Sleep Medicine Reviews
Volume 6, Issue 2 , Pages 83-96 , May 2002

Daytime sleepiness and its evaluation

  • Raymond Cluydts

      Affiliations

    • Department of Cognitive and Physiological Psychology, Vrije Universiteit Brussel, Brussels, Belgium, Universitair Psychiatrisch Centrum St. Jozef, Kortenberg, Belgium
  • ,
  • Elke De Valck

      Affiliations

    • Department of Cognitive and Physiological Psychology, Vrije Universiteit Brussel, Brussels, Belgium, Universitair Psychiatrisch Centrum St. Jozef, Kortenberg, Belgium
  • ,
  • Edwin Verstraeten

      Affiliations

    • Department of Cognitive and Physiological Psychology, Vrije Universiteit Brussel, Brussels, Belgium, Universitair Psychiatrisch Centrum St. Jozef, Kortenberg, Belgium
  • ,
  • Paul Theys

      Affiliations

    • Vrije Universiteit Brussel, Brussels, Belgium, Sleep Disorders Centre, Universitair Psychiatrisch Centrum St. Jozef, Kortenberg, Belgium

References 

  1. MacCorquodale K, Meehl PE. On a distinction between hypothetical constructs and intervening variables. Psychol Rev. 1948;55:95–107
  2. Johns M. Rethinking the assessment of sleepiness. Sleep Med Rev. 1998;2:3–15
  3. Thorpy MJ. The clinical use of the multiple sleep latency test. Sleep. 1992;15:268–276
  4. Carskadon MA, Dement WC. The multiple sleep latency test: what does it measure?. Sleep. 1982;5:S67–S72
  5. Krieger J, Zamagni M, Sforza E. Propension au sommeil et somnolence diurne au cours du syndrome d»apnées du sommeil. Neurophysiol Clin. 1996;26:131–137
  6. Bonnet MH, Arand DL. Hyperarousal and insomnia. Sleep Med Rev. 1997;1:97–108
  7. Åkerstedt T. Sleepiness (guest editorial). Sleep Med Rev. 1998;2:1–2
  8. Moldofsky H. Evaluation of daytime sleepiness. Clin Chest Med. 1992;13:417–425
  9. Borbély AA. A two-process model of sleep regulation. Hum Neurobiol. 1982;1:195–204
  10. Casagrande M, Violani C, Curcio G. Assessing vigilance through a brief pencil and paper letter cancellation task (LCT): effects of one night of sleep deprivation and of the time of day. Ergonomics. 1997;40:613–630
  11. Babkoff H, Caspy T, Mikulincer M. Subjective sleepiness ratings: the effects of sleep deprivation, circadian rhythmicity and cognitive performance. Sleep. 1991;14:534–539
  12. Dijk DJ, Brunner DP, Beersma DGM. Electroencephalogram power-density and slow-wave sleep as a function of prior waking and circadian phase. Sleep. 1990;13:430–440
  13. Åkerstedt T, Folkard S. Validation of the S and C components of the three-process model of alertness regulation. Sleep. 1995;18:1–6
  14. PorkkaHeiskanen T, Strecker RE, Thakkar M. Adenosine: a mediator of the sleep-inducing effects of prolonged wakefulness. Science. 1997;276:1265–1268
  15. Maquet P. Brain mechanisms of sleep: contribution of neuroimaging techniques. J Psychopharmacol. 1999;13:S25–S28
  16. Cardinali DP. The human body circadian: how the biologic clock influences sleep and emotion. Neuroendocrinol Lett. 2000;21:9–15
  17. Achermann P, Borbély AA. Simulation of daytime vigilance by the additive interaction of a homeostatic and a circadian process. Biol Cybern. 1994;71:115–121
  18. Folkard S, Åkerstedt T. Towards a model for the prediction of alertness and/or fatigue on different sleep/wake schedules. In: Oginski A, Polorski J, Rutenfranz J (eds) Contemporary Advances in Shiftwork Research: Theoretical and Practical Aspects in the Late Eighties. Krakow: Medical Academy. 1987;231–240
  19. Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep. 1991;14:540–545
  20. Nakao M, Nishiyama H, McGinty D. A model based interpretation of the biphasic daily pattern of sleepiness. Biol Cybern. 1999;81:403–414
