The epworth sleepiness scale is a short test pioneered by dr murray johns of epworth hospital in australia. Swiss narcolepsy scale narcolepsy with cataplexy test. The assessment of sleepiness in children and adolescents. Doctors give trusted, helpful answers on causes, diagnosis, symptoms, treatment, and more. Validation of the karolinska sleepiness scale against performance and eeg variables article in clinical neurophysiology 1177. Many other surveys are in common use, including the epworth sleepiness. The epworth sleepiness scale in the identification of obstru. The stanford sleepiness scale is a great way to quickly assess how alert or sleepy youre feeling and discover your patterns of alertness throughout the day. Discover your own pattern of alertness by recording your degree of sleepiness at different times throughout the day. Karolinska sleepiness scale doctors answer your questions.
Sleepiness scale ess is a selfadministered eightitem. Mos sleep scale survey instrument pdf this survey covers the sleep scale developed for the mos. If it is during the day when you go about your business, ideally you would want a rating of a one. It sounds like things are not going so well so i would try to get in and see someone. On this scale subjects indicate which level best reflects the psychophysical sate experienced in the last 10 min. Comparing two versions of the karolinska sleepiness scale kss. The epworth sleepiness scale is a questionnaire developed by dr. What others consider as drowsiness can be a feeling of extreme sleepiness to others. Sleep habits and school outcomes in middleschool children. It is typically used as a research tool to measure the impact of shortterm acute sleep loss on subjective sleepiness. The karolinska sleepiness scale 1 very alert 2 3 alert normal level 4 5 neither alert nor sleepy 6.
The epworth sleepiness scale and the stanford sleepiness scale will help you to help you monitor the improvements in your daytime alertness while using cpap. Even if you havent done some of these things recently, try to work out how they would have affected you. One should distinguish between occasional daytime sleepiness, which is normal, and excessive daytime sleepiness, which is chronic. Kss values increase sensitively during acute total and repeated partial sleep deprivation and night work. National institutes of health national heart, lung, and. Swiss narcolepsy scale sns kit order form thank you for your interest in the swiss narcolepsy scale sns the sns is designed to screen for narcolepsy with cataplexy in patients with excessive daytime sleepiness. This scale 1 measures the subjective level of sleepiness at a particular time during the day. By regularly tracking your daytime alertness, you can see how regular cpap usage is improving your daytoday wellbeing. For other ways to identify problematic sleepiness, see selfevaluation daytime sleepiness can have many causes, including narcolepsy, which affects up to 1 in 2,000 people. For other ways to identify problematic sleepiness, see selfevaluation. How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired. Do you have difficulty concentrating because you are too tired. How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just. The client selfrates on a four point likert scale how likely it is that heshe would doze in eight different situations.
Here is a printable version of the epworth sleepiness scale. I have included below selected items from a more extensive questionnaire used in a study on the impact of sleep problems. In this section we describe subjective rating scales used to describe current levels of sleepiness stanford sleepiness scale, the quality and patterns of sleep pittsburgh sleep index, sleep difficulties karolinska sleep scale and propensity to fall asleep epworth sleepiness scale. Sleepiness is one of the hardest things to measure.
However, it exists in two versions, one with labels on every other step and one with labels on every step on the 9point scale. Excessive daytime sleepiness is in itself, a diagnosable condition, but it often goes hand in hand with other sleep disorders and medical conditions. Stanford sleepiness scale intermountain healthcare. Stanford sleepiness scale discover your own pattern of. The well established karolinska sleepiness scale kss measure shahid et al. Stanford sleepiness scale sss type of questionnairedescription. One type of sleep scale rates a persons average level of sleepiness in daytoday life. The main aim of the present study was to investigate the validity and reliability of the kss with electroencephalographic, behavioral and other subjective indicators of sleepiness. Created by researchers at the appleton institute kss scores are defined as follows 9. Purpose designed to evaluate overall daytime sleepiness, the questionnaire asks respondents to rate how likely they are to fall asleep in eight dif. The sleep scale is a survey developed for the rand medical outcomes study, a twoyear study of patients with chronic conditions to help assess quality of life and wellbeing.
