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Hot flashes and night sweats in relation to trouble sleeping and daytime sleepiness.

OBJECTIVES: The purpose of this study was to determine whether self-reported night sweats (NS) and hot flashes (HF) were differentially associated with sleep problems, assessed by "trouble sleeping" on a symptom checklist and the Sleep Habits Questionnaire (SHQ), or with the degree of daytime fatigue, assessed by "lack of energy" on a symptom checklist and the Epworth Sleepiness Scale (ESS). METHODS: Data were drawn from a study of midlife women aged 40-60 in Doha, Qatar (N=841). Participants were categorized as having (1) neither HF nor NS, (2) only HF, (3) only NS, or (4) both HF and NS. Bi…

Качество сна и сон у взрослых с множественной миеломой. Возможно ли лечение мелатонина?

Нездоровые сны оказывают значительное воздействие на качество жизни больных раком, однако они по-прежнему плохо характеризуются множественной миеломой (ММ). Цель этого исследования состояла в том, чтобы охарактеризовать профили сна у пациентов из числа ММ и оценить терапевтический потенциал внешнего мелатонина. Мы оценили 46 Пациенты ММ и 64 :: возрастной контроль с использованием индекса качества сна Питтсбурга (PSQI) и шкалы сна Epworth (ESS). Данные показали значительно более низкое качество сна у пациентов с ОМ по сравнению с контрольными показателями (глобальная PSQI: U = 1126; p = 0.034)

Совпадение в аннотации оригинала
Sleep disturbances significantly impact quality of life in cancer patients, yet remain poorly characterized in multiple myeloma (MM). This o … MM patients and 64 age-matched controls using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Data revealed significantly worse sleep quality in MM patients compared to controls (global PSQI: U = 1126; p = 0.034), with 75% of patients exhibiting poor sleep quality or sleep disorders. Component analysis showed specific impairment …

Sleepiness and attention in sleep-clinic patients and their associations with apnea severity and treatment.

STUDY OBJECTIVES: Excessive daytime sleepiness (EDS) is common in patients with sleep disorders, particularly obstructive sleep apnea (OSA). The Epworth Sleepiness Scale (ESS) and the Psychomotor Vigilance Test (PVT) are often used to measure sleepiness and attention/vigilance, respectively. However, whether these measures are correlated and their relationship to OSA severity/treatment remains understudied. This study examined these associations in a sleep center population. METHODS: We performed a prospective study of 165 participants (119 [72.1%] with diagnosed OSA) presenting to a sleep di…

Association of Sleep Disruption With Daytime Sleepiness in Patients With Restless Legs Syndrome.

BACKGROUND AND OBJECTIVES: Patients with restless legs syndrome (RLS) often complain of nighttime hyperarousal which can be severe. Whether nocturnal hyperarousal is associated with excessive daytime sleepiness (EDS) remains understudied. This study aimed to compare the frequencies of self-reported and objective EDS between patients with RLS and controls, and to identify factors associated with EDS. METHODS: In this case-control study, consecutive untreated adult patients with moderate-to-severe RLS, and controls from the general population completed the Epworth Sleepiness Scale (ESS), Insomn…

Clinical perspective on non-sleepy obstructive sleep apnea; to treat or not to treat?

INTRODUCTION: Excessive daytime sleepiness has traditionally been regarded as the hallmark symptom of obstructive sleep apnea (OSA), yet nearly half of individuals with OSA do not report significant sleepiness. While treatments are well established for sleepy patients, their role in non-sleepy individuals remains relatively underexplored. AREAS COVERED: This review discusses the limitations of current tools used to measure sleepiness, evaluates the evidence for various treatment options for OSA in non-sleepy populations, and outlines key considerations for shared decision-making. We examine n…

Predicting the use of sugar and caffeine as countermeasures to sleepiness in London bus drivers.

Sleepiness is a significant workplace safety hazard and prevalent in shift workers including bus drivers. Several aspects of professional driving can result in shortened sleep and increased sleepiness, which has the potential to result in workplace injuries, incidents and crashes. Caffeine is an effective sleepiness countermeasure; however, private and professional drivers also report using potentially ineffective countermeasures such as sugar. By identifying factors which predict use of specific countermeasures (e.g., sugar, caffeine), educational initiatives could be targeted towards encoura…

Emergence of different dimensions of sleepiness in a general population sample: An EPISONO study.

INTRODUCTION: Recent evidence supports the idea that sleepiness has several dimensions, comprising psychophysiological phenomena, such as sleep propensity and sleepiness perception. The Epworth Sleepiness Scale (ESS) is among one of the most used sleepiness assessment tools, but recent data suggest that it might not detect problematic impairments in sleep health. More research is warranted investigating sleepiness dimensions with large sample sizes, using both objective and subjective methods of analyzing sleep. METHODS: We used data from the Epidemiological Sleep Study (EPISONO), a major stu…

[Assessments of sleepiness in adolescents: A key tool for better intervene in mental health].

Objectives Daytime sleepiness in adolescents has negative impacts on physical, cognitive, and emotional health, with direct or indirect consequences on their mental health. This review aims to describe specialized tools assessing daytime sleepiness in adolescents so that mental health professionals can screen for a variety of sleep disorders, from the rarest ones, such as narcolepsy, to the most common ones, such as sleep-wake cycle delay in adolescents. Method Articles were selected in Medline (https://pubmed.ncbi.nlm.nih.gov/) and targeted adolescents aged between 13 and 18 or the keyword "a…

A Longitudinal Study of Insomnia, Daytime Sleepiness, and Academic Performance in Chinese Adolescents.

