[Value of the sleep diary in the study of vigilance dis].
This study presents an easy and practical subjective method for evaluating vigilance disorders: the sleep diary. We used it in hypersomnia and deficits of waking. Sleep diaries were filled in by 10 control and 22 hypersomniac subjects. Twenty-four hour polyhypnographic recording allowed the classification of hypersomnia as 13 narcolepsies, 9 hypersomnias with a prevalence of PS, 2 'harmonious' hypersomnias and 1 waking deficit. The sleep diary data (amount of nocturnal sleep and diurnal sleep onset and vigilance decrease) were compared with polygraphic results. According to the diary data, 3 groups of hypersomnia appeared with regard to the time at which sleep onset occurred. The first group presented an increase of sleep onsets at 2 p.m. In the second group, almost exclusively composed of narcoleptic subjects, sleep onsets occurred every 2 h and in the third group they were distributed throughout the day. These results suggest different physiological mechanisms for these 3 groups of hypersomnia. Finally, the sleep diary seems to be an easy and cheap method of evaluating vigilance disorders in hypersomniac subjects during their everyday life.
Bastuji
H
H
Jouvet
M
M
D000328:Adult; D000368:Aged; D006970:Disorders of Excessive Somnolence / Q000503:physiopathology*; D004569:Electroencephalography; D004594:Electrophysiology / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009290:Narcolepsy / Q000503:physiopathology*; D012890:Sleep / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000503:physiopathology*
Interet de l'agenda de sommeil pour l'etude des troubles de la vigilance.