| Diagnostic criteria A-F must be met: |
| A | The patient reports, or the patient's parent or caregiver observes, one or more of the following: - Difficulty initiating sleep*
- Difficulty maintaining sleep¶
- Waking up earlier than desiredΔ
- Resistance to going to bed on appropriate schedule
- Difficulty sleeping without parent or caregiver intervention
|
| B | The patient reports, or the patient's parent or caregiver observes, one or more of the following related to the nighttime sleep difficulty: - Fatigue/malaise
- Attention, concentration, or memory impairment
- Impaired social, family, occupational, or academic performance
- Mood disturbance/irritability
- Daytime sleepiness
- Behavioral problems (eg, hyperactivity, impulsivity, aggression)
- Reduced motivation/energy/initiative
- Proneness to errors/accidents
- Concerns about or dissatisfaction with sleep
|
| C | The reported sleep-wake complaints cannot be explained purely by inadequate opportunity (ie, enough time is allotted for sleep) or inadequate circumstances (ie, the environment is safe, dark, quiet, and comfortable) for sleep |
| D | The sleep disturbance and associated daytime symptoms occur at least three times per week |
| E | The sleep disturbance and associated daytime symptoms have been present for at least three months |
| F | The sleep/wake difficulty is not better explained by another sleep disorder |