BACKGROUND: Longitudinal data on the associations between sleep disturbances, daytime sleepiness, and daily functioning are limited in the general adolescent population. This study examined the cross-sectional and longitudinal associations between insomnia, excessive daytime sleepiness (EDS), and subject-specific academic performance in a large sample of Chinese adolescents. METHOD: Data were derived from the Shandong Adolescent Behavior and Health Cohort (n = 7,072) study. A self-administered questionnaire was used to assess insomnia, EDS, academic performance (overall, Chinese, mathematics,…

Fatigue, sleepiness and depression in multiple sclerosis: defining the overlaps for a better phenotyping.

BACKGROUND AND OBJECTIVES: To define the boundaries and the overlaps between fatigue, sleepiness and depression in patients with multiple sclerosis (MS) by using different tools for each dimension, including instrumental sleep analysis. METHODS: In this cross-sectional, observational study, 71 MS patients (males/females: 20/51; mean age: 48.9 ± 10.5 years) filled in clinical questionnaires and performed polysomnography followed by maintenance of wakefulness test (MWT). Frequency and reciprocal overlap of sleepiness, fatigue and depression in MS were expressed by Eulero-Venn diagrams; standard…

Daytime sleepiness in elementary school students: the role of sleep quality and chronotype.

OBJECTIVE: To investigate the occurrence of daytime sleepiness and associated sleep factors in a sample of elementary school students who attended school in the afternoon schedule. METHODS: Sleep data from 363 Brazilian public school students (12.78 ± 1.36 years, 206 girls) were obtained by applying questionnaires in classrooms. All subjects attended school in the afternoon schedule, with classes starting between 1:00 and 1:20 p.m. Daytime sleepiness was assessed by the pediatric daytime sleepiness scale; sleep quality, by the mini-sleep questionnaire; and sleep patterns and chronotypes, by t…

Fatigue is associated with depression independent of excessive daytime sleepiness in the general population.

PURPOSE: This study aimed to investigate sleep problems and comorbid conditions associated with fatigue in the general population. METHODS: The data were obtained from a nationwide cross-sectional survey conducted in 2018. The Fatigue Severity Scale was used to assess fatigue. We examined sleep habits, such as workday sleep duration, chronotype, and free-day catch-up sleep, excessive daytime sleepiness (EDS), depression, and other comorbid conditions. We conducted multiple logistic regression analysis with the presence of fatigue as a dependent variable. RESULTS: Of 2,493 adults aged 19 to 9…

Impact of daytime sleepiness and insomnia on simple and complex cognitive task performances.

OBJECTIVE: To examine the individual and combined effects of daytime sleepiness and insomnia disorder (ID) on measures of cognitive functioning. DESIGN AND SETTING: This study was conducted at a medical center using a cross-sectional research design. PARTICIPANTS: 35 persons with ID (Mage = 40.6 years; 25 women) and 54 normal sleepers (NS; Mage = 31.5 years; 38 women). METHODS AND MEASURES: Participants underwent two nights of home-based polysomnography (PSG) followed by daytime testing with a four-trial Multiple Sleep Latency Test (MSLT). Before each MSLT nap, they completed a computer-adm…

Adults with epilepsy appear to differ from children in regard to daytime sleepiness.

Urquhart DS, Hill EA, Hill LE, et al. Adults with epilepsy appear to differ from children in regard to daytime sleepiness. J Clin Sleep Med. 2020;16(8):1393–1394.

Growth Hormone Deficiency and Excessive Sleepiness: A Case Report and Review of the Literature.

The somatotropic axis is intricately involved in normal sleep, as evidenced by the fact that hypothalamic growth hormone-releasing hormone ( … We also describe the unique constellation of isolated idiopathic GH deficiency and severe excessive sleepiness in adopted Nicaraguan siblings, one of which has narcolepsy and the other idiopathic hypersomnia.

Frequency and characteristics of drowsiness, somnolence, or daytime sleepiness in patients with advanced cancer.

INTRODUCTION: Cancer-related drowsiness (CRD) is a distressing symptom in advanced cancer patients (ACP). The aim of this study was to determine the frequency and factors associated with severity of CRD. We also evaluated the screening performance of Edmonton Symptom Assessment Scale-drowsiness (ESAS-D) item against the Epworth Sedation Scale (ESS). METHOD: We prospectively assessed 180 consecutive ACP at a tertiary cancer hospital. Patients were surveyed using ESAS, ESS, Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Hospital Anxiety Depression Scale. RESULT: Ninety of 150 eva

Correlation of the Epworth Sleepiness Scale and Sleep-Disordered Breathing in Men and Women.

STUDY OBJECTIVES: To compare Epworth Sleepiness Scale (ESS) scores of men and women and determine if there is a correlation with sleep-disordered breathing (SDB) based on subsequent polysomnography (PSG). METHODS: Consecutive adult patients were identified who completed ESS and PSG at Mayo Clinic in Rochester, Minnesota, between January 1, 2013, and January 31, 2015. Apnea-hypopnea index (AHI) ≥ 5 events/h was classified as presence of SDB, and increasing values represented greater severity. RESULTS: Among 6,593 patients with valid ESS scores and timely subsequent PSG, 42% were women. Mean (…

An on-road study of sleepiness in split shifts among city bus drivers.

Bus drivers often work irregular hours or split shifts and their work involves high levels of stress. These factors can lead to severe sleepiness and dangerous driving. This study examined how split shift working affects sleepiness and performance during afternoon driving. An experiment was conducted on a real road with a specially equipped regular bus driven by professional bus drivers. The study had a within-subject design and involved 18 professional bus drivers (9 males and 9 females) who drove on two afternoons; one on a day in which they had driven early in the morning (split shift situa…