Use of the Epworth Sleepiness Scale to evaluate the symptom of excessive sleepiness in major depressive disorder

Lundt, Leslie

doi:10.1016/j.genhosppsych.2004.10.004

Cited by 13 publications

(10 citation statements)

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“…We similarly found that sleepier patients were heavier, more likely to report snoring, had a diagnosis of sleep-disordered breathing, more likely using positive airway pressure therapy, had higher fasting glucose levels, were more likely depressed, had less energy, and had less sexual satisfaction. A relationship between the ESS, depression, and fatigue clearly exists [58][59][60][61][62]. Additionally, several cross-sectional population studies have demonstrated a relationship between excessive daytime sleepiness and obesity, depression, lower educational status, and lower physical functioning [8,[63][64][65].…”

Section: Discussionmentioning

confidence: 99%

Does Surgically Induced Weight Loss Improve Daytime Sleepiness?

et al. 2010

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Morbid obesity is associated with excessive daytime sleepiness and reduced health-related quality of life. We prospectively evaluated the pre- and postoperative responses of bariatric surgery recipients with the Epworth Sleepiness Scale (ESS) and the Short Form-12. Participants (n = 223; 79% women) with a mean body mass index (BMI) and ESS of 44.8 ± 7.9 kg/m(2) and 7.9 ± 4.5, respectively, received a vertical gastrectomy (76%) or Roux-en-Y gastric bypass (12%). Preoperatively, 30% of patients complained of excessive daytime sleepiness (ESS > 10). Patients with preoperative excessive daytime sleepiness were more obese (p = 0.002), had higher fasting glucose levels (p = 0.02), more likely to have a diagnosis of sleep-disordered breathing (p < 0.001), report snoring (p < 0.001), and had lower health-related quality of life measures particularly physical function (p < 0.001), depression (p = 0.006), and sexual satisfaction (p = 0.04) than non-sleepy patients. At 12-months postoperatively, most patients experienced a significant reduction in BMI (28.6 ± 5.5 kg/m(2), p < 0.001) and excessive daytime sleepiness (mean ESS 5.3 ± 3.3, p < 0.001). Patients with a clinically relevant improvement in the ESS at 12-months post-operatively had greater improvements in physical function (p = 0.009) and snoring (p = 0.010) and were more likely still using positive airway pressure therapy (p = 0.032) than patients without a clinically relevant improvement. Statistically and clinically significant improvements in all health-related quality of life measures were noted at 24 months. Bariatric surgery is associated with dramatic weight loss and improvements in physical functioning and daytime sleepiness.

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Section: Discussionmentioning

confidence: 99%

Does Surgically Induced Weight Loss Improve Daytime Sleepiness?

et al. 2010

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“…Depression has also been linked to EDS (Gooneratne et al. , 2003; Lundt, 2005; Thorpy, 2005; Whitney et al. , 1998); however, little is known about the relationship between EDS and other psychiatric disorders, especially within a general population context.…”

Section: Introductionmentioning

confidence: 99%

Determinants of excessive daytime sleepiness in a French community‐dwelling elderly population

Tsuno

Jaussent

Dauvilliers

et al. 2007

Journal of Sleep Research

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SUMMARY Epidemiological studies have suggested that excessive daytime sleepiness (EDS) is associated with depression, but the association between EDS and other psychiatric disorders has not been investigated. The aim of this study was to investigate the association of EDS with a wide range of psychiatric disorders and health-related conditions in the elderly population. Two thousand two hundred and fifty-nine noninstitutionalised persons aged 65-years and over randomly recruited from the Montpellier district, France, completed the Epworth Sleepiness Scale (ESS). Psychiatric status was assessed by the Mini International Neuropsychiatric Interview and demographic and other health information was obtained. This cross-sectional study was conducted from March 1999 to February 2001. Men were significantly more likely to report EDS (ESS score>10) compared with women (12.0% versus 6.0% respectively). EDS was significantly associated in univariate analyses with chronic diseases, early awakening, snoring, severity of depression and lifetime prevalence of manic and hypomanic episodes. A multivariate analysis revealed that the lifetime prevalence of manic and hypomanic episodes, snoring and gender (male) were independently associated with EDS. No independent association with other psychiatric disorders was found.k e y w o r d s daytime sleepiness, elderly, epidemiology, Epworth Sleepiness Scale, psychiatric disorders

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“…4 On the other hand, the severity of depression (psychopathology) has been found to be directly related to EDS. [5][6][7][8] Many factors account for total nocturnal sleep duration. It has been found that older age, depression, coffee intake, especially at night, and excessive Internet use at night are significantly associated with short nocturnal sleep duration.…”

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confidence: 99%