How is advanced sleep phase disorder (ASPD) treated?
Treatment of ASPD is difficult and data are limited. While some studies demonstrate the success of evening light therapy (2,500 lux from 8:00 PM – 12:00 AM, or 4,000 lux from 8:00 PM or 9:00 PM to 11:00 PM),1-2 other studies demonstrate a lack of effect.3 No data exists on the efficacy of early morning melatonin administration.
- Campbell S, Dawson D, Anderson MW. Alleviation of sleep maintenance insomnia with timed exposure to bright light. J Am Geriatr Soc.1993;41:829-836.
- Murphy P, Campbell S. Enhanced performance in elderly subjects following bright light treatment of sleep maintenance insomnia. J Sleep Res. 1996;5:165-172.
- Suhner AG, Murphy PJ, Campbell SS. Failure of timed bright light exposure to alleviate age-related sleep maintenance insomnia. J Am Geriatr Soc. 2002;50:617-23.