  21. Edgar DM, Dement WC, Fuller CA. Effect of SCN lesions on sleep in squirrel monkeys: evidence for opponent processes in sleep-wake regulation. J Neurosci. 1993;13:1065–1079
  22. Levine B, Roehrs T, Zorick F. Daytime sleepiness in young adults. Sleep. 1988;1:39–46
  23. Johnson LC, Spinweber CL, Gomez SA. Daytime sleepiness, performance, mood, nocturnal sleep: the effect of benzodiazepine and caffeine on their relationship. Sleep. 1990;13:121–135
  24. Bonnet MH, Arand DL. Sleepiness as measured by modified multiple sleep latency testing varies as a function of preceding activity. Sleep. 1998;21:477–483
  25. Kronholm, E, Hyyppä, MT, Alanen, E, What does the multiple sleep latency test measure in a community sample?, 1995, 18, 827, 835
  26. Lin JS. Brain structures and mechanisms involved in the control of cortical activation and wakefulness, with emphasis on the posterior hypothalamus and histaminergic neurons. Sleep Med Rev. 2000;4:471–503
  27. Chemelli RM, Willie JT, Sinton CM. Narcolepsy in orexin knockout mice: molecular genetics of sleep regulation. Cell. 1999;98:437–451
  28. Broughton R. Performance and evoked potential measures of various states of daytime sleepiness. Sleep. 1982;5:S135–S146
  29. Carskadon MA, Dement WC. Nocturnal determinants of daytime sleepiness. Sleep. 1982;5:S73–S81
  30. Zwyghuizen-Doorenbos A, Roehrs T, Schaefer M. Test–retest reliability of the MSLT. Sleep. 1988;11:562–565
  31. Bliwise DL, Carskadon MA, Seidel WF. MSLT-defined sleepiness and neuropsychological test- performance do not correlate in the elderly. Neurobiol Aging. 1991;12:463–468
  32. Johns MW. Sleepiness in different situations measured by the Epworth sleepiness scale. Sleep. 1994;17:703–710
  33. Jouvet M. La somnolence; modèles expérimentaux. Neurophysiol Clin. 1993;23:291–303
  34. Heath AC, Kendler KS, Eaves LJ. Evidence for genetic influences on sleep disturbance and sleep pattern in twins. Sleep. 1990;13:318–335
  35. Baenninger R, Binkley S, Baenninger MA. Field observations of yawning and activity in humans. Physiol Behav. 1996;59:421–425
  36. Porcu S, Ferrara M, Urbani L. Smooth pursuit and saccadic eye movements as possible indicators of nighttime sleepiness. Physiol Behav. 1998;65:437–443
  37. Mallis MM, Maislin G, Powell JW. Perclos predicts both PVT lapse frequency and cumulative lapse duration. Sleep. 1999;22: S149:
  38. Wright N, McGown A. Vigilance on the civil flight deck: incidence of sleepiness and sleep during long-haul flights and associated changes in physiological parameters. Ergonomics. 2001;44:82–106
  39. Wierwille WW, Ellsworth LA. Evaluation of driver drowsiness by trained raters. Accid Anal Prev. 1994;26:571–581
  40. Pollack CP, Nagaraja H, Tryon WW. How accurately does wrist actigraphy (circa 1999) identify the states of sleep and wakefulness?. Sleep. 1999;22: S109:
  41. Hoddes E, Zarcone V, Smythe HR. Quantification of sleepiness: a new approach. Psychophysiology. 1973;10:431–436
  42. Åkerstedt T, Gillberg M. Subjective and objective sleepiness in the active individual. Int J Neurosci. 1990;52:29–37
  43. Martin SE, Engleman HM, Deary IJ. The effect of sleep fragmentation on daytime function. Am J Resp Crit Care. 1996;153:1328–1332
  44. O»Neill WD, Oroujeh AM, Merritt SL. Pupil noise is a discriminator between narcoleptics and controls. IEEE Trans Biomed Eng. 1998;45:314–322
  45. Pressman MR, Fry JM. Relationship of autonomic nervous system activity to daytime sleepiness and prior sleep. Sleep. 1989;12:239–245
  46. Broughton R, Aguirre M, Dunham W. A comparison of multiple and single sleep latency and cerebral evoked potential (P300) measures in the assessment of excessive daytime sleepiness in narcolepsy-cataplexy. Sleep. 1988;11:537–545
