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Two alternative methods for detecting sleep, wrist actigraphy (ACT) and behavioral response monitoring (BRM), were compared to polysomnography (PSG). In the BRM paradigm, a threshold intensity visual or auditory stimulus generated by a palm-top computer was presented about once per minute, and subjects pressed a microswitch if the stimulus was detected. A response within 5 seconds of the stimulus was scored as "wake" and a failure to respond as "sleep." Four males and four females underwent two nights of simultaneous in-home PSG, BRM, and ACT. Each night, subjects underwent a protocol designed to generate five sleep latency trials. Subjects were awakened by alarm clocks at approximately 1-hour intervals and remained awake for 10 minutes before returning to bed for another sleep onset latency (SOL) trial. Minute-by-minute comparisons were made for PSG versus ACT and BRM. All measures were fairly sensitive in detecting sleep, but BRM was more accurate in determining SOL and subsequent wakefulness. Behavioral response monitoring using a tone resulted in more responses and arousals prior to and during light stages of sleep than BRM using a light. It is concluded that BRM has some important advantages as a simple, minimally invasive method for monitoring sleep.

译文

将两种用于检测睡眠的替代方法,腕关节活动描记术 (ACT) 和行为反应监测 (BRM) 与多导睡眠描记术 (PSG) 进行了比较。在BRM范例中,大约每分钟一次呈现由掌上电脑产生的阈值强度视觉或听觉刺激,如果检测到刺激,则受试者按下微动开关。刺激后5秒内的响应被评分为 “唤醒”,而未能响应为 “睡眠”。四名男性和四名女性同时经历了两晚的家庭PSG,BRM和ACT。每天晚上,受试者都会接受一项旨在产生五次睡眠潜伏期试验的协议。受试者每隔约1小时被闹钟唤醒,并保持清醒10分钟,然后返回床上进行另一次睡眠发作潜伏期 (SOL) 试验。对PSG与ACT和BRM进行了每分钟的比较。所有措施在检测睡眠方面都相当敏感,但BRM在确定SOL和随后的清醒方面更为准确。与使用光照的BRM相比,使用音调进行行为反应监测会在睡眠之前和睡眠期间产生更多的反应和唤醒。结论是,BRM作为一种简单,微创的睡眠监测方法具有一些重要的优势。

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