The first night effect in multiple sclerosis patients undergoing home-based polysomnography

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F18%3A00069342" target="_blank" >RIV/00159816:_____/18:00069342 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.2147/NSS.S176201" target="_blank" >http://dx.doi.org/10.2147/NSS.S176201</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2147/NSS.S176201" target="_blank" >10.2147/NSS.S176201</a>

Result language

angličtina

Original language name

The first night effect in multiple sclerosis patients undergoing home-based polysomnography

Original language description

Background: The first night effect (FNE) is a polysomnography (PSG) habituation effect in the first of several consecutive in-laboratory PSGs (I-PSGs). The ENE is caused by the discomfort provoked by electrodes and cables and the exposure to an unfamiliar environment. A reverse ENE (RENT) with an improved sleep in the first night is characteristic of insomnia, presumably because the video PSG in the sleep laboratory leads to a decrease in the negatively toned cognitive activity. Therefore, two or more I-PSGs are required for an accurate diagnosis. Although the FNE is well documented in I-PSG, little is known about the FNE and the RFNE in home-based PSGs (H-PSGs). Methods: This is a retrospective analysis of a recently published cross-sectional study using H-PSG. Sixty-three consecutive patients suffering from multiple sclerosis (MS) were investigated by two consecutive H-PSGs without video. The differences between the first and second H-PSGs were analyzed. The patients were classified into four subgroups: no sleep disorder, insomnia, sleep-related breathing disorders (SRBDs), and periodic limb movement disorder or restless legs syndrome (PLMD/RLS). Results: MS patients suffering from insomnia showed no RFNE. MS patients with SKIM or PLMD/RLS showed no reduced sleep efficiency but significantly less slow wave sleep. Furthermore, SRBD patients showed significantly less non-rapid eye movement (N REM) sleep, and PLMD/RLS patients were significantly awake longer in the first night after sleep onset (increased wake-after-sleep-onset time) and showed a higher rapid eye movement (REM) latency. Conclusion: SRBD and PLMD/RLS patients showed a significant FNE. Two consecutive H-PSGs are required in these patients to obtain a precise hypnogram even in the ambulatory field. In MS patients suffering from insomnia, no RFNE was found, and in insomnia patients one H-PSG seems to be sufficient.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30103 - Neurosciences (including psychophysiology)

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

NATURE AND SCIENCE OF SLEEP

ISSN

1179-1608

e-ISSN

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Volume of the periodical

10

Issue of the periodical within the volume

2018

Country of publishing house

NZ - NEW ZEALAND

Number of pages

8

Pages from-to

337-344

UT code for WoS article

000448195900002

EID of the result in the Scopus database

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