Sleep–wake patterns in patients with cirrhosis: All you need to know on a single sheet

作者: Sara Montagnese , Benita Middleton , Debra J. Skene , Marsha Y. Morgan

DOI: 10.1016/J.JHEP.2009.06.006

关键词:

摘要: Background/Aims Sleep–wake abnormalities are common in patients with cirrhosis but their evaluation is time consuming and laborious. The aim of this study was to assess the validity a simple Sleep Timing Quality Screening questionnaire (STSQS) against an established sleep quality daily diaries. Methods population comprised 87 19 healthy volunteers. All participants completed STSQS ( score range 1–9) Pittsburgh Index (PSQI; total range: 0–21; scores >5 identify ‘poor' sleepers); subgroup 35 12 volunteers also kept diaries for 2 weeks. Results Patients slept significantly less well than (total PSQI score: 8.4±4.9 vs. 4.6±2.5, p 4.8±2.1 3.6±1.4, =0.02). Significant correlations were observed between (healthy volunteers: R =0.75, =0.74, thresholds identified, which separated individuals classified as ‘poor'/‘good' sleepers on basis >4: sensitivity 75%, specificity 93%; patients: >3: 83%, 70%). provided estimates habitual timing variables did not differ from average data recorded diaries, although more variability patients. Conclusions provides acceptable could be used whose behaviour might require further assessment.

参考文章(17)
William C. Dement., Thomas Roth, Meir H. Kryger, Principles and Practice of Sleep Medicine ,(1989)
Arthur J. Spielman, Chien-Ming Yang, Paul B. Glovinsky, Assessment Techniques for Insomnia Principles and Practice of Sleep Medicine (Fourth Edition). pp. 1403- 1416 ,(2005) , 10.1016/B0-72-160797-7/50126-9
Sara Montagnese, Benita Middleton, Debra J. Skene, Marsha Y. Morgan, Night-time sleep disturbance does not correlate with neuropsychiatric impairment in patients with cirrhosis. Liver International. ,vol. 29, pp. 1372- 1382 ,(2009) , 10.1111/J.1478-3231.2009.02089.X
Sara Montagnese, Benita Middleton, Ali R. Mani, Debra J. Skene, Marsha Y. Morgan, Sleep and circadian abnormalities in patients with cirrhosis: features of delayed sleep phase syndrome? Metabolic Brain Disease. ,vol. 24, pp. 427- 439 ,(2009) , 10.1007/S11011-009-9146-5
J. Martin Bland, DouglasG. Altman, Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet. ,vol. 327, pp. 307- 310 ,(1986) , 10.1016/S0140-6736(86)90837-8
Andres T. Blei, Phyllis Zee, Abnormalities of circadian rhythmicity in liver disease Journal of Hepatology. ,vol. 29, pp. 832- 835 ,(1998) , 10.1016/S0168-8278(98)80268-7
Steven W. Lockley, Debra J. Skene, Josephine Arendt, Comparison between subjective and actigraphic measurement of sleep and sleep rhythms Journal of Sleep Research. ,vol. 8, pp. 175- 183 ,(1999) , 10.1046/J.1365-2869.1999.00155.X
G. Bianchi, G. Marchesini, F. Nicolino, R. Graziani, D. Sgarbi, C. Loguercio, R. Abbiati, M. Zoli, Psychological status and depression in patients with liver cirrhosis. Digestive and Liver Disease. ,vol. 37, pp. 593- 600 ,(2005) , 10.1016/J.DLD.2005.01.020
R. N. H. Pugh, I. M. Murray-Lyon, J. L. Dawson, M. C. Pietroni, Roger Williams, Transection of the oesophagus for bleeding oesophageal varices British Journal of Surgery. ,vol. 60, pp. 646- 649 ,(1973) , 10.1002/BJS.1800600817
S. Montagnese, B. Middleton, D.J. Skene, M.Y. Morgan, 92 SLEEP DISTURBANCES ARE NOT A FEATURE OF HEPATIC ENCEPHALOPATHY Journal of Hepatology. ,vol. 48, pp. S40- ,(2008) , 10.1016/S0168-8278(08)60094-X