The roles of melatonin and light in the pathophysiology and treatment of circadian rhythm sleep disorders

Jul 17, 2008Nature clinical practice. Neurology

How Melatonin and Light Affect Causes and Treatment of Sleep Timing Disorders

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Abstract

Disturbances in the circadian phase position of plasma melatonin levels have been documented in all circadian rhythm sleep disorders (CRSDs).

  • Circadian rhythm sleep disorders (CRSDs) include conditions such as delayed sleep phase syndrome and jet lag.
  • Melatonin and the suprachiasmatic nucleus play crucial roles in maintaining normal circadian rhythms.
  • Disruption of melatonin secretion may be associated with the pathophysiology of CRSDs.
  • Exogenous melatonin and light therapy are potential treatments for disturbed sleep-wake rhythms in CRSDs.
  • Further research involving large patient populations is needed to clarify the role of melatonin disruption in CRSDs.

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