Nach einer CPAP-Titrierung reduzierte sich die morgendliche Tagesschlfrigkeit wieder. volume14,pages 257260 (2016)Cite this article, An Erratum to this article was published on 28 July 2017. doi: 10.1371/journal.pone.0045987. -, Harma M, Tarja H, Irja K, Mikael S, Jussi V, Anne B, et al. Version A had 88 ratings for labeled (odd) KSS values (i.e. HHS Vulnerability Disclosure, Help The results show a clear circadian pattern, with high values during the morning (4.5 at 07:00 hours) and evening (6.0 at 22:00 hours), and with low values (3-4) during the 10:00-16:00 hours span. Introduction Sleepiness is involved in a large part of the accidents in transportation and in other areas of industry ( Maycock, 1996 ). Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Sntese dos dados: It is still unclear whether different levels of alertness induced by the circadian rhythm influence ESS score. These keywords were added by machine and not by the authors. FOIA Sleep 14(6):540545, Johns MW (1992) Reliability and factor analysis of the Epworth Sleepiness Scale. Subjective and objective sleepiness in the active individual. 1947;12(2):1537. Clinical Neurophysiology, 117, 157481. 2012;43:8592. Sleep diary Simple methods of sleepiness assessment are greatly needed for both fundamental research and practical applications. Thus, the value of version A at 08:00 was paired with the value at 09:00 of version B, etc. Journal of Sleep Research, 13, 28594. 2008;3(10):e3493. 9=very sleepy, great effort to keep awake, fighting sleep . Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Google Scholar. Die Karolinska-Schlfrigkeits-Skala (KSS) und die Stanford-Schlfrigkeits-Skala (SSS) dienten als Referenzmethode zur Erfassung der momentanen Tagesschlfrigkeit ber jeweils 3Messzeitpunkte (morgens, nachmittags, abends) vor und nach einer Polysomnograpie(PSG)-Diagnostiknacht sowie nach einer CPAP-Titrierungsnacht (continuous positive airway pressure, insgesamt 9Messzeitpunkte). st8=diG;t2_(Nz$Yb9'#dEi_ 1, 3, 5, 7, and 9) and 56 ratings for non-labeled (even) values (i.e. Profiles of Subjective Daytime Sleepiness through Cluster Analysis, Psychometric properties and accuracy of the European Portuguese version of the Pittsburgh Sleep Quality Index in clinical and non-clinical samples, Nonrestorative sleep scale: reliable and valid for the Chinese population, Validation of the sleep hygiene index for the elderly, Associations Between Intraindividual Variability in Sleep and Daily Positive Affect, https://doi.org/10.1007/s41105-017-0111-0, https://creativecommons.org/licenses/by/4.0/. Significance: Results indicated that the two versions are highly correlated, do not have different response distributions on labeled and unlabeled steps, and that the distributions across all steps have a high level of correspondence (Kappa=0.73). Conclusions: Foram selecionados 16 artigos, nos quais se identificaram nove instrumentos distintos aplicados em 8.240 crianas e adolescentes das regies Sul, Sudeste, Centro-Oeste e Nordeste do Brasil. It was concluded that the two versions are quite similar. These findings suggest that the labeling of step 8 may have made it easier not to rate 9 when very sleepy. CrossRef Following adiagnostic polysomnography night, the scores were increased compared to the measurements prior to the night. Meyer C, Ferrari Junior GJ, Andrade RD, Barbosa DG, da Silva RC, Pelegrini A, Gomes Felden P. Introduction: Von allen Patienten liegt eine Einverstndniserklrung vor. Bethesda, MD 20894, Web Policies Sleepiness (Karolinska Sleepiness Scale, scale 1-9) was rated at six times a day for a working week and 2 days off (>90.000 ratings). However, it exists in two versions, one with labels on every other step (version A), and one with labels on every step (version B) on the 9-point scale. The KSS spans 9 levels (1=extremely alert, 2=very alert, 3=alert, 4=rather alert, 5=neither alert nor sleepy, 6=some signs of sleepiness, 7=sleepy, but no effort to keep awake, 8=sleepy, some effort to keep awake, 9=very sleepy, great effort keeping awake, fighting sleep). This is a preview of subscription content, access via your institution. Epub 2017 Jul 31. PubMed Would you like email updates of new search results. M.Herzog gibt an, dass er zu Implantationskursen der Firmen Inspire und ImThera eingeladen wurde. Karolinska Scales of Personality ( KSP) is a personality test. Article Article The scale, which can be administered in 12 minutes, is generally used to track overall alertness