eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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3/2018
vol. 27
 
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abstract:
Case report

The influence of circadian rhythm of sleep on functioning in a marital relationship and on a sexual activity

Joanna Katarzyna Szmyd
,
Adam Wichniak
,
Justyna Anna Holka-Pokorska
,
Michał Lew-Starowicz

Adv Psychiatry Neurol 2018; 27 (3): 247-257
DOI: https://doi.org/10.5114/ppn.2018.78717
Online publish date: 2018/09/30
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Purpose
Delayed Sleep-Wake Phase Disorder (DSWPD) occurs in 7–16% of young people. Development of this disorder is favored by prolonged and late use of electronic devices, shift work, irregular meal times and other socio-cultural changes. The aim of the article is to describe the case study and to analyze treatment of the patient with a diagnosis of DSWPD.

Case description
A 28-year-old man who reported negative impact of sleep disorders on the quality of his marital relationship, including the quality of sex life. Previous treatment with a sleeping medicine was not effective. Only the use of a full chronobiological treatment program, in line with current standards, and melatonin therapy has led to significant improvement in his condition.

Comment
DSWPD is a disorder that significantly affects the quality of life and daily functioning, not only of the patient but also of his family. Recommended treatment methods include melatonin therapy, phototherapy, and behavioral interventions.

keywords:

circadian rhythm, circadian rhythm sleep-wake disorders, quality of sex life
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