Abstract
School non-attendance due to difficulty waking up is a social concern among Japanese students. Many factors result in wake-up difficulty, and it is often difficult to identify the underlying cause at the first visit to a clinic or hospital. We, therefore assessed the effect of combination treatment with morning blue light exposure, low-dose aripiprazole (dopamine D2 and/or D3 receptor partial agonist), and sleep hygiene education in a 15-year-old patient with a 2-year history of wake-up difficulty. In this study, we demonstrate a beneficial effect with a good response of this combination treatment.
Highlights
Sleep TimeTetsuro Hoshino, Toshiaki Shiomi*, Noriyuki Konishi, Maiko Suda, Yoko Haseda, Mamiko Mano, Atsuhiko Nomura, Reiko Hori and Ryujiro Sasanabe Department of Sleep Medicine and Sleep Disorders Center, Aichi, Japan Received: : December 15, 2018; Published: : January 03, 2019 *Corresponding author: Toshiaki Shiomi, Professor, Aichi Medical University School of Medicine, Director, Sleep Disorders Center, Aichi Medical University Hospital 1-1 Yazako Karimata, Nagakute, Aichi Japan
School attendance is essential for acquisition of both academic and social-emotional functions during development
Health-related quality of life as measured by SF-36 score improved for each item, and the patient was able to attend school again. This is the first case report demonstrating the effectiveness of a combination of morning blue light, low-dose aripiprazole, and sleep hygiene education to treat a student with school nonattendance due to wake-up difficulty
Summary
Tetsuro Hoshino, Toshiaki Shiomi*, Noriyuki Konishi, Maiko Suda, Yoko Haseda, Mamiko Mano, Atsuhiko Nomura, Reiko Hori and Ryujiro Sasanabe Department of Sleep Medicine and Sleep Disorders Center, Aichi, Japan Received: : December 15, 2018; Published: : January 03, 2019 *Corresponding author: Toshiaki Shiomi, Professor, Aichi Medical University School of Medicine, Director, Sleep Disorders Center, Aichi Medical University Hospital 1-1 Yazako Karimata, Nagakute, Aichi Japan
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
