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Subjective Assessment of Sleep and Sleepiness in Parkinson’s Disease

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Disorders of Sleep and Circadian Rhythms in Parkinson's Disease

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Abstract

Sleep disturbances in Parkinson’s disease (PD) are common and need appropriate diagnosis and care. Sleep can be assessed in two ways: subjectively by asking patients about their symptoms and objectively with the help of electrophysiological sleep recordings. There are a number of validated scales to evaluate sleep in PD as well as electrophysiological sleep recordings. No validated scale or sleep test, however, can do the job of a thorough sleep history taken with the patient and bed partner. This needs time and a systematic approach defining the problem, schedules, behavior before sleep, during sleep, presence and timing of midnight awakenings and their cause, snoring, breathing pauses, dreaming, and abnormal movements during sleep and excessive sleepiness. Several scales can be used to screen sleep disorders, complementing – not replacing – the clinical sleep history. There is not yet an ideal scale for assessment of the whole spectrum of sleep problems in PD, although two have been developed specifically for use in PD, namely, the Parkinson’s disease sleep scale and the SCOPA-sleep.

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References

  1. Chervin RD, Aldrich MS. The Epworth Sleepiness Scale may not reflect objective measures of sleepiness or sleep apnea. Neurology. 1999;52:125–31.

    Article  CAS  PubMed  Google Scholar 

  2. Olson LG, Cole MF, Ambrogetti A. Correlations among Epworth Sleepiness Scale scores, multiple sleep latency tests and psychological symptoms. J Sleep Res. 1998;7:248–53.

    Article  CAS  PubMed  Google Scholar 

  3. Lees AJ, Blackburn NA, Campbell VL. The nighttime problems of Parkinson’s disease. Clin Neuropharmacol. 1988;11:512–9.

    Article  CAS  PubMed  Google Scholar 

  4. Trenkwalder C, Paulus W, Walters AS. The restless legs syndrome. Lancet Neurol. 2005;4:465–75.

    Article  CAS  PubMed  Google Scholar 

  5. Roselaar SE, Langdon N, Lock CB, Jenner P, Parkes JD. Selegiline in narcolepsy. Sleep. 1987;10:491–5.

    CAS  PubMed  Google Scholar 

  6. Chaudhuri KR, Martínez-Martín P, Brown RG, et al. The metric properties of a novel non-motor symptoms scale for Parkinson’s disease: results from an international pilot study. Mov Disord. 2007;22:1901–11.

    Article  PubMed  Google Scholar 

  7. Marinus J, Visser M, van Hilten JJ, Lammers GJ, Stiggelbout AM. Assessment of sleep and sleepiness in Parkinson disease. Sleep. 2003;26:1049–54.

    PubMed  Google Scholar 

  8. Trenkwalder C, Kohnen R, Högl B, et al. Parkinson’s disease sleep scale – validation of the revised version PDSS-2. Mov Disord. 2011;25:644–52.

    Article  Google Scholar 

  9. Iranzo A, Santamaria J. Severe obstructive sleep apnea/hypopnea mimicking REM sleep behavior disorder. Sleep. 2005;28:203–6.

    PubMed  Google Scholar 

  10. Factor SA, Mc Alarney T, Sáchez-Ramos JR, Weiner WJ. Sleep disorders and sleep effect in Parkinson’s disease. Mov Disord. 1990;5:280–5.

    Article  CAS  PubMed  Google Scholar 

  11. Carrasco E, Santamaria J, Iranzo A, et al. Changes in dreaming induced by CPAP in severe obstructive sleep apnea syndrome patients. J Sleep Res. 2006;15:430–6.

    Article  PubMed  Google Scholar 

  12. Uguccioni G, Golmard JL, Noël de Fontréaux A, Leu-Semenescu S, Brion A, Arnulf I. Fight or flight? Dream content during sleepwalking/sleep terrors vs rapid eye movement sleep behavior disorder. Sleep Med. 2013;14:391–8.

    Article  PubMed  Google Scholar 

  13. Sharf B, Moskovitz C, Lupton MD, Klawans HL. Dream phenomena induced by chronic levodopa therapy. J Neural Transm. 1978;43:143–51.

    Article  CAS  PubMed  Google Scholar 

  14. Santamaria J. How to evaluate excessive daytime sleepiness in Parkinson’s disease. Neurology. 2004;63 suppl 3:s21–3.

    Article  PubMed  Google Scholar 

  15. Dement WC, Hall J, Walsh JK. Tiredness versus sleepiness: semantics or a target for public education? Sleep. 2003;26:485–6.

    PubMed  Google Scholar 

  16. Moreno C, Santamaria J, Salamero M, et al. Excessive daytime sleepiness in multiple system atrophy (SLEEMSA study). Arch Neurol. 2011;68:223–30.

    Google Scholar 

  17. Economou NT, Manconi M, Ghika J, Bassetti C. Development of Parkinson and Alzheimer diseases in two cases of narcolepsy-cataplexy. Eur Neurol. 2012;67:48–50.

