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La somnolencia diurna excesiva debe evaluarse sistemáticamente en personas con insomnio: un estudio basado en la
Julien Coelho1,2, Florian Pécune1, Alex Chanteclair1
1Univ. Bordeaux, SANPSY, UMR 6033, Bordeaux, France.
Journal of sleep research
|August 28, 2025
Resumen
La somnolencia diurna excesiva (EDS, por sus siglas en inglés) es común en pacientes con insomnio. Una intervención digital tratada con eficacia
Área de la Ciencia:
- Medicina del sueño
- Salud digital
- Ciencias del comportamiento
Sus antecedentes:
- El insomnio y la somnolencia diurna excesiva (EDS) ocurren con frecuencia, presentando un fenotipo de sueño complejo.
- Comprender el perfil de los insomnes y su respuesta a las intervenciones digitales es crucial para un tratamiento específico.
- La aplicación KANOPÉE proporciona una herramienta novedosa para recopilar datos de sueño y ofrecer recomendaciones de comportamiento personalizadas.
Objetivo del estudio:
- Caracterizar a las personas que experimentan insomnio y somnolencia diurna excesiva ("insomnios somnolientos").
- Evaluar la eficacia de una intervención de sueño digital de 17 días en el tratamiento de este grupo específico de pacientes.
- Identificar las comorbilidades asociadas con el fenotipo "insomne".
Principales métodos:
- Análisis de los datos de 21.590 participantes utilizando la aplicación KANOPÉE.
- Clasificación de los " insomnes soñolientos " basados en las puntuaciones de la Escala de Somnolencia de Epworth (≥11) y el Índice de Gravedad del Insomnio (≥15).
- Descripción y exclusión de las comorbilidades (p. ej., apnea del sueño, síndrome de los lomos, depresión) para su posterior análisis.
Principales resultados:
- El 47,9% de los participantes en el insomnio informaron de EDS, clasificándolos como "insomnios somnolientos".
- La depresión fue la comorbilidad más común entre los "insomnes".
- Después de excluir las comorbilidades, el 44,3% del grupo inicial de insomnio permaneció como "insomnios soñolientos", a menudo vinculados a síntomas de insomnio medio / tardío.
- La intervención digital mostró una eficacia similar para los "insomnes durmientes" en comparación con otros grupos de insomnio.
Conclusiones:
- La somnolencia diurna excesiva es muy frecuente en las personas con insomnio.
- Las enfermedades concomitantes, especialmente la depresión, explican algunos casos, pero una porción significativa de los 'insomnes' existen sin enfermedades concomitantes.
- Una intervención de sueño digital de 17 días es efectiva para tratar a los "insomnes", lo que indica el potencial de las soluciones de salud digital.
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