背景:有问题的睡眠惯性的最佳测量工具,常见于一些中枢神经性嗜睡症(CDH),尚未确定。我们评估了睡眠惯性问卷(SIQ)在CDH中的表现,以及它如何很好地区分超常群体和对照组,1型发作性睡病(NT1)和IH(特发性失眠症)。
方法:这种前瞻性,双中心研究包括63个对照,84IH,16NT1,18嗜睡症2型(NT2),88名主观白天过度嗜睡(sEDS)参与者,使用ICSD-3标准。126名(47.2%)参与者在SIQ完成时接受任何药物治疗。我们评估了SIQ分数的结构效度,和睡眠惯性持续时间(SID),并将它们与诊断进行比较,控制年龄和中心。我们得出了切点,以区分过度敏感患者与对照组和IH与NT1。抑郁症的敏感性分析,时间型,并进行了药物治疗。
结果:对照组的SIQ总和和综合评分明显低于其他组(p<0.0001),表现出卓越的区分患者与对照组的能力(AUC0.92),过度敏感组之间没有差异。除NT1外,对照组的SID(AUC0.76)明显短于所有过敏组,NT1短于IH或sEDS。与对照组相比,患者的最佳SIQ和截止点为42(J=0.71)。区分IH与NT1的最佳SID切割点为25分钟(J=0.39)。
结论:SIQ具有很好的区分过敏患者和健康对照的能力,在控制了抑郁症之后,晚上,和药物。SID最好区分IH和NT1。
BACKGROUND: Optimal measurement tools for problematic sleep inertia, common in some central disorders of hypersomnolence (CDH), have not yet been determined. We evaluated the performance of the Sleep Inertia Questionnaire (SIQ) in CDH, and how well it distinguished hypersomnolent groups from controls, and IH (idiopathic hypersomnia) from narcolepsy type 1 (NT1).
METHODS: This prospective, bi-centric study included 63 control, 84 IH, 16 NT1, 18 narcolepsy type 2 (NT2), and 88 subjective excessive daytime sleepiness (sEDS) participants, using ICSD-3 criteria. 126 (47.2 %) participants were on any medication at the time of SIQ completion. We assessed construct validity of SIQ scores, and sleep inertia duration (SID), and compared them across diagnoses, controlling for age and center. We derived cutpoints to distinguish hypersomnolent patients from controls and IH from NT1. Sensitivity analyses for depression, chronotype, and medication were performed.
RESULTS: The SIQ sum and composite score were significantly lower in controls than in other groups (p < 0.0001), demonstrating outstanding ability to distinguish patients from controls (AUCs 0.92), without differences among hypersomnolent groups. SID (AUC 0.76) was significantly shorter in controls than in all hypersomnolent groups except NT1, and was shorter in NT1 than in IH or sEDS. Optimal SIQ sum cutpoint was 42 (J = 0.71) for patients versus controls. Optimal SID cutpoint in distinguishing IH from NT1 was 25 min (J = 0.39).
CONCLUSIONS: The SIQ has excellent ability to distinguish hypersomnolent patients from healthy controls, after controlling for depression, eveningness, and medication. SID is best at distinguishing IH from NT1.