Featured Research

from universities, journals, and other organizations

Sleep Disorders Often Indicate Multiple Health Conditions

Date:
November 5, 2004
Source:
American College Of Chest Physicians
Summary:
People who have difficulty sleeping at night or staying awake during the day may suffer from more than just a sleep disorder. According to a new study presented at CHEST 2004, the 70th annual international scientific assembly of the American College of Chest Physicians (ACCP), the majority of patients with obstructive sleep apnea (OSA) and/or nonrestorative sleep have a high degree of attention deficit, as well as neuromuscular and psychiatric conditions.

People who have difficulty sleeping at night or staying awake during the day may suffer from more than just a sleep disorder. According to a new study presented at CHEST 2004, the 70th annual international scientific assembly of the American College of Chest Physicians (ACCP), the majority of patients with obstructive sleep apnea (OSA) and/or nonrestorative sleep have a high degree of attention deficit, as well as neuromuscular and psychiatric conditions.

"Although sleep apnea is clearly linked to attention deficit in adults, treating the sleep disorder may not always improve a patient's daytime attention and cognition," said the study's lead author, Clifford G. Risk, MD, PhD, FCCP, Marlborough Center for Sleep Disorders, Marlborough, MA. "Many people with a sleep disorder and attention deficit may suffer from multiple underlying conditions, such as fibromyalgia and chronic fatigue, that are reflected during sleep and disrupt the sleep process."

Dr. Risk and colleagues from the Marlborough Center for Sleep Disorders administered polysomnograms (PSGs) to 50 patients who presented to a sleep center for nonrestorative sleep, daytime sleepiness, and fatigue and found that 33 patients (66.0%) suffered from OSA. Daytime sleepiness levels were then evaluated using the Epworth Sleepiness Scale (ESS), a self-report questionnaire on a scale of 0 to 24, and attention deficit was measured by the Adult Self-Report Scale (ASRS) Symptom Checklist, on a scale of 0 to 36. Following treatment with continuous positive airway pressure (CPAP), the average ESS score for patients with sleep apnea improved significantly, from 11.6 to 2.7, and the average ASRS score was significantly reduced, from 17.4 to 10.4. Researchers identified 15 patients with possible or probable attention deficit disorder (ADD), on the basis of having a moderate-to-severe impaired ASRS score, and found that with CPAP treatment, nine of these patients (60%) dropped into normal ranges. Further testing showed that the remaining six patients suffered from comorbid diagnoses of primary ADD, severe memory impairment, depression, dyslexia, and illiteracy.

"The sleep specialist is not finished when he diagnoses and treats OSA or insomnia," said Dr. Risk. "A multidisciplinary assessment and treatment program may be necessary in order to isolate additional comorbidities that are causing persistent impairment."

Study results also showed a high degree of attention deficit in non-OSA patients with insomnia or a lack of deep, restorative sleep. Test results indicated that 28 patients suffered from neuromuscular disorders and mood and anxiety disorders. Ten patients suffered from primary neuromuscular disorders, such as fibromyalgia, chronic fatigue, or multiple sclerosis; 14 patients suffered from a primary psychological disorder, such as depression, bipolar disorder, or anxiety; and four of the patients on CPAP, whose ASRS was still impaired, were affected by depression or fatigue.

"Patients with sleep disorders, who are not assessed for additional conditions, may continue to suffer from significant health problems," said Paul A. Kvale, MD, FCCP, President of the American College of Chest Physicians. "When seeing a specialist about a sleep disorder, patients should inform their health-care provider of any related conditions that could be contributing to their sleeping difficulties."

###

CHEST 2004 is the 70th annual international scientific assembly of the American College of Chest Physicians, held October 23-28 in Seattle, WA. ACCP represents 16,000 members who provide clinical respiratory, critical care, sleep, and cardiothoracic patient care in the United States and throughout the world. The ACCP's mission is to promote the prevention and treatment of diseases of the chest through leadership, education, research, and communication. For information about the ACCP, please visit the ACCP Web site at http://www.chestnet.org.


Story Source:

The above story is based on materials provided by American College Of Chest Physicians. Note: Materials may be edited for content and length.


Cite This Page:

American College Of Chest Physicians. "Sleep Disorders Often Indicate Multiple Health Conditions." ScienceDaily. ScienceDaily, 5 November 2004. <www.sciencedaily.com/releases/2004/10/041030154714.htm>.
American College Of Chest Physicians. (2004, November 5). Sleep Disorders Often Indicate Multiple Health Conditions. ScienceDaily. Retrieved April 18, 2014 from www.sciencedaily.com/releases/2004/10/041030154714.htm
American College Of Chest Physicians. "Sleep Disorders Often Indicate Multiple Health Conditions." ScienceDaily. www.sciencedaily.com/releases/2004/10/041030154714.htm (accessed April 18, 2014).

Share This



More Health & Medicine News

Friday, April 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

'Holy Grail' Of Weight Loss? New Find Could Be It

'Holy Grail' Of Weight Loss? New Find Could Be It

Newsy (Apr. 18, 2014) In a potential breakthrough for future obesity treatments, scientists have used MRI scans to pinpoint brown fat in a living adult for the first time. Video provided by Newsy
Powered by NewsLook.com
Little Progress Made In Fighting Food Poisoning, CDC Says

Little Progress Made In Fighting Food Poisoning, CDC Says

Newsy (Apr. 18, 2014) A new report shows rates of two foodborne infections increased in the U.S. in recent years, while salmonella actually dropped 9 percent. Video provided by Newsy
Powered by NewsLook.com
Scientists Create Stem Cells From Adult Skin Cells

Scientists Create Stem Cells From Adult Skin Cells

Newsy (Apr. 17, 2014) The breakthrough could mean a cure for some serious diseases and even the possibility of human cloning, but it's all still a way off. Video provided by Newsy
Powered by NewsLook.com
Obama: 8 Million Healthcare Signups

Obama: 8 Million Healthcare Signups

AP (Apr. 17, 2014) President Barack Obama gave a briefing Thursday announcing 8 million people have signed up under the Affordable Care Act. He blasted continued Republican efforts to repeal the law. (April 17) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins