Sadeh A, Hauri P J, Kripke D F, Lavie P
Department of Psychology, Tel Aviv University, Israel.
Sleep. 1995 May;18(4):288-302. doi: 10.1093/sleep/18.4.288.
This paper, which has been reviewed and approved by the Board of Directors of the American Sleep Disorders Association, provides the background for the Standards of Practice Committee's parameters for the practice of sleep medicine in North America. The growing use of activity-based monitoring (actigraphy) in sleep medicine and sleep research has enriched and challenged traditional sleep-monitoring techniques. This review summarizes the empirical data on the validity of actigraphy in assessing sleep-wake patterns and assessing clinical and control groups ranging in age from infancy to elderly. An overview of sleep-related actigraphic studies is also included. Actigraphy provides useful measures of sleep-wake schedule and sleep quality. The data also suggest that actigraphy, despite its limitations, may be a useful, cost-effective method for assessing specific sleep disorders, such as insomnia and schedule disorders, and for monitoring their treatment process. Methodological issues such as the proper use of actigraphy and possible artifacts have not been systematically addressed in clinical research and practice.
本文已经过美国睡眠障碍协会董事会审阅并批准，为北美睡眠医学实践标准委员会的参数提供了背景信息。基于活动的监测（活动记录仪）在睡眠医学和睡眠研究中的使用日益增加，丰富并挑战了传统的睡眠监测技术。本综述总结了关于活动记录仪在评估睡眠-清醒模式以及评估从婴儿到老年人的临床和对照组方面有效性的实证数据。还包括与睡眠相关的活动记录仪研究概述。活动记录仪为睡眠-清醒时间表和睡眠质量提供了有用的测量方法。数据还表明，活动记录仪尽管有其局限性，但可能是评估特定睡眠障碍（如失眠和时间表障碍）及其治疗过程的一种有用且具有成本效益的方法。诸如活动记录仪的正确使用和可能的伪影等方法学问题在临床研究和实践中尚未得到系统解决。
