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appropriately timed melatonin or bright light therapy, or chronotherapy –advancing
sleep onset progressively forwards until the desired sleep time is reached.
In contrast the elderly who are more susceptible to perturbation in their
sleep/wake schedule can develop advanced sleep phase syndrome with sleep onset
occurring early in the evening. Shift workers often struggle to cope with shift patterns
as they grow older due to difficulty in re-adjusting their circadian clock. In general,
morning bright light exposure is a more powerful synchronizer of the circadian
rhythm than melatonin.
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