Abstract
The aim of this study was to investigate whether fatigue and sleep disturbances in multiple sclerosis (MS) patients might be due to disrupted circadian sleep wake regulation. Actigraphy and a multiple sleep latency test (MSLT) were performed in 16 MS patients with both prominent sleep complaints and fatigue. Actigraphy scores did not differ from control values, whereas sleep onset latency values were altered in subgroups of MS patients. No evidence was found for a generalized circadian disturbance in MS patients.
Similar content being viewed by others
References
Beck AT, Steer RA, Garbin MC (1988) Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev 8:77–100
Carskadon MA, Dement WC, Mitler MM, Roth T, Wesbrook PR, Keenan S (1986) Guidelines for the multiple latency test (MSLT): a standard measure of sleepiness. Sleep 9:519–524
Clark CM, Fleming JA, Li D, Oger J, Klonoff H, Paty D (1992) Sleep disturbance, depression, and lesion site in patients with multiple sclerosis. Arch Neurol 49:641–643
Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD (1989) The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 46:1121–1123
Mirmiran M, Overdijk H, Witting W, Klop A, Swaab DF (1988) A method for recording and analyzing circadian rhythms in man. J Neurosci Methods 25:209–214
Moore RY (1992) The organization of circadian timing system. In: Swaab DF, Holman MA, Mirmiran M, Ravid R, Van Leeuwen FW (eds) Progress in brain research, vol 93. The human hypothalamus in health and disease. Elsevier, Amsterdam, pp 103–177
Rechtschaffen A, Kales A (1968) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Los Angeles BIS/BRI UCLA
Rumbach L, Tongio MM, Warter JM, Collard M, Kurtz D (1989) Multiple sclerosis, sleep latencies and HLA antigens. J Neurol 236:309–310
Saunders J, Whitham R, Schaumann B (1991) Sleep disturbance, fatigue, and depression in multiple sclerosis (abstract) Neurology 41 [Suppl 1]:320
Swaab DF, Fliers E, Partiman TS (1985) The suprachiasmatic nucleus of the human brain in relation to sex, age and senile dementia. Brain Res 342:37–44
Van Diest R (1990) The sleep-wake experience list (abstract). In: Abstracts Book of the Tenth Congress of the European Sleep Research Society, Strasbourg, p 449
Witting W, Kwa IH, Eikelenboom P, Mirmiran M, Swaab DF (1990) Alterations in the circadian rest-activity rhythm in aging and Alzheimer's disease. Biol Psychiatry 27:563–572
Younger DS, Pedley TA, Thorpy MJ (1991) Multiple sclerosis and narcolepsy: possible similar genetic susceptibility. Neurology 41:447–448
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Taphoorn, M.J.B., van Someren, E., Snoek, F.J. et al. Fatigue, sleep disturbances and circadian rhythm in multiple sclerosis. J Neurol 240, 446–448 (1993). https://doi.org/10.1007/BF00867360
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF00867360