폐쇄수면무호흡에서 수면시간의 과소 평가와 관련 요인: 수면다원검사 결과를 이용한 후향 연구
Factors Related to Sleep Time Underestimation in Obstructive Sleep Apnea: Retrospective Study Based on Polysomnographic Data
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: The perception of sleep time in obstructive sleep apnea (OSA) is not well understood, some studies have reported that subjects with OSA have abnormal sleep perception. We hypothesized that the severity of OSA would affect the sleep perception of patients with OSA and investigated the associated factors that affect the sleep perception in OSA. Methods: Four hundred and sixty eight subjects with OSA were included in present study. Subjects with OSA were divided, depending upon their sleep perception. The first group included individuals who underestimated their time spent sleeping, the second group included those who did not underestimate their sleep time. The underestimation of sleep time is defined as the perceived total sleep time being less than 80% of that measured in polysomnography (PSG). All participants were analyzed their demographics, PSG parameter and questionnaires such as Beck Depression Inventory, Epworth Sleepiness Scale. Results: Of 468 participants, 179 (38.2%) subjects were included in the group that underestimating sleep. Gender (female, odds ratio [OR]=2.01, 95% confidence interval [CI]=1.25-3.22), depression (OR=1.75, 95% CI=1.03-2.97) and proportion of slow wave sleep (OR=0.98, 95% CI=0.96-0.99) were related to the underestimation of sleep. Conclusions: The underestimation of sleep in OSA is not directly related to OSA severity. Gender, psychiatric disorder, and sleep architecture are associated with the underestimating sleep in OSA.
Abstract
Background: The perception of sleep time in obstructive sleep apnea (OSA) is not well understood, some studies have reported that subjects with OSA have abnormal sleep perception. We hypothesized that the severity of OSA would affect the sleep perception of patients with OSA and investigated the associated factors that affect the sleep perception in OSA. Methods: Four hundred and sixty eight subjects with OSA were included in present study. Subjects with OSA were divided, depending upon their sleep perception. The first group included individuals who underestimated their time spent sleeping, the second group included those who did not underestimate their sleep time. The underestimation of sleep time is defined as the perceived total sleep time being less than 80% of that measured in polysomnography (PSG). All participants were analyzed their demographics, PSG parameter and questionnaires such as Beck Depression Inventory, Epworth Sleepiness Scale. Results: Of 468 participants, 179 (38.2%) subjects were included in the group that underestimating sleep. Gender (female, odds ratio [OR]=2.01, 95% confidence interval [CI]=1.25-3.22), depression (OR=1.75, 95% CI=1.03-2.97) and proportion of slow wave sleep (OR=0.98, 95% CI=0.96-0.99) were related to the underestimation of sleep. Conclusions: The underestimation of sleep in OSA is not directly related to OSA severity. Gender, psychiatric disorder, and sleep architecture are associated with the underestimating sleep in OSA.
참고문헌 (25)
- Harvey AG, "(Mis)perception of sleep in insomnia : a puzzle and a resolution", Psychol Bull, 138, pp.77~101 (2012)
- Means MK, "Accuracy of sleep perceptions among insomnia sufferers and normal sleepers", Sleep Med, 4, pp.285~296 (2003)
- Fernandez-Mendoza J, "Sleep misperception and chronic insomnia in the general population : role of objective sleep duration and psychological profiles", Psychosom Med, 73, pp.88~97 (2011)
- American Academy of Sleep Medicine, "International classification of sleep disorders: diagnostic & coding manual", American Academy of Sleep Medicine, 51~55 (2005)
- Choi SJ, "Sleep Misperception in chronic insomnia patients with obstructive sleep apnea syndrome : implications for clinical assessment", J Clin Sleep Med, 12, pp.1517~1525 (2016)
- Pinto LR Jr, "Sleep perception in insomniacs, sleep-disordered breathing patients, and healthy volunteers--an important biologic parameter of sleep", Sleep Med, 10, pp.865~868 (2009)
- McCall WV, "Subjective estimates of sleep differ from polysomnographic measurements in obstructive sleep apnea patients", Sleep, 18, pp.646~650 (1995)
- Chervin RD, "Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnea", Chest, 118, pp.372~379 (2000)
- McNicholas WT, "Obstructive sleep apnoea syndrome : translating science to clinical practice", Respirology, 11, pp.136~144 (2006)
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- 남현우, "Sleep Perception in Obstructive Sleep Apnea: A Study Using Polysomnography and the Multiple Sleep Latency Test", Journal of Clinical Neurology, 12(2), pp.230~235 (2016), 대한신경과학회[DOI]
- Johns MW, "A new method for measuring daytime sleepiness : the Epworth sleepiness scale", Sleep, 14, pp.540~545 (1991)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Shin M, "The cut-off score for the Korean version of beck depression inventory", Korean J Clin Psychol, 12, pp.71~81 (1993)
- Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Med, 2, pp.297~307 (2001)
- Krell SB, "Insomnia complaints in patients evaluated for obstructive sleep apnea", Sleep Breath, 9, pp.104~110 (2005)
- American Academy of Sleep Medicine, "International classification of sleep disorders. 3rd ed", Americal Academy of Sleep Medicine, 19~41 (2014)
- Fernandez-Mendoza J, "Sleep misperception and chronic insomnia in the general population : role of objective sleep duration and psychological profiles", Psychosom Med, 73, pp.88~97 (2011)
- Zammit GK, "The prevalence, morbidities, and treatments of insomnia", CNS Neurol Disord Drug Targets, 6, pp.3~16 (2007)
- Krystal AD, "NREM sleep EEG frequency spectral correlates of sleep complaints in primary insomnia subtypes", Sleep, 25, pp.630~640 (2002)
- Edinger JD, "The distribution and clinical significance of sleep time misperceptions among insomniacs", Sleep, 18, pp.232~239 (1995)
- Pigeon WR, "Sleep homeostasis in primary insomnia", Sleep Med Rev, 10, pp.247~254 (2006)
- Walsh JK, "Enhancement of slow wave sleep: implications for insomnia", J Clin Sleep Med, 5(2 Suppl), pp.S27~S32 (2009)
- Merica H, "The EEG of the sleep onset period in insomnia : a discriminant analysis", Physiol Behav, 52, pp.199~204 (1992)
- Perlis ML, "Beta", Gamma EEG activity in patients with primary and secondary insomnia and good sleeper controls, 2001, pp.24, 110~117