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Gustin MP, Putois B, Guyon A, Lecendreux M, Challamel MJ, Plancoulaine S, Bioulac-Rogier S, Schroder C, Royant-Parola S, Huguelet S, Franco P. French Sleepiness Scale for Adolescents-8 items: A discriminant and diagnostic validation. Encephale 2023; 49:109-116. [PMID: 36253180 DOI: 10.1016/j.encep.2022.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 06/01/2022] [Accepted: 06/08/2022] [Indexed: 11/07/2022]
Abstract
The objective of the present study was to validate the Short Version of French Sleepiness Scale for Adolescents (FSSA) with eight items (FSSA8). METHODS A total of 384 adolescents, aged between 12 and 18 years, completed the FSSA8. These included 269 nonclinical adolescents and 115 adolescents admitted for overnight polysomnography and Multiple Sleep Latency Test (MSLT) because of suspected hypersomnia (85 patients with narcolepsy and 30 with other sleep disorders). Item response theory (IRT) assumptions were tested and psychometric properties were analysed. Matching on sex ratio and age was conducted to estimate concurrent criterion, diagnostic validity and cut-offs. RESULTS IRT assumptions were validated confirming the one-dimensionality of the FSSA8. The latent continuum sleepiness for which the scale and its items are reliable encompassed most of the clinical subjects. FSSA8 is weakly correlated with MSLT. Distribution of scores for the nonclinical group and the clinical group differed significantly; the FSSA8 had very good screening validity in sleep disorders. The cut-off was seven points. CONCLUSION The FSSA8 appeared to be more reliable for patients than for nonclinical participants and to be a good tool for screening excessive daytime sleepiness in sleep disorders.
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Affiliation(s)
- M-P Gustin
- Emerging Pathogens Laboratory-Fondation Mérieux, International Center for Infectiology Research (CIRI), Inserm U1111, CNRS UMR5308, ENS de Lyon, Lyon, France; Institute of Pharmaceutic and Biological Sciences, Public Health department, Biostatistics, University Claude-Bernard Lyon 1, Villeurbanne, France
| | - B Putois
- Faculty of Psychology, Swiss Distance Learning University, Brig 3900, Switzerland
| | - A Guyon
- Pediatric Sleep Unit, Hospital for Women Mothers & Children, Lyon 1 University, France; National Reference Centre for Orphan Diseases, Narcolepsy, Idiopathic hypersomnia and Kleine-Levin Syndrome (CNR narcolepsie-hypersomnie), France; Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028-Lyon 1 University, Bron 69005, France
| | - M Lecendreux
- National Reference Centre for Orphan Diseases, Narcolepsy, Idiopathic hypersomnia and Kleine-Levin Syndrome (CNR narcolepsie-hypersomnie), France; Centre pédiatrique des pathologies du sommeil, Hôpital Robert Debré, Paris, France
| | - M-J Challamel
- Pediatric Sleep Unit, Hospital for Women Mothers & Children, Lyon 1 University, France
| | - S Plancoulaine
- Université de Paris Cité, Inserm, INRAE, CRESS, 75004 Paris, France
| | - S Bioulac-Rogier
- Service de Psychiatrie de l'enfant et l'adolescent, Hôpital Couple enfant, CHU Grenoble Alpes CHU CS 10217, 38046 Grenoble, France
| | - C Schroder
- University of Strasbourg; CNRS UPR 3212, Institute of Cellular and Integrative Neurosciences
| | | | - S Huguelet
- Faculty of Psychology, Swiss Distance Learning University, Brig 3900, Switzerland
| | - P Franco
- Pediatric Sleep Unit, Hospital for Women Mothers & Children, Lyon 1 University, France; National Reference Centre for Orphan Diseases, Narcolepsy, Idiopathic hypersomnia and Kleine-Levin Syndrome (CNR narcolepsie-hypersomnie), France; Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028-Lyon 1 University, Bron 69005, France.
