Maintenance of Wakefulness Test scores and driving performance in sleep disorder patients and controls

Sleepiness at the wheel is a risk factor for traffic accidents. Past studies have demonstrated the validity of the Maintenance of Wakefulness Test (MWT) scores as a predictor of driving impairment in untreated patients with obstructive sleep apnea syndrome (OSAS), but there is limited information on...

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Bibliographic Details
Published in:International journal of psychophysiology 2013-08, Vol.89 (2), p.195-202
Main Authors: Philip, Pierre, Chaufton, Cyril, Taillard, Jacques, Sagaspe, Patricia, Léger, Damien, Raimondi, Monika, Vakulin, Andrew, Capelli, Aurore
Format: Article
Language:English
Subjects:
Adult
Aged
Automobile Driving - psychology
Driving performance
Female
Humans
Hypersomnias of central origin
Maintenance of Wakefulness Test
Male
Middle Aged
OSAS
Photic Stimulation - methods
Polysomnography - methods
Psychomotor Performance - physiology
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - physiopathology
Sleep Wake Disorders - psychology
Wakefulness - physiology
Young Adult
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Summary:Sleepiness at the wheel is a risk factor for traffic accidents. Past studies have demonstrated the validity of the Maintenance of Wakefulness Test (MWT) scores as a predictor of driving impairment in untreated patients with obstructive sleep apnea syndrome (OSAS), but there is limited information on the validity of the maintenance of wakefulness test by MWT in predicting driving impairment in patients with hypersomnias of central origin (narcolepsy or idiopathic hypersomnia). The aim of this study was to compare the MWT scores with driving performance in sleep disorder patients and controls. 19 patients suffering from hypersomnias of central origin (9 narcoleptics and 10 idiopathic hypersomnia), 17 OSAS patients and 14 healthy controls performed a MWT (4×40-minute trials) and a 40-minute driving session on a real car driving simulator. Participants were divided into 4 groups defined by their MWT sleep latency scores. The groups were pathological (sleep latency 0–19min), intermediate (20–33min), alert (34–40min) and control (>34min). The main driving performance outcome was the number of inappropriate line crossings (ILCs) during the 40minute drive test. Patients with pathological MWT sleep latency scores (0–19min) displayed statistically significantly more ILC than patients from the intermediate, alert and control groups (F (3, 46)=7.47, p
ISSN:0167-8760
1872-7697
DOI:10.1016/j.ijpsycho.2013.05.013