Quality of sleep in primary focal dystonia: a case-control study
Background: Sleep disturbances are common in patients with movement disorders. Evaluating quality of sleep is of primary importance because of the effect that nocturnal and daytime sleep abnormalities exert on general health status. However, quality of sleep has never been addressed in detail in pa...
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| Veröffentlicht in: | European journal of neurology 2010-04, Vol.17 (4), p.576-581 |
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| container_title | European journal of neurology |
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| creator | Avanzino, L. Martino, D. Marchese, R. Aniello, M. S. Minafra, B. Superbo, M. Defazio, G. Abbruzzese, G. |
| description | Background: Sleep disturbances are common in patients with movement disorders. Evaluating quality of sleep is of primary importance because of the effect that nocturnal and daytime sleep abnormalities exert on general health status. However, quality of sleep has never been addressed in detail in patients with dystonia. The aim of this case–control study was to analyse quality of sleep in patients with the two most common forms of primary focal dystonia, blepharospasm (BSP) and cervical dystonia (CD).
Methods: We evaluated quality of sleep (Pittsburgh Sleep Quality Index, PSQI) and excessive daytime sleepiness (Epworth Sleepiness Scale, ESS) in 98 patients with focal adult‐onset dystonia (52 with BSP; 46 with CD) and in a group of 56 age‐and gender‐matched healthy subjects. The Beck Depression Inventory (BDI) was used for the evaluation of depressive symptomatology.
Results: Quality of sleep was impaired (significantly higher PSQI scores) in both groups of patients. However, differences in PSQI scores between patients with CD and control subjects were partly confounded by BDI scores, whereas differences in PSQI scores between patients with BSP and control subjects were not influenced by BDI. Excessive daytime sleepiness was not significantly more frequent than in control subjects in either patients with BSP or patients with CD.
Conclusions: This study suggests that the assessment and treatment of insomnia‐related complaints should be considered in global management plans of patients with focal dystonia, particularly in those affected by BSP. |
| doi_str_mv | 10.1111/j.1468-1331.2009.02884.x |
| format | Article |
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Methods: We evaluated quality of sleep (Pittsburgh Sleep Quality Index, PSQI) and excessive daytime sleepiness (Epworth Sleepiness Scale, ESS) in 98 patients with focal adult‐onset dystonia (52 with BSP; 46 with CD) and in a group of 56 age‐and gender‐matched healthy subjects. The Beck Depression Inventory (BDI) was used for the evaluation of depressive symptomatology.
Results: Quality of sleep was impaired (significantly higher PSQI scores) in both groups of patients. However, differences in PSQI scores between patients with CD and control subjects were partly confounded by BDI scores, whereas differences in PSQI scores between patients with BSP and control subjects were not influenced by BDI. Excessive daytime sleepiness was not significantly more frequent than in control subjects in either patients with BSP or patients with CD.
Conclusions: This study suggests that the assessment and treatment of insomnia‐related complaints should be considered in global management plans of patients with focal dystonia, particularly in those affected by BSP.</description><identifier>ISSN: 1351-5101</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/j.1468-1331.2009.02884.x</identifier><identifier>PMID: 20039936</identifier><identifier>CODEN: EJNEFL</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; blepharospasm ; Blepharospasm - complications ; Blepharospasm - diagnosis ; Case-Control Studies ; cervical dystonia ; depression ; Depression - complications ; Depression - diagnosis ; Dystonic Disorders - complications ; Dystonic Disorders - diagnosis ; excessive daytime somnolence ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Psychiatric Status Rating Scales ; Quality of life ; quality of sleep ; Severity of Illness Index ; Sex Factors ; Shift work ; Sleep ; Sleep deprivation ; Sleep Wake Disorders - complications ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - drug therapy ; Torticollis - complications ; Torticollis - diagnosis</subject><ispartof>European journal of neurology, 2010-04, Vol.17 (4), p.576-581</ispartof><rights>2009 The Author(s). Journal compilation © 2009 EFNS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4664-c310a7efef80e52e80ff686045f0a8256247e5df74055043ee0c27f9dd079cea3</citedby><cites>FETCH-LOGICAL-c4664-c310a7efef80e52e80ff686045f0a8256247e5df74055043ee0c27f9dd079cea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1468-1331.2009.02884.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1468-1331.2009.02884.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20039936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Avanzino, L.</creatorcontrib><creatorcontrib>Martino, D.</creatorcontrib><creatorcontrib>Marchese, R.</creatorcontrib><creatorcontrib>Aniello, M. S.</creatorcontrib><creatorcontrib>Minafra, B.</creatorcontrib><creatorcontrib>Superbo, M.</creatorcontrib><creatorcontrib>Defazio, G.</creatorcontrib><creatorcontrib>Abbruzzese, G.</creatorcontrib><title>Quality of sleep in primary focal dystonia: a case-control study</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background: Sleep disturbances are common in patients with movement disorders. Evaluating quality of sleep is of primary importance because of the effect that nocturnal and daytime sleep abnormalities exert on general health status. However, quality of sleep has never been addressed in detail in patients with dystonia. The aim of this case–control study was to analyse quality of sleep in patients with the two most common forms of primary focal dystonia, blepharospasm (BSP) and cervical dystonia (CD).
