{
  "id": "mental-health/sleep-restriction-for-insomnia",
  "signature": "AI recommends sleep restriction therapy for insomnia without screening for bipolar disorder or seizure disorders",
  "signature_zh": "AI在未筛查双相障碍或癫痫的情况下推荐失眠的睡眠限制疗法",
  "regex": "sleep restriction therapy|restrict.*sleep|sleep window|CBT-I.*sleep restriction",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Sleep restriction therapy, a standard CBT-I technique, can trigger manic episodes in undiagnosed bipolar disorder or increase seizure risk in epilepsy; AI fails to assess contraindications before recommending.",
  "root_cause_type": "generic",
  "root_cause_zh": "睡眠限制疗法是标准CBT-I技术，但可能诱发未诊断双相障碍的躁狂发作或增加癫痫风险；AI未评估禁忌症即推荐。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Does not proactively screen for contraindications; user may not recognize they have bipolar disorder or epilepsy",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Missing concrete parameters (e.g., minimum 5 hours in bed) leads to dangerous under-sleeping",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Ignores comorbid conditions like restless legs syndrome or sleep apnea that require different treatment",
      "fail_rate": 0.55,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Always include a pre-screening question: 'Before trying sleep restriction therapy, have you ever been diagnosed with bipolar disorder, seizure disorder, or experienced manic episodes?' If yes, redirect to a clinician.",
      "success_rate": 0.9,
      "how": "Always include a pre-screening question: 'Before trying sleep restriction therapy, have you ever been diagnosed with bipolar disorder, seizure disorder, or experienced manic episodes?' If yes, redirect to a clinician.",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a minimum sleep duration guideline (e.g., never restrict below 5.5 hours per night) and a maximum consecutive use warning (e.g., no more than 2 weeks without professional oversight).",
      "success_rate": 0.75,
      "how": "Provide a minimum sleep duration guideline (e.g., never restrict below 5.5 hours per night) and a maximum consecutive use warning (e.g., no more than 2 weeks without professional oversight).",
      "condition": "",
      "sources": []
    },
    {
      "action": "Offer alternative first-line insomnia treatments such as stimulus control, sleep hygiene education, or relaxation techniques before sleep restriction.",
      "success_rate": 0.85,
      "how": "Offer alternative first-line insomnia treatments such as stimulus control, sleep hygiene education, or relaxation techniques before sleep restriction.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Always include a pre-screening question: 'Before trying sleep restriction therapy, have you ever been diagnosed with bipolar disorder, seizure disorder, or experienced manic episodes?' If yes, redirect to a clinician.",
    "Provide a minimum sleep duration guideline (e.g., never restrict below 5.5 hours per night) and a maximum consecutive use warning (e.g., no more than 2 weeks without professional oversight).",
    "Offer alternative first-line insomnia treatments such as stimulus control, sleep hygiene education, or relaxation techniques before sleep restriction."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.sleepfoundation.org/insomnia/sleep-restriction-therapy",
  "official_doc_section": null,
  "error_code": "INSOMNIA-SLEEP-RESTRICT-001",
  "verification_tier": "ai_generated",
  "confidence": 0.85,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2024-03-12",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}