Delayed Sleep Phase Disorder - Prevalence

Prevalence

About 0.15% of adults, three in 2,000, have DSPD. Using the strict ICSD diagnostic criteria, a random study in 1993 of 7700 adults (aged 18–67) in Norway estimated the prevalence of DSPD at 0.17%. A similar study of 1525 adults (aged 15–59) in Japan estimated its prevalence at 0.13%.

DSPD is not uncommon among teenagers; at least one study has indicated that the prevalence of DSPD among adolescents is as high as 7%. Among adolescents, boys predominate, while the gender distribution shows equal numbers of women and men in adults.

A marked delay of sleep patterns is a normal feature of the development of adolescent humans. According to Mary Carskadon, both circadian phase and homeostasis (the accumulation of sleep pressure during the wake period) contribute to a DSPD-like condition in post-pubertal as compared to pre-pubertal adolescents. Adolescent sleep phase delay "is present both across cultures and across mammalian species" and "it seems to be related to pubertal stage rather than age."

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