Subjective Assessment of Sleep and Sleepiness in Parkinson’s Disease

  • Joan SantamariaEmail author


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.


Sleep Problem Daytime Sleepiness Epworth Sleepiness Scale Excessive Daytime Sleepiness Pittsburgh Sleep Quality Index 
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© Springer-Verlag Wien 2015

Authors and Affiliations

  1. 1.Neurology Service and Multidisciplinary Sleep Disorders UnitHospital Clínic of Barcelona, University of Barcelona Medical SchoolBarcelonaSpain

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