at each hour of the day. Reviso sistemtica da literatura por meio das bases de dados eletrnicas Medical Literature Analysis and Retrieval System (MEDLINE), via PubMed, Scopus, Web of Science, Literatura Latino-Americana e do Caribe em Cincias da Sade (LILACS), Biblioteca Eletrnica Cientfica Online (SciELO) e SPORTDiscus, sem limite temporal para as buscas. National Library of Medicine Each session contained the psychomotor vigilance task (PVT), the Karolinska drowsiness test (KDT-EEG alpha & theta power), the alpha attenuation test (AAT-alpha power ratio open/closed eyes) and the KSS. Consecutive patients, 30-66 years old, attending a large sleep clinic in Sweden for OSAS evaluation completed the KSQ and underwent in-home portable monitoring and medical history evaluation. To compare the two versions of the KSS, the administration of the versions alternated every hour, starting with version A (for all participants). Conclusions: 1 shows that there was more frequent use of steps 7 and 8 in version B and a less frequent use of step 9 and 3. A mdia da qualidade metodolgica dos estudos foi de 16,11,9 pontos. 2013 Jul;124(7):1346-52. doi: 10.1016/j.clinph.2013.01.018. ANALYSIS OF DAYTIME SLEEPINIESS IN ADOLESCENTS BY THE PEDIATRIC DAYTIME SLEEPINESS SCALE: A SYSTEMATIC REVIEW. The Role of Sleep Patterns from Childhood to Adolescence in Vigilant Attention. 111, 03048, Cottbus, Deutschland, Habersaathstrae 38e, 10115, Berlin, Deutschland, Klinik und Poliklinik fr Hals-Nasen-Ohren-Heilkunde, Universittsklinikum Regensburg, Franz-Josef-Strau-Allee11, 93053, Regensburg, Deutschland, Institut fr Medizinische Epidemiologie, Biometrie und Informatik, Martin-Luther-Universitt Halle-Wittenberg, Magdeburger Strae8, 06112, Halle (Saale), Deutschland, Klinik und Poliklinik fr Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Halschirurgie, Universittsmedizin Greifswald, Sauerbruchstrasse, 17475, Greifswald, Deutschland, Klinik und Poliklinik fr Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Martin-Luther-Universitt Halle-Wittenberg, Ernst-Grube-Strae40, 01620, Halle (Saale), Deutschland, You can also search for this author in MeSH OSAS was defined as apnea-hypopnea index 5 with . On this scale subjects indicate which level best reflects the psycho-physical sate experienced in the last 10 min. Population for Testing Am J Respir Crit Care Med 165(9):12171239, Zea-Sevilla MA, Martinez-Martin P (2014) Rating scales and questionnaires for assessment of sleep disorders in Parkinsons disease: what they inform about? Methods: Accessibility Thus, measuring sleepiness in occupational studies is an important component of workplace health and safety. Persons receiving this press release should not place undue reliance on forward looking statements. [3] Because it can be used to evaluate specific moments, the scale can be used repeatedly at different time intervals in a research study or for treatment intervention.[3]. Maimberg, B., Kecklund, G., Karlson, B., Persson, R., Flisberg, P., rbaek, P. (2010). They are probably less useful when administered while the patient is at the clinic; a measure would be more useful if it reflected sleepiness while driving or probed a more general 'trait', like degree of sleepiness. KSS und SSS spiegeln somit Schwankungen des Vigilanzniveaus wider. These results suggest that use of a selective OX2R agonist may be an effective approach to treating excessive daytime sleepiness in NT1.In individuals with NT1, TAK-925 showed increased wakefulness compared to placebo. Ergonomics 36(9):10071017. Int J Psychophysiol. doi:10.1080/00140139308967973, Klerman EB, Shanahan TL, Brotman DJ etal (2002) Photic resetting of the human circadian pacemaker in the absence of conscious vision. The experiment involved 8 measurement sessions per day for 3 consecutive days. 6=some signs of sleepiness 7=sleepy, but no effort to keep awake 8=sleepy, some effort to keep awake 9=very sleepy, great effort to keep awake, fighting sleep References . Translation and validation of the Pediatric Daytime Sleepiness Scale (PDSS) into Brazilian Portuguese. The average correlation between version A and version B was r=0.66 (s.e=0.04, p<0.0001). Epub 2014 Jun 11. Risk Factors in Takedas most recent Annual Report on Form 20-F and our other reports filed with the U.S. Securities and Exchange Commission, available on Takedas website at: https://www.takeda.com/investors/reports/sec-filings/ or at www.sec.gov. Introduction: Sleepiness during the work shift is common and can be hazardous to workers and, in the case of nurses, to patients under their care. J Psychiatry Res. and transmitted securely. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips. Ind Health. Unable to load your collection due to an error, Unable to load your delegates due to an error. 8600 Rockville Pike 1994 Apr;17 (3):236-41 ( Pubmed abstract) The site is secure. CAS STOP, THAT and One Hundred Other Sleep Scales pp 209210Cite as, 2 University of Toronto The Youthdale Child and Adolescent Sleep Centre, 227 Victoria Street, M5B 1T8, Toronto, Canada, University of Toronto The Youthdale Child and Adolescent Sleep Centre, 227 Victoria Street, Toronto, Canada, Department of Psychiatry, University of Toronto The Youthdale Child and Adolescent Sleep Centre, 227 Victoria Street, M5B 1T8, Toronto, Canada, Colin M. Shapiro MBChB., Ph.D., MRCPsych, FRCP(C), You can also search for this author in The purpose of this brief report is to compare the distribution of ratings across the two versions and to analyze the covariation between the two scales over 24h of wakefulness. Figure1 shows the distribution of ratings for the two versions. 2012;7(9):e45987. However, since the KSS scale is ordered, a more appropriate method is to use Cohens weighted Kappa [12] which takes into account how close the rating in one version is to the rating in the other version. Portuguese]. -, Lo JC, Groeger JA, Santhi N, Arbon EL, Lazar AS, Hasan S, et al. PMC The primary limitations of the Stanford Sleepiness Scale is that it is a self-report measure, because of this, levels of sleepiness may be over or under reported based on personal biases. Effects of partial and acute total sleep deprivation on performance across cognitive domains, individuals and circadian phase. Sixteen articles were selected, in which nine different instruments were applied to 8.240 children and adolescents from the South, Southeast, Midwest and Northeast regions of Brazil. Nat Sci Sleep. Part of Springer Nature. 2021 Jun 28;13:923-932. doi: 10.2147/NSS.S312808. Hilditch CJ, Wong LR, Bathurst NG, Feick NH, Pradhan S, Santamaria A, Shattuck NL, Flynn-Evans EE. Int J Neurosci 1990;52:29-37 Karolinska and Stanford sleepiness scales are measures of state (immediate) sleepiness. The Karolinska Sleepiness Scale (KSS) is frequently used to study sleepiness in various contexts. It is sensitive to fluctuations. Gorgoni M, Ferlazzo F, Ferrara M, Moroni F, D'Atri A, Fanelli S, Gizzi Torriglia I, Lauri G, Marzano C, Rossini PM, De Gennaro L. Sleep Med. The SSS was developed to measure subjective sleepiness in research and clinical settings. Os critrios de elegibilidade considerados foram estudos em ingls e portugus, artigos originais que utilizaram questionrios para a avaliao da SDE e com amostra de crianas e/ou adolescentes brasileiros. The two versions have not been compared with respect to distribution of ratings, however. government site. In two mouse models of narcolepsy, TAK-994 increased wakefulness during the active phase and suppressed cataplexy-like episodes.We aspire to help restore a more balanced life to all individuals with NT1 and other sleep-wake disorders, said Emiliangelo Ratti, Global Head, Takeda Neuroscience. doi:10.1164/ajrccm/147.5.1162, Kushida CA, Littner MR, Morgenthaler T etal (2005) Practice parameters for the indications for polysomnography and related procedures: an update for 2005. PubMed JPsychosom Res 58(1):5560. Please enable it to take advantage of the complete set of features! Validation of the Karolinska sleepiness scale against performance and EEG variables. PLoS One. The two scales were used with 1h intervals and it seems unlikely that the context of continuous wakefulness should have had differing effects on the two versions. Gillberg M, Kecklund G, Akerstedt T. (1994). FOIA The two versions were here compared in a 24hr wakefulness study of 12 adults. -, Galland BC, Short MA, Terrill P, Rigney G, Haszard JJ, Coussens S, et al. The Stanford Sleepiness Scale (SSS), developed by William C. Dement and colleagues in 1972, is a one-item self-report questionnaire measuring levels of sleepiness throughout the day. Lo JC, Groeger JA, Santhi N, Arbon EL, Lazar AS, Hasan S, et al. Ergonomics, 36, 100717. Methods. J Neural Transm 121(Suppl 1):3340. "Management of Excessive Daytime Sleepiness Reviewed", "Psychometric evaluation of the Stanford Sleepiness Scale", "American Thoracic Society - Stanford Sleepiness Scale (SSS)", Other specified feeding or eating