Daytime Sleepiness in Insomnia: Behavioral, Biological and Subjective Indices

Lichstein, Kenneth L.; Wilson, Nancy M.; Noe, Sharon L.; Aguillard, R. Neal; Bellur, Srinath N.

doi:10.1093/sleep/17.8.693

Cited by 103 publications

(53 citation statements)

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“…Small sample studies utilizing other methods of EDS measurement, including the Stanford Sleepiness Scale, and the Multiple Sleep Latency Test 30 did not show correlation between insomnia and EDS. The pupilometry studies, another biological marker of EDS, results have not been consistent enough to define the relation between EDS and insomnia 30,31 .…”

Section: Discussionmentioning

confidence: 80%

“…The positive correlation between insomnia and EDS is still not clearly understood while small and special population studies do not confirm this correlation 30 . Small sample studies utilizing other methods of EDS measurement, including the Stanford Sleepiness Scale, and the Multiple Sleep Latency Test 30 did not show correlation between insomnia and EDS.…”

Section: Discussionmentioning

confidence: 94%

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Excessive daytime sleepiness in Campo Grande general population, Brazil

Souza

Magna

Reimão

2002

Arq. Neuro-Psiquiatr.

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-The prevalence of excessive daytime sleepiness (EDS) in general population was determined by means of 408 home interviews of adults, in a representative sample of Campo Grande city, Brazil. The random sample was stratified by sex, age and economic social status. EDS was considered in those with indexes 11 or more in the Epworth Sleepiness Scale. Statistics used chi-square, Fisher and Pearson tests; and inferences based on binomial distribution parameters; the significance level was 5% and confidence interval (CI) was 95%. The prevalence of EDS was 18.9% of the general population ( SD=1.9%; CI 15.1% to 22.7%). No significant association was found between EDS and the use of hypnotics, nor with insomnia, body mass index, sex, age, years of schooling, economic social status, marital status, occupation and the use of alternative means to improve sleep. When the sample was separated according to sex, only the male group showed significant association between EDS and actual insomnia (p=0.005).KEY WORDS: sleepiness, sleep, sleep disorders, Epworth Sleepiness Scale.Sonolência diurna excessiva na população geral de Campo Grande, MS Sonolência diurna excessiva na população geral de Campo Grande, MS Sonolência diurna excessiva na população geral de Campo Grande, MS Sonolência diurna excessiva na população geral de Campo Grande, MS Sonolência diurna excessiva na população geral de Campo Grande, MS RESUMO -Buscou-se a prevalência da sonolência diurna excessiva (SDE) com 408 entrevistas domiciliares de adultos, em amostra representativa da população geral da cidade de Campo Grande, MS. A amostragem aleatória foi estratificada por sexo, idade e classe social. Tinham SDE as pessoas com 11 ou mais pontos na Escala de Sonolência Epworth. Usaram-se os testes de qui-quadrado, Fisher, Pearson e inferências com base nos parâmetros da distribuição binomial; nível de significância 5% e intervalo de confiança (IC) 95%. Tinham SDE 18,9% da população (dp=1,9%; IC 15,1% a 22,7%); não houve associação significativa entre SDE e uso de hipnóticos, nem insônia, índice de massa corporal, sexo, idade, escolaridade, classe sócio-econômica, estado civil, ocupação e uso de meios alternativos para dormir melhor. Ao serem separados de acordo com sexo, apenas no sexo masculino houve associação significativa entre SDE e presença de insônia (p=0,005). PALAVRAS-CHAVE: sonolência, sono, distúrbios do sono,

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 94%

Excessive daytime sleepiness in Campo Grande general population, Brazil

Souza

Magna

Reimão

2002

Arq. Neuro-Psiquiatr.

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“…Excessive somnolence is a heterogeneous category, which covers specific pathological states as well as situationally determined conditions. Therefore, the heterogeneous nature of excessive somnolence may account for its relatively low association with suicidal ideation (Lichstein et al, 1994;Chellappa and Araújo, 2006). Differences regarding specific traits of suicidal ideation, such as, active and passive suicidal ideation, specific plans for suicide, and previous suicide attempts in patients with sleep disorders and depression, however, have not been fully explored (Mann et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Sleep disorders and suicidal ideation in patients with depressive disorder

Chellappa¹,

Araújo²

2007

Psychiatry Research

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An intrinsic association between suicidal ideation and sleep disorders in patients with depressive disorder has been observed in recent studies. This study was conducted in order to examine the relationship between suicidal ideation and sleep disorders, such as insomnia and excessive sleepiness, in outpatients with major depressive disorder. Seventy patients with diagnoses of major depressive disorder were interviewed and assessed with the Sleep Habits Questionnaire and the Beck Scale for Suicidal Ideation (SSI). Data analyses were performed through descriptive analysis, Students t-test, Chi-square test and logistic regression model, with a statistical significance of 5%. In this study, depressed patients had high SSI scores (6.12 ± 2.67), particularly for active suicidal ideation (1.61 ± 0.39) and specific plans for suicide components (1.51 ± 0.40). Depressed patients with insomnia had significantly higher SSI scores (7.39 ± 2.84), in relation to patients with excessive sleepiness (3.68 ± 1.73). Furthermore it was observed that insomniac patients had significantly higher scores on the following components: active suicide ideation, specific plans for suicide and previous suicide attempts. The results of multivariate analysis showed that only insomnia had a significant association with suicidal ideation. Thus, sleep disturbances, particularly insomnia, should be considered in the assessment of suicidal risk in outpatients with depressive disorder.

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“…In spite of the ubiquity of self reported cornplaints about daytime impairments in individuals with üisomnia, studies have generally failed to find significant differences between people with insornnia and normal controls on behavioral measures of daytime performance and functioning (e.g., Aiapin, 1996;Lichstein. Wilson, Noe, Aguillard, & Bellur.…”

Section: Definition Of Insomniamentioning

confidence: 99%

“…These consistent reports of daytime consequences following pour noctumal sleep are in sharp contrat to the results fiom studies which have compared people cornplainhg of insomnia to normal sleepers on behaviord measures of daytime performance and hnctioning (e.g.. Alapin, 1996; AIapin et ai., 1998; Bonnet & Arand, 1995; Lichstein et al, 1994;Mendelson et al, 1984;Seidel et al, 1984). Correlations between self-reports of feeling sleepy or fatigued during the day and behavioral measures of the sarne constructs are generally small and non-significant.…”

Section: Cognitive Arousal and Sleeu Characteristicsmentioning

confidence: 99%