Delayed Sleep-Wake Phase Disorder: Can Polysomnography Be Useful?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F22%3A00082160" target="_blank" >RIV/00023001:_____/22:00082160 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064165:_____/22:10436013 RIV/00216208:11110/22:10436013

Výsledek na webu

<a href="https://reader.elsevier.com/reader/sd/pii/S0887899421002551?token=A9AA53CF8ABB2A0533FA64D816562C1CDF76A1E56B966DEE600B4555167EF052F781E1BD0C9AF54DC4BC5841F71F2957&originRegion=eu-west-1&originCreation=20220128121412" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S0887899421002551?token=A9AA53CF8ABB2A0533FA64D816562C1CDF76A1E56B966DEE600B4555167EF052F781E1BD0C9AF54DC4BC5841F71F2957&originRegion=eu-west-1&originCreation=20220128121412</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.pediatrneurol.2021.11.010" target="_blank" >10.1016/j.pediatrneurol.2021.11.010</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Delayed Sleep-Wake Phase Disorder: Can Polysomnography Be Useful?

Popis výsledku v původním jazyce

Background: Delayed sleep-wake phase disorder (DSWPD) is a chronic condition with a multifactorial etiology that primarily affects adolescents, significantly influencing their quality of life. In clinical practice, the contribution of intrinsic and behavioral factors is difficult to determine. The aim of our study was to compare data from clinical interviews, sleep diaries, actigraphy, and nocturnal polysomnography (PSG) in a cohort of adolescents with DSWPD and to assess psychiatric/neurodevelopmental comorbidity. Methods: Thirty-one patients (22 male; mean age 15.4 +/- 2.2 years, range 12 to 19 years) with a diagnosis of DSWPD based on detailed history, sleep diary, and actigraphy underwent nocturnal polysomnography (PSG) and neurological, psychological, and psychiatric examination. Results: Attention-deficit/hyperactivity disorder (ADHD) was present in 14 cases (45%), specific learning difficulties in nine (29%), and mood disorder (anxiety/depression) in 16 patients (52%). PSG revealed sleep-onset delay in only 12 (38%) cases. No differences in clinical data or psychiatric comorbidity between the group with sleep delay and the group with normal sleep onset were detected. Decreased total sleep time, sleep efficiency, rapid eye movement (REM) sleep, and prolonged REM sleep latency were observed in patients with delayed sleep onset. Conclusions: PSG showed delayed sleep timing in only 38% of patients with a diagnosis of DSWPD based on diagnostic criteria of the International Classification of Sleep Disorders. We suggest that PSG can provide useful information regarding the prevailing etiology (biological versus behavioral) if dim light melatonin onset testing is not available. (c) 2021 Elsevier Ltd. All rights reserved.

Název v anglickém jazyce

Delayed Sleep-Wake Phase Disorder: Can Polysomnography Be Useful?

Popis výsledku anglicky

Background: Delayed sleep-wake phase disorder (DSWPD) is a chronic condition with a multifactorial etiology that primarily affects adolescents, significantly influencing their quality of life. In clinical practice, the contribution of intrinsic and behavioral factors is difficult to determine. The aim of our study was to compare data from clinical interviews, sleep diaries, actigraphy, and nocturnal polysomnography (PSG) in a cohort of adolescents with DSWPD and to assess psychiatric/neurodevelopmental comorbidity. Methods: Thirty-one patients (22 male; mean age 15.4 +/- 2.2 years, range 12 to 19 years) with a diagnosis of DSWPD based on detailed history, sleep diary, and actigraphy underwent nocturnal polysomnography (PSG) and neurological, psychological, and psychiatric examination. Results: Attention-deficit/hyperactivity disorder (ADHD) was present in 14 cases (45%), specific learning difficulties in nine (29%), and mood disorder (anxiety/depression) in 16 patients (52%). PSG revealed sleep-onset delay in only 12 (38%) cases. No differences in clinical data or psychiatric comorbidity between the group with sleep delay and the group with normal sleep onset were detected. Decreased total sleep time, sleep efficiency, rapid eye movement (REM) sleep, and prolonged REM sleep latency were observed in patients with delayed sleep onset. Conclusions: PSG showed delayed sleep timing in only 38% of patients with a diagnosis of DSWPD based on diagnostic criteria of the International Classification of Sleep Disorders. We suggest that PSG can provide useful information regarding the prevailing etiology (biological versus behavioral) if dim light melatonin onset testing is not available. (c) 2021 Elsevier Ltd. All rights reserved.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Pediatric neurology

ISSN

0887-8994

e-ISSN

1873-5150

Svazek periodika

127

Číslo periodika v rámci svazku

February

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

4

Strana od-do

28-31

Kód UT WoS článku

000734867300006

EID výsledku v databázi Scopus

2-s2.0-85121842685