The Epworth sleepiness scale: relationship to sleep and mental disorders in a sleep clinic
The Epworth sleepiness scale: relationship to sleep and mental disorders in a sleep clinic
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DOI：
10.1016/j.sleep.2005.11.001
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发表时间：
2006-06-01
期刊：
影响因子：
4.8
通讯作者：
Kristo, D
中科院分区：
文献类型：
--
作者：
Dezee, KJ;Jackson, JL;Kristo, D
背景和目的：根据埃普沃思嗜睡量表（ESS）的测量，睡眠障碍和精神障碍都与白天过度嗜睡有关。我们试图评估ESS评分和精神障碍之间的关系在睡眠clinic.Methods：一百六十五个连续的新转诊到睡眠诊所完成了ESS之前，他们的首次访问。精神障碍（重性抑郁症，轻性抑郁症，焦虑症，未另行说明，恐慌症）诊断与初级保健评估的精神障碍（PRIME-MD）问卷，一个可靠和有效的工具。几乎所有的睡眠诊断（95%）是由多导睡眠图。结果：平均ESS的队列为12.3（标准差（SD）5.1）。有和没有精神障碍（12.8 vs. 12.2，P=0.48）或睡眠呼吸障碍（SDB）（12.3 vs. 12.3，P=0.99）的患者的平均ESS没有差异。与精神障碍或单纯SDB相比，精神障碍和SDB共病患者的ESS评分无差异（合并：13.0 vs.精神障碍：11.5 vs. SDB：12.2，P=0.70）。ESS评分和呼吸紊乱指数（RDI）之间也没有关系（P=0.63）。结论：我们发现ESS评分和精神障碍之间没有关系的转介到睡眠诊所。ESS不能用于筛查睡眠诊所患者的精神障碍。(c)2006 Elsevier B. V.保留所有权利。
Background and purpose: Both sleep disorders and mental disorders are associated with excessive daytime sleepiness as measured by the Epworth sleepiness scale (ESS). We sought to assess the relationship between the ESS scores and mental disorders in a sleep clinic.Methods: One hundred sixty-five consecutive new referrals to a sleep clinic completed the ESS prior to their initial visit. Mental disorders (major depression, minor depression, anxiety not otherwise specified, and panic disorder) were diagnosed with the primary care evaluation of mental disorders (PRIME-MD) questionnaire, a reliable and valid instrument. Nearly all sleep diagnoses (95%) were made by polysomnography.Results: The mean ESS for the cohort was 12.3 (standard deviation (SD) 5.1). There was no difference in the mean ESS for those with and without mental disorders (12.8 vs. 12.2, P=0.48) or sleep-disordered breathing (SDB) (12.3 vs. 12.3, P=0.99). ESS scores were not different between patients with a comorbid mental disorder and SDB compared with the presence of a mental disorder or SDB alone (combination: 13.0 vs. mental disorder: 11.5 vs. SDB: 12.2, P=0.70). There was also no relationship between ESS scores and the respiratory disturbance index (RDI) (P=0.63).Conclusions: We found no relationship between ESS scores and mental disorders among referrals to a sleep clinic. ESS cannot be used to screen for mental disorders among sleep clinic patients. (c) 2006 Elsevier B.V. All rights reserved.