    Article  PubMed  Google Scholar 

  18. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.

    Article  CAS  PubMed  Google Scholar 

  19. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540–5.

    CAS  PubMed  Google Scholar 

  20. Hoddes E, Zarcone V, Smythe H, Phillips R, Dement WC. Quantification of sleepiness: a new approach. Psychophysiology. 1973;10:431–6.

    Article  CAS  PubMed  Google Scholar 

  21. Chaudhuri KR, Pal S, Di Marco A, et al. The Parkinson’s disease sleep scale: a new instrument for assessing sleep and nocturnal disability in Parkinson’s disease. J Neurol Neurosurg Psychiatry. 2002;73:629–35.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  22. Martinez-Martin P, Visser M, Rodriguez-Blazquez C, Marinus J, Chaudhuri KR, van Hilten JJ. SCOPA-sleep and PDSS: two scales for assessment of sleep disorder in Parkinson’s disease. Mov Disord. 2008;12:1681–8.

    Article  Google Scholar 

  23. Hobson DE, Lang AE, Martin WR, et al. Excessive daytime sleepiness and sudden-onset sleep in Parkinson’s disease. A survey by the Canadian Movement Disorders Group. JAMA. 2002;287:455–63.

    Article  PubMed  Google Scholar 

  24. Hagell P, Broman JE. Measurement properties and hierarchical item structure of the Epworth Sleepiness Scale in Parkinson’s disease. J Sleep Res. 2007;16:102–9.

    Article  PubMed  Google Scholar 

  25. Brodsky MA, Godbold J, Roth T, Olanow CW. Sleepiness in Parkinson’s disease: a controlled study. Mov Disord. 2003;18:668–72.

    Article  PubMed  Google Scholar 

  26. Tandberg E, Larsen JP, Karlsen K. Excessive daytime sleepiness and sleep benefit in Parkinson’s disease: a community-based study. Mov Disord. 1999;14(6):922–7.

    Article  CAS  PubMed  Google Scholar 

  27. Högl B, Arnulf I, Comella C, et al. Scales to assess sleep impairment in Parkinson’s disease: critique and recommendations. Mov Disord. 2010;25:204–2716.

    Article  Google Scholar 

  28. Bland JM, Altman DG. Validating scales and indexes. Br Med J. 2002;324:606–7.

    Article  Google Scholar 

  29. Goetz CG, Tilley BC, Shaftman SR, et al. Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): Scale presentation and clinimetric results. Mov Disord. 2008;23:2129–70.

    Article  PubMed  Google Scholar 

  30. Stiasny-Kolster K, Mayer G, Schäfer S, Möller JC, Heinzel-Gutenbrunner M, Oertel WH. The REM sleep behavior disorder questionnaire-a new diagnostic instrument. Mov Disord. 2007;22:2386–93.

    Article  PubMed  Google Scholar 

  31. Gjerstad MD, Boeve B, Wentzel-Larsen T, Aarsland D, Larsen JP. Occurrence and clinical correlates of REM sleep behaviour disorder in patients with Parkinson’s disease over time. J Neurol Neurosurg Psychiatry. 2008;79:387–91.

    Article  CAS  PubMed  Google Scholar 

  32. Li SX, Wing YK, Lam SP, et al. Validation of a new REM sleep behavior disorder questionnaire (RBD-HK). Sleep Med. 2010;11:43–8.

    Article  CAS  PubMed  Google Scholar 

  33. Boeve BF, Molano JR, Ferman TJ, et al. Validation of the Mayo Sleep Questionnaire to screen for REM sleep behavior disorder in an aging and dementia cohort. Sleep Med. 2011;12:445–53.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Nomura T, Inoue Y, Kagimura T, Uemura Y, Nakashima K. Utility of the REM sleep behavior disorder questionnaire (RBDSQ) in Parkinson’s disease patients. Sleep Med. 2011;12:711–3.

    Article  PubMed  Google Scholar 

  35. Frauscher B, Ehrman L, Zamarian L, et al. Validation of the Innsbruck REM sleep behavior disorder inventory. Mov Disord. 2012;27:1673–8.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Neurology Service and Multidisciplinary Sleep Disorders Unit, Hospital Clínic of Barcelona, University of Barcelona Medical School, Villarroel 170, 08036, Barcelona, Spain

    Joan Santamaria MD

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  1. Joan Santamaria MD
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Correspondence to Joan Santamaria MD .

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Editors and Affiliations

  1. Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Aleksandar Videnovic

  2. Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria

    Birgit Högl

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Santamaria, J. (2015). Subjective Assessment of Sleep and Sleepiness in Parkinson’s Disease. In: Videnovic, A., Högl, B. (eds) Disorders of Sleep and Circadian Rhythms in Parkinson's Disease. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1631-9_5

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  • DOI: https://doi.org/10.1007/978-3-7091-1631-9_5

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1630-2

  • Online ISBN: 978-3-7091-1631-9

  • eBook Packages: MedicineMedicine (R0)

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