Narcolepsy type 1 and hypersomnia associated with a psychiatric disorder show different slow wave activity dynamics

• Autorzy: Walacik-Ufnal E. , Piotrowska A.J. , Wolynczyk-Gmaj D. , Januszko P. , Gmaj B. , Ufnal M. , Kabat M. , Wojnar M.
• Języki publikacji: EN

Abstrakty

EN

The aim of the study was to compare electrophysiological parameters of night sleep in narcolepsy type 1 and hypersomnia associated with a psychiatric disorder. Forty-four patients: 15 with narcolepsy type 1, 14 with hypersomnia associated with a psychiatric disorder and 15 age- and sex-matched controls participated in the study. The study subjects filled in the Athens Insomnia Scale (AIS) and the Beck Depression Inventory (BDI). The severity of daytime sleepiness was quantified subjectively using the Epworth Sleepiness Scale (ESS) and the Stanford Sleepiness Scale (SSS), and objectively using the Multiple Sleep Latency Test (MSLT). All subjects underwent polysomnography (PSG) on the two consecutive nights. The data from the second night was analysed. The slow wave activity (SWA, 1–4 Hz) was calculated for the three consecutive sleep cycles, and topographic delta power maps were plotted. In contrast to narcoleptics, psychiatric hypersomniacs had undisturbed nocturnal sleep, high sleep efficiency, normal non-rapid eye movement (NREM) and rapid eye movement (REM) sleep proportions, normal REM latency and sleep latencies on MSLT and PSG. The subjective and objective sleepiness was significantly higher in narcolepsy group than in psychiatric hypersomnia group. In all the study groups SWA was the most prominent in frontal areas, while the greatest between-group differences were found in the central areas. There were significant differences between the groups in SWA in the second NREM episode. The highest SWA was observed in the hypersomnia group, while the lowest in the narcolepsy group. Psychiatric hypersomniacs and controls did not differ in the SWA exponential decline over consecutive NREM episodes, whereas narcoleptics exhibited a steeper dissipation of sleep pressure from the first to the second NREM episode. In conclusion, narcolepsy type1 and hypersomnia associated with psychiatric disorder differ in the SWA dynamics. Narcoleptics presented with the altered dynamics of sleep homeostasis, whereas psychiatric hypersomniacs showed normal nocturnal sleep and normal sleep homeostasis.

• Wydawca: -
• Czasopismo: Acta Neurobiologiae Experimentalis
• Rocznik: 2017
• Tom: 77
• Numer: 2
• Opis fizyczny: p.147-156,fig.,ref.

Twórcy

autor

Walacik-Ufnal E.

• Nowowiejski Hospital in Warsaw, Warsaw, Poland

autor

Piotrowska A.J.

• Nowowiejski Hospital in Warsaw, Warsaw, Poland
• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

autor

Wolynczyk-Gmaj D.

• Nowowiejski Hospital in Warsaw, Warsaw, Poland
• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

autor

Januszko P.

• Nowowiejski Hospital in Warsaw, Warsaw, Poland
• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

autor

Gmaj B.

• Nowowiejski Hospital in Warsaw, Warsaw, Poland
• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

autor

Ufnal M.

• Department of Experimental Physiology and Pathophysiology, Medical University of Warsaw, Warsaw, Poland

autor

Kabat M.

• Department of Hypertension, Institute of Cardiology, Warsaw, Poland

autor

Wojnar M.

• Nowowiejski Hospital in Warsaw, Warsaw, Poland
• Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland

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