Corrigendum to “Excessive daytime sleepiness and sleep complaints among children with epilepsy” [Epilepsy Behav. 8 (2006) 272–277]

Excessive daytime somnolence (EDS) is defined as the inability to stay awake in daily life activities. Several scales have been used to diagnose excessive daytime sleepiness, the most widely used being the Epworth Sleepiness Scale (ESS). Sleep disorders and EDS are very common in the general population. It is therefore important to be able to screen patients for this symptom in order to obtain an accurate diagnosis of sleep disorders. Embodied Conversational Agents (ECA) have been used in the field of affective computing and human interactions but up to now no software has been specifically designed to investigate sleep disorders. We created an ECA able to conduct an interview based on the ESS and compared it to an interview conducted by a sleep specialist. We recruited 32 consecutive patients and a group of 30 healthy volunteers free of any sleep complaints. The ESS is a self-administered questionnaire that asks the subject to rate (with a pen and paper paradigm) his or her probability of falling asleep. For the purpose of our study, the ECA or real-doctor questionnaire was modified as follows: Instead of the “I” formulate, questions were asked as “Do you.” Our software is based on a common 3D game engine and several commercial software libraries. It can run on standard and affordable hardware products. The sensitivity and specificity of the interview conducted by the ECA were measured. The best results (sensibility and specificity >98%) were obtained to discriminate the sleepiest patients (ESS ≥16) but very good scores (sensibility and specificity >80%) were also obtained for alert subjects (ESS<8). ESS scores obtained in the interview conducted by the physician were significantly correlated with ESS scores obtained in the interview the ECA conducted. Most of the subjects had a positive perception of the virtual physician and considered the interview with the ECA as a good experience. Sixty-five percent of the participants felt that the virtual doctor could significantly help real physicians. Our results show that a virtual physician can conduct a very simple interview to evaluate EDS with very similar results to those obtained by a questionnaire administered by a real physician. The expected massive increase in sleep complaints in the near future likely means that more and more physicians will be looking for computerized systems to help them to diagnose their patients.

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Sleep complaints and risk factors for excessive daytime sleepiness in adult males in Northern Ireland

Journal of Sleep Research ◽

10.1046/j.1365-2869.2001.00226.x ◽

2001 ◽

Vol 10 (1) ◽

pp. 69-74 ◽

Cited By ~ 30

Author(s):

A. M. Nugent ◽

I. Gleadhill ◽

E. Mccrum ◽

C. C. Patterson ◽

A. Evans ◽

...

Keyword(s):

Risk Factors ◽

Northern Ireland ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Adult Males ◽

Sleep Complaints

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Excessive daytime sleepiness and sleep complaints among children with epilepsy

Epilepsy & Behavior ◽

10.1016/j.yebeh.2005.11.002 ◽

2006 ◽

Vol 8 (1) ◽

pp. 272-277 ◽

Cited By ~ 73

Author(s):

Rama Maganti ◽

Nancy Hausman ◽

Monica Koehn ◽

Evan Sandok ◽

Ingrid Glurich ◽

...

Keyword(s):

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Sleep Complaints

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Excessive Daytime Sleepiness and Epilepsy: A Systematic Review

Epilepsy Research and Treatment ◽

10.1155/2013/629469 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 15

Author(s):

Andre S. Giorelli ◽

Pâmela Passos ◽

Thiago Carnaval ◽

Marleide da Mota Gomes

Keyword(s):

Systematic Review ◽

Sleep Disorders ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Related Factors ◽

Cross Sectional ◽

Sleep Complaints ◽

Number Of Children ◽

Pubmed Database ◽

Patients With Epilepsy

Background. Sleep complaints are common in patients with epilepsy (PWE). Excessive daytime sleepiness (EDS) is one of the most reported complaints and its impact is still a matter of debate. Objective. Evaluate the relationship between EDS and epilepsy, with emphasis on prevalence, assessment, and causes. Methods. A systematic review on PubMed database in the last 10 years (2002 to 2012). The search returned 53 articles and 34 were considered relevant. After citation analysis, 3 more articles were included. Results. Most studies were cross-sectional and questionnaire based. 14 papers addressed EDS as the primary endpoint. 14 adult and 3 children studies used subjective and objective analysis as methodology. The number of studies increased throughout the decade, with 21 in the last 5 years. Adult studies represent almost three times the number of children studies. EDS prevalence in PWE varies from 10 to 47.5%. Prevalence was higher in developing countries. Conclusion. EDS seems to be related more frequently to undiagnosed sleep disorders than to epilepsy-related factors, and although it affects the quality of life of PWE, it can be improved by treating comorbid primary sleep disorders.