  47. Dinges DF, Pack F, Williams K. Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4–5 hours per night. Sleep. 1997;20:267–277
  48. George CFP, Boudreau AC, Smiley A. Effects of nasal CPAP on simulated driving performance in patients with obstructive sleep apnoea. Thorax. 1997;52:648–653
  49. Johns MW. Reliability and factor-analysis of the Epworth sleepiness scale. Sleep. 1992;15:376–381
  50. Baenninger R. On yawning and its functions. Psychon Bull Rev. 1997;4:198–207
  51. De Gennaro L, Casagrande M, Andropoli D. Oculomotor activity as predictor of sleep onset at the multiple sleep latency test. J Sleep Res. 1996;5: S45:
  52. Reid K, Dawson D. Correlation between wrist activity monitor and electrophysiological measures of sleep in a simulated shiftwork environment for younger and older subjects. Sleep. 1999;22:378–385
  53. Bonnet M. Sleep deprivation. In: Kryger M, Roth T, Dement W (eds) Principles and Practice of Sleep Medicine, 3rd edition. Philadelphia, PA: WB Saunders. 2000;53–71
  54. Dinges D, Kribbs N. Performing while sleepy: effects of experimentally induced sleepiness. In: Monk T (ed) Sleep, Sleepiness and Performance. Chichester: Wiley. 1991;97–128
  55. Johnson L. Sleep deprivation and performance. In: Webb W (ed) Biological Rhythms, Sleep, and Performance. New York: Wiley. 1982;111–141
  56. Pilcher J, Huffcutt A. Effects of sleep deprivation on performance: a meta-analysis. Sleep. 1996;19:318–326
  57. Tilley A, Brown S. Sleep deprivation. In: Smith A, Jones D (eds) Handbook of Human Performance, Vol 3, Trait and State. London: Academic. 1992;
  58. Sanders A, Wijnen J, van Arkel A. An additive factor analysis of the effects of sleep-loss on reaction processes. Acta Psychol. 1982;51:41–59
  59. Quant J. The effect of sleep deprivation and sustained military operations on near visual performance. Aviat Space Environ Med. 1992;63:172–176
  60. Caldwell J, Ramspott S. Effects of task duration on sensitivity to sleep deprivation using the multi-attribute task battery. Behav Res Methods, Instrum Comp. 1998;30:651–660
  61. Jewett ME, Dijk DJ, Kronauer RE. Dose–response relationship between sleep duration and human psychomotor vigilance and subjective alertness. Sleep. 1999;22:171–179
  62. Johnson LC, Freeman CR, Spinweber CL. Subjective and objective measures of sleepiness: effect of benzodiazepine and caffeine on their relationship. Psychophysiology. 1991;28:65–71
  63. Juniper M, Hack MA, George CF. Steering simulation performance in patients with obstructive sleep apnoea and matched control subjects. Eur Resp J. 2000;15:590–595
  64. Reyner LA, Horne JA. Falling asleep whilst driving: are drivers aware of prior sleepiness?. Int J Legal Med. 1998;111:120–123
  65. Tornros J. Driving behavior in a real and a simulated road tunnel—a validation study. Accid Anal Prev. 1998;30:497–503
  66. Arnedt JT, Wilde GJS, Munt PW. Simulated driving performance following prolonged wakefulness and alcohol consumption: separate and combined contributions to impairment. J Sleep Res. 2000;9:233–241
  67. Pilcher JJ, Walters AS. How sleep deprivation affects psychological variables related to college students» cognitive performance. J Am Coll Health. 1997;46:121–126
  68. Rosenthal L, Roehrs TA, Roth T. The sleep–wake activity inventory: a self-report measure of daytime sleepiness. Biol Psychiatry. 1993;34:810–820
  69. Johnson EO, Breslau N, Roth T. Psychometric evaluation of daytime sleepiness and nocturnal sleep onset scales in a representative community sample. Biol Psychiatry. 1999;45:764–770
  70. Johns MW. Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the Epworth sleepiness scale: failure of the MSLT as a gold standard. J Sleep Res. 2000;9:5–11
