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CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(02): 157-171
DOI: 10.5935/1984-0063.20190143
REVIEWS

Excessive daytime sleepiness in adolescents: current treatment strategies

Matthieu Hein
1   Erasme Hospital, Université Libre de Bruxelles, ULB, Department of Psychiatry and Sleep Laboratory - Anderlecht - Bruxelles - Belgium.
,
Anais Mungo
1   Erasme Hospital, Université Libre de Bruxelles, ULB, Department of Psychiatry and Sleep Laboratory - Anderlecht - Bruxelles - Belgium.
,
Philippe Hubain
1   Erasme Hospital, Université Libre de Bruxelles, ULB, Department of Psychiatry and Sleep Laboratory - Anderlecht - Bruxelles - Belgium.
,
Gwenolé Loas
1   Erasme Hospital, Université Libre de Bruxelles, ULB, Department of Psychiatry and Sleep Laboratory - Anderlecht - Bruxelles - Belgium.
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ABSTRACT

The complaints of excessive daytime sleepiness are very common among adolescents. In addition, in this particular subpopulation, the presence of excessive daytime sleepiness is associated with negative impact on school performances, interpersonal difficulties (school friends or family), extracurricular activities, health and driving. In adolescents with complaints of excessive daytime sleepiness, it is important to perform a complete clinical assessment including systematic clinical interview, physical examination, sleep diaries, use of specific questionnaires and possible confirmatory tests. In adolescents, the main causes of excessive daytime sleepiness are sleep deprivation, inadequate sleep hygiene, insomnia disorders, circadian rhythm disorders, chronic somatic pathologies, psychiatric disorders, movement disorders related to sleep, respiratory disorders related to sleep, parasomnias, hypersomnia disorders and use of drugs or medications. Given the multiple aetiologies of excessive daytime sleepiness in adolescents, the implementation of targeted therapeutic strategies is essential in order to allow optimal management of this symptom and better prevention of its negative consequences. The aim of this review is therefore to provide health care professionals caring for adolescents with excessive daytime sleepiness complaints the currently recommended therapeutic strategies for the main aetiologies of excessive daytime sleepiness in this particular subpopulation.

Keywords:

Adolescent - Sleepiness - Therapeutic Approaches - Sleep

Funding:

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.


Authors’ contributions:

All authors made substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; gave final approval of the version to be published; and agree to be accountable for all aspects of the work




Publication History

Received: 08 January 2020

Accepted: 20 February 2020

Article published online:
09 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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