There is a broad spectrum of sleep disturbances observed in Parkinson's disease (PD). A variety of scales have been applied to the evaluation of PD sleep and wakefulness, but only a small number have been assessed specifically for clinimetric properties in the PD population. The movement disorder society has commissioned this task force to examine these scales and to assess their use in PD. A systematic literature review was conducted to explore the use of sleep scales in PD and to determine which scales qualified for a detailed critique. The task force members, all of whom have extensive experience in assessing sleep in PD reviewed each of the scales using a structured proforma. Scales were categorized into recommended, suggested and listed according to predefined criteria. A total of 48 potential scales were identified from the search and reviewed. Twenty-nine were excluded because they did not meet review criteria or were variations of scales already included, leaving 19 scales that were critiqued and rated by the task force based on the rating criteria. Only six were found to meet criteria for recommendation or suggestion by the task force: the PD sleep scale (PDSS) and the Pittsburgh sleep quality index (PSQI) are recommended for rating overall sleep problems to screen and to measure severity, the SCOPA-sleep (SCOPA) is recommended for rating overall sleep problems both to screen and to measure severity, and for rating daytime sleepiness; the Epworth sleepiness scale (ESS) is recommended for rating daytime sleepiness to screen and to measure severity; the inappropriate sleep composite score (ISCS) is suggested for rating severe daytime sleepiness or sleep attacks to screen and to measure severity; and the Stanford sleepiness scale (SSS) is suggested for rating sleepiness and to measure severity at a specific moment. The task force does not recommend the development of new scales, but emphasizes the need for educational efforts to train physicians in sleep interview techniques and polysomnography.

译文

在帕金森氏病 (PD) 中观察到广泛的睡眠障碍。已将各种量表用于评估PD的睡眠和清醒,但仅针对PD人群的斜度特性进行了少量评估。运动障碍协会已委托该工作组检查这些量表并评估其在PD中的使用情况。进行了系统的文献综述,以探索睡眠量表在PD中的使用,并确定哪些量表适合进行详细的评论。工作队成员在评估PD睡眠方面都具有丰富的经验,使用结构化的形式表对每个量表进行了审查。根据预定义的标准将量表分为推荐,建议和列出。从搜索中总共确定了48个潜在量表并进行了审查。29个被排除在外,因为它们不符合审查标准,或者已经包括了量表的变体,剩下19个量表由工作队根据评级标准进行了批评和评级。仅发现六个符合工作组的推荐或建议标准: 建议使用PD睡眠量表 (PDSS) 和匹兹堡睡眠质量指数 (PSQI) 对总体睡眠问题进行评级,以筛查和衡量严重程度,建议使用SCOPA-sleep (SCOPA) 对总体睡眠问题进行评级,以筛查和测量严重程度,并对白天嗜睡进行评级; 建议使用Epworth嗜睡量表 (ESS) 对白天嗜睡进行评级,以筛查和测量严重程度; 建议使用不适当的睡眠综合评分 (ISCS) 对严重的白天嗜睡或睡眠发作进行评分,以筛查和测量严重程度; 建议使用斯坦福嗜睡量表 (SSS) 对嗜睡进行评分并测量特定时刻的严重程度。工作队不建议开发新的量表,但强调需要进行教育努力,以培训医生进行睡眠访谈技术和多导睡眠图。

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