Abstract:
:For the past 25 years, the 'alpha-delta NREM sleep abnormality' has been used by some as a defining or legitimizing marker for poorly defined rheumatic diseases such as fibromyalgia and chronic fatigue syndrome. Comprehensive review of the literature reveals no support for such a conclusion. Most studies involve small numbers of patients. The lack of control subjects, non-standardized recording techniques, and confusion between tonic and phasic alpha frequency activity patterns make comparison difficult. There is much evidence that this sleep EEG pattern is not only non-specific, but may actually reflect a sleep maintaining process. The 'sleep fragmentation' theory of the complaint of non-restorative sleep in this patient population is invalidated by the fact that conditions characterized by severe sleep fragmentation, such as obstructive sleep apnea, are not associated with musculoskeletal symtoms. It is difficult to attribute musculoskeletal symptoms to disorders of sleep in view of the fact that the only organ of the body known to benefit from sleep, or to be adversely affected by lack of sleep, is the brain. It is concluded that fibromyalgia and chronic fatigue syndrome are associated with subjective sleep complaints, but do not represent sleep disorders.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Mahowald ML,Mahowald MWdoi
10.1016/s1389-9457(00)00028-9keywords:
subject
Has Abstractpub_date
2000-07-01 00:00:00pages
195-207issue
3eissn
1389-9457issn
1878-5506pii
S1389-9457(00)00028-9journal_volume
1pub_type
杂志文章相关文献
SLEEP MEDICINE文献大全abstract:OBJECTIVES:There are strong links between sleep and psychotic-like experiences (PLE), such as magical ideations or persecutory ideas. Sleep disturbances seem to play an important role in the occurrence of such symptoms, but studies investigating PLE in patients with sleep disorders are lacking. METHODS:We studied 24 s...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.04.015
更新日期:2020-04-29 00:00:00
abstract:OBJECTIVE:Poor sleep may be a risk factor for obesity. Previous studies have mainly investigated the effects of sleep duration on body mass index, but research considering overall sleep quality and other anthropometric measures is scarce. The aim of this study was to examine the association between sleep quality and di...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.05.023
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:While continuous positive airway pressure (CPAP) effectively treats obstructive sleep apnea (OSA), adherence to CPAP is suboptimal. The short-term efficacy of and adherence with a convenient expiratory positive airway pressure (EPAP) nasal device was evaluated in OSA patients non-adherent with CPAP. METHODS...
journal_title:Sleep medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.sleep.2010.06.011
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:Important adjustments in the autonomic nervous system occur during sleep. Bradycardia, due to increased vagal tone, and hypotension, caused by reduction of sympathetic activity, may occur during non rapid eye movement (REM) sleep (NREM). Increased sympathetic activity, causing increased heart rate, is conver...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2012.03.001
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION:Sleep disordered breathing (SDB), cardiovascular disease (CVD) and impaired cardiac function are common in elderly people. We investigated the association of SDB and mortality in a community dwelling elderly population, considering CVD and objectively measured impaired cardiac function have been poorly stu...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2011.03.012
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:We aimed to determine if timing of polysomnography (PSG) influences the diagnosis of obstructive sleep apnea (OSA) in acute myocardial infarction (AMI) or stable coronary artery disease (CAD). METHODS:A total of 160 patients admitted with AMI or stable CAD were consecutively recruited for either in-hospital...
journal_title:Sleep medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.sleep.2013.03.025
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:As the relationships of sleep-wake schedule and mealtime with children's behaviors have not often been studied together, we investigated the relationships of these lifestyles variables with preschool children's well-being. METHODS:Using a network survey, we investigated several lifestyle variables of 1000 fa...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.03.023
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Unattended home-based polysomnography (H-PSG) is a reliable tool for the diagnosis of obstructive sleep apnoea (OSA). The quality of the recording can be influenced by several factors including the set-up location - at home versus in the sleep laboratory. Previous studies have suggested that the failure rate...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.04.006
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Poor sleep may be associated with the cardiovascular disease (CVD) morbidity and mortality. It is less clear if poor sleep is associated with subclinical CVD. We evaluated cross-sectional associations between self-reported sleep disturbance and duration and calcification in the coronary arteries (CAC) and ao...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2012.11.016
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:Altered brain iron homeostasis with regional iron deficiency has been previously reported in several studies of restless legs syndrome (RLS) patients. Inconsistencies still exist, however, in the reported iron changes in different brain regions and different RLS phenotypes. The purpose of this study was to a...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2016.05.001
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea (OSA) is associated with increased cardiovascular morbidity and mortality which may be mediated by increased arterial stiffness and endothelial dysfunction. Continuous positive airway pressure (CPAP) therapy improves excessive daytime somnolence (EDS), but its effect on vascular funct...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2013.08.786
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:Patients with restless legs syndrome (RLS) have an elevated prevalence of mood disorders compared with the general population. We investigated the change of RLS-related mood impairment during treatment of RLS with pramipexole, a dopamine D(3)/D(2) agonist. METHODS:Adults with moderate to very severe RLS wer...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2010.08.005
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:Adolescents are predisposed to short sleep duration and irregular sleep patterns due to certain host characteristics (e.g., age, pubertal status, gender, ethnicity, socioeconomic class, and neighborhood distress) and health-related variables (e.g., ADHD, asthma, birth weight, and BMI). The aim of the current...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2010.07.020
更新日期:2011-03-01 00:00:00
abstract::Vitamin D is a pro-hormone belonging to the category of the fat-soluble group of vitamins; it is obtained more from solar exposure and in smaller quantities through feeding. Although vitamin D has traditionally been shown to be involved in calcium homeostasis and bone health, recent studies have found a positive assoc...
