Polysomnographic correlates of sleep disturbances in de novo, drug naïve Parkinson's Disease.

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Title: Polysomnographic correlates of sleep disturbances in de novo, drug naïve Parkinson's Disease.
Authors: Orso, Beatrice (AUTHOR), Famà, Francesco (AUTHOR), Giorgetti, Laura (AUTHOR), Mattioli, Pietro (AUTHOR), Donniaquio, Andrea (AUTHOR), Girtler, Nicola (AUTHOR), Brugnolo, Andrea (AUTHOR), Massa, Federico (AUTHOR), Peira, Enrico (AUTHOR), Pardini, Matteo (AUTHOR), Morbelli, Silvia (AUTHOR), Nobili, Flavio (AUTHOR), Arnaldi, Dario (AUTHOR)
Source: Neurological Sciences. Apr2022, Vol. 43 Issue 4, p2531-2536. 6p. 3 Charts, 1 Graph.
Abstract: Background: Sleep disturbances are common non-motor symptoms of Parkinson's Disease (PD). Methods: The aim of this study was to investigate the polysomnographic correlates of sleep changes, as investigated by the Parkinson's Disease Sleep Scale-2 (PDSS-2), in a cohort of sixty-two consecutive de novo, drug naïve PD patients (71.40 ± 7.84 y/o). Results: PDSS-2 total score showed a direct correlation with stage shifts (p = 0.008). Fragmented sleep showed an inverse correlation with sleep efficiency (p = 0.012). Insomnia symptoms showed an inverse correlation with wake after sleep onset (p = 0.005) and direct correlation with periodic leg movements (p = 0.006) and stage shift indices (p = 0.003). Motor Symptoms showed a direct correlation with Apnoea-Hypopnoea (AHI; p = 0.02) and awakenings indices (p = 0.003). Dream distressing showed a direct correlation with REM without atonia (RWA, p = 0.042) and an inverse correlation with AHI (p = 0.012). Sleep quality showed an inverse correlation with RWA (p = 0.008). Conclusion: PDSS-2 features are significantly correlated with polysomnography objective findings, thus further supporting its reliability to investigate sleep disturbances in PD patients. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Background: Sleep disturbances are common non-motor symptoms of Parkinson's Disease (PD). Methods: The aim of this study was to investigate the polysomnographic correlates of sleep changes, as investigated by the Parkinson's Disease Sleep Scale-2 (PDSS-2), in a cohort of sixty-two consecutive de novo, drug naïve PD patients (71.40 ± 7.84 y/o). Results: PDSS-2 total score showed a direct correlation with stage shifts (p = 0.008). Fragmented sleep showed an inverse correlation with sleep efficiency (p = 0.012). Insomnia symptoms showed an inverse correlation with wake after sleep onset (p = 0.005) and direct correlation with periodic leg movements (p = 0.006) and stage shift indices (p = 0.003). Motor Symptoms showed a direct correlation with Apnoea-Hypopnoea (AHI; p = 0.02) and awakenings indices (p = 0.003). Dream distressing showed a direct correlation with REM without atonia (RWA, p = 0.042) and an inverse correlation with AHI (p = 0.012). Sleep quality showed an inverse correlation with RWA (p = 0.008). Conclusion: PDSS-2 features are significantly correlated with polysomnography objective findings, thus further supporting its reliability to investigate sleep disturbances in PD patients. [ABSTRACT FROM AUTHOR]
ISSN:15901874
DOI:10.1007/s10072-021-05622-3