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Hartley S, Dagneaux S, Palethorpe C, Londe V, Liane MT, Decalf L, Aussert F, Colas des Francs C, Leymarie R, Royant-Parola S. [Does a short telemedicine-based CBT programme for insomnia lead to changes in dysfunctional beliefs about sleep?]. Encephale 2023; 49:124-129. [PMID: 36266102 DOI: 10.1016/j.encep.2022.08.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 08/24/2022] [Accepted: 08/25/2022] [Indexed: 11/07/2022]
Abstract
INTRODUCTION The Morphee Sleep network runs a short group CBT programme. During the pandemic, the programme was administered by videoconference. The programme focuses on behavioral modification. The objective of our study was to evaluate whether the videoconference programme produced changes in dysfunctional beliefs about sleep and whether these changes were linked to improvements in insomnia. METHODS Observational study of 3×90minute sessions of group CBT by videoconference over one month delivered by experienced psychologists. The outcome measures : insomnia severity scale (ISI), dysfunctional beliefs and attitudes about sleep short version (DBAS 16), hospital anxiety and depression scale (subscales depression HADD and anxiety HADA), and epworth sleepiness scale (ESS) completed before session 1 and at the end of session 3. The effectiveness of the programme on insomnia was evaluated by the decrease in the ISI score : full response R+ (>7 points), partial response, R- (4 - 6 points) non response, NR (<3 points). The effect on dysfunctional beliefs and attitudes about sleep were measured by the decrease in the DBAS 16 with response CR (>9 points) and no response CNR (<9 points). RESULTS There were fifty-five participants, 64 % women with a mean age of 49.1±16.1 years. The DBAS 16 was reduced by 6.12±1.29 to 5.09±1.57 (P< 0.0001) with 67 % of participants showing a response CR. The ISI score reduced from 17.7±3.6 to 14.0±4.9 (P< 0.0001) with 49 % showing at least a partial response (R+ and R-). A significant correlation (0.327, P=0.015) between the CBT response and dysfunctional beliefs about sleep was observed with a significant reduction in the DBAS 16 between responders R+ and non-responders (R+ vs. NR 1.67±1.3 vs. 0.57±1.28 P=0.012). Seventy-nine of R+ showed improvements in the DBAS 16 vs. 69 % of R- and 61 % of non-responders NR. CONCLUSION A short group CBT programme by videoconference focused on behavioral modification can reduce dysfunctional beliefs about sleep.
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Affiliation(s)
- S Hartley
- Réseau morphée, 2, grande rue, 92380 Garches, France; APHP hôpital Raymond Poincaré, sleep center, 92380 Garches, France; EA 4047, Université de Versailles Saint-Quentin en Yvelines, France.
| | - S Dagneaux
- Réseau morphée, 2, grande rue, 92380 Garches, France
| | - C Palethorpe
- Réseau morphée, 2, grande rue, 92380 Garches, France
| | - V Londe
- Réseau morphée, 2, grande rue, 92380 Garches, France
| | - M-T Liane
- Réseau morphée, 2, grande rue, 92380 Garches, France
| | - L Decalf
- Réseau morphée, 2, grande rue, 92380 Garches, France
| | - F Aussert
- Réseau morphée, 2, grande rue, 92380 Garches, France
| | | | - R Leymarie
- Réseau morphée, 2, grande rue, 92380 Garches, France
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Hartley S, Colas des Francs C, Aussert F, Martinot C, Dagneaux S, Londe V, Waldron L, Royant-Parola S. [The effects of quarantine for SARS-CoV-2 on sleep: An online survey]. Encephale 2020; 46:S53-S59. [PMID: 32475692 PMCID: PMC7211567 DOI: 10.1016/j.encep.2020.05.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 05/07/2020] [Indexed: 12/17/2022]
Abstract
