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The Epworth sleepiness scale: relationship to sleep and mental disorders in a sleep clinic.
Sleep Med. 2006 Jun; 7(4):327-32.SM

Abstract

BACKGROUND AND PURPOSE

Both sleep disorders and mental disorders are associated with excessive daytime sleepiness as measured by the Epworth sleepiness scale (ESS). We sought to assess the relationship between the ESS scores and mental disorders in a sleep clinic.

METHODS

One hundred sixty-five consecutive new referrals to a sleep clinic completed the ESS prior to their initial visit. Mental disorders (major depression, minor depression, anxiety not otherwise specified, and panic disorder) were diagnosed with the primary care evaluation of mental disorders (PRIME-MD) questionnaire, a reliable and valid instrument. Nearly all sleep diagnoses (95%) were made by polysomnography.

RESULTS

The mean ESS for the cohort was 12.3 (standard deviation (SD) 5.1). There was no difference in the mean ESS for those with and without mental disorders (12.8 vs. 12.2, P=0.48) or sleep-disordered breathing (SDB) (12.3 vs. 12.3, P=0.99). ESS scores were not different between patients with a comorbid mental disorder and SDB compared with the presence of a mental disorder or SDB alone (combination: 13.0 vs. mental disorder: 11.5 vs. SDB: 12.2, P=0.70). There was also no relationship between ESS scores and the respiratory disturbance index (RDI) (P=0.63).

CONCLUSIONS

We found no relationship between ESS scores and mental disorders among referrals to a sleep clinic. ESS cannot be used to screen for mental disorders among sleep clinic patients.

Authors+Show Affiliations

Department of Medicine, William Beaumont Army Medical Center, 5005 N. Piedras Street, El Paso, TX 79920-5001, USA. kent.dezee@us.army.milNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16564218

Citation

DeZee, Kent J., et al. "The Epworth Sleepiness Scale: Relationship to Sleep and Mental Disorders in a Sleep Clinic." Sleep Medicine, vol. 7, no. 4, 2006, pp. 327-32.
DeZee KJ, Jackson JL, Hatzigeorgiou C, et al. The Epworth sleepiness scale: relationship to sleep and mental disorders in a sleep clinic. Sleep Med. 2006;7(4):327-32.
DeZee, K. J., Jackson, J. L., Hatzigeorgiou, C., & Kristo, D. (2006). The Epworth sleepiness scale: relationship to sleep and mental disorders in a sleep clinic. Sleep Medicine, 7(4), 327-32.
DeZee KJ, et al. The Epworth Sleepiness Scale: Relationship to Sleep and Mental Disorders in a Sleep Clinic. Sleep Med. 2006;7(4):327-32. PubMed PMID: 16564218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Epworth sleepiness scale: relationship to sleep and mental disorders in a sleep clinic. AU - DeZee,Kent J, AU - Jackson,Jeffrey L, AU - Hatzigeorgiou,Christos, AU - Kristo,David, Y1 - 2006/03/24/ PY - 2005/06/03/received PY - 2005/10/31/revised PY - 2005/11/05/accepted PY - 2006/3/28/pubmed PY - 2006/11/11/medline PY - 2006/3/28/entrez SP - 327 EP - 32 JF - Sleep medicine JO - Sleep Med VL - 7 IS - 4 N2 - BACKGROUND AND PURPOSE: Both sleep disorders and mental disorders are associated with excessive daytime sleepiness as measured by the Epworth sleepiness scale (ESS). We sought to assess the relationship between the ESS scores and mental disorders in a sleep clinic. METHODS: One hundred sixty-five consecutive new referrals to a sleep clinic completed the ESS prior to their initial visit. Mental disorders (major depression, minor depression, anxiety not otherwise specified, and panic disorder) were diagnosed with the primary care evaluation of mental disorders (PRIME-MD) questionnaire, a reliable and valid instrument. Nearly all sleep diagnoses (95%) were made by polysomnography. RESULTS: The mean ESS for the cohort was 12.3 (standard deviation (SD) 5.1). There was no difference in the mean ESS for those with and without mental disorders (12.8 vs. 12.2, P=0.48) or sleep-disordered breathing (SDB) (12.3 vs. 12.3, P=0.99). ESS scores were not different between patients with a comorbid mental disorder and SDB compared with the presence of a mental disorder or SDB alone (combination: 13.0 vs. mental disorder: 11.5 vs. SDB: 12.2, P=0.70). There was also no relationship between ESS scores and the respiratory disturbance index (RDI) (P=0.63). CONCLUSIONS: We found no relationship between ESS scores and mental disorders among referrals to a sleep clinic. ESS cannot be used to screen for mental disorders among sleep clinic patients. SN - 1389-9457 UR - https://www.unboundmedicine.com/medline/citation/16564218/The_Epworth_sleepiness_scale:_relationship_to_sleep_and_mental_disorders_in_a_sleep_clinic_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1389-9457(05)00266-2 DB - PRIME DP - Unbound Medicine ER -