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Published in: Current Neurology and Neuroscience Reports 1/2018

01-01-2018 | Sleep (M Thorpy and M Billiard, Section Editors)

Sleep Disturbance and Cognitive Dysfunction in Multiple Sclerosis: a Systematic Review

Authors: Abbey J. Hughes, Katherine M. Dunn, Trisha Chaffee

Published in: Current Neurology and Neuroscience Reports | Issue 1/2018

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Abstract

Purpose of Review

The present review summarizes recent research on the association between sleep disturbance and cognitive dysfunction in MS. Assessment methodology, domain-specific associations between sleep disturbance and cognitive dysfunction, and implications for future research and treatment are discussed.

Recent Findings

All 12 studies included in this review found significant associations between sleep disturbance and cognitive dysfunction; however, results varied considerably depending on the assessment method used and the cognitive domain assessed. Self-reported sleep disturbance generally predicted self-report but not objective measures of cognitive dysfunction. Objective sleep measures (e.g., polysomnography, actigraphy) generally predicted objective impairments in processing speed and attention; however, objective sleep disturbance was more variable in predicting performance in other cognitive domains (e.g., memory, executive function).

Summary

Sleep disturbance may help predict future cognitive decline in MS. Results highlight the need to integrate sleep assessment into routine MS care. Interventions aimed treating sleep disturbance may offer promise for improving cognitive dysfunction in MS.
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Metadata
Title
Sleep Disturbance and Cognitive Dysfunction in Multiple Sclerosis: a Systematic Review
Authors
Abbey J. Hughes
Katherine M. Dunn
Trisha Chaffee
Publication date
01-01-2018
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 1/2018
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-018-0809-7