Sleep in the chronic fatigue syndrome

Mariman, An; Vogelaers, Dirk; Tobback, Els; Delesie, Liesbeth; Hanoulle, Ignace; Pevernagie, Dirk

doi:10.1016/j.smrv.2012.06.003

Cited by 55 publications

(43 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Between 87% and 95% of patients meeting criteria for CFS report non-restorative or unrefreshing sleep (8). On the other hand, fatigue is a core symptom of insomnia (5,9).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of insomnia in the treatment of chronic fatigue

Kallestad

Jacobsen

Landrø

et al. 2015

Journal of Psychosomatic Research

View full text Add to dashboard Cite

show abstract

“…Between 87% and 95% of patients meeting criteria for CFS report non-restorative or unrefreshing sleep (8). On the other hand, fatigue is a core symptom of insomnia (5,9).…”

Section: Introductionmentioning

confidence: 99%

“…Sleep is important to restore the capacity to regulate emotions when exposed to negative stimuli (8,12) and could have a stress-buffering effect (13). In CFS, the ability to recover after a stressor is impaired (14) and stress exacerbates the symptoms of fatigue (15).…”

Section: Introductionmentioning

confidence: 99%

The role of insomnia in the treatment of chronic fatigue

Kallestad

Jacobsen

Landrø

et al. 2015

Journal of Psychosomatic Research

View full text Add to dashboard Cite

show abstract

“…Adult studies have shown differences in subjective measures of sleep where patients with CFS consistently report poorer sleep quality compared to controls, as well as complaining of unrefreshing sleep, increased daytime sleepiness, and napping. 8,9 In contrast, studies using objective sleep measurements, such as polysomnography (PSG), have reported discrepant fi ndings, and not all studies have identifi ed sleep diffi culties in their samples. There is emerging evidence that physiological mechanisms, such as heart rate variability and altered cortisol levels, may contribute to the sleep disturbances in adults with CFS.…”

mentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…We did not find any CFS intervention studies which used objective recordings of sleep, such as polysomnography or actigraphy, to measure sleep-related outcomes possibly due to the fact that substantial research investigating sleep in CFS has found little evidence for objective sleep disturbance [42,43].…”

Section: Measurement Of Sleep Outcomesmentioning

confidence: 86%

“…Only one study [23] used a comprehensive self-report measure of sleep in the form of the PSQI [35], a measure which has previously been recommended for use in CFS [38]. However it has been suggested that using an abbreviated version of the PSQI without the item of daytime dysfunction would better assess subjective sleep quality, as demonstrated by three-factor analysis of the questionnaires [39]. Any future sleep focused interventions in CFS should aim to use comprehensive measures, such as the PSQI to assess the effects of interventions on different aspects of sleep.…”

Section: Measurement Of Sleep Outcomesmentioning

confidence: 99%

Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

Russell

Kyle

Wearden

2017

Sleep Medicine Reviews

View full text Add to dashboard Cite

SummaryCognitive behavioural therapy (CBT) and graded exercise therapy (GET) are recommended evidence based treatments for chronic fatigue syndrome (CFS), with research supporting their effectiveness in reducing fatigue and functional impairment. However, little research has focussed on the effect of these treatments on sleep, despite high reported sleep disturbance in CFS. Using a narrative synthesis approach, we aimed to 1) Systematically identify and summarise the current evidence for the effectiveness of CBT and GET in improving sleep; 2) Consider factors influencing treatment effectiveness, including incorporation of sleep management techniques; and 3) Consider the appropriateness of sleep outcome measures used within evaluations. Studies evaluating CBT and/or GET for CFS, and including a sleep outcome were eligible for inclusion. Eight studies were identified.We found that that GET interventions can improve sleep but this effect is inconsistent across studies.For CBT the evidence is limited with only one of two evaluations demonstrating sleep-related improvements. We conclude from existing research that we know little about the effects of including sleep management components within CBT and GET interventions. We suggest that future research should explore the effectiveness of sleep components within interventions, and sleep specific interventions, using comprehensive outcome measures that fully capture the range of sleep difficulties experienced in CFS.

show abstract

Sleep in the chronic fatigue syndrome

Cited by 55 publications

References 70 publications

The role of insomnia in the treatment of chronic fatigue

The role of insomnia in the treatment of chronic fatigue

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

Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

Contact Info

Product

Resources

About