Objectif Déterminer l’évolution du sommeil chez les Français pendant le confinement motivé par la pandémie du SARS-CoV-2 et définir les facteurs comportementaux associés à un sommeil détérioré. Méthodologie Une enquête en ligne via les réseaux sociaux pendant la période de confinement. Les questions ont ciblé les conditions de confinement, les comportements relatifs au sommeil et les éléments de l’environnement potentiellement perturbateurs du sommeil (exposition à la lumière et activités sportives). Résultats Au total, 1777 participants ont été inclus dont 77 % femmes, 72 % âgés de 25–54 ans. Les conditions de confinement les plus fréquentes étaient en couple avec enfants (36 %) et en maison avec jardin (51 %). Quarante-sept pour cent rapportent une diminution de la qualité du sommeil en confinement. Les facteurs associés à une détérioration du sommeil retenus par l’analyse multivariée sont une diminution de la durée du sommeil (OR 15,52 — p < 0,001), un coucher plus tardif (OR 1,72 — p < 0,001), un lever plus matinal (2,18 — p = 0,01), des horaires plus irréguliers (OR 2,29 — p < 0,001), une diminution de l’exposition à la lumière du jour (OR 1,46 — p = 0,01) et une augmentation de l’utilisation des écrans le soir (OR 1,33 — p = 0,04). Conclusion La mauvaise qualité subjective du sommeil en confinement est associée à une modification des comportements relatifs au sommeil et de l’exposition à la lumière (moins de lumière du jour et plus d’écran le soir). Pour optimiser le sommeil en confinement, des horaires adaptés et réguliers, une exposition de plus d’une heure/jour à la lumière du jour et l’éviction des écrans le soir sont à conseiller.
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Affiliation(s)
- S Hartley
- Réseau Morphée, 2, Grande rue, 92380 Garches, France; Unité du sommeil, EA 4047, université de Versailles Saint-Quentin en Yvelines, hôpital Raymond-Poincaré, AP-HP, 92380 Garches, France.
| | | | - F Aussert
- Réseau Morphée, 2, Grande rue, 92380 Garches, France; Centre des explorations multifonctionnelles, hôpital Antoine-Béclère, AP-HP, Clamart, France
| | - C Martinot
- Réseau Morphée, 2, Grande rue, 92380 Garches, France
| | - S Dagneaux
- Réseau Morphée, 2, Grande rue, 92380 Garches, France
| | - V Londe
- Réseau Morphée, 2, Grande rue, 92380 Garches, France
| | - L Waldron
- Réseau Morphée, 2, Grande rue, 92380 Garches, France
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Royant-Parola S, Hartley S, Aussert F, Dagneaux S, Brion A, Aisenberg N, Londe V, Poirot I, Martinot C, Escourrou P. Use of a computer algorithm for defining the care pathway of patients suffering from sleep disorders. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Geoffroy P, Micoulaud Franchi JA, Lopez R, Poirot I, Brion A, Royant-Parola S, Etain B. Comment caractériser et traiter les plaintes de sommeil dans les troubles bipolaires ? Encephale 2017; 43:363-373. [DOI: 10.1016/j.encep.2016.06.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Revised: 06/15/2016] [Accepted: 06/16/2016] [Indexed: 02/08/2023]
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Royant-Parola S. La mélatonine : un hypnotique miracle ? Eur Psychiatry 2015. [DOI: 10.1016/j.eurpsy.2015.09.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
La mélatonine, libérée par l’épiphyse, est une hormone qui mesure le temps. En étroite relation avec notre horloge centrale, le noyau suprachiasmatique, elle synchronise, ajuste, décale nos rythmes biologiques pour que notre corps fonctionne au mieux et anticipe les fonctions avenir. Sensible à la lumière qui la bloque, elle est facilement décalée, altérée par notre mode de vie et particulièrement par les écrans (tablettes, smartphone) et par les décalages horaires. Les benzodiazépines et l’âge diminuent sa sécrétion. Selon l’heure de la journée où elle est administrée de façon exogène, son effet sur nos horloges internes est différent. Donnée le soir, avant le minimum du rythme de la température centrale, elle avance les rythmes et facilite donc l’endormissement. Donnée le matin, après le minimum thermique, elle retarde au contraire les rythmes et aura tendance à retarder le sommeil. La mélatonine a des propriétés hypnotiques modestes, en revanche, c’est un chronobiotique efficace dont l’utilisation n’est pas toujours simple car il faut toujours prendre en compte l’état de synchronisation de base de l’individu auquel la mélatonine est administrée.