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Excessive Daytime Sleepiness among Hypertensive US-Born Blacks and Foreign-Born Blacks: Analysis of the CAATCH Data

International Journal of Hypertension ◽

10.1155/2013/852389 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

N. Williams ◽

O. Abo Al Haija ◽

A. Workneh ◽

D. Sarpong ◽

E. Keku ◽

...

Keyword(s):

New York ◽

Sex Education ◽

Race And Ethnicity ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Smoking Habit ◽

Country Of Origin ◽

Foreign Born ◽

Community Healthcare ◽

Sleep Complaints

Background. Evidence shows that blacks exhibit greater daytime sleepiness compared with whites, based on the Epworth Sleepiness Scale. In addition, sleep complaints might differ based on individuals’ country of origin. However, it is not clear whether individuals’ country of origin has any influence on excessive daytime sleepiness (EDS).Study Objectives. We tested the hypothesis that US-born blacks would show a greater level of EDS compared with foreign-born blacks. The potential effects of sociodemographic and medical risk were also determined.Design. We used the Counseling African-Americans to Control Hypertension (CAATCH) data. CAATCH is a group randomized clinical trial that was conducted among 30 community healthcare centers in New York, yielding baseline data for 1,058 hypertensive black patients.Results. Results of univariate logistic regression analysis indicated that US-born blacks were nearly twice as likely as their foreign-born black counterparts to exhibit EDS (OR=1.87, 95% CI: 1.30–2.68,P<0.001). After adjusting for effects of age, sex, education, employment, body mass index, alcohol consumption, and smoking habit, US-born blacks were 69% more likely than their counterparts to exhibit EDS (OR=1.69, 95% CI: 1.11–2.57,P<0.01).Conclusion. Findings demonstrate the importance of considering individuals’ country of origin, in addition to their race and ethnicity, when analyzing epidemiologic sleep data.

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Sodium oxybate improves excessive daytime sleepiness, cataplexy, and lowers IL-2 receptor levels in a 12-year-old boy: case report

10.26226/morressier.5971be87d462b80290b53340 ◽

2017 ◽

Author(s):

William Baek

Keyword(s):

Case Report ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Sodium Oxybate

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Study of TAK-925 in Participants With Obstructive Sleep Apnea (OSA) Who Are Experiencing Excessive Daytime Sleepiness (EDS) Despite Current or Prior Use of a Primary OSA Therapy

Case Medical Research ◽

10.31525/ct1-nct04091425 ◽

2019 ◽

Author(s):

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Obstructive Sleep ◽

Prior Use

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Sleep and epilepsy—chicken or egg?

10.1093/oso/9780198778240.003.0011 ◽

2018 ◽

Author(s):

Dora A. Lozsadi

Keyword(s):

Side Effects ◽

Sleep Disorders ◽

Learning Disability ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Seizure Control ◽

Subjective Sleep ◽

Neurological Conditions ◽

The Uk ◽

Patients With Epilepsy

Epilepsy is the commonest serious chronic neurological condition, affecting 0.5% of the population in the UK. Subjective sleep disturbance and excessive daytime sleepiness are reported to be 50% more frequent in those with epilepsy than in controls. Causes are multiple. Both poor seizure control and nocturnal attacks are known to contribute to such sleep disorders. Epilepsy also increases the risk of associated sleep disorders, and additional neurological conditions, such as dementia, learning disability, and depression. These all affect sleep hygiene. Prescribed anti-epileptic drugs will further aggravate the problem. Side-effects will include drowsiness. Sedating benzodiazepines and barbiturates are considered worst offenders. Others affect sleep architecture to varying degrees and/or cause insomnia. While hyper-somnolence in patients with epilepsy will raise the possibility of any of the above issues, sleep deprivation is one of the commonest seizure triggers. This chapter will shed more light on the intricate relationship between sleep and epilepsy.

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