# 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

- **ID:** `mental-health/ai-validates-non-24-sleep-disorder-as-insomnia`
- **领域:** mental-health
- **类别:** data_error
- **错误码:** `N24-SLP-001`
- **验证级别:** ai_generated
- **修复率:** 80%

## 根因

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。

## 版本兼容性

| 版本 | 状态 | 引入 | 弃用 |
|------|------|------|------|
| sleep-ai-v1.5 | active | — | — |
| circadian-module-v2.0 | active | — | — |

## 解决方案

1. ```
   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.
   ```
2. ```
   AI should suggest timed low-dose melatonin (0.5 mg) taken at a consistent clock time, not before bed, to entrain the rhythm.
   ```
3. ```
   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.
   ```

## 无效尝试

- **** — For Non-24, the internal clock shifts daily; forced schedules cause sleep deprivation and distress. (90% 失败率)
- **** — Melatonin is only effective when timed correctly relative to the individual's circadian phase; misuse can worsen rhythm disruption. (80% 失败率)
- **** — This misattribution leads to inappropriate treatment (e.g., therapy for anxiety) and delays proper circadian intervention. (85% 失败率)