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Royant-Parola S. SFRMS – Psychiatrie et sommeil, décodage clinique. Eur Psychiatry 2014. [DOI: 10.1016/j.eurpsy.2014.09.289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Insomnie, hallucinations, hyperactivité… Le quotidien des psychiatres. Au travers de ces 3 symptômes des psychiatres spécialistes du sommeil abordent la complexité des diagnostics évoqués. Quand parle-t-on d’insomnie complexe ou rebelle ? Que cache-t-elle ? Comment l’explorer ? Découverte au travers d’un cas clinique interactif pour vous aider à mettre en place une prise en charge efficiente.Pour les hallucinations, quel rapport avec le sommeil ? Quand sont-elles normales ? Que deviennent-elles avec l’âge et la pathologie ? Les hallucinations particulières du sujet âgé et celles de la narcolepsie seront précisées.Pour l’hyperactivité, une meilleure connaissance du Trouble Déficit de l’Attention Hyperactivité (TDA/H), trouble le plus fréquents en psychopathologie de l’enfant et de l’adolescent, a montré que ce trouble retentit de façon significative sur le fonctionnement scolaire, relationnel et familial de l’enfant. Le TDA/H persiste à l’adolescence et à l’âge adulte dans près de 60 % des cas. Les troubles du sommeil sont présents chez près de 25 à 50 % des patients TDA/H et nécessitent une évaluation et une prise en charge spécifique. Le défaut de prise en charge adaptée de cette pathologie peut avoir des conséquences sévères sur la vie entière des sujets. Ainsi le TDA/H nécessite la mise en place de stratégies relatives au parcours de soin des patients et à la prévention précoce du trouble en population générale.
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Chaufton C, Royant-Parola S, Doireau P, Bertran PE, Monteil M, Paris JF, Lepoyvre A, Fournel I, Leger D. Somnolence excessive et troubles du sommeil chez les pilotes professionnels d’aviation commerciale. Neurophysiol Clin 2013. [DOI: 10.1016/j.neucli.2013.01.070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Londe V, Royant-Parola S, Liane MT, Storch Y, Dagneaux S, Aussert F, Colas Des Francs C, Hartley S. Prise en charge de l’insomnie chronique : les ateliers insomnie du Réseau Morphée. ACTA ACUST UNITED AC 2011. [DOI: 10.1016/j.msom.2011.08.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Royant-Parola S, de Mascarel A, Escourrou P. [Role of a health network dedicated to patient care for sleep disorders]. Rev Pneumol Clin 2009; 65:273-277. [PMID: 19789054 DOI: 10.1016/j.pneumo.2009.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
The Réseau Morphée is a health network funded by the Regional Health Commission (Mission Régionale de Santé d'Ile-de-France). Its mission is to improve the management of sleep disorders via actions for the public, patients and health professionals. For patients suffering from sleep apnea, the network improves access to care and organises education and support groups for patients treated by Continuous Positive Airway Pressure (CPAP) in order to improve compliance. Health professionals can optimise patient care using an Internet based computerised consultation system which automatically incorporates sleep recording and CPAP reports. The expertise of the Morphée medical team is on hand at all times to help in the management of complex patients and expert advice from other members of the network is shared during regular patient management meetings. The réseau Morphée is certified as a continuing medical education (FMC) and clinical practice accreditation (EPP) organisation and so active members can validate both their FMC and EPP.
