Criteria of circadian rhythm sleep-wake disorders | Measurement scale | |
1) | Progressive and day-by-day delay in bedtime/wake up time.(non-24-hour sleep-wake rhythm type) | yes/no; the range of daily delay |
2) | Irregular sleep episodes at least three times during a 24-hour period.(irregular sleep-wake rhythm type) | yes/no; the duration of each sleep episodes and a total amount of sleep during a 24-hour period |
3) | Presence of a stable advance (earlier timing) in bedtime/wake-up time relative to the general population and a difficulty staying awake until the desired bedtime or a difficulty remaining asleep until the desired time.(advanced sleep- wake phase type) | yes/no |
4) | Presence of a stable delay (later time) in bedtime/wake up time relative to the timing required to maintain the schedule of social life and a difficulty falling asleep at the desired time or a difficulty waking up at the desired time.(delayed sleep-wake phase type) | yes/no |
Criteria of insomnia | Measurement scale | |
5) | Difficulty falling asleep at night. | yes/no; less than once per week/ once or twice per week/ three or more per weeka |
6) | Difficulty maintaining sleep at night. | |
7) | Waking up earlier than desired. | |
8) | Difficulty staying awake and/or dozing off during the day. | |
9) | Feeling of fatigue and/or difficulty in concentrating during day. | yes/no |
10) | Presence of symptoms for at least three months. | yes/no |