Examination of Daytime Sleepiness and Cognitive Performance Testing in Patients with Primary Insomnia

Liu, Hong; Wang, Dexi; Li, Yun; Li, Zhe; Zhang, Ying; Lei, Fei; Du, Lingyao; Tang, Xiangdong

doi:10.1371/journal.pone.0100965

Cited by 41 publications

(33 citation statements)

References 44 publications

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“…Thirteen studies reported a neuropsychological measure of inhibitory control as an outcome (Crenshaw and Edinger, 1999; Edinger et al, 2000, 2008; Szelenberger and Niemcewicz, 2001; Backhaus et al, 2006; Sagaspe et al, 2007; Haimov et al, 2008; Covassin et al, 2011; Joo et al, 2013; Siversten et al, 2013; Fortier-Brochu and Morin, 2014; Liu et al, 2014; Perrier et al, 2015). Three of these measured inhibitory control through the continuous performance test (Crenshaw and Edinger, 1999; Edinger et al, 2000, 2008) and one through the continuous performance test II (Fortier-Brochu and Morin, 2014).…”

Section: Resultsmentioning

confidence: 99%

Executive Functions in Insomnia Disorder: A Systematic Review and Exploratory Meta-Analysis

et al. 2019

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Background: Executive functions (EFs) are involved in the control of basic psychological processes such as attention and memory and also contribute to emotion regulation. Research on the presence of EFs impairments in insomnia yielded inconsistent results. Therefore, we performed a systematic review of the literature on three EFs: inhibitory control, working memory, and cognitive flexibility in adults with insomnia in order to investigate the presence and magnitude of insomnia-related EFs impairments. Methods: PubMed, Scopus, Medline, and PsycINFO were searched. Risk of bias assessment of included studies was performed by two independent researchers. Findings were summarised using both a narrative approach and meta-analysis. Cohen's d was calculated at 95% confidence interval (CI) as effect size of between groups differences. Results: Twenty-eight studies comparing adult individuals with a diagnosis of insomnia and healthy controls on neuropsychological measures of EFs were included. Narrative synthesis revealed substantial variability across study findings. Factors that were primarily hypothesised to account for this variability are: objective sleep impairments and test sensitivity. Exploratory meta-analysis showed impaired performance of small to moderate magnitude in individuals with insomnia as compared to controls in reaction times, but not accuracy rates, of inhibitory control (d = −0.32, 95% CI: −0.52 to −0.13) and cognitive flexibility tasks (d = −0.30, 95% CI: −0.59 to −0.01). Performance in working memory tasks was also significantly impacted (d = −0.19, 95% CI: −0.38 to −0.00). Effects sizes were larger when insomnia was associated with objective sleep impairments, rather than normal sleep. Conclusions: We gathered evidence supporting small to moderate deficits in EFs in individuals with insomnia. Due to the small sample size results should be considered preliminary and interpreted carefully.

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Section: Resultsmentioning

confidence: 99%

Executive Functions in Insomnia Disorder: A Systematic Review and Exploratory Meta-Analysis

et al. 2019

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“…Driver numbness causes changes in facial and eye features, and many techniques and algorithms have been developed to recognize facial features that detect numbness. Lopar and Ribaric demonstrated the speed and precision of the Violla-Jones algorithm as a tool for monitoring facial features (9). These studies used image processing based on the Violla-Jones algorithm to identify facial features, detect driver fatigue, and determine the level of driver warning.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Subjective and Objective Levels of Drowsiness, it’s Rating and its Relation with Facial Dynamics

Yasmeen¹,

Zaman

Bibi

et al. 2024

Ann Gulf Med

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Objective: To determine the subjective and observed levels of lethargy and changes in facial dynamics. Materials and Methods: This study was conducted at Department of community medicine, Services Institute of Medical Sciences Lahore for one-year duration from January 2017 to December 2018. The changes in facial dynamics, such as changes in eyes, lips and eyebrows, were tested in KKS (Karolinska Sleepiness Scale) in twenty-five drivers. And ORD (drowsiness observer rating). Repeated ANOVA measurements and repeated MANOVA measurements were used to analyze the data. In addition, a neural network and Viola-Jones were used to detect facial features. PERCLOS (percentage of eye closure), blink frequency and blink time were examined to see eye parameters. The size of the open mouth during sleep was examined for oral parameters. When examining the eyebrows, the number 50 indicates that the eyebrow is in the normal position. For eyebrows above the normal position, a range of 50 to 55 was specified; In addition, 45-50 was found to be a defined range for normal eyebrows. Results: Descriptive statistics of dynamic changes in the mouth and eyes showed increased drowsiness while driving, as well as changes in the eyes and mouth. However, statistical findings made while driving showed that dynamic eyebrow changes had a clear expression with a continuous trend. Similar studies on data obtained from CSR and ORD showed that both parameters increased at the same time and lethargy level. There was also a significant relationship between facial expressions and lethargy. Conclusion: This study will be an effective and efficient tool for alerting and detecting sleep in a timely and accurate manner.

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“…Insomnia with short sleep duration negatively affects neurocognitive performance, especially sustained attention [51,52] and increases daytime sleepiness [50,53]. Furthermore, insomniacs with short sleep and daytime sleepiness have slowed reaction times [54], and all of the above contribute to ANMAS. Not all insomniacs have short sleep duration.…”

Section: Anmas and Sleep Habitsmentioning

confidence: 99%

Do hypnotics increase the risk of driving accidents or near miss accidents due to hypovigilance? The effects of sex, chronic sleepiness, sleep habits and sleep pathology

Royant-Parola¹,

Kovess

Brion³

et al. 2020

PLoS ONE

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Driving accidents due to hypovigilance are common but the role of hypnotics is unclear in patients suffering from sleep disorders. Our study examined factors influencing accidents and near miss accidents attributed to sleepiness at the wheel (ANMAS). Using data from an online questionnaire aimed at patients with sleep disorders, we analysed the associations between ANMAS, sociodemographic data, symptoms of sleep disorders, severity of insomnia (Insomnia Severity Index (ISI)) symptoms of anxiety and depression (Hospital Anxiety and Depression scale with depression (HADD) and anxiety (HADA) subscales), chronic sleepiness (Epworth sleepiness scale ESS), hypnotic use and information about sleep habits. Hypnotics were hierarchically grouped into Z-drugs, sedative medication, melatonin and over the counter (OTC) alternative treatments. Of 10802 participants; 9.1% reported ANMAS (Men 11.1% women 8.3%) and 24.4% took hypnotics (Z-drugs 8.5%, sedative medication 8%, melatonin 5.6% and alternative treatments 2.5%). Logistic regression analysis identified the following risk factors for ANMAS: moderate (

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Examination of Daytime Sleepiness and Cognitive Performance Testing in Patients with Primary Insomnia

Cited by 41 publications

References 44 publications

Executive Functions in Insomnia Disorder: A Systematic Review and Exploratory Meta-Analysis

Executive Functions in Insomnia Disorder: A Systematic Review and Exploratory Meta-Analysis

Evaluation of Subjective and Objective Levels of Drowsiness, it’s Rating and its Relation with Facial Dynamics

Do hypnotics increase the risk of driving accidents or near miss accidents due to hypovigilance? The effects of sex, chronic sleepiness, sleep habits and sleep pathology

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