Nightly Sleep Duration in the 2-week Period Preceding Multiple Sleep Latency Testing
Overview
Psychiatry
Affiliations
Study Objective: To assess usual nightly sleep duration of patients referred for a Multiple Sleep Latency Test (MSLT).
Design: Retrospective chart review.
Setting: Military, hospital-based, sleep center.
Patients: Fifty-four patients with excessive daytime sleepiness referred for an MSLT.
Interventions: None.
Measurements And Results: Self-reported average nightly sleep duration (6.13 +/- 1.23 hours), sleep log-recorded average nightly sleep duration (6.99 +/- 0.85 hours), and actigraphy-measured average nightly sleep duration (5.56 +/- 1.50 hours) were compared for the 2-week period immediately preceding an MSLT One-way analysis of variance revealed a significant difference in the 3 estimates of nightly sleep duration (p < 0.0001), and only actigraphy-measured average nightly sleep duration correlated with mean sleep latency on the MSLT (r = 0.4258, p = 0.0016). Subgroup analysis showed that patients with a mean sleep latency shorter than 8 minutes slept an average of 1.57 hours less per night than did those patients with a mean sleep latency of 8 minutes or longer (4.53 +/- 1.37 vs 6.10 +/- 1.37 hours per night, p < 0.001) as measured by actigraphy. There was no difference in either self-reported average nightly sleep duration or sleep log-recorded average nightly sleep duration between the 2 subgroups.
Conclusions: Prolonged actigraphy monitoring may provide useful clinical information about pre-MSLT sleep not always obtainable from patient self-reporting or sleep logs.
Frenkel S, Amaranayake A, Molesworth C, Orellana L, Southcott A J Clin Sleep Med. 2024; 20(12):1937-1943.
PMID: 39150683 PMC: 11609835. DOI: 10.5664/jcsm.11302.
Oskarsdottir M, Islind A, August E, Arnardottir E, Patou F, Maier A JMIR Form Res. 2022; 6(2):e31807.
PMID: 35191850 PMC: 8905485. DOI: 10.2196/31807.
Kelly M, Zeidler M, DeCruz S, Oldenkamp C, Josephson K, Mitchell M J Clin Sleep Med. 2021; 18(1):161-170.
PMID: 34310278 PMC: 8807926. DOI: 10.5664/jcsm.9528.
False-positive cases in multiple sleep latency test by accumulated sleep debt.
Kizawa T, Hosokawa K, Nishijima T, Takahashi S, Shimizu T, Ono T Neuropsychopharmacol Rep. 2021; 41(2):192-198.
PMID: 33749139 PMC: 8340840. DOI: 10.1002/npr2.12169.
Alakuijala A, Sarkanen T, Jokela T, Partinen M Front Neurol. 2021; 12:629709.
PMID: 33746882 PMC: 7969975. DOI: 10.3389/fneur.2021.629709.