Investigating rapid eye movement sleep without atonia in Parkinson's disease using the rapid eye movement sleep behavior disorder screening questionnaire.
Identifieur interne : 000539 ( Main/Exploration ); précédent : 000538; suivant : 000540Investigating rapid eye movement sleep without atonia in Parkinson's disease using the rapid eye movement sleep behavior disorder screening questionnaire.
Auteurs : Samuel J. Bolitho [Australie] ; Sharon L. Naismith ; Zoe Terpening ; Ron R. Grunstein ; Kerri Melehan ; Brendon J. Yee ; Alessandra Coeytaux ; Moran Gilat ; Simon J G. LewisSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- diagnosis : REM Sleep Behavior Disorder.
- etiology : REM Sleep Behavior Disorder.
- physiology : Sleep, REM.
- Aged, Female, Humans, Male, Middle Aged, Polysomnography, Questionnaires, Severity of Illness Index.
Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD) is frequently observed in patients with Parkinson's disease (PD). Accurate diagnosis is essential for managing this condition. Furthermore, the emergence of idiopathic RBD in later life can represent a premotor feature, heralding the development of PD. Reliable, accurate methods for identifying RBD may offer a window for early intervention. This study sought to identify whether the RBD screening questionnaire (RBDSQ) and three questionnaires focused on dream enactment were able to correctly identify patients with REM without atonia (RWA), the neurophysiological hallmark of RBD. Forty-six patients with PD underwent neurological and sleep assessment in addition to completing the RBDSQ, the RBD single question (RBD1Q), and the Mayo Sleep Questionnaire (MSQ). The REM atonia index was derived for all participants as an objective measure of RWA. Patients identified to be RBD positive on the RBDSQ did not show increased RWA on polysomnography (80% sensitivity and 55% specificity). However, patients positive for RBD on questionnaires specific to dream enactment correctly identified higher degrees of RWA and improved the diagnostic accuracy of these questionnaires. This study suggests that the RBDSQ does not accurately identify RWA, essential for diagnosing RBD in PD. Furthermore, the results suggest that self-report measures of RBD need to focus questions on dream enactment behavior to better identify RWA and RBD. Further studies are needed to develop accurate determination and quantification of RWA in RBD to improve management of patients with PD in the future.
DOI: 10.1002/mds.25832
PubMed: 24619826
Affiliations:
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Yee</name></author><author><name sortKey="Coeytaux, Alessandra" sort="Coeytaux, Alessandra" uniqKey="Coeytaux A" first="Alessandra" last="Coeytaux">Alessandra Coeytaux</name></author><author><name sortKey="Gilat, Moran" sort="Gilat, Moran" uniqKey="Gilat M" first="Moran" last="Gilat">Moran Gilat</name></author><author><name sortKey="Lewis, Simon J G" sort="Lewis, Simon J G" uniqKey="Lewis S" first="Simon J G" last="Lewis">Simon J G. 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Bolitho</name><affiliation wicri:level="1"><nlm:affiliation>Parkinson's Disease Research Clinic, Brain and Mind Research Institute, The University of Sydney, Camperdown, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Parkinson's Disease Research Clinic, Brain and Mind Research Institute, The University of Sydney, Camperdown, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author><author><name sortKey="Naismith, Sharon L" sort="Naismith, Sharon L" uniqKey="Naismith S" first="Sharon L" last="Naismith">Sharon L. Naismith</name></author><author><name sortKey="Terpening, Zoe" sort="Terpening, Zoe" uniqKey="Terpening Z" first="Zoe" last="Terpening">Zoe Terpening</name></author><author><name sortKey="Grunstein, Ron R" sort="Grunstein, Ron R" uniqKey="Grunstein R" first="Ron R" last="Grunstein">Ron R. Grunstein</name></author><author><name sortKey="Melehan, Kerri" sort="Melehan, Kerri" uniqKey="Melehan K" first="Kerri" last="Melehan">Kerri Melehan</name></author><author><name sortKey="Yee, Brendon J" sort="Yee, Brendon J" uniqKey="Yee