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Rating scales for inattention and sleepiness are correlated in adults with symptoms of sleep disordered breathing syndrome, but not in adults with symptoms of attention-deficit/hyperactivity disorder.
Sleep Med. 2004 Mar; 5(2):133-5.SM

Abstract

BACKGROUND AND PURPOSE

To evaluate relationship between sleepiness and inattention/hyperactivity in adult patients presenting with sleepiness or early childhood onset inattention.

PATIENTS AND METHODS

Thirty-eight consecutive adult patients (29 males, nine females, mean age 48.7+/-15.5 years) presenting with snoring and sleepiness; and 18 consecutive adult patients (15 males, three females, mean age 31.9+/-12.2 years) presenting with early childhood onset inattention were administered the Epworth sleepiness scale (ESS) and the attention-deficit/hyperactivity disorder rating scale (ADHDRS with AD score measuring inattention and HD score measuring hyperactivity-impulsivity). All sleepy snorers underwent polysomnography (PSG) and multiple sleep latency test (MSLT) the following day.

RESULTS

For the sleepy snorers, significant correlations included AD score with ESS (r = 0.49, P = 0.002), and HD score with lowest saturation (r=-0.36, P = 0.025). MSLT or respiratory event index (REI) were not significantly correlated with AD or HD scores or ESS. For the inattentive patients, there were no significant correlations between ESS, AD or HD score.

CONCLUSIONS

Scores on rating scales for sleepiness (ESS) and inattention (AD score on the ADHDRS) are not significantly correlated in adults with early childhood onset inattention, but they are significantly correlated in sleepy snorers. Thus, in patients presenting primarily with early childhood onset inattention, sleepiness is not associated with and does not explain the inattention, even though increasing sleepiness and inattention may be associated symptoms in sleepy snorers.

Authors+Show Affiliations

Sleep/Attention Disorders Institute, 44199 Dequindre, Ste. 311, Troy, MI 48085, USA. sangalrb@sbcglobal.netNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15033132

Citation

Sangal, R Bart, and JoAnne M. Sangal. "Rating Scales for Inattention and Sleepiness Are Correlated in Adults With Symptoms of Sleep Disordered Breathing Syndrome, but Not in Adults With Symptoms of Attention-deficit/hyperactivity Disorder." Sleep Medicine, vol. 5, no. 2, 2004, pp. 133-5.
Sangal RB, Sangal JM. Rating scales for inattention and sleepiness are correlated in adults with symptoms of sleep disordered breathing syndrome, but not in adults with symptoms of attention-deficit/hyperactivity disorder. Sleep Med. 2004;5(2):133-5.
Sangal, R. B., & Sangal, J. M. (2004). Rating scales for inattention and sleepiness are correlated in adults with symptoms of sleep disordered breathing syndrome, but not in adults with symptoms of attention-deficit/hyperactivity disorder. Sleep Medicine, 5(2), 133-5.
Sangal RB, Sangal JM. Rating Scales for Inattention and Sleepiness Are Correlated in Adults With Symptoms of Sleep Disordered Breathing Syndrome, but Not in Adults With Symptoms of Attention-deficit/hyperactivity Disorder. Sleep Med. 2004;5(2):133-5. PubMed PMID: 15033132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rating scales for inattention and sleepiness are correlated in adults with symptoms of sleep disordered breathing syndrome, but not in adults with symptoms of attention-deficit/hyperactivity disorder. AU - Sangal,R Bart, AU - Sangal,JoAnne M, PY - 2003/04/21/received PY - 2003/09/02/revised PY - 2003/10/09/accepted PY - 2004/3/23/pubmed PY - 2004/7/3/medline PY - 2004/3/23/entrez SP - 133 EP - 5 JF - Sleep medicine JO - Sleep Med VL - 5 IS - 2 N2 - BACKGROUND AND PURPOSE: To evaluate relationship between sleepiness and inattention/hyperactivity in adult patients presenting with sleepiness or early childhood onset inattention. PATIENTS AND METHODS: Thirty-eight consecutive adult patients (29 males, nine females, mean age 48.7+/-15.5 years) presenting with snoring and sleepiness; and 18 consecutive adult patients (15 males, three females, mean age 31.9+/-12.2 years) presenting with early childhood onset inattention were administered the Epworth sleepiness scale (ESS) and the attention-deficit/hyperactivity disorder rating scale (ADHDRS with AD score measuring inattention and HD score measuring hyperactivity-impulsivity). All sleepy snorers underwent polysomnography (PSG) and multiple sleep latency test (MSLT) the following day. RESULTS: For the sleepy snorers, significant correlations included AD score with ESS (r = 0.49, P = 0.002), and HD score with lowest saturation (r=-0.36, P = 0.025). MSLT or respiratory event index (REI) were not significantly correlated with AD or HD scores or ESS. For the inattentive patients, there were no significant correlations between ESS, AD or HD score. CONCLUSIONS: Scores on rating scales for sleepiness (ESS) and inattention (AD score on the ADHDRS) are not significantly correlated in adults with early childhood onset inattention, but they are significantly correlated in sleepy snorers. Thus, in patients presenting primarily with early childhood onset inattention, sleepiness is not associated with and does not explain the inattention, even though increasing sleepiness and inattention may be associated symptoms in sleepy snorers. SN - 1389-9457 UR - https://www.unboundmedicine.com/medline/citation/15033132/Rating_scales_for_inattention_and_sleepiness_are_correlated_in_adults_with_symptoms_of_sleep_disordered_breathing_syndrome_but_not_in_adults_with_symptoms_of_attention_deficit/hyperactivity_disorder_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S138994570300248X DB - PRIME DP - Unbound Medicine ER -