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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3181c99505
Original Articles

Impaired Health Status, Daily Functioning, and Work Productivity in Adults With Excessive Sleepiness.

Dean, Bonnie PhD; Aguilar, Daniel MPH; Shapiro, Colin PhD; Orr, William C. PhD; Isserman, Joshua A. MS; Calimlim, Brian DrPHc; Rippon, Gregory A. MD

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Abstract

Objective: This study evaluated the effects of excessive sleepiness (ES) on health status, daily functioning, and work productivity.

Methods: From a survey performed in June to July 2006, people with or without ES in two groups (1758 with obstructive sleep apnea, depression, narcolepsy, multiple sclerosis, or shift work; 1977 without these conditions) were assessed on the Work Productivity and the Activity Impairment Scale, Short Form-12, Medical Outcomes study 6-item Cognitive Function Scale, and the Toronto Hospital Alertness Test.

Results: ES in both groups was associated with highly significant impairments in health status, daily activities, and work productivity for all measures (P < 0.0001), except for absenteeism (P = 0.0400 for group A, P = 0.8360 for group B).

Conclusions: ES may have an incremental negative impact measurable above that of obstructive sleep apnea, multiple sclerosis, narcolepsy, depression, or shift work.

©2010The American College of Occupational and Environmental Medicine

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