This paper is only available as a PDF. To read, Please Download here.
Abstract
Daytime performance and alertness were examined in two groups of patients with disorders
of initiating and maintaining sleep (DIMS) and a control group of self-described good
sleepers. Individuals complaining of disturbed sleep that was verified by polysomnographic
indices (objective DIMS) and a group with complaints of disturbed sleep in the absence
of objective findings (subjective DIMS) were compared with normal sleepers. Nocturnal
polysomnographic recordings documented increased sleep latencies and decreased sleep
efficiencies for the objective DIMS group and essentially normal sleep for the subjective
DIMS group. However, the subjective DIMS group showed impaired daytime vigilance compared
with both the objective DIMS and control groups. Additionally, the subjective DIMS
group demonstrated an atypical daytime alertness and a tendency toward lowered arousal
during vigilance task performance. Insomniacs without clear objective findings of
disturbed sleep, therefore, showed decrements commonly seen following sleep loss or
sleep disturbance, whereas insomniacs with evidence of disturbed nocturnal sleep did
not differ from the control group in terms of waking function.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Biological PsychiatryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The circadian variation of experimentally displaced sleep.Sleep. 1981; 4: 159-169
- Diagnostic Classification of Sleep and Arousal Disorders.Sleep. 1979; 2 (1st ed.): 1-137
- Depression: Causes and Treatment.University of Pennsylvania Press, Philadelphia1972
- Effects of total sleep loss on sleep tendency.Percept Motor Skills. 1979; 48: 495-506
- Cumulative effects of sleep restriction on daytime sleepiness.Psychophysiology. 1981; 18: 107-113
- Mood and performance of poor sleepers during repeated use of flurazepam.Psychopharmacology. 1979; 61: 309-316
- Biological rhythms and performance.in: Webb W.B. Biological Rhythms, Sleep, and Performance. Wiley & Sons, New York1982: 59-86
- A Primer of Multivariate Statistics.Academic, Orlando, FL1975
- Quantification of sleepiness: A new approach.Psychophysiology. 1973; 10: 431-436
- The effects of total, partial, and stage sleep deprivation on EEG patients and patterns and performance.in: Burch N. Altschuler H.C. Behavior and Brain Electrical Activity. Plenum, New York1975
- Sedative-hypnotics and human performance.Psychopharmacology. 1982; 76: 101-113
- Quality of sleep and performance in the Navy: A longitudinal study of good and poor sleepers.in: Report No. 82-8. Naval Health Research Center, 1982
- Edits Manual for the Profile of Mood States. Educational and Industrial Testing Service, California1971
- Sleep deprivation in human subjects: A reappraisal.Waking Sleep. 1976; 1: 53-60
- Rechtschaffen A. Kales A. A Manual of Standardized Terminology, Techniques, and Scoring System for Sleep Stages of Human Subjects. BIS/BRI, Los Angeles1968
- Excessive daytime sleepiness in man: Multiple sleep latency measurement in narcoleptic and control subjects.Electroencephalogr Clin Neurophysiol. 1978; 45: 621-627
- Sleepiness in insomnia: Evaluation and treatment.Sleep. 1982; 5: 180-190
- Daytime alertness in relation to mood, performance, and nocturnal sleep in chronic insomniacs and noncomplaining sleepers.Sleep. 1984; 7: 230-238
Stern JA, Walrath LC, Goldstein R (in press): The endogenous eyeblink: An indicant of cognitive activity and state. Psychophysiology.
- On the analysis of repeated measures over time in medical, pharmacological, and behavioral research.J Behav Med. 1979; 2: 221-238
- Behavioral and psychobiological effects of ad libitum extended-delayed sleep.in: Karacan I. Psychophysiological Aspects of Sleep. Noyes Medical Publications, Park Ridge, NJ1981
- The physiological (EEG) nature of drowsiness and its relation to performance deficits in narcoleptics.Electroencephalogr Clin Neurophysiol. 1983; 50: 243-251
- Age, sleep deprivation, and performance.Psychophysiology. 1982; 19: 272-276
- Sleep deprivation: performance tests for partial and selective sleep deprivation.in: Progress in Clinical Psychology. vol. 7. Grune and Stratton, Orlando, FL1968
- Nocturnal EEG profiles and performances.Psychophysiology. 1966; 2: 164-175
Article info
Publication history
Received in revised form:
January 15,
1985
Received:
December 24,
1984
Identification
Copyright
© 1985 Published by Elsevier Inc.