B" first="Brendon J" last="Yee">Brendon J. Yee</name></author><author><name sortKey="Coeytaux, Alessandra" sort="Coeytaux, Alessandra" uniqKey="Coeytaux A" first="Alessandra" last="Coeytaux">Alessandra Coeytaux</name></author><author><name sortKey="Gilat, Moran" sort="Gilat, Moran" uniqKey="Gilat M" first="Moran" last="Gilat">Moran Gilat</name></author><author><name sortKey="Lewis, Simon J G" sort="Lewis, Simon J G" uniqKey="Lewis S" first="Simon J G" last="Lewis">Simon J G. Lewis</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (complications)</term><term>Polysomnography</term><term>Questionnaires</term><term>REM Sleep Behavior Disorder (diagnosis)</term><term>REM Sleep Behavior Disorder (etiology)</term><term>Severity of Illness Index</term><term>Sleep, REM (physiology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>REM Sleep Behavior Disorder</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>REM Sleep Behavior Disorder</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Sleep, REM</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Polysomnography</term><term>Questionnaires</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Rapid eye movement (REM) sleep behavior disorder (RBD) is frequently observed in patients with Parkinson's disease (PD). Accurate diagnosis is essential for managing this condition. Furthermore, the emergence of idiopathic RBD in later life can represent a premotor feature, heralding the development of PD. Reliable, accurate methods for identifying RBD may offer a window for early intervention. This study sought to identify whether the RBD screening questionnaire (RBDSQ) and three questionnaires focused on dream enactment were able to correctly identify patients with REM without atonia (RWA), the neurophysiological hallmark of RBD. Forty-six patients with PD underwent neurological and sleep assessment in addition to completing the RBDSQ, the RBD single question (RBD1Q), and the Mayo Sleep Questionnaire (MSQ). The REM atonia index was derived for all participants as an objective measure of RWA. Patients identified to be RBD positive on the RBDSQ did not show increased RWA on polysomnography (80% sensitivity and 55% specificity). However, patients positive for RBD on questionnaires specific to dream enactment correctly identified higher degrees of RWA and improved the diagnostic accuracy of these questionnaires. This study suggests that the RBDSQ does not accurately identify RWA, essential for diagnosing RBD in PD. Furthermore, the results suggest that self-report measures of RBD need to focus questions on dream enactment behavior to better identify RWA and RBD. Further studies are needed to develop accurate determination and quantification of RWA in RBD to improve management of patients with PD in the future.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Coeytaux, Alessandra" sort="Coeytaux, Alessandra" uniqKey="Coeytaux A" first="Alessandra" last="Coeytaux">Alessandra Coeytaux</name><name sortKey="Gilat, Moran" sort="Gilat, Moran" uniqKey="Gilat M" first="Moran" last="Gilat">Moran Gilat</name><name sortKey="Grunstein, Ron R" sort="Grunstein, Ron R" uniqKey="Grunstein R" first="Ron R" last="Grunstein">Ron R. Grunstein</name><name sortKey="Lewis, Simon J G" sort="Lewis, Simon J G" uniqKey="Lewis S" first="Simon J G" last="Lewis">Simon J G. Lewis</name><name sortKey="Melehan, Kerri" sort="Melehan, Kerri" uniqKey="Melehan K" first="Kerri" last="Melehan">Kerri Melehan</name><name sortKey="Naismith, Sharon L" sort="Naismith, Sharon L" uniqKey="Naismith S" first="Sharon L" last="Naismith">Sharon L. Naismith</name><name sortKey="Terpening, Zoe" sort="Terpening, Zoe" uniqKey="Terpening Z" first="Zoe" last="Terpening">Zoe Terpening</name><name sortKey="Yee, Brendon J" sort="Yee, Brendon J" uniqKey="Yee B" first="Brendon J" last="Yee">Brendon J. Yee</name></noCountry><country name="Australie"><noRegion><name sortKey="Bolitho, Samuel J" sort="Bolitho, Samuel J" uniqKey="Bolitho S" first="Samuel J" last="Bolitho">Samuel J. Bolitho</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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