Evaluation of sleep quality in individuals with Parkinson's disease using objective and subjective measures
Evaluation of sleep quality in individuals with Parkinson's disease using objective and subjective measures
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DOI：
10.1007/s41105-018-0185-3
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发表时间：
2019-01-01
影响因子：
1.1
通讯作者：
Smaili, Suhaila Mahmoud
中科院分区：
文献类型：
--
作者：
de Almeida, Isabela Andrelino;Mesas, Arthur Eumann;Smaili, Suhaila Mahmoud
本研究的目的是调查帕金森氏病（PD）的睡眠质量，并通过临床量表和睡眠日记，与通过活动记录仪获得的客观措施的主观措施。在这项前瞻性比较研究中，人群由中度疾病的PD患者组成，除了连续7天的体动记录客观测量外，还通过主观量表（如匹兹堡睡眠质量指数PSQI、埃普沃思嗜睡量表ESS、帕金森病睡眠量表PDSS）和睡眠日记进行评估。参与者被分为两组：睡眠良好= PDSS>100和睡眠不良= PDSS 100。总共评价了48名个体，年龄的总体中位数（四分位数间距）为68（55-70）岁，PDSS为95.3（73.1-111.8）岁，PSQI为8（5-11）岁。根据PDSS，28名（58.3%）参与者的睡眠质量较差。睡眠质量差与较高的抑郁评分（p=0.01）和没有伴侣的生活（p=0.04）相关。除白天打盹外，PDSS的所有项目均存在显著差异（p= 0，10）。活动描记术和睡眠日记为基础的参数并没有根据PDSS测量的睡眠质量而变化。总体而言，除睡眠潜伏期和睡眠效率外，主观和客观睡眠参数呈现弱至中度相关性。通过体动记录仪、临床睡眠量表和睡眠日记评估PD患者的睡眠质量受损。客观测量的参数不应该被主观参数所取代，反之亦然，由于个体对睡眠的感知的复杂性。
The aim of this study is to investigate sleep quality in Parkinson's disease (PD) and to correlate subjective measures, through clinical scales and sleep diary, with objective measures obtained by means of actigraphy. In this prospective comparative study, the population consisted of PD patients with a moderate stage of the disease, who were evaluated by subjective scales such as the Pittsburgh Sleep Quality IndexPSQI, Epworth Sleepiness ScaleESS, Parkinson's Disease Sleep ScalePDSS and by sleep diary, besides objective measures from actigraphy recording over seven consecutive days. Participants were categorized into two groups: good sleep = PDSS>100 and poor sleep = PDSS100. In total, 48 individuals were evaluated, and the overall median (inter-quartile range) was 68 (55-70) for years of age, 95.3 (73.1-111.8) for PDSS, 8 (5-11) for PSQI. Twenty-eight (58.3%) participants had poor sleep quality according to the PDSS. Poor sleep quality was associated with higher depression score (p=0.01) and with living without partner (p=0.04). A significant difference was observed in all items of PDSS, except in the item daytime dozing (p=0,10). Actigraphyand sleep diary-based parameters did not vary according to the sleep quality measured with the PDSS. In general, subjective and objective sleep parameters presented weak to moderate correlation, except for sleep latency and sleep efficiency. Sleep quality is impaired in PD when assessed by actigraphy, clinical sleep scales and sleep diary. Parameters measured objectively should not be replaced by subjective parameters and vice versa due to the complexity of individual's perception about sleep.