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Daytime sleepiness in patients with untreated restless legs syndrome

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Titel: Daytime sleepiness in patients with untreated restless legs syndrome
Autoren: Eich, Anna-Lena, Ottersbach, Julia, Geisler, Peter, Hajak, Göran, Wetter, Thomas C., Popp, Roland F. J.
Quelle: Somnologie. 28:149-155
Verlagsinformationen: Springer Science and Business Media LLC, 2024.
Publikationsjahr: 2024
Schlagwörter: ddc:610, Daueraufmerksamkeit, Epworth Schläfrigkeitsskala, Prevalence, Sleep quality, Epworth Sleepiness Scale, Sustained attention, Fragebogen, Original Studies, Prävalenz, Schlafqualität, Questionnaires, 610 Medizin, Questionnaires · Epworth Sleepiness Scale · Sustained attention · Sleep quality · Prevalence, 3. Good health
Beschreibung: Background Restless legs syndrome (RLS), a disorder characterized by an urge to move one’s legs during sleep or rest, leads to impaired sleep quality. Many patients with RLS report increased daytime sleepiness, but this has seldom been the focus of clinical research. The current study empirically investigated the prevalence and severity of daytime sleepiness in RLS. Methods This prospective study included 29 newly diagnosed treatment-naïve patients with RLS and 31 healthy controls and assessed standardized subjective (tiredness symptom scale [TSS], Stanford Sleepiness Scale [SSS], Epworth Sleepiness Scale [ESS]), cognitive (psychomotor vigilance task [PVT], Mackworth Clock Test [MCT]), and physiological measures (pupillary unrest index [PUI]). RLS symptom severity was assessed, and the effects of RLS on general health aspects and subjective sleep quality (Pittsburgh Sleep Quality Index) were compared to control data. Results Patients had moderate to severe RLS with significant negative effects on general health, quality of life, and sleep quality. Patients with RLS showed more subjective daytime sleepiness (ESS) and current sleepiness (TSS, SSS) than controls. The objective performance of patients in sustained attention tasks (P VT, MCT) was significantly worse than that of controls. Additionally, patients showed higher PUI scores. Conclusion In the present study, RLS was associated with markedly impaired subjective sleep quality and with subjectively and objectively increased daytime sleepiness. Since daytime sleepiness can be a major factor leading to compromised quality of life, assessing and treating sleepiness should be incorporated into standard diagnostics and treatment.
Publikationsart: Article
Dateibeschreibung: application/pdf
Sprache: English
ISSN: 1439-054X
1432-9123
DOI: 10.1007/s11818-024-00455-6
DOI: 10.5283/epub.57907
DOI: 10.1007/s11818-024-00455-610.5283/epub.57907
Zugangs-URL: https://repository.publisso.de/resource/frl:6516621
https://epub.uni-regensburg.de/57907/
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....ebd30ccdb7d7cb5201052c598ab0cc73
Datenbank: OpenAIRE
Beschreibung
Abstract:Background Restless legs syndrome (RLS), a disorder characterized by an urge to move one’s legs during sleep or rest, leads to impaired sleep quality. Many patients with RLS report increased daytime sleepiness, but this has seldom been the focus of clinical research. The current study empirically investigated the prevalence and severity of daytime sleepiness in RLS. Methods This prospective study included 29 newly diagnosed treatment-naïve patients with RLS and 31 healthy controls and assessed standardized subjective (tiredness symptom scale [TSS], Stanford Sleepiness Scale [SSS], Epworth Sleepiness Scale [ESS]), cognitive (psychomotor vigilance task [PVT], Mackworth Clock Test [MCT]), and physiological measures (pupillary unrest index [PUI]). RLS symptom severity was assessed, and the effects of RLS on general health aspects and subjective sleep quality (Pittsburgh Sleep Quality Index) were compared to control data. Results Patients had moderate to severe RLS with significant negative effects on general health, quality of life, and sleep quality. Patients with RLS showed more subjective daytime sleepiness (ESS) and current sleepiness (TSS, SSS) than controls. The objective performance of patients in sustained attention tasks (P VT, MCT) was significantly worse than that of controls. Additionally, patients showed higher PUI scores. Conclusion In the present study, RLS was associated with markedly impaired subjective sleep quality and with subjectively and objectively increased daytime sleepiness. Since daytime sleepiness can be a major factor leading to compromised quality of life, assessing and treating sleepiness should be incorporated into standard diagnostics and treatment.
ISSN:1439054X
14329123
DOI:10.1007/s11818-024-00455-6