What is the abbreviation for karolinska sleepiness scale. If things seem overwhelming you may want to consider going to an academic. Purpose this scale 1 measures the subjecti ev level of sleepiness at a particular time during the day. A melanopic perspective a new photometric measure of light intensity that takes into account the relatively. Summary two assumptions underlying the stanford sleepiness scale sss were evaluated. Larger numbers rate a food higher on the index, and onion has only about a 10 on the scale. Sleepiness scale how likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired. Stanford sleepiness scale sss the sss is the best validated subjective measure of sleepiness. Subjective and objective sleepiness in the active individual. Sleepiness scale advanced sleep medicine services, inc.
Request pdf a revision of existing karolinska sleepiness scale responses to light. Even if you have not done some of these things recently try to work out how they would have affected you. For reports of instantaneous sleepiness across the day and night, visual analogue scales or likert scales, like the 7graded stanford sleepiness scale hoddes et al. Stanford sleepiness scale this is a quick way to assess how alert you are feeling. Measurement of quality to improve care in sleep medicine.
Use the following scale to choose the most appropriate number of each situation. The karolinska sleepiness scale kss is frequently used for evaluating subjective sleepiness. The epworth sleepiness scale can be used to assess daytime sleepiness. It is focused on the karolinska sleepiness scale kss, which is a ninepoint likerttype scale. Two additional scales were included epworth sleepiness scale, hospital anxiety and depression scale however these items are not displayed in the questionnaire for. The purpose of this study was to assess the sensitivity of the ess in the identification of osa, as defined by an elevated apneahypopnea index. The epworth sleepiness scale is widely used in the field of sleep medicine as a subjective measure of a patients sleepiness. The epworth sleepiness scale ess is an effective instrument used to measure average daytime sleepiness.
Use the following scale to choose the most appropriate number for each situation. Use of the epworth sleepiness scale to demonstrate response to treatment with nasal continuous positive airways pressure in patients with obstructive sleep apea. Epworth sleepiness scale interactive calculator, uses the 1997 version of the ess questionnaire and published with permission from lauren clowney. Murray johns of melbourne to measure daytime sleepiness. Epworth and stanford sleepiness scale downloads eupap. This is because it is a feeling and is subjective by nature. Sleepiness can occur for a variety of reasons, but persistent sleepiness that occurs even after a good nights sleep is usually the first clue that someone may have narcolepsy. The epworth sleepiness scale is used by sleep professionals to measure sleepiness. Excessive daytime sleepiness hackensack sleep center. Outcome measures span a broad range of potential measures. By understanding your own patterns of alertness, you can effectively schedule your days activities to match your levels of alertness. The karolinska sleepiness scale the scale spans nine levels and asks the user to circle the number that represents the sleepiness level during the immediately preceding 5 min fig. The epworth sleepiness scale is used to determine the level of daytime sleepiness. Stanford sleepiness scale alertness test the stanford sleepiness scale is a quick and easy way to assess how alert you are feeling.
The assessment of sleepiness in children and adolescents murray johns epworth sleep centre, melbourne. Reliability and validity studies of the turkish version of the epworth sleepiness scale. Epworth sleepiness scale the official website of the. Selfreport measures such as the epworth sleepiness scale ess are. How likely are you to doze off or fall asleep in the situations described below.
Where can i find the karolinska sleep questionnaire. Its a test used around the world and can be helpful in diagnosing a. An introspective measure of sleepiness the stanford sleepiness scale sss degree of sleepiness scale rating feeling active, vital, alert, or wide awake 1 functioning at high levels, but not at peak. Epworth sleepiness scale official website 1997 version of the questionnaire, described on the above site as the standard version that can be used by most adults. The ess measures a persons general level of daytime sleepiness, or their average sleep propensity in daily life asp. The questionnaire is usually selfadministered, but may be physician administered. The epworth sleepiness scale ess measures sleepiness and is used for, among others, patients with obstructive sleep apnea osa. It also may be helpful to call your psychiatrist and see if they advise you as to next step. However, there are still situations when sleepiness is worth measuring.
