Neuropsychological functioning and determinants of morning alertness in patients with obstructive sleep apnea syndrome.
Neuropsychological functioning is reported to be impaired in patients suffering from obstructive sleep apnea syndrome (OSAS). This syndrome is characterized by nocturnal respiratory disturbances, blood oxygen desaturations, sleep fragmentation, and excessive daytime sleepiness. Opinions are divided concerning the exact relationship between the observed cognitive deficits, nocturnal hypoxia, sleep disruption, and impaired daytime alertness. In the present study, morning neuropsychological function of 26 moderate to severe middle-aged sleep apneics is compared to that of 22 primary insomniacs. There were no performance differences on a range of neuropsychological tests among the two patient groups. In addition, the data suggest that morning alertness impairment, which is closely associated with a lack of slow wave sleep (SWS) and rapid eye movement (REM) sleep, is of major importance in inducing poorer cognitive performance in patients with moderate to severe sleep apnea.
Verstraeten
E
E
Department of Psychology, Vrije Universiteit Brussel, Belgium.
Cluydts
R
R
Verbraecken
J
J
De Roeck
J
J
D000328:Adult; D000368:Aged; D001143:Arousal; D002940:Circadian Rhythm; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D011594:Psychometrics; D012016:Reference Values; D012891:Sleep Apnea Syndromes / Q000175:diagnosis / Q000523:psychology*; D012892:Sleep Deprivation; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000523:psychology; D012894:Sleep Stages; D012895:Sleep, REM