-030-11772-6

  • eBook Packages: MedicineMedicine (R0)

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