Measurements of sleepiness and fatigue.

Sleepiness and fatigue are terms commonly used in clinical practice and research. At times sleepiness and fatigue are used interchangeably; however, each of them has distinct implications for diagnosis and treatment. The objective of this article is to review the psychometric properties of the measurements of sleepiness and fatigue. Although there are objective and subject measures to evaluate sleepiness, only rating scales are available to assess fatigue. Further research should be directed toward exploring the potential mechanisms underlying the measurements of sleepiness and fatigue. Establishing objective assessing instruments to evaluate fatigue and clarifying the relationship between objective and subjective assessments of sleepiness are crucially needed.

[1]  J. Kennerdell,et al.  Indications and techniques , 1984 .

[2]  L. Jason,et al.  Fatigue rating scales: an empirical comparison , 2000, Psychological Medicine.

[3]  Raymond Cluydts,et al.  Daytime sleepiness and its evaluation. , 2002, Sleep medicine reviews.

[4]  L. Findley,et al.  Habitually sleepy drivers have a high frequency of automobile crashes associated with respiratory disorders during sleep. , 2000, American journal of respiratory and critical care medicine.

[5]  T. Roth,et al.  The sleep-wake activity inventory: A self-report measure of daytime sleepiness , 1993, Biological Psychiatry.

[6]  C. Shapiro,et al.  Development of an adjective checklist to measure five FACES of fatigue and sleepiness. Data from a national survey of insomniacs. , 2002, Journal of psychosomatic research.

[7]  M M Mitler,et al.  A normative study of the maintenance of wakefulness test (MWT). , 1997, Electroencephalography and clinical neurophysiology.

[8]  M. Carskadon,et al.  Sleepiness and sleep state on a 90-min schedule. , 1977, Psychophysiology.

[9]  T. Marrie,et al.  Measuring the functional impact of fatigue: initial validation of the fatigue impact scale. , 1994, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  M. Carskadon,et al.  Cumulative effects of sleep restriction on daytime sleepiness. , 1981, Psychophysiology.

[11]  M. Carskadon,et al.  Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. , 1986, Sleep.

[12]  E. Rodney,et al.  Young Adults , 2018, Cannabis Consulting.

[13]  P. Jacobsen,et al.  A multidimensional measure of fatigue for use with cancer patients. , 1998, Cancer practice.

[14]  T. Roth,et al.  Psychometric evaluation of daytime sleepiness and nocturnal sleep onset scales in a representative community sample , 1999, Biological Psychiatry.

[15]  E. Tornquist,et al.  Key Aspects of Comfort: Management of Pain, Fatigue, and Nausea , 1989 .

[16]  G Lewis,et al.  The epidemiology of fatigue: more questions than answers. , 1992, Journal of epidemiology and community health.

[17]  C. Shapiro,et al.  Measuring human problems : a practical guide , 1990 .

[18]  E. Smets,et al.  The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. , 1995, Journal of psychosomatic research.

[19]  Cloninger Cr A systematic method for clinical description and classification of personality variants: A proposal. , 1987 .

[20]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.

[21]  M. R. Visser,et al.  Fatigue and radiotherapy: (B) experience in patients 9 months following treatment. , 1998, British Journal of Cancer.

[22]  M. Kryger,et al.  Principles and Practice of Sleep Medicine , 1989 .

[23]  T. Roth,et al.  Multiple naps and the evaluation of daytime sleepiness in patients with upper airway sleep apnea. , 1980, Sleep.

[24]  T. Åkerstedt,et al.  Subjective and objective sleepiness in the active individual. , 1990, The International journal of neuroscience.

[25]  T. Roth,et al.  Daytime sleepiness in young adults. , 1988, Sleep.

[26]  T. Åkerstedt,et al.  Validation of the Karolinska sleepiness scale against performance and EEG variables , 2006, Clinical Neurophysiology.

[27]  M. Johns,et al.  Sleepiness in different situations measured by the Epworth Sleepiness Scale. , 1994, Sleep.

[28]  T. Roth,et al.  Multiple Sleep Latency Test: Technical Aspects and Normal Values , 1992, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[29]  Kathryn A. Lee,et al.  Validity and reliability of a scale to assess fatigue , 1991, Psychiatry Research.

[30]  A. Fonseca Measuring human problems: D. F. Peck and C. M. Shapiro (Eds). Wiley, New York (1990). xii + 406 pp. £18.95 , 1995 .

[31]  A. Maclean,et al.  Psychometric evaluation of the Stanford Sleepiness Scale , 1992, Journal of sleep research.

[32]  Murray Johns,et al.  The Epworth Sleepiness Scale , 2007 .

[33]  S. Wessely,et al.  Development of a fatigue scale. , 1993, Journal of psychosomatic research.