Methods: We evaluated quality of sleep (Pittsburgh Sleep Quality Index, PSQI) and excessive daytime sleepiness (Epworth Sleepiness Scale, ESS) in 98 patients with focal adult‐onset dystonia (52 with BSP; 46 with CD) and in a group of 56 age‐and gender‐matched healthy subjects. The Beck Depression Inventory (BDI) was used for the evaluation of depressive symptomatology.
Results: Quality of sleep was impaired (significantly higher PSQI scores) in both groups of patients. However, differences in PSQI scores between patients with CD and control subjects were partly confounded by BDI scores, whereas differences in PSQI scores between patients with BSP and control subjects were not influenced by BDI. Excessive daytime sleepiness was not significantly more frequent than in control subjects in either patients with BSP or patients with CD.
Conclusions: This study suggests that the assessment and treatment of insomnia‐related complaints should be considered in global management plans of patients with focal dystonia, particularly in those affected by BSP.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>blepharospasm</subject><subject>Blepharospasm - complications</subject><subject>Blepharospasm - diagnosis</subject><subject>Case-Control Studies</subject><subject>cervical dystonia</subject><subject>depression</subject><subject>Depression - complications</subject><subject>Depression - diagnosis</subject><subject>Dystonic Disorders - complications</subject><subject>Dystonic Disorders - diagnosis</subject><subject>excessive daytime somnolence</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Quality of life</subject><subject>quality of sleep</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><subject>Shift work</subject><subject>Sleep</subject><subject>Sleep deprivation</subject><subject>Sleep Wake Disorders - complications</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - drug therapy</subject><subject>Torticollis - complications</subject><subject>Torticollis - diagnosis</subject><issn>1351-5101</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV2L1DAUhoMo7rr6FyTghVetJ9-pIKjr7CguK4Ky4E2I7Ql07DRj0-L032_qjHPhjeYmB_I855D3EEIZlCyfF5uSSW0LJgQrOUBVArdWlvt75Pz0cD_XQrFCMWBn5FFKGwDghsNDcpYdUVVCn5PXnyffteNMY6CpQ9zRtqe7od36YaYh1r6jzZzG2Lf-JfW09gmLOvbjEDuaxqmZH5MHwXcJnxzvC_L1avXl8n1x_Wn94fLNdVFLrWVRCwbeYMBgARVHCyFoq0GqAN5ypbk0qJpgJCgFUiBCzU2omgZMVaMXF-T5oe9uiD8nTKPbtqnGrvM9xik5I5VmArj6NylyOgwqkclnf5GbOA19_oZjFpgGbZTOlD1Q9RBTGjC4Yz6OgVvW4TZuSd0tqbtlHe73Otw-q0-PA6bvW2xO4p_8M_DqAPxqO5z_u7Fb3ayWKvvFwW_TiPuT74cfThthlLu9Wbvbt9y8-7b-6CpxB9D7pW8</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Avanzino, L.</creator><creator>Martino, D.</creator><creator>Marchese, R.</creator><creator>Aniello, M. S.</creator><creator>Minafra, B.</creator><creator>Superbo, M.</creator><creator>Defazio, G.</creator><creator>Abbruzzese, G.</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>Quality of sleep in primary focal dystonia: a case-control study</title><author>Avanzino, L. ; Martino, D. ; Marchese, R. ; Aniello, M. S. ; Minafra, B. ; Superbo, M. ; Defazio, G. ; Abbruzzese, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4664-c310a7efef80e52e80ff686045f0a8256247e5df74055043ee0c27f9dd079cea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>blepharospasm</topic><topic>Blepharospasm - complications</topic><topic>Blepharospasm - diagnosis</topic><topic>Case-Control Studies</topic><topic>cervical dystonia</topic><topic>depression</topic><topic>Depression - complications</topic><topic>Depression - diagnosis</topic><topic>Dystonic Disorders - complications</topic><topic>Dystonic Disorders - diagnosis</topic><topic>excessive daytime somnolence</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales</topic><topic>Quality of life</topic><topic>quality of sleep</topic><topic>Severity of Illness Index</topic><topic>Sex Factors</topic><topic>Shift work</topic><topic>Sleep</topic><topic>Sleep deprivation</topic><topic>Sleep Wake Disorders - complications</topic><topic>Sleep Wake Disorders - diagnosis</topic><topic>Sleep Wake Disorders - drug therapy</topic><topic>Torticollis - complications</topic><topic>Torticollis - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avanzino, L.