렘수면행동장애 환자의 꿈 회상 빈도와 수면의 질
Dream Recall Frequency and Sleep in Patients with Rapid Eye Movement Sleep Behavior Disorder
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Objectives: The dream recall and sleep of patients with rapid eye movement sleep behavior disorder (RBD) were not sufficiently studied. We hypothesized that RBD patients have frequent dream recall with poor sleep quality, and investigated the relationship between the dream recall frequency and sleep quality in RBD patients compared to controls. Methods: We analyzed 81 drug naïve patients [RBD (+), 64.6±8.3 y, 57 males] and 81 age and gender matched patients with sleep disturbances without RBD [RBD (-), 63.7±7.3 y, 57 males]. All completed Pittsburgh sleep quality index (PSQI), insomnia severity index (ISI), Epworth sleepiness scale and Beck depression inventory. The 5-point rating scale was used to categorize dream recall frequency of most recent month (0=never, 4=very frequent). Results: In RBD (+), dream recall frequency was much higher [frequent dreaming, 77.2% vs. 35.4%], and subjective sleep quality was much better [PSQI, 6.36±3.26 vs. 8.71±4.69]. Insomnia severity was much less in RBD (+) (ISI, 9.13±5.86) than RBD (-) (12.43±7.62). No significant differences were found in sleep parameters except lower N2 sleep % in RBD (+). The relationship between dream recall frequency and sleep was not significant in RBD (+), yet, a positive correlation was noted in RBD (-). Conclusions: RBD (+) had better sleep quality despite higher frequency of dream recall compared to RBD (-). Also dream recall was not related to their sleep quality in RBD (+), which suggests that RBD patients may have different sleep perception about their sleep and sleep quality.
Abstract
Objectives: The dream recall and sleep of patients with rapid eye movement sleep behavior disorder (RBD) were not sufficiently studied. We hypothesized that RBD patients have frequent dream recall with poor sleep quality, and investigated the relationship between the dream recall frequency and sleep quality in RBD patients compared to controls. Methods: We analyzed 81 drug naïve patients [RBD (+), 64.6±8.3 y, 57 males] and 81 age and gender matched patients with sleep disturbances without RBD [RBD (-), 63.7±7.3 y, 57 males]. All completed Pittsburgh sleep quality index (PSQI), insomnia severity index (ISI), Epworth sleepiness scale and Beck depression inventory. The 5-point rating scale was used to categorize dream recall frequency of most recent month (0=never, 4=very frequent). Results: In RBD (+), dream recall frequency was much higher [frequent dreaming, 77.2% vs. 35.4%], and subjective sleep quality was much better [PSQI, 6.36±3.26 vs. 8.71±4.69]. Insomnia severity was much less in RBD (+) (ISI, 9.13±5.86) than RBD (-) (12.43±7.62). No significant differences were found in sleep parameters except lower N2 sleep % in RBD (+). The relationship between dream recall frequency and sleep was not significant in RBD (+), yet, a positive correlation was noted in RBD (-). Conclusions: RBD (+) had better sleep quality despite higher frequency of dream recall compared to RBD (-). Also dream recall was not related to their sleep quality in RBD (+), which suggests that RBD patients may have different sleep perception about their sleep and sleep quality.
참고문헌 (27)
- Schenck CH, "REM sleep behavior disorder: clinical, developmental, and neuroscience perspectives 16 years after its formal identification in SLEEP", Sleep, 25, pp.120~138 (2002)
- Schenck CH, "REM sleep behaviour disorder: an update on a series of 96 patients and a review of the world literature", J Sleep Res, 2, pp.224~231 (1993)
- Boeve BF, "REM sleep behavior disorder and degenerative dementia: an association likely reflecting Lewy body disease", Neurology, 51, pp.363~370 (1998)
- Boeve BF, "Pathophysiology of REM sleep behaviour disorder and relevance to neurodegenerative disease", Brain, 130(Pt 11), pp.2770~2788 (2007)
- Postuma RB, "Quantifying the risk of neurodegenerative disease in idiopathic REM sleep behavior disorder", Neurology, 72, pp.1296~1300 (2009)
- Olson EJ, "Rapid eye movement sleep behaviour disorder: demographic, clinical and laboratory findings in 93 cases", Brain, 123(Pt 2), pp.331~339 (2000)
- Revonsuo A, "The reinterpretation of dreams: an evolutionary hypothesis of the function of dreaming", Behav Brain Sci, 23, pp.877~901 (2000)
- Hall C, "Aggression in dreams", Int J Soc Psychiatry, 9, pp.259~267 (1963)
- Fantini ML, "Aggressive dream content without daytime aggressiveness in REM sleep behavior disorder", Neurology, 65, pp.1010~1015 (2005)
- Fantini ML, "Idiopathic REM sleep behavior disorder: toward a better nosologic definition", Neurology, 64, pp.780~786 (2005)
- Koulack D, "Dream recall and dream recall failure: an arousal-retrieval model", Psychological Bulletin, 83, pp.975~984 (1976)
- Schredl M, "Factors of home dream recall: a structural equation model", J Sleep Res, 12, pp.133~141 (2003)
- "Psychother Psychosom Med Psychol", 1997, 108~116
- Berry RB, "The AASM manual for the scoring of sleep and associated events. Rules, terminology and technical specifications", pp.50~55 (2012), American Academy of Sleep Medicine
- American Academy of Sleep Medicine, "International Classification of Sleep Disorders-third edition (ICSD-3)" (2014), AASM Resource Library
- 이형곤, "Depressed REM Sleep Behavior Disorder Patients Are Less Likely to Recall Enacted Dreams than Non-Depressed Ones", PSYCHIATRY INVESTIGATION, 13(2), pp.227~231 (2016), 대한신경정신의학회[DOI]
- De Gennaro L, "Alexithymia and dream recall upon spontaneous morning awakening", Psychosom Med, 65, pp.301~306 (2003)
- 지기환, "렘수면 행동장애로 진단된 53명의 인구학적, 임상적, 수면다원검사적 특징", Journal of sleep medicine, 9(2), pp.41~45 (2012), 대한수면연구학회
- Arnulf I, "Sleepiness in idiopathic REM sleep behavior disorder and Parkinson disease", Sleep, 38, pp.1529~1535 (2015)
- Postuma RB, "Insomnia and somnolence in idiopathic RBD: a prospective cohort study", NPJ Parkinsons Dis, 3, pp.9~ (2017)
- Wu MN, "More severe hypoxemia is associated with better subjective sleep quality in obstructive sleep apnea", BMC Pulm Med, 15, pp.117~ (2015)
- Trajanovic NN, "Positive sleep state misperception - a new concept of sleep misperception", Sleep Med, 8, pp.111~118 (2007)
- Wyatt JK, "Mesograde amnesia during the sleep onset transition: replication and electrophysiological correlates", Sleep, 20, pp.512~522 (1997)
- Perlis ML, "The mesograde amnesia of sleep may be attenuated in subjects with primary insomnia", Physiol Behav, 74, pp.71~76 (2001)
- Sasai T, "Electroencephalographic findings related with mild cognitive impairment in idiopathic rapid eye movement sleep behavior disorder", Sleep, 36, pp.1893~1899 (2013)
- Schredl M, "Dreaming and insomnia: dream recall and dream content of patients with insomnia", J Sleep Res, 7, pp.191~198 (1998)
- Schredl M, "Dreams in patients with sleep disorders", Sleep Med Rev, 13, pp.215~221 (2009)