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Royant-Parola S. [Depression and cognitive disorders in sleep apnea syndromes]. Rev Mal Respir 2006; 23 Spec No 2:7S94-7S96. [PMID: 17127889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Affiliation(s)
- S Royant-Parola
- Laboratoire du sommeil de la clinique du Château, 11 bis, rue de la Porte Jaune, 92380 Garches. sylvie.parola@wanadoo
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Royant-Parola S. Dépression et troubles cognitifs dans le SAS. Rev Mal Respir 2006. [DOI: 10.1016/s0761-8425(06)72505-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Royant-Parola S, Escourrou P, Bourgin P. Intérêt de l'actimétrie dans l'orientation du diagnostic des hypersomnies. Neurophysiol Clin 1996. [DOI: 10.1016/s0987-7053(96)85045-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Royant-Parola S. Rôle d'un thymo-régulateur dans le syndrome de Kleine-Levine. À propos d'un cas. Neurophysiol Clin 1996. [DOI: 10.1016/s0987-7053(96)85050-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Royant-Parola S. Pensées et comportements des insomniaques. Neurophysiol Clin 1996. [DOI: 10.1016/s0987-7053(97)89202-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Royant-Parola S. [Narcolepsy and the psychiatric tableau. A specific form of narcolepsy?]. Ann Med Psychol (Paris) 1992; 150:286-90. [PMID: 1343536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
Narcolepsy is a well-known hypersomnia. Nevertheless narcolepsy in which the hallucinatory component is unusually prominent may lead to a false diagnosis of schizophrenia syndrome. This aspect is illustrated by the case of Miss B. who appears like a psychotic patient without dissociation syndrome and with a hysterical personality. Are the narcoleptics with psychiatric disorders a peculiar sub-type of narcolepsy? Fourty-five percent of our eleven narcoleptics patients have an associated psychiatric disorder. Most of them are depressive. Surprisingly fourty percent of our patients are non-DR2 at the Human Leucocyte Antigen typing. Furthermore seventy five percent of them have an associated psychiatric disorder. This would mean a peculiar sub-type of narcolepsy.
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Abstract
Wrist motor activity was continuously recorded by a solid-state monitor in 12 patients with major depression throughout their stay in hospital; their clinical state was evaluated using three scales. During the day, activity troughs and immobility peaks occurred before noon and around 1500 hrs. Activity level progressively increased, while the duration of immobility decreased, with clinical improvement. The immobility measurement appeared to be a valuable index of depression and is more sensitive than the activity level, mainly for agitated depressed patients. Immobility episodes during the day could suggest the release of an ultradian sleep-wake rhythm in depression.
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Royant-Parola S. [Clinical study of sleep]. Soins 1985:9-12. [PMID: 3853887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Benoit O, Royant-Parola S, Borbely AA, Tobler I, Widlöcher D. Circadian aspects of motor activity in depressed patients. Acta Psychiatr Belg 1985; 85:582-92. [PMID: 4091020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Wrist motor activity was continuously monitored in 10 major unipolar depressed inpatients. Clinical state and motor activity parameters were studied. The data obtained at the beginning of the hospitalization, before the antidepressant treatment, were compared to chose found just before discharge. Time of day effect and subtypes of depression (endogenous versus non-endogenous) were considered. Motor retardation is related to both fluctuations of activity level and high number of 15 minute immobility epochs. Immobility parameters at night and during day were a good indicator of the severity of the depressive state. The temporal pattern of activity level was related to the subtype of depression.
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Royant-Parola S. [Hysteric and dependent personality]. Soins Psychiatr 1984:15-8. [PMID: 6563732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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Foret J, Benoit O, Royant-Parola S. Sleep schedules and peak times of oral temperature and alertness in morning and evening 'types'. Ergonomics 1982; 25:821-827. [PMID: 7173167 DOI: 10.1080/00140138208925038] [Citation(s) in RCA: 35] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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