</creatorcontrib><creatorcontrib>Martino, D.</creatorcontrib><creatorcontrib>Marchese, R.</creatorcontrib><creatorcontrib>Aniello, M. S.</creatorcontrib><creatorcontrib>Minafra, B.</creatorcontrib><creatorcontrib>Superbo, M.</creatorcontrib><creatorcontrib>Defazio, G.</creatorcontrib><creatorcontrib>Abbruzzese, G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avanzino, L.</au><au>Martino, D.</au><au>Marchese, R.</au><au>Aniello, M. S.</au><au>Minafra, B.</au><au>Superbo, M.</au><au>Defazio, G.</au><au>Abbruzzese, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of sleep in primary focal dystonia: a case-control study</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2010-04</date><risdate>2010</risdate><volume>17</volume><issue>4</issue><spage>576</spage><epage>581</epage><pages>576-581</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><coden>EJNEFL</coden><abstract>Background: Sleep disturbances are common in patients with movement disorders. Evaluating quality of sleep is of primary importance because of the effect that nocturnal and daytime sleep abnormalities exert on general health status. However, quality of sleep has never been addressed in detail in patients with dystonia. The aim of this case–control study was to analyse quality of sleep in patients with the two most common forms of primary focal dystonia, blepharospasm (BSP) and cervical dystonia (CD).
Methods: We evaluated quality of sleep (Pittsburgh Sleep Quality Index, PSQI) and excessive daytime sleepiness (Epworth Sleepiness Scale, ESS) in 98 patients with focal adult‐onset dystonia (52 with BSP; 46 with CD) and in a group of 56 age‐and gender‐matched healthy subjects. The Beck Depression Inventory (BDI) was used for the evaluation of depressive symptomatology.
Results: Quality of sleep was impaired (significantly higher PSQI scores) in both groups of patients. However, differences in PSQI scores between patients with CD and control subjects were partly confounded by BDI scores, whereas differences in PSQI scores between patients with BSP and control subjects were not influenced by BDI. Excessive daytime sleepiness was not significantly more frequent than in control subjects in either patients with BSP or patients with CD.
Conclusions: This study suggests that the assessment and treatment of insomnia‐related complaints should be considered in global management plans of patients with focal dystonia, particularly in those affected by BSP.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20039936</pmid><doi>10.1111/j.1468-1331.2009.02884.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Age Factors Aged Aged, 80 and over blepharospasm Blepharospasm - complications Blepharospasm - diagnosis Case-Control Studies cervical dystonia depression Depression - complications Depression - diagnosis Dystonic Disorders - complications Dystonic Disorders - diagnosis excessive daytime somnolence Female Humans Logistic Models Male Middle Aged Psychiatric Status Rating Scales Quality of life quality of sleep Severity of Illness Index Sex Factors Shift work Sleep Sleep deprivation Sleep Wake Disorders - complications Sleep Wake Disorders - diagnosis Sleep Wake Disorders - drug therapy Torticollis - complications Torticollis - diagnosis |
| title | Quality of sleep in primary focal dystonia: a case-control study |
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