Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-29T00:56:45.322Z Has data issue: false hasContentIssue false

Psychological Status and Levels of Sleepiness-Alertness Among Patients With Insomnia

Published online by Cambridge University Press:  07 November 2014

Abstract

Are symptoms of daytime sleepiness relevant among patients with insomnia? Patients with insomnia frequently report daytime consequences secondary to their difficulty initiating and maintaining sleep. The purpose of this study was to determine the frequency of daytime sleepiness as defined by a self-reported measure of daytime sleepiness (the Epworth Sleepiness Scale). In addition, the study characterized the patients' psychological status using the Symptom Checklist-90-Revised. The study corroborated a relatively high frequency of excessive daytime sleepiness and psychiatric conditions among patients with insomnia. Furthermore, the results of the study suggest variation in psychological distress levels, according to the different levels of sleepiness/alertness.

Type
Original Research
Copyright
Copyright © Cambridge University Press 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Rosenthal, L, Meixner, R. Sleep deprivation. In: Lee-Chiong, TL Jr., Sateia, MJ, Carskadon, MA, eds. Sleep Medicine. Philadelphia, PA: Hanley & Belfus, Inc.; 2002:8592.Google Scholar
2.Leger, D, Guilleminault, C, Dreyfus, JP, et al.Prevalence of insomnia in a survey of 12778 adults in France. J Sleep Res. 2000;9:3542.CrossRefGoogle Scholar
3.Ohayon, MM, Caulet, M, Priest, RG, et al.Prevalence of DSM-IV and ICSD-90 insomnia symptoms and sleep dissatisfaction. Br J Psychiatry. 1997;171:382388.CrossRefGoogle ScholarPubMed
4.Sateia, MJ. Epidemiology, consequences, and evaluation of insomnia. In: Lee-Chiong, TL Jr., Sateia, MJ, Carskadon, MA, eds. Sleep Medicine. Philadelphia, PA: Hanley & Belfus, Inc.; 2002:151160.Google Scholar
5.Roth, T, Ancoli-Israel, S. Daytime consequences and correlates of insomnia in the United States: results of the 1991 National Sleep Foundation survey: II. Sleep. 1999;22(suppl 2):S354358.Google ScholarPubMed
6.Carskadon, M, Dement, W, Mitler, M, et al.Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep. 1986;9:519524.CrossRefGoogle ScholarPubMed
7.Hauri, PJ. Primary insomnia. In: Kryger, MH, Roth, T, Dement, WC, eds. Principles and Practice of Sleep Medicine. Philadelphia, PA: W.B. Saunders Co.; 1994:494499.Google Scholar
8.Rosenthal, L, Roehrs, TA, Roth, T. The Sleep-Wake Activity Inventory: a self report measure of daytime sleepiness. Biol Psychiatry. 1993;34:810820.CrossRefGoogle ScholarPubMed
9.Johns, MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep. 1991;14:540545.CrossRefGoogle ScholarPubMed
10.Day, R, Guido, P, Helmus, T, et al.Self-reported levels of sleepiness among subjects with insomnia. Sleep Med. 2001;2:153157.CrossRefGoogle ScholarPubMed
11.Derogatis, LR. Symptom Checklist-90-Revised® Administration, Scoring, and Procedures Manual. 3rd ed. Minneapolis, MN: National Computer Systems, Inc.; 1994.Google Scholar
12.Mysliwiec, V, Henderson, JH, Strollo, PJ Jr.Epidemiology, consequences, and evaluation of excessive daytime sleepiness. In: Lee-Chiong, TL Jr., Sateia, MJ, Carskadon, MA, eds. Sleep Medicine. Philadelphia, PA: Hanley & Belfus, Inc; 2002:187192.Google Scholar
13.Kales, A, Bixler, EO, Vela-Bueno, A, et al.Biopsychobehavioral correlates of insomnia, III: polygraphic findings of sleep difficulty and their relationship to psychopathology. Int J Neurosci. 1984;23:4355.CrossRefGoogle ScholarPubMed
14.Kales, A, Soldatos, CR, Caldwell, AB, et al.Somnambulism: clinical characteristics and personality patterns. Arch Gen Psychiatry. 1980;37:14061410.CrossRefGoogle ScholarPubMed
15.Kales, A, Soldatos, CR, Caldwell, AB, et al.Nightmares: clinical characteristics and personality patterns. Am J Psychiatry. 1980;137:11971201.Google ScholarPubMed
16.Kales, JD, Kales, A, Soldatos, CR, et al.Night terrors: clinical characteristics and personality patterns. Arch Gen Psychiatry. 1980;37:14131417.CrossRefGoogle ScholarPubMed
17.Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994Google Scholar
18.Zucconi, M, Ferini-Strambi, L, Gambini, O, et al.Structured psychiatric interview and ambulatory sleep monitoring in young psychophysiological insomniacs. J Clin Psychiatry. 1996;57:364370.Google ScholarPubMed
19.Sateia, MJ, Doghramji, K, Hauri, PJ, et al.Evaluation of chronic insomnia. Sleep. 2000;23:243308.CrossRefGoogle ScholarPubMed
20.Kapur, VK, Redline, S, Nieto, J, et al.The relationship between chronically disrupted sleep and healthcare use. Sleep. 2002;25:289296.Google ScholarPubMed