Completed by junior doctors in new zealand found that 30% of respondents scored as excessively sleepy on the epworth sleepiness scale and 42% could recall a fatigue samel, a. The epworth sleepiness scale from orlandos leading sleep. For example, completion of the epworth sleepiness scale ess at a follow up visit could be a process measure a dichotomous nominal measure, while the ess numeric score 024, a continuous ordinal measure is an outcome measure. Psychometric evaluation of the stanford sleepiness scale. Whereas an instrument like the epworth sleepiness scale chap. Comparing two versions of the karolinska sleepiness scale. Quantifying sleepiness diagnostic scales sleepline. The aim was to compare the two methods of administration and to validate a french version. Nov 24, 2011 this scale 1 measures the subjective level of sleepiness at a particular time during the day. This scale measures the subjective level of sleepiness at a.
A revision of existing karolinska sleepiness scale. This is a personal website of dr murray johns from melbourne, australia. The epworth sleepiness scale ess is a selfadministered eightitem. A third class of sleep scale is disease specific, such as those developed for parkinsons patients. Validation of the karolinska sleepiness scale against performance and eeg variables. Daytime sleepiness can have many causes, including narcolepsy, which affects up to 1 in 2,000 people.
Another type of sleep scale addresses daytime sleepiness, but also the individuals ability to fall asleep and stay asleep, among other factors. Epworth sleepiness scale 11 how likely are you to nod off or fall asleep in the following situations, in contrast to feeling just tired. How likely are you to nod off or fall asleep in the following situations, in contrast to feeling just tired. Even if you have not done some of these things recently, try to answer how they would have affected you.
Epworth sleepiness scale for children and adolescents esschad. The client selfrates on a four point likert scale how likely it. It deals with the epworth sleepiness scale ess and the epworth sleepiness scale for children and adolescents esschad, which dr johns developed. On this scale subjects indicate which level best re. Epworth sleepiness scale or ess, 5 first we need to consider the. The ess differentiates between average sleepiness and excessive daytime sleepiness that requires intervention. In analyzing the karolinska sleepiness scale kss with a. Its a quick test to designed to check your daytime sleepiness to see if youre getting enough sleep at night. Even if you have not done some of these activities recently, try to work out how they would have affected you. Choose the most appropriate number for each situation and total your. To date, there are no studies examining whether these versions can be used interchangeably. This refers to your usual way of life in recent times. If your score is below 10 you have a healthy level of daytime sleepiness in comparison to the general population. Epworth sleepiness scale test use this selftest to determine if you are getting enough sleep according to the national sleep foundation, nearly seven out of 10 americans say they experience frequent sleep problems and a majority of american adults 67 percent do not get the recommended eight hours of sleep per night.
During half of the naps when the nurses did fall asleep, reports showed that 43% slept lightly while 14% slept deeply. The epworth sleepiness scale ess is often used clinically to screen for the manifestations of the behavioral morbidity associated to obstructive sleep apnea osa. A sleepiness survey is used by the sleep specialists at kansas citys rowe neurology institute to help online visitors assess the quality of their sleep based on their waking experiences. In analyzing the karolinska sleepiness scale kss with a score of 6. Karolinska sleepiness scale as used in faid quantum. According to the following scale, choose the appropriate number value to represent how likely it is for the patient to doze off or fall asleep during the day in the following situations. The 5min retrospective period was introduced because the act of being asked to. The karolinska sleepiness scale kss is frequently used to study sleepiness in various contexts. In contrast, the epworth sleepiness scale ess and stanford sleepiness scale sss subjectively quantify sleepiness.
Selfrating scale which is used to quantify progressive steps in sleepiness at a certain point in time. Two additional scales were included epworth sleepiness scale. Here, methods for quantifying sleepiness are described, and each of the tests used to quantify sleepiness is discussed. Below are three subjective scales to quantitate daytime sleepiness including the epworth sleepiness scale, the stanford sleepiness scale, and the analog scale of well being. Validation of the karolinska sleepiness scale against. Selfassessment tools on this website can help identify problematic sleepiness and symptoms of narcolepsy. Karolinska sleepiness scale french translation linguee. The epworth sleepiness scale how likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired. Izci b, ardic s, firat h, sahin a, altinors m, karacan i. A revision of existing karolinska sleepiness scale responses to light. The diurnal pattern of sleepiness is ushaped, with high kss values in the morning and late evening, and with great stability across years. It is foods that have a glycemic index that generally cause sleepiness.
334 114 475 1094 673 914 495 31 163 32 472 1174 188 14 1176 1115 1057 625 420 284 1229 1338 11 1138 488 110 1077 186 722