  71. Van Ert PM, Gapinski JP, Fuller MJ. The predictive value of the Epworth sleepiness scale: patient versus significant other assessment of patient sleepiness. Sleep. 1999;22: S48:
  72. Benbadis SR, Mascha E, Perry MC. Association between the Epworth sleepiness scale and the multiple sleep latency test in a clinical population. Ann Intern Med. 1999;130:289–292
  73. Cook Y, Schmitt F, Berry D. The effects of nocturnal sleep, sleep disordered breathing and periodic movements of sleep on the objective and subjective assessment of daytime somnolence in healthy aged adults. Sleep Res. 1988;17: 95:
  74. Carskadon MA, Dement WC. Sleep tendency: an objective measure of sleep loss. Sleep Res. 1977;6: 200:
  75. Benbadis SR, Qu Y, Perry MC. Interrater reliability of the multiple sleep latency test. Electroencephalogr Clin Neurophysiol. 1995;95:302–304
  76. Chervin RD, Kraemer HC, Guilleminault C. Correlates of sleep latency on the multiple sleep latency test in a clinical population. Electroencephalogr Clin Neurophysiol. 1995;95:147–153
  77. Aldrich MS, Chervin RD, Malow BA. Value of the multiple sleep latency test (MSLT) for the diagnosis of narcolepsy. Sleep. 1997;20:620–629
  78. Sangal RB, Thomas L, Mitler MM. Disorders of excessive sleepiness. Treatment improves ability to stay awake but does not reduce sleepiness. Chest. 1992;102:699–703
  79. Sugerman JL, Walsh JK. Physiological sleep tendency and ability to maintain alertness at night. Sleep. 1989;12:106–112
  80. Stepanski E, Zorick F, Roehrs T. Daytime alertness in patients with chronic insomnia compared with asymptotic control subjects. Sleep. 1988;11:54–60
  81. Mitler MM, Gujavarty KS, Browman CP. Maintenance of wakefulness test: a polysomnographic technique for evaluating treatment in patients with excessive somnolence. Electroencephalogr Clin Neurophysiol. 1982;53:648–661
  82. Hartse KM, Roth T, Zorick FJ. Daytime sleepiness and daytime wakefulness: the effect of instruction. Sleep. 1982;5:S107–S118
  83. Harma M, Suvanto S, Popkin S. A dose–response study of total sleep time and the ability to maintain wakefulness. J Sleep Res. 1998;7:167–174
  84. Kelly TL, Mitler MM, Bonnet MH. Sleep latency measures of caffeine effects during sleep deprivation. Electroencephalogr Clin Neurophysiol. 1997;102:397–400
  85. Sangal RB, Mitler MM, Sangal JM. Subjective sleepiness ratings (Epworth sleepiness scale) do not reflect the same parameter of sleepiness as objective sleepiness (maintenance of wakefulness test) in patients with narcolepsy. Clin Neurophysiol. 1999;110:2131–2135
  86. Sangal RB, Thomas L, Mitler MM. Maintenance of wakefulness test and multiple sleep latency test: measurement of different abilities in patients with sleep disorders. Chest. 1992;101:898–902
  87. Berrichi H, Zannad F, Hannharth B. Drowsiness driver: a reliable neurophysiological parameter. Sleep. 1999;22: S168:
  88. Torsvall L, Åkerstedt T. Extreme sleepiness: quantification of EOG and spectral EEG parameters. Int J Neurosci. 1988;38:435–441
  89. Torsvall L, Åkerstedt T, Gillander K. Sleep on the night-shift: 24-hour EEG monitoring of spontaneous sleep wake behavior. Psychophysiology. 1989;26:352–358
  90. Heyde K, De Cock W, Cluydts R. Detection of sleep onset EEG characteristics during real-world driving. J Sleep Res. 2000;9(S1):81
  91. Micieli G, Manni R, Tassorelli C. Sleep-apnea and autonomic dysfunction. A cardiopressor and pupillometric study. Acta Neurol Scand. 1995;91:382–388
  92. Sangal RB, Sangal JM, Belisle C. Longer auditory and visual P300 latencies in patients with narcolepsy. Clin Electroencephalogr. 1999;30:28–32

PII: S1087-0792(02)90191-7

doi: 10.1053/smrv.2002.0191

Sleep Medicine Reviews
Volume 6, Issue 2 , Pages 83-96 , May 2002