[34]  D. Cella,et al.  Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. , 1997, Journal of pain and symptom management.

[35]  M. Johns,et al.  A new method for measuring daytime sleepiness: the Epworth sleepiness scale. , 1991, Sleep.

[36]  M. Mitler,et al.  Maintenance of wakefulness test: a polysomnographic technique for evaluation treatment efficacy in patients with excessive somnolence. , 1982, Electroencephalography and clinical neurophysiology.

[37]  M. Johns Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale. , 1993, Chest.

[38]  M. Carskadon,et al.  Daytime Sleepiness and Alertness , 2011 .

[39]  S. Melamed,et al.  Excessive daytime sleepiness and risk of occupational injuries in non-shift daytime workers. , 2002, Sleep.

[40]  C. Guilleminault Sleeping and waking disorders : indications and techniques , 1982 .

[41]  C. Robert Cloninger A systematic method for clinical description and classification of personality variants. A proposal. , 1987, Archives of general psychiatry.

[42]  M. Denniston,et al.  Measurement of fatigue in cancer patients: Further validation of the Fatigue Symptom Inventory , 2004, Quality of Life Research.

[43]  J E Schwartz,et al.  The measurement of fatigue: a new instrument. , 1993, Journal of psychosomatic research.

[44]  W. Dement,et al.  Quantification of sleepiness: a new approach. , 1973, Psychophysiology.

[45]  C. Shapiro,et al.  Underlying sleep pathology may cause chronic high fatigue in shift‐workers , 2003, Journal of sleep research.

[46]  C Maxwell,et al.  Sensitivity and accuracy of the visual analogue scale: a psycho-physical classroom experiment. , 1978, British journal of clinical pharmacology.

[47]  M. Johns,et al.  Reliability and factor analysis of the Epworth Sleepiness Scale. , 1992, Sleep.

[48]  G. Lyman,et al.  Measurement of Fatigue in Cancer Patients: Development and Validation of the Fatigue Symptom Inventory , 1998, Quality of Life Research.

[49]  R Broughton,et al.  Sensitivity of the stanford sleepiness scale to the effects of cumulative partial sleep deprivation and recovery oversleeping. , 1981, Sleep.

[50]  K. Ruggles,et al.  Evaluation of excessive daytime sleepiness. , 2003, WMJ : official publication of the State Medical Society of Wisconsin.

[51]  C. Cleeland,et al.  The rapid assessment of fatigue severity in cancer patients , 1999, Cancer.

[52]  R. Broughton,et al.  Differences between REM and NREM sleepiness measured by event-related potentials (P300, CNV), MSLT and subjective estimate in narcolepsy-cataplexy. , 1987, Electroencephalography and clinical neurophysiology.

[53]  S. Ferketich,et al.  The Development of an Instrument to Measure the Subjective Dimension of Fatigue , 1989 .

[54]  R. Cartwright Book reviewSleeping and waking disorders: C. Guilleminault (Ed.) (Addison-Wesley, Menlo Park, Calif., 1982, 435 p., U.S. $29.95) , 1982 .

[55]  T. Roehrs,et al.  Test-retest reliability of the MSLT. , 1988, Sleep.

[56]  M. Johns,et al.  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 , 2000, Journal of sleep research.

[57]  G. Kecklund,et al.  Sleepiness in long distance truck driving: an ambulatory EEG study of night driving. , 1993, Ergonomics.

[58]  Harry G. Kennedy Fatigue and Fatigability , 1987, British Journal of Psychiatry.

[59]  S. Kaasa,et al.  Fatigue in the general Norwegian population: normative data and associations. , 1998, Journal of psychosomatic research.

[60]  M. Mitler,et al.  Multiple daytime nap approaches to evaluating the sleepy patient. , 1982, Sleep.

[61]  M. Thorpy The clinical use of the Multiple Sleep Latency Test. The Standards of Practice Committee of the American Sleep Disorders Association. , 1992, Sleep.

[62]  David Watts Apnea , 1997, The Lancet.

[63]  M. Bertini,et al.  Sleepiness: evaluating and quantifying methods. , 2001, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[64]  E. Hoddes,et al.  The history and use of the Stanford sleepiness scale , 1971 .

[65]  N. Larocca,et al.  The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. , 1989, Archives of neurology.

[66]  G. Bleijenberg,et al.  Dimensional assessment of chronic fatigue syndrome. , 1994, Journal of psychosomatic research.

[67]  C. Shapiro,et al.  Distinguishing sleepiness and fatigue: focus on definition and measurement. , 2006, Sleep medicine reviews.

[68]  David Zadok,et al.  Brief posturographic test as an indicator of fatigue , 2006, Psychiatry and clinical neurosciences.

[69]  Daniel J Buysse,et al.  The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research , 1989, Psychiatry Research.