Sleep Case Series, Part 5: Student Missing Classes: Habit, Medical Issue, or Sleep Disorder?
neuroscienceCME Medical Simulation
 | Patient Info: Pete is a 20-year-old pre-law major at Harvard and a good student. He comes to your office with complaints of "not being able to get to sleep," difficulty waking up in the mornings, and being "tired." |
This activity offers CE credit for:
- Physicians (ACCME/AMA PRA Category 1)
- Pharmacists (ACPE)
Credit Expiration Date:
Friday, May 21, 2010
 | Meeta Singh, MD Senior Staff Henry Ford Sleep Disorders Center Detroit, MI |
Delayed sleep phase syndrome (DSPS) is responsible for 7% to 10% of cases where patients complain of chronic insomnia and it is frequently misdiagnosed.(1,2) Mild depression and substance abuse share some symptoms with DSPS. In fact, recent studies have almost half of all college students report depression severe enough to interfere with daily activities and nearly one-quarter of male college students have a clinically significant alcohol-related problem.(3,4)
Evidence-based recognition, screening, and diagnosis are key components improved management strategies for these patients. Recent studies support the use of light therapy, cognitive behavioral therapy, pharmacotherapy, and chronotherapy as effective treatments for DSPS.(5-9)
Clinicians need ready access to evidence-based data on recognition, diagnosis, and treatment of DSPS. This interactive, case-based learning tool offers a unique opportunity for clinicians to further develop their problem-solving skills, benefit from the input and expertise of experienced faculty, and to practice real-world clinical skills as they explore the integration of various treatments to improve outcomes for patients with DSPS.
- Cataletto ME, Hertz G. Sleeplessness and Circadian Rhythm Disorder. eMedicine Available at: http://emedicine.medscape.com/article/1188944-overview. 2008.
- Dagan Y, Abadi J. Sleep-wake schedule disorder disability: a lifelong untreatable pathology of the circadian time structure. Chronobiol Int 2001;18:1019-1027.
- American College Health Association Survey Shows Increase of Depression Among College Students Over Four-Year Period. Available at: http://www.acha.org/newsroom/pr_ncha_11_18_04.cfm.
- Slutske WS. Alcohol use disorders among US college students and their non-college-attending peers. Arch Gen Psychiatry 2005;62:321-327.
- Sack RL, Auckley D, Auger RR, et al. Circadian rhythm sleep disorders: part II, advanced sleep phase disorder, delayed sleep phase disorder, free-running disorder, and irregular sleep-wake rhythm. An American Academy of Sleep Medicine review. Sleep 2007;30:1484-1501.
- Morgenthaler TI, Lee-Chiong T, Alessi C, et al. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Sleep 2007;30:1445-1459.
- Parker G, Fletcher K. Treating depression with the evidence-based psychotherapies: a critique of the evidence. Acta Psychiatr Scand 2007;115:352-359.
- Prasko J. Bright light therapy. Neuro Endocrinol Lett 2008;29(Suppl 1).
- Lack LC, Wright HR. Clinical management of delayed sleep phase disorder. Behav Sleep Med 2007;5:57-76.
To identify and utilize evidence-based management strategies to improve outcomes for patients with delayed sleep phase syndrome.
At the end of this CE activity, participants should be able to:
- Recognize the signs and symptoms of delayed sleep phase syndrome (DSPS).
- Evaluate the differential diagnosis of DSPS and possible treatments.
- Utilize effective, evidence-based psychosocial and pharmacological strategies to improve overall outcomes in patients with DSPS.
Physicians, physician assistants, pharmacists, and other healthcare professionals interested in management and treatment of patients with delayed sleep phase syndrome.
CME Outfitters, LLC, gratefully acknowledges an independent educational grant from Cephalon, Inc., in support of this CE activity.
CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Note to Physician Assistants: AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA Category I CME credit for the PRA from organizations accredited by ACCME.
CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 0.5 contact hours (0.05 CEUs)
Universal Program Number: 376-000-09-017-H01-P
Activity Type: knowledge-based
Post-tests, credit request forms, and activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Activities tab - requires free account activation), and participants can print their certificate or statement of credit immediately (80% pass rate required). This website supports all browsers except Internet
Explorer for Mac. For complete technical requirements and
privacy policy, visit www.neuroscienceCME.com/technical.asp.
Meeta Singh, MD
Dr. Meeta Singh graduated from the Government Medical College in Chandigarth, India in 1996. After medical school, Dr. Singh completed her psychiatry residency at the Mayo Clinic in Rochester, MN, between 1999 and 2004. In 2004, she moved to Detroit, MI, to complete her fellowship in Sleep Medicine at Henry Ford Hospital. Dr. Singh currently works as a senior staff member at the Henry Ford Hospital Sleep Disorders Center, where she has been since 2005. Dr. Singh specializes in treating patients with shift work sleep disorders, circadian rhythm disorders, and insomnia in both children and adults.
Disclosure Declaration
It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all its CE activities. Faculty must disclose to the participants any significant relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.
Dr. Singh has no disclosures to report.
Unlabeled Use Disclosure
Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.
CME Outfitters, LLC, the faculty, and Cephalon, Inc., do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.
Questions about this activity? Call us at 877.CME.PROS (877.263.7767).
PL-008-052109-05
