Sleep abnormalities demonstrated by home polysomnography in teenagers with chronic fatigue syndrome

Stores, Gregory; Fry, Alison; Crawford, Christina

doi:10.1016/s0022-3999(98)00024-5

Cited by 37 publications

(39 citation statements)

References 7 publications

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“…Reduced REM sleep in CFS/ME patients is reported in some studies, 35,38 whereas others have observed a higher percentage of REM sleep in CFS/ ME relative to controls. 37,45,61 When statistically controlling for medication use, no difference in REM sleep latency was observed between controls and CFS/ME patients, 15 suggesting that medications used by these patients may play a role in some sleep architecture differences previously reported.…”

Section: 43mentioning

confidence: 92%

“…Reflecting the disturbed sleep reported by many CFS/ME patients, an increased number 18,34,35 and duration 18,34,36 of intermittent awakenings have been reported. However, using an adaptation night prior to the main sleep recording night, Reeves et al found no difference in sleep efficiency between CFS/ME patients and controls.…”

Section: Macrostructure Measures Of Sleep In Cfs/mementioning

confidence: 99%

“…15 This study, however, enforced bed and wake times for both groups, and as such may not have captured true sleep efficiencies that the participants would typically experience. When patients and controls have been allowed to go to bed at their usual bed time, reduced total sleep time (TST) and sleep efficiency are observed in the CFS/ME group, both in single-night PSG recording in the laboratory, 22,37,38 and in some, 18,35 but not all 36 at-home studies. Togo et al (2008) examined this observation further by stratifying their patients into those who reported sleepiness upon waking, and those who reported more sleepiness in the evening.…”

Section: Macrostructure Measures Of Sleep In Cfs/mementioning

confidence: 99%

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Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review

Jackson

Bruck

2012

Journal of Clinical Sleep Medicine

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Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ ME) is a chronic, disabling illness that affects approximately 0.2% of the population. Non-restorative sleep despite sufficient or extended total sleep time is one of the major clinical diagnostic criteria; however, the underlying cause of this symptom is unknown. This review aims to provide a comprehensive overview of the literature examining sleep in CFS/ ME and the issues surrounding the current research fi ndings. Polysomnographic and other objective measures of sleep have observed few differences in sleep parameters between CFS/ME patients and healthy controls, although some discrepancies do exist. This lack of signifi cant objective differences contrasts with the common subjective complaints of disturbed and unrefreshed sleep by CFS/ME patients. The emergence of new, more sensitive techniques that examine the microstructure of sleep are showing promise for detecting differences in sleep between patients and healthy individuals. There is preliminary evidence that alterations in sleep stage transitions and sleep instability, and other physiological mechanisms, such as heart rate variability and altered cortisol profi les, may be evident. Future research investigating the etiology of non-restorative sleep in CFS/ME may also help us to undercover the causes of non-restorative sleep and fatigue in other medical conditions. keywords: Chronic fatigue syndrome, myalgic encephalomyelitis, sleep, non-restorative sleep, sleep disorders, fatigue, sleepiness Citation: Jackson ML; Bruck D. Sleep abnormalities in chronic fatigue syndrome/myalgic encephalomyelitis: a review.

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Section: 43mentioning

confidence: 92%

Section: Macrostructure Measures Of Sleep In Cfs/mementioning

confidence: 99%

Section: Macrostructure Measures Of Sleep In Cfs/mementioning

confidence: 99%

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Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review

Jackson

Bruck

2012

Journal of Clinical Sleep Medicine

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“…14 Two studies were conducted in a clinical setting 15,16 and the setting was not reported in four studies. The clinical sample sizes of studies were generally small, with some variation among the studies (range: 4-57).…”

Section: Descriptions Of Studiesmentioning

confidence: 99%

“…Two studies assessed sleep using PSG (one in a home setting and one in a laboratory setting) 14,15 ; two …”

Section: Assessment Of Sleepmentioning

confidence: 99%

Sleep Disturbances in Pediatric Chronic Fatigue Syndrome: A Review of Current Research

Snodgrass

Harvey

Scheinberg

et al. 2015

Journal of Clinical Sleep Medicine

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Objective: Children and adolescents with chronic fatigue syndrome (CFS) frequently report sleep disturbances. However, little is known about the nature and severity of sleep disturbance and factors associated with sleep problems in pediatric CFS. The purpose of this review was to synthesize and critically appraise existing literature relating to sleep disturbances in pediatric CFS. Methods: Embase, CINAHL, PsychINFO, PubMed. and Medline databases were searched to retrieve all studies that included an assessment of sleep in pediatric CFS. Two reviewers independently assessed eligibility, extracted data, and systematically assessed reporting quality. Results: Six studies were included and these were mostly case-controlled designs. Findings varied across studies; however, most studies found that children and adolescents with CFS had signifi cantly more sleep disturbances when compared to healthy controls. Signifi cant methodological variations and limitations were apparent. Conclusions: This review suggests that children and adolescents with CFS experience sleep disturbances. However, results need to be interpreted cautiously given the limited evidence available and its overall low quality. More research is required to elucidate the nature and extent of sleep disturbance in pediatric CFS and should focus on (1) identifying the specifi c types, causes, and severity of sleep disturbances; (2) the specifi c consequences of sleep disturbances; and (3) Originally thought to occur only in adults, it is becoming increasingly recognized within the pediatric population with estimates of incidence ranging from 0.001% to 2%.2-5 With typical age of onset in mid to late adolescence, the effect of CFS often occurs in the critical stages of higher education where missed schooling due to illness can have a major effect on future academic and social outcomes. Sleep problems are commonly reported by children and adolescents with CFS. 6It is well accepted that adequate amount and quality of sleep is crucial for healthy child development and the functional consequences of poor sleep for children and adolescents are well known.7 Although studies show that most children and adolescents with CFS complain of sleep disturbances, 6 the type and severity of sleep disturbance that these children and adolescents experience has not been well characterized. There has been limited investigation of factors that might contribute to sleep disturbances (physiological, psychological, and social) in this group, as well as little or no evidence supporting the effi cacy of sleep interventions in children and adolescents with CFS. Therefore, there is little guidance for clinicians in how to best manage sleep disturbances in this population, which may potentially exacerbate disease burden in this already vulnerable group.

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Sleep and Quality of Life in Chronic Fatigue Syndrome

Libman¹

Sleep and Quality of Life in Clinical Medicine

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Sleep abnormalities demonstrated by home polysomnography in teenagers with chronic fatigue syndrome

Cited by 37 publications

References 7 publications

Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review

Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review

Sleep Disturbances in Pediatric Chronic Fatigue Syndrome: A Review of Current Research

Sleep and Quality of Life in Chronic Fatigue Syndrome

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