Clinical effects of sleep fragmentation versus sleep deprivation☆

Abstract 

Common symptoms associated with sleep fragmentation and sleep deprivation include increased objective sleepiness (as measured by the Multiple Sleep Latency Test); decreased psychomotor performance on a number of tasks including tasks involving short term memory, reaction time, or vigilance; and degraded mood. Differences in degree of sleepiness are more related to the degree of sleep loss or fragmentation rather than to the type of sleep disturbance. Both sleep fragmentation and sleep deprivation can exacerbate sleep pathology by increasing the length and pathophysiology of sleep apnea. The incidence of both fragmenting sleep disorders and chronic partial sleep deprivation is very high in our society, and clinicians must be able to recognize and treat Insufficient Sleep Syndrome even when present with other sleep disorders.

Keywords: sleep deprivation, sleep fragmentation, partial sleep deprivation, sleep apnea, sleepiness, insomnia

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• f1 Correspondence should be addressed to: Michael H. Bonnet, Ph.D. (151N), Dayton Department of Veterans Affairs Medical Center, 4100 W. Third Street, Dayton, OH 45428, USA. Tel: (937)267-3910; Fax: (937)267-5317; E-mail:Bonnet.Michael@DAYTON.VA.GOV