EXCESSIVE DAYTIME SLEEPINESS ASSOCIATED WITH INSUFFICIENT SLEEP
EXCESSIVE DAYTIME SLEEPINESS ASSOCIATED WITH INSUFFICIENT SLEEP
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DOI：
10.1093/sleep/6.4.319
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发表时间：
1983-01-01
期刊：
影响因子：
5.6
通讯作者：
ROTH, T
中科院分区：
文献类型：
--
作者：
ROEHRS, T;ZORICK, F;ROTH, T
慢性睡眠不足是白天过度嗜睡的一个可识别的原因，通过将一系列具有这种诊断的患者与发作性睡病患者进行比较来事后调查。睡眠不足患者与发作性睡病患者之间的显著区别是，从睡眠史中获得的报告显示，工作日与周末获得的睡眠量存在差异。在实验室的评估中，睡眠不足的患者在晚上表现出极高的睡眠效率和较长的睡眠时间（比他们报告的工作日晚上在家睡觉的时间更长）。与发作性睡病患者相比，他们显示出3-4期和REM睡眠的百分比有所升高，尽管这可能并不高于年龄匹配的对照组。在多次睡眠潜伏期测试中，他们表现出中度嗜睡，没有睡眠开始的REM期。精神状态检查和明尼苏达多相人格调查没有提示原发性精神障碍。
Chronic insufficient sleep as an identifiable cause of excessive daytime sleepiness was investigated post hoc by comparing a series of patients with this diagnosis with patients with narcolepsy. Among the prominent features differentiating patients with insufficient sleep from patients with narcolepsy was the report, obtained on the sleep history, of a disparity between the reported amount of sleep obtained on weekdays versus weekends. On evaluation in the laboratory, patients with insufficient sleep showed atypically high sleep efficiency at night and a prolonged sleep time (longer than they report sleeping on a weekday night at home). Compared with patients with narcolepsy, they show a somewhat elevated percentage of stage 3–4 and REM sleep, although this is probably not higher than that of age-matched controls. On the Multiple Sleep Latency Test they displayed moderate sleepiness and no sleep onset REM periods. A mental status examination and Minnesota Multiphasic Personality Inventory did not suggest a primary psychiatric disorder.