Desan PH, Weinstein AJ, Michalak EE, Tam EM, Meesters Y, bRuiter/b MJ, Horn E, Telner J, Iskandar H, Boivin DB, Lam RW, Department of Psychiatry, Yale University, New Haven, CT 06520-8068, USA : paul.desan@yale.edu - BMC Psychiatry. b....../b People with the disorder may have an especially hard time adjusting to changes in "regular" sleep-wake cycles, such as bvacations/b, stress, evening activities, time changes like daylight saving time, travel to different time zones, illness, ...