Maintenance of wakefulness test: A polysomnographic technique for evaluating treatment efficacy in patients with excessive somnolence

Mitler, Merrill M.; Gujavarty, Krishnareddy; Browman, Carl P.

doi:10.1016/0013-4694(82)90142-0

Cited by 485 publications

(202 citation statements)

References 8 publications

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“…The most commonly used clinical EEG measures of sleepiness are the multiple sleep latency test (MSLT) (Carskadon et al, 1986) and the maintenance of wakefulness test (Mitler et al, 1982;Sangal et al, 1992) which both report the mean length of time to sleep onset at multiple time periods. The awake maintenance task is a modification of the maintenance of wakefulness test using only a single 6 min period (Salinsky et al, 1996).…”

Section: Conventional Eeg Measures Of Sleepinessmentioning

confidence: 99%

Vigilance, alertness, or sustained attention: physiological basis and measurement

Oken

Salinsky

Elsas

2006

Clinical Neurophysiology

660

463

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Vigilance is a term with varied definitions but the most common usage is sustained attention or tonic alertness. This usage of vigilance implies both the degree of arousal on the sleep-wake axis and the level of cognitive performance. There are many interacting neural and neurotransmitter systems that affect vigilance. Most studies of vigilance have relied on states where the sleep-wake state is altered, e.g. drowsiness, sleep-deprivation, and CNS-active drugs, but there are factors ranging from psychophysics to motivation that may impact vigilance. While EEG is the most commonly studied physiologic measure of vigilance, various measures of eye movement and of autonomic nervous system activity have also been used. This review paper discusses the underlying neural basis of vigilance and its assessment using physiologic tools. Since, assessment of vigilance requires assessment of cognitive function this aspect is also discussed.

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Section: Conventional Eeg Measures Of Sleepinessmentioning

confidence: 99%

Vigilance, alertness, or sustained attention: physiological basis and measurement

Oken

Salinsky

Elsas

2006

Clinical Neurophysiology

660

463

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“…Objective tests for ES used in the sleep laboratory include the Multiple Sleep Latency Test, which measures the time taken to fall asleep (using electroencephalograph criteria) in a darkened room, and the Maintenance of Wakefulness Test, in which the subject is instructed to stay awake rather than fall asleep. 31,32 …”

Section: Diagnosismentioning

confidence: 99%

Recognizing and Managing Obstructive Sleep Apnea in Primary Care

Culpepper¹,

Roth²

2009

Prim. Care Companion J. Clin. Psychiatry

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Objective: This review aims to impart information regarding recognition of obstructive sleep apnea (OSA) and associated excessive sleepiness (ES) in the primary care setting in order to provide optimal care to patients with this common but serious condition. This review will also discuss the prevalence and treatment of depression in patients with OSA.Data Sources: A MEDLINE search of articles published between 1990 and 2008 was conducted using the search terms obstructive sleep apnea AND excessive sleepiness, obstructive sleep apnea AND depression, and obstructive sleep apnea AND primary care. Searches were limited to articles in English concerned with adult patients.Study Selection: In total, 239 articles were identified. Articles concerning other sleep disorders and forms of apnea were excluded. The reference lists of identified articles were searched manually to find additional articles of interest.Data Synthesis: Primary care physicians can aid in the diagnosis of OSA and associated ES by being vigilant for lifestyle and physical risk factors associated with this condition. In addition, primary care physicians should maintain a high level of clinical suspicion when presented with illnesses that are commonly comorbid with OSA, such as psychiatric disorders and depression, in particular. Conversely, assessment of patients with OSA for common comorbidities may also improve a patient's prognosis and quality of life.Conclusions: Primary care physicians play a vital role in recognizing OSA and ES. These clinicians are crucial in supporting their patients during treatment by ensuring that they have clear, concise information regarding available therapies and the correct application and maintenance of prescribed devices.

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“…This task is a measure of the Ss'. ability to remain awake and, in tiant respect, is similar to the Maintenance of Wakefulness Test (MWT) of Mitler et al (22).…”

Section: Treatmentsmentioning

confidence: 76%

Daytime sleepiness, performance, mood, nocturnal sleep: The effect of benzodiazepine and caffeine on their relationship

Johnson¹,

Spinweber²,

Gomez³

et al. 1989

PsycEXTRA Dataset

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Maintenance of wakefulness test: A polysomnographic technique for evaluating treatment efficacy in patients with excessive somnolence

Cited by 485 publications

References 8 publications

Vigilance, alertness, or sustained attention: physiological basis and measurement

Vigilance, alertness, or sustained attention: physiological basis and measurement

Recognizing and Managing Obstructive Sleep Apnea in Primary Care

Daytime sleepiness, performance, mood, nocturnal sleep: The effect of benzodiazepine and caffeine on their relationship

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