Recommendations for a Standard Research Assessment of Insomnia

Buysse, Daniel J.; Ancoli‐Israel, Sonia; Edinger, Jack D.; Lichstein, Kenneth L.; Morin, Charles M.

doi:10.1093/sleep/29.9.1155

Cited by 1,016 publications

(824 citation statements)

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“…Sleep diaries have been used to demonstrate sleep disturbances in patients with mTBI relative to matched controls [47], as well as to measure treatment response to sleep treatments such as cognitive behavioral treatment for insomnia (CBTI) [48,49]. Sleep diaries offer the advantage of prospectively capturing sleep-wake patterns and behaviors that may interfere with or promote sleep, including the regularity of bed times and rise times, the frequency, timing, and duration of daytime naps, use of prescribed or nonprescribed stimulants (e.g., energy drinks, caffeine) or central nervous system depressants, including alcohol, and other relevant behaviors.…”

Section: Sleep Diariesmentioning

confidence: 99%

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

et al. 2016

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Disturbed sleep is one of the most common complaints following traumatic brain injury (TBI) and worsens morbidity and long-term sequelae. Further, sleep and TBI share neurophysiologic underpinnings with direct relevance to recovery from TBI. As such, disturbed sleep and clinical sleep disorders represent modifiable treatment targets to improve outcomes in TBI. This paper presents key findings from a national working group on sleep and TBI, with a specific focus on the testing and development of sleep-related therapeutic interventions for mild TBI (mTBI). First, mTBI and sleep physiology are briefly reviewed. Next, essential empirical and clinical questions and knowledge gaps are addressed. Finally, actionable recommendations are offered to guide active and efficient collaboration between academic, industry, and governmental stakeholders.

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Section: Sleep Diariesmentioning

confidence: 99%

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

et al. 2016

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“…In insomnia research, it is well established to differentiate between both concepts as clinical criteria, as patients with primary insomnia complain about excessive fatigue during the day, but not about sleepiness as defined above [80]. Because the meaning of both terms differs between languages, the assessment of fatigue and sleepiness is even more difficult.…”

Section: Semantic Confusion Of Conceptsmentioning

confidence: 99%

Daytime sleepiness versus fatigue in patients with multiple sclerosis: A systematic review on the Epworth sleepiness scale as an assessment tool

Popp

Fierlbeck

Knüttel

et al. 2017

Sleep Medicine Reviews

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SummaryFatigue is a frequent and distressing symptom in patients with multiple sclerosis (MS). In contrast, sleepiness, characterized by difficulties to stay awake and alert during the day, seems to be less prevalent in MS; however exact studies are lacking. In addition, there is a semantic confusion of the concepts of "fatigue" and "sleepiness", which are often used interchangeably. We conducted a systematic review of studies using the Epworth sleepiness scale (ESS) for the assessment of daytime sleepiness in patients with MS. The summarized results of 48 studies demonstrate that sleepiness, as indicated by elevated ESS scores, is less prevalent and less severe than fatigue but is present in a significant proportion of patients with MS. In most cross-sectional and longitudinal studies, there was a moderate association between ESS scores and various fatigue rating scales. Longitudinal studies on the effect of wakefulness-promoting agents failed to show a consistent improvement of sleepiness or fatigue as compared to placebo. It has also been shown that daytime sleepiness is frequently associated with comorbid sleep disorders that are often underrecognized and undertreated in MS. Sleepiness and potential sleep disorders may also precipitate and perpetuate fatigue in patients with MS and should be part of the differential diagnostic assessment. To support an appropriate decision-making process, we propose an algorithm for the evaluation of sleepiness as compared to fatigue in patients with MS.

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“…Only one study [23] used a more detailed and comprehensive measure of sleep difficulties, the PSQI [31]. This instrument has good psychometric properties and has been recommended for assessing sleep disturbance as an outcome in intervention studies [35].…”

Section: Measurement Of Sleep Outcomesmentioning

confidence: 99%

“…Only one study [23] used a comprehensive self-report measure of sleep in the form of the PSQI [35], a measure which has previously been recommended for use in CFS [38]. However it has been suggested that using an abbreviated version of the PSQI without the item of daytime dysfunction would better assess subjective sleep quality, as demonstrated by three-factor analysis of the questionnaires [39].…”

Section: Measurement Of Sleep Outcomesmentioning

confidence: 99%

“…Sleep diaries have been recommended as a useful way of prospectively assessing treatment effects within insomnia research [35,41] and provide reliable data due to being less susceptible to memory bias than retrospective reports over a longer duration. Furthermore, it has been found recently that perceptions of sleep, measured by sleep diaries, can predict following day fatigue in CFS [9], whereas objective sleep was not a significant predictor.…”

Section: Measurement Of Sleep Outcomesmentioning

confidence: 99%

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Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

Russell

Kyle

Wearden

2017

Sleep Medicine Reviews

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SummaryCognitive behavioural therapy (CBT) and graded exercise therapy (GET) are recommended evidence based treatments for chronic fatigue syndrome (CFS), with research supporting their effectiveness in reducing fatigue and functional impairment. However, little research has focussed on the effect of these treatments on sleep, despite high reported sleep disturbance in CFS. Using a narrative synthesis approach, we aimed to 1) Systematically identify and summarise the current evidence for the effectiveness of CBT and GET in improving sleep; 2) Consider factors influencing treatment effectiveness, including incorporation of sleep management techniques; and 3) Consider the appropriateness of sleep outcome measures used within evaluations. Studies evaluating CBT and/or GET for CFS, and including a sleep outcome were eligible for inclusion. Eight studies were identified.We found that that GET interventions can improve sleep but this effect is inconsistent across studies.For CBT the evidence is limited with only one of two evaluations demonstrating sleep-related improvements. We conclude from existing research that we know little about the effects of including sleep management components within CBT and GET interventions. We suggest that future research should explore the effectiveness of sleep components within interventions, and sleep specific interventions, using comprehensive outcome measures that fully capture the range of sleep difficulties experienced in CFS.

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Recommendations for a Standard Research Assessment of Insomnia

Cited by 1,016 publications

References 0 publications

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

Daytime sleepiness versus fatigue in patients with multiple sclerosis: A systematic review on the Epworth sleepiness scale as an assessment tool

Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

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