{
  "id": "mental-health/ai-validates-non-24-sleep-disorder-as-insomnia",
  "signature": "AI validates non-24-hour sleep-wake disorder as general insomnia and recommends typical sleep hygiene without addressing circadian rhythm misalignment",
  "signature_zh": "AI将非24小时睡眠-觉醒障碍视为一般失眠，并建议常规睡眠卫生，而未解决昼夜节律失调问题",
  "regex": "(?i)(non-24|free-running|circadian|sleep cycle|sleep pattern).*",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Non-24 is a circadian rhythm disorder where the internal clock runs longer than 24 hours, common in blind individuals; standard sleep hygiene (e.g., fixed bedtime) is ineffective and can worsen frustration.",
  "root_cause_type": "generic",
  "root_cause_zh": "非24小时是一种昼夜节律障碍，内部时钟运行超过24小时，常见于盲人；标准的睡眠卫生（例如固定就寝时间）无效，并可能加剧挫败感。",
  "versions": [
    {
      "version": "sleep-ai-v1.5",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "circadian-module-v2.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "For Non-24, the internal clock shifts daily; forced schedules cause sleep deprivation and distress.",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Melatonin is only effective when timed correctly relative to the individual's circadian phase; misuse can worsen rhythm disruption.",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "This misattribution leads to inappropriate treatment (e.g., therapy for anxiety) and delays proper circadian intervention.",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "AI should assess for Non-24: 'Do you notice your sleep time shifting later each day? Are you blind or have low vision?' Then recommend a circadian rhythm assessment.",
      "success_rate": 0.85,
      "how": "AI should assess for Non-24: 'Do you notice your sleep time shifting later each day? Are you blind or have low vision?' Then recommend a circadian rhythm assessment.",
      "condition": "",
      "sources": []
    },
    {
      "action": "AI should suggest timed low-dose melatonin (0.5 mg) taken at a consistent clock time, not before bed, to entrain the rhythm.",
      "success_rate": 0.8,
      "how": "AI should suggest timed low-dose melatonin (0.5 mg) taken at a consistent clock time, not before bed, to entrain the rhythm.",
      "condition": "",
      "sources": []
    },
    {
      "action": "AI should recommend bright light therapy at a specific time based on the user's current sleep phase, using a light box or natural sunlight.",
      "success_rate": 0.75,
      "how": "AI should recommend bright light therapy at a specific time based on the user's current sleep phase, using a light box or natural sunlight.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "AI should assess for Non-24: 'Do you notice your sleep time shifting later each day? Are you blind or have low vision?' Then recommend a circadian rhythm assessment.",
    "AI should suggest timed low-dose melatonin (0.5 mg) taken at a consistent clock time, not before bed, to entrain the rhythm.",
    "AI should recommend bright light therapy at a specific time based on the user's current sleep phase, using a light box or natural sunlight."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.ninds.nih.gov/health-information/disorders/non-24-hour-sleep-wake-disorder",
  "official_doc_section": null,
  "error_code": "N24-SLP-001",
  "verification_tier": "ai_generated",
  "confidence": 0.85,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2024-05-20",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}