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Polysomnographic assessment of DIMS: empirical evaluation of its diagnostic value.

Publication ,  Journal Article
Edinger, JD; Hoelscher, TJ; Webb, MD; Marsh, GR; Radtke, RA; Erwin, CW
Published in: Sleep
August 1989

This investigation examined the diagnostic value of polysomnography (PSG) for evaluating disorders of initiating and maintaining sleep (DIMS). The sample consisted of 100 outpatients who presented to the Duke Sleep Disorders Center with a complaint of chronic insomnia. All patients were given comprehensive medical, psychiatric, behavioral, and ambulatory PSG evaluations. Sleep disorder diagnoses were assigned using the criteria of the Association of Sleep Disorders Centers. Overall, PSG yielded important diagnostic information in 65% of the sample: 34% were given a primary sleep disorder diagnosis that was heavily dependent on PSG data [periodic movements of sleep (PMS) = 25%, apnea = 3%, and subjective insomnia = 6%]; 15% were given a secondary diagnosis of one of these three disorders; and PSG ruled out suspected PMS in 9% and sleep apnea in 7% of the sample. Patients greater than 40 years of age had a significantly higher rate of positive PSG findings than younger patients. Using only the clinical exam, two experienced sleep clinicians were able to predict only 14 of 25 PMS cases and one of three cases of sleep apnea. Based on these data, we suggest using PSG routinely with older insomniacs and with younger patients who fail initial treatment.

Duke Scholars

Published In

Sleep

ISSN

0161-8105

Publication Date

August 1989

Volume

12

Issue

4

Start / End Page

315 / 322

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Sleep Initiation and Maintenance Disorders
  • Sleep Apnea Syndromes
  • Signal Processing, Computer-Assisted
  • Neurology & Neurosurgery
  • Monitoring, Physiologic
  • Middle Aged
  • Mental Disorders
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Edinger, J. D., Hoelscher, T. J., Webb, M. D., Marsh, G. R., Radtke, R. A., & Erwin, C. W. (1989). Polysomnographic assessment of DIMS: empirical evaluation of its diagnostic value. Sleep, 12(4), 315–322.
Edinger, J. D., T. J. Hoelscher, M. D. Webb, G. R. Marsh, R. A. Radtke, and C. W. Erwin. “Polysomnographic assessment of DIMS: empirical evaluation of its diagnostic value.Sleep 12, no. 4 (August 1989): 315–22.
Edinger JD, Hoelscher TJ, Webb MD, Marsh GR, Radtke RA, Erwin CW. Polysomnographic assessment of DIMS: empirical evaluation of its diagnostic value. Sleep. 1989 Aug;12(4):315–22.
Edinger, J. D., et al. “Polysomnographic assessment of DIMS: empirical evaluation of its diagnostic value.Sleep, vol. 12, no. 4, Aug. 1989, pp. 315–22.
Edinger JD, Hoelscher TJ, Webb MD, Marsh GR, Radtke RA, Erwin CW. Polysomnographic assessment of DIMS: empirical evaluation of its diagnostic value. Sleep. 1989 Aug;12(4):315–322.
Journal cover image

Published In

Sleep

ISSN

0161-8105

Publication Date

August 1989

Volume

12

Issue

4

Start / End Page

315 / 322

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Sleep Initiation and Maintenance Disorders
  • Sleep Apnea Syndromes
  • Signal Processing, Computer-Assisted
  • Neurology & Neurosurgery
  • Monitoring, Physiologic
  • Middle Aged
  • Mental Disorders
  • Male
  • Humans