Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis

ABSTRACT Sleep disorders in patients with multiple sclerosis have various causes and interfere with daytime wakefulness. This study assessed the correlation between fatigue, excessive daytime sleepiness and level of disability. Method Retrospective review of medical records from patients with mult...

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Main Authors: Douglas Martins Braga, Gilmar Fernandes do Prado, Denis Bernardi Bichueti, Enedina Maria Lobato de Oliveira
Format: Article
Language:English
Published: Thieme Revinter Publicações 2016-06-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/pdf/anp/v74n6/0004-282X-anp-74-06-0433.pdf
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author Douglas Martins Braga
Gilmar Fernandes do Prado
Denis Bernardi Bichueti
Enedina Maria Lobato de Oliveira
author_facet Douglas Martins Braga
Gilmar Fernandes do Prado
Denis Bernardi Bichueti
Enedina Maria Lobato de Oliveira
author_sort Douglas Martins Braga
collection DOAJ
description ABSTRACT Sleep disorders in patients with multiple sclerosis have various causes and interfere with daytime wakefulness. This study assessed the correlation between fatigue, excessive daytime sleepiness and level of disability. Method Retrospective review of medical records from patients with multiple sclerosis to collect data on severity of fatigue, disability, daytime sleepiness, and depression. From 912 medical records reviewed, 122 reported daytime sleepiness: 67% had relapsing remitting, 12% had primary progressive, and 21% had secondary progressive. Results In 95% of the patients with relapsing remitting who complained of daytime sleepiness and fatigue, association was found between these symptoms and neurological disability. Patients with relapsing remitting who complained of daytime sleepiness and fatigue also experienced depression (p = 0.001). No association between fatigue, excessive daytime sleepiness, depression, and disability was found in patients with progressive disease. Conclusion In relapsing remitting, there is correlation between functional disability, excessive daytime sleepiness and fatigue, a finding not confirmed in primary progressive and secondary progressive form.
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spelling doaj-art-c0aa4e4fe58e432189be2294c5ef5daf2025-08-20T03:05:13ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272016-06-0174643343810.1590/0004-282x20160069Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosisDouglas Martins BragaGilmar Fernandes do PradoDenis Bernardi BichuetiEnedina Maria Lobato de OliveiraABSTRACT Sleep disorders in patients with multiple sclerosis have various causes and interfere with daytime wakefulness. This study assessed the correlation between fatigue, excessive daytime sleepiness and level of disability. Method Retrospective review of medical records from patients with multiple sclerosis to collect data on severity of fatigue, disability, daytime sleepiness, and depression. From 912 medical records reviewed, 122 reported daytime sleepiness: 67% had relapsing remitting, 12% had primary progressive, and 21% had secondary progressive. Results In 95% of the patients with relapsing remitting who complained of daytime sleepiness and fatigue, association was found between these symptoms and neurological disability. Patients with relapsing remitting who complained of daytime sleepiness and fatigue also experienced depression (p = 0.001). No association between fatigue, excessive daytime sleepiness, depression, and disability was found in patients with progressive disease. Conclusion In relapsing remitting, there is correlation between functional disability, excessive daytime sleepiness and fatigue, a finding not confirmed in primary progressive and secondary progressive form.http://www.scielo.br/pdf/anp/v74n6/0004-282X-anp-74-06-0433.pdfmultiple sclerosisdisabled personsfatiguedisorders of excessive sonnolence
spellingShingle Douglas Martins Braga
Gilmar Fernandes do Prado
Denis Bernardi Bichueti
Enedina Maria Lobato de Oliveira
Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis
Arquivos de Neuro-Psiquiatria
multiple sclerosis
disabled persons
fatigue
disorders of excessive sonnolence
title Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis
title_full Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis
title_fullStr Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis
title_full_unstemmed Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis
title_short Positive correlation between functional disability, excessive daytime sleepiness, and fatigue in relapsing-remitting multiple sclerosis
title_sort positive correlation between functional disability excessive daytime sleepiness and fatigue in relapsing remitting multiple sclerosis
topic multiple sclerosis
disabled persons
fatigue
disorders of excessive sonnolence
url http://www.scielo.br/pdf/anp/v74n6/0004-282X-anp-74-06-0433.pdf
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