journal_title:Sleep medicine
pub_type: 杂志文章,评审
doi:10.1016/j.sleep.2018.10.033
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:Ramelteon, an MT(1)/MT(2) melatonin receptor agonist, was evaluated for its ability to reduce sleep-onset difficulties associated with eastward jet travel. METHODS:Healthy adults (n=110) with a history of jet lag sleep disturbances were flown eastward across five time zones from Hawaii to the east coast of t...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2010.03.010
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Some patients with obstructive sleep apnea/hypopnea syndrome (OSA/HS) who are regular users of nasal continuous positive airway pressure (nCPAP) therapy continue to experience daytime sleepiness that impairs performance and quality of life. A randomized, double-blind, placebo-controlled, parallel-group study...
journal_title:Sleep medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s1389-9457(03)00108-4
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:Uremic restless legs syndrome (RLS) has been related to an enhanced mortality of hemodialysis (HD) patients. In the general population studies of this association have yielded inconsistent results. The aim of the present study was to re-evaluate the relationship of RLS and mortality in HD patients. METHODS:W...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.04.023
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:Pulse wave attenuation, which occurs in association with obstructive sleep apnea (OSA), is sympathetically mediated. We compared the effect of Doxazosin (DO, a peripheral alpha-receptor inhibitor) and Enalapril (EN, an ACE inhibitor) on digital vasoconstriction and nocturnal blood pressure (BP) in hypertensiv...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2009.10.004
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Nocturnal eating behavior is shared by patients affected by a parasomnia, sleep-related eating disorder (SRED), and several eating disorders such as night eating syndrome (NES) and binge-eating disorder (BED); however, the differential clinical features of these patients have been poorly studied, with persist...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.12.020
更新日期:2015-06-01 00:00:00
abstract::Sleep is important for optimal cognitive functioning across the lifespan. Among older adults (≥55 years), self-reported short and long sleep durations have been repeatedly, albeit inconsistently, reported to elevate the risk for poor cognitive function. This meta-analytic review quantitatively summarizes the risk for ...
journal_title:Sleep medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.sleep.2015.08.021
更新日期:2016-01-01 00:00:00
abstract:STUDY OBJECTIVES:To examine the associations between screen time, the time spent on different screen devices, and sleep in a sample of Finnish preschool children. METHODS:The current study analyzed cross-sectional data from the DAGIS study carried out in Finland in 2015-2016 on 736 children aged 3-6 years. Parents rep...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.11.008
更新日期:2020-11-11 00:00:00
abstract:OBJECTIVES:The aims of this research were to estimate prevalence of insomnia, describe the utilization patterns of physician office services and prescription medications for insomnia, and estimate related costs in a Medicaid population. METHODS:A cross-sectional descriptive analysis using data from the West Virginia (...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2009.09.012
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The pressures generated within the upper esophageal sphincter (P(UES)) and lower esophageal sphincter (P(LES)) reflect the integrity of these barriers to gastroesophageal and pharyngoesophageal reflux, respectively. This study sought to describe the effects of sleep, respiration and posture on th...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2006.08.016
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to examine sleep, neurocognitive and behavioural functioning in children and adolescents with type 1 diabetes (T1D) compared to controls and to test whether sleep quality mediates the relationship between diabetes and neurocognitive and behavioural deficits. METHODS:Participants incl...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.08.011
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Restless legs syndrome (RLS) often responds to agents that enhance dopamine neurotransmission. The present 12-week study aimed to evaluate the efficacy and adverse events of pramipexole (PPX) for the treatment of adult, Chinese people with primary RLS. METHODS:A total of 204 Chinese people with RLS were ran...
journal_title:Sleep medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.sleep.2014.09.015
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Few reports on sleep patterns of patients with spinal muscular atrophy type 1 (SMA1) have been published and none on sleep microstructure. The aim of this study was to analyze sleep architecture and microstructure in a group of infants with SMA1, compared with age- and sex-matched controls. METHODS:Twelve SM...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.05.029
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:Despite routine use with older adults, the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) have not been adequately validated in older samples, particularly those from diverse racial backgrounds. The objective of this study was to determine the reliability and validity of and to prov...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2011.04.005
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Narcolepsy is a neuropsychiatric disorder characterized by excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and abnormal rapid eye movement (REM) sleep. Tumor necrosis factor α (TNF α) and its cognate receptors have been reported to be involved in the pathophysiology of narcolepsy in addit...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2013.04.030
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Esmirtazapine (Org 50081), a high-affinity antagonist at 5-HT2A and H1 receptors, was assessed for its hypnotic efficacy. METHODS:In this double-blind, randomized study, non-elderly patients with primary insomnia (but otherwise healthy) were treated with esmirtazapine (1.5, 3.0, or 4.5 mg) or placebo for tw...
journal_title:Sleep medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.sleep.2015.03.005
更新日期:2015-07-01 00:00:00
abstract::A multiple sleep latency test (MSLT) with occurrence of sleep onset REM periods (SOREMP) is considered one of the central diagnostic criteria for narcolepsy according to the International Classification of Sleep Disorders, but its sensitivity and specificity have been questioned. This study aims to describe MSLT and p...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.12.037
更新日期:2021-01-02 00:00:00