disorder, https://en.wikipedia.org/w/index.php?title=Stanford_Sleepiness_Scale&oldid=1122051592, Mental disorders screening and assessment tools, Creative Commons Attribution-ShareAlike License 3.0. Purpose This scale [1] measures the subjective show that KSS has a high validity. Grigg-Damberger M, Gozal D, Marcus CL, Quan SF, Rosen CL, Chervin RD, Wise M, Picchietti DL, Sheldon SH, Iber C. J Clin Sleep Med. A total of 14 NT1 participants were enrolled in three sequential dose cohorts to evaluate the effect of TAK-925 on exploratory pharmacodynamic endpoints. It should be emphasized that this not a measure of reliability as that should be based on simultaneous administration of the two versions. 2014;23(3):24052. doi:10.1007/s00702-014-1217-z, Klinik fr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Carl-Thiem-Klinikum GmbH, Thiemstr. 2023 Springer Nature Switzerland AG. official website and that any information you provide is encrypted We suggest that the present results make it possible to compare results from studies where the two scales have been used. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). When all scale values were compared the exact comparison showed a significant difference whereas the weighted one did not. Factors associated with excessive daytime sleepiness among Brazilian adolescents. Unless otherwise specified, the reliability scores and values come from studies done with a United States population sample. Ohayon MM. drowsiness [7]. MeSH Objective: Kaida K, Akerstedt T, Takahashi M, Vestergren P, Gillberg M, Lowden A, et al. Establishing normal values for pediatric nighttime sleep measured by actigraphy: a systematic review and meta-analysis. The main question concerned whether the two versions would differ in the distribution of choices of even and odd values. The Karolinska sleepiness scale (KSS) is frequently used for evaluating subjective sleepiness. In the study mentioned, alpha and . sharing sensitive information, make sure youre on a federal As suggested above, simultaneous administration of the two scales would probably have presented spuriously high correlation because most participants would have been influenced by their previous rating. Accessibility The answers are grouped into 15 scales: This page is not available in other languages. Relations between performance and subjective ratings of sleepiness during a night awake. Results: 17 0 obj <> endobj E-R models were developed to describe exposure-efficacy (HAMD-17, SDS, and Clinical Global Impression-Improvement [CGI-I] scale) and exposure-safety relationships (Karolinska Sleepiness Scale [KSS], Massachusetts General Hospital Sexual Functioning Inventory [MGH-SFI], and adverse events [AEs] of headache, sedation, and somnolence) relationships. Epub 2022 Jan 31. Eriksen CA, kerstedt T, Kecklund G, kerstedt A. Clipboard, Search History, and several other advanced features are temporarily unavailable. New Data Presented at World Sleep Congress Demonstrate Early Signs of Efficacy for TAK-925, a Selective Orexin Type-2 Receptor (OX2R) Agonist, in Patients with Narcolepsy Type 1. Google Scholar. Concluses: To systematically review the literature on the instruments used to assess excessive daytime sleepiness (EDS) in Brazilian children and adolescents. M. Herzog. The Karolinska Sleepiness Scale (KSS) is frequently used to study sleepiness in various contexts. The testing of the correspondence between the two scales did not show any significant difference with respect to the labeled and unlabeled parts of the scales. One weakness is the modest number of participants, which may have affected the analysis of the distribution of ratings. "Orexin has been identified as a master regulator of sleep-wake states, and these early results demonstrate that an OX2R agonist may reduce daytime sleepiness in NT1, where there is a loss of orexin," said Deborah Hartman, PhD, Global Program Lead . PubMedGoogle Scholar. Participants were 16 healthy females aged 33-43 (38.1+/-2.68) years. JPsychosom Res 49(5):367372, Contardi S, Pizza F, Sancisi E, Mondini S, Cirignotta F (2004) Reliability of a driving simulation task for evaluation of sleepiness. This is a preview of subscription content, access via your institution. Were encouraged by the results of these early studies and are exploring further clinical investigation of selective OX2R agonists in NT1 and other disorders characterized by excessive daytime sleepiness, such as narcolepsy type 2 and idiopathic hypersomnia, and also as a