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Sleep Irregularity in the Previous Week Influences the First-Night Effect in Polysomnographic Studies

机译:前一周的睡眠不规律影响多导睡眠图研究中的首夜效应

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Objective The first-night effect is a well-known phenomenon resulting from an individual's maladaptation to the unfamiliar environment of a sleep laboratory. However, there have been no direct reports of the effect of previous sleep patterns on the first-night effect. We aimed to investigate the effect the previous week's sleep pattern on the first-night effect. Methods Twenty-four young, healthy, male participants completed the study procedure. During one week prior to study, the participants kept sleep diaries and wore actigraphs to identify sleep-wake pattern. Two consecutive nights of polysomnography were conducted after that. Wilcoxon signed-rank tests were applied to compare sleep variables of the two nights. Variance (standard deviation) of sleep onset time during the previous week was used as an index of irregularity. A Kendall's ranked correlation analysis and a linear regression test were applied to detect correlation between sleep irregularity and the first-night effect measured by polysomnography. Results There were significant differences in the values of sleep efficiency (p=0.011) and wake after sleep onset (WASO) (p=0.006) between the two nights. Sleep efficiency was lower and WASO was higher on the first night as compared to the second night. Sleep irregularity in the previous week was negatively correlated with sleep efficiency (p Conclusion We replicated the existence of the first-night effect commonly observed in sleep studies. Sleep irregularity in the previous week may influence the first-night effect in polysomnographic studies.
机译:目的初夜效应是众所周知的现象,是由于个人对睡眠实验室的陌生环境不适应所致。但是,尚无直接报告以前的睡眠方式对第一夜的影响。我们旨在调查前一周睡眠模式对第一夜影响的影响。方法24名年轻,健康,男性的参与者完成了研究程序。在研究前的一周内,参与者记下了睡眠日记,并戴了心电图仪以识别睡眠-觉醒模式。之后连续两个晚上进行了多导睡眠监测。使用Wilcoxon符号秩检验来比较两个晚上的睡眠变量。前一周睡眠开始时间的差异(标准差)被用作不正常的指标。使用肯德尔(Kendall's)排序相关性分析和线性回归测试来检测睡眠异常与多导睡眠图测量的第一夜效应之间的相关性。结果在两个晚上之间,睡眠效率(p = 0.011)和入睡后醒来(WASO)(p = 0.006)的值存在显着差异。与第二晚相比,第一晚的睡眠效率较低,WASO较高。前一周的睡眠不规律与睡眠效率呈负相关(p结论我们复制了睡眠研究中通常观察到的第一夜效应的存在。前一周的睡眠不规律可能会影响多导睡眠图研究的第一夜效应。

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