Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome
Background and Objective We used the Symptom Checklist 90-Revised (SCL-90-R) to compare the psychosomatic symptom profiles between periodic limb movement disorder (PLMD) and restless legs syndrome (RLS) patients. Methods Twenty consecutive drug-naïve RLS patients, 20 age- and sex-matched patients wi...
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| Format: | Article |
| Language: | English |
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Korean Society of Sleep Medicine
2019-06-01
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| Series: | Sleep Medicine Research |
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| Online Access: | http://www.sleepmedres.org/upload/pdf/smr-2019-00339.pdf |
| _version_ | 1818269142758719488 |
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| author | Jung-Ick Byun Jeong-Su Kim Yu Yong Shin Kyoung Jin Hwang Yu Jin Jung Won Chul Shin |
| author_facet | Jung-Ick Byun Jeong-Su Kim Yu Yong Shin Kyoung Jin Hwang Yu Jin Jung Won Chul Shin |
| author_sort | Jung-Ick Byun |
| collection | DOAJ |
| description | Background and Objective We used the Symptom Checklist 90-Revised (SCL-90-R) to compare the psychosomatic symptom profiles between periodic limb movement disorder (PLMD) and restless legs syndrome (RLS) patients. Methods Twenty consecutive drug-naïve RLS patients, 20 age- and sex-matched patients with PLMD and healthy controls were enrolled. Questionnaires evaluating sleep (Pittsburgh Sleep Quality Index, and Insomnia Severity Index), depression (Beck Depression Inventory II), and psychosomatic symptoms (SCL-90-R) were administered. Polysomnography was performed in the patients with PLMD or RLS. Results The mean age of the subjects was 57.5 ± 10.9 years, and half of the subjects were male. Compared with the patients with RLS, the patients with PLMD exhibited a reduced total sleep time (276.6 ± 41.3 vs. 322.4 ± 42.9, p = 0.04) and a decreased proportion of REM sleep (12.5 ± 6.6 vs. 17.8 ± 7.8, p = 0.009). The patients with RLS exhibited higher SCL-90-R T-scores on the somatization (post hoc p < 0.001), obsessive-compulsive (post hoc p < 0.001), interpersonal sensitivity (post hoc p = 0.003), anxiety (post hoc p = 0.005), and psychoticism (post hoc p = 0.004) domains than the controls. Compared to the controls, the patients with PLMD exhibited higher SCL-90-R scores only in hostility (post hoc p = 0.016). Somatization in the RLS patients was significantly worse than that in the PLMD patients (post hoc p = 0.003). Conclusions The results of our study demonstrate that psychosomatic distress is greater in RLS patients and lesser in PLMD patients. Somatization was a distinguishing symptom between RLS and PLMD. |
| first_indexed | 2024-12-12T20:49:41Z |
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| id | doaj.art-1dc6f09166ea4e88bc82c6c1b0cd4ad6 |
| institution | Directory Open Access Journal |
| issn | 2093-9175 2233-8853 |
| language | English |
| last_indexed | 2024-12-12T20:49:41Z |
| publishDate | 2019-06-01 |
| publisher | Korean Society of Sleep Medicine |
| record_format | Article |
| series | Sleep Medicine Research |
| spelling | doaj.art-1dc6f09166ea4e88bc82c6c1b0cd4ad62022-12-22T00:12:27ZengKorean Society of Sleep MedicineSleep Medicine Research2093-91752233-88532019-06-01101253010.17241/smr.2019.00339128Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs SyndromeJung-Ick Byun0Jeong-Su Kim1Yu Yong Shin2Kyoung Jin Hwang3Yu Jin Jung4Won Chul Shin5 Department of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea Department of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea Department of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea Department of Neurology, School of Medicine, Kyung Hee University, Seoul, Korea Department of Neurology, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea Department of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, KoreaBackground and Objective We used the Symptom Checklist 90-Revised (SCL-90-R) to compare the psychosomatic symptom profiles between periodic limb movement disorder (PLMD) and restless legs syndrome (RLS) patients. Methods Twenty consecutive drug-naïve RLS patients, 20 age- and sex-matched patients with PLMD and healthy controls were enrolled. Questionnaires evaluating sleep (Pittsburgh Sleep Quality Index, and Insomnia Severity Index), depression (Beck Depression Inventory II), and psychosomatic symptoms (SCL-90-R) were administered. Polysomnography was performed in the patients with PLMD or RLS. Results The mean age of the subjects was 57.5 ± 10.9 years, and half of the subjects were male. Compared with the patients with RLS, the patients with PLMD exhibited a reduced total sleep time (276.6 ± 41.3 vs. 322.4 ± 42.9, p = 0.04) and a decreased proportion of REM sleep (12.5 ± 6.6 vs. 17.8 ± 7.8, p = 0.009). The patients with RLS exhibited higher SCL-90-R T-scores on the somatization (post hoc p < 0.001), obsessive-compulsive (post hoc p < 0.001), interpersonal sensitivity (post hoc p = 0.003), anxiety (post hoc p = 0.005), and psychoticism (post hoc p = 0.004) domains than the controls. Compared to the controls, the patients with PLMD exhibited higher SCL-90-R scores only in hostility (post hoc p = 0.016). Somatization in the RLS patients was significantly worse than that in the PLMD patients (post hoc p = 0.003). Conclusions The results of our study demonstrate that psychosomatic distress is greater in RLS patients and lesser in PLMD patients. Somatization was a distinguishing symptom between RLS and PLMD.http://www.sleepmedres.org/upload/pdf/smr-2019-00339.pdfPeriodic limb movement disorderRestless legs syndromePsychosomatic symptomsSCL-90-R |
| spellingShingle | Jung-Ick Byun Jeong-Su Kim Yu Yong Shin Kyoung Jin Hwang Yu Jin Jung Won Chul Shin Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome Sleep Medicine Research Periodic limb movement disorder Restless legs syndrome Psychosomatic symptoms SCL-90-R |
| title | Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome |
| title_full | Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome |
| title_fullStr | Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome |
| title_full_unstemmed | Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome |
| title_short | Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome |
| title_sort | difference in psychological distress between patients with periodic limb movement disorder and restless legs syndrome |
| topic | Periodic limb movement disorder Restless legs syndrome Psychosomatic symptoms SCL-90-R |
| url | http://www.sleepmedres.org/upload/pdf/smr-2019-00339.pdf |
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