possible treatment for residual excessive daytime sleepiness in obstructive sleep apnea.Takeda also presented preclinical data on TAK-994, an oral selective OX2R agonist currently in Phase 1 clinical studies, in two posters at the World Sleep Congress. Sleep. and transmitted securely. Use the Previous and Next buttons to navigate the slides or the slide controller buttons at the end to navigate through each slide. However, it exists in two versions, one with labels on every other step (version A), and one with labels on every step (version B) on the 9-point scale. The similarity of the distribution on the two scales is supported by the non-significant weighted analysis across all 9 steps on the scale and the high Kappa values. This scale [ 1] measures the subjective level of sleepiness at a particular time during the day. Gewidmet Prof. Dr. Wolfgang Pirsig, als Pionier der deutschen HNO-rztlichen Schlafmedizin. Takeda undertakes no obligation to update any of the forward-looking statements contained in this press release or any other forward-looking statements it may make, except as required by law or stock exchange rule. Stanford Sleepiness Scale and Karolinska Sleepiness Scale. Concluses: Google Scholar. Disclaimer. The main aim of the present study was to investigate the validity and reliability of the KSS with electroencephalographic, behavioral and other subjective indicators of sleepiness. %%EOF To date, there is not a validated version of Karolinska Sleepiness Scale for Mexican population. 2001;24(6):6958. Psychol Bull. As search strategy, the following terms were combined with Boolean operators "OR" and/or "AND": drowsiness, disorders of excessive somnolence, excessive daytime sleepiness, day sleepiness, midday sleepiness, daytime sleepiness, adolescents, Brazil, Brazilian adolescents, and children. However, it exists in two versions, one with labels on every other step (version A), and one. PubMed official website and that any information you provide is encrypted Unauthorized use of these marks is strictly prohibited. 8600 Rockville Pike University of Toronto, Psychiatry, Youthdale Child and Adolescent Sleep Cen, Victoria Street 227, Toronto, M5B 1TB, Canada, Youthdale Child and Adolescent Sleep Cen, University of Toronto, Victoria Street 227, Toronto, M5B 1TB, Canada, The Youthdale Child and Adolescent Sleep, University of Toronto, Victoria Street 227, Toronto, Canada, , Department of Psychiatry, The Youthdale Child and Adolescent Sleep, 227 Victoria St., Toronto, M5B 1T8, Canada, 2011 Springer Science+Business Media, LLC, Shahid, A., Wilkinson, K., Marcu, S., Shapiro, C.M. Reliabilityrefers to whether the scores are reproducible. Sensitivity was 0.76 (95% confidence interval 0.630.86) and specificity 0.88 (0.740.96). Educ Psychol Meas. If material is not included in the articles Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Chronobiol Int 21(45):673690, Kribbs NB, Pack AI, Kline LR etal (1993) Effects of one night without nasal CPAP treatment on sleep and sleepiness in patients with obstructive sleep apnea. Before For better understanding of the results the variation across time is illustrated in Fig. An official website of the United States government. -. Sleep Sci. Chest 103(1):3036, Kaida K, Takahashi M, Akerstedt T etal (2006) Validation of the Karolinska sleepiness scale against performance and EEG variables. The eligibility criteria were studies published in English and Portuguese, original articles that used questionnaires to assess EDS and whose sample consisted of Brazilian children and/or adolescents. The new instrument performed optimally at a score of 9. National Library of Medicine CAS 2, 4, 6, and 8). OSAS was defined as apnea-hypopnea index 5 with symptoms of disease. -. 7=sleepy, but no effort to keep awake . KSS ratings were obtained every hour, alternating version A and B. Narcolepsy Network. Miley A, Kecklund G, kerstedt T. Comparing two versions of the Karolinska Sleepiness Scale (KSS). and four clinical variables (age, sex, body mass index, smoking status) predictive of OSAS into a new instrument, which we also evaluated. Due to the fact that it has only been translated into English, it is not significantly used in other populations. We also make targeted R&D investments in Plasma-Derived Therapies and Vaccines. An official website of the United States government. This yielded an unweighted Kappa value of 0.23 with a standard error of 0.03, p<0.001.

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