Table 6.

Functional outcomes in IH populations

Author(s), yearCountryStudy designPopulationFunctional outcomes
Bijlenga et al., 2021 [170]The NetherlandsProspective cohort• 6 IH3 of 6 patients with IH were found to be at an increased risk of impaired driving
Dauvilliers et al., 2022 [171]Belgium, Czech Republic, Finland, France, Poland, Spain, USARandomized controlled trial115 IH:
• 56 LSO
• 59 placebo
• WPAI:SHP: improvements with LSO vs. placebo on work productivity
• FOSQ-10 score significantly improved with LSO. Estimated median difference (95% CI) between LSO and placebo groups in change in FOSQ-10 score from the end of the stable-dose period to the end of the double-blind, randomized withdrawal period: 3.7 (2.5–5.0); p < .0001
Mayer et al., 2015 [69]GermanyRandomized controlled trialIH drug-free without long sleep:
• 14 placebo
• 17 modafinil
6-point scale of effectiveness/performance: significant improvements with modafinil vs. placebo by week 3: mean difference (95% CI) −0.68 (−1.26, −0.10); p = .033
Ong et al., 2020 [145]USAClinical trial12 IH with depression who participated in online CBT• PROMIS: baseline; post treatment (mean [SD]), both comparisons NS:
 ◦ Global mental health: 37.74 [4.96]; 37.19 [7.61]
 ◦ Global physical health: 42.53 [7.92]; 42.13 [4.30]
• FOSQ: baseline 2.21 [0.39]; post treatment 2.33 [0.46];
p = 0.2688
Ozaki et al., 2012 [68]JapanProspective cohort• 54 IH without long sleep time treated for EDS with ≥ 1 year of follow-up
• 82 drug-naïve IH historical controls
Sociodemographic variables of treated patients with IH:
• Experience of divorce or break up with partner due to symptoms: yes, 13.0%; no, 87.0%
• Experience of being forced to relocate or being dismissed due to symptoms: yes, 25.9%; no, 74.1%
Philip P et al., 2014 [172]FranceRandomized controlled trial• 14 IH who crossed over between modafinil and placebo
• 13 narcolepsy
• 14 healthy controls
Assessment of driving performance in patients with narcolepsy and IH (mean ± SD):
• Driving performance for narcolepsy vs. IH, respectively:
 ◦ Inappropriate road line crossings over 230 km: 2.0 ± 0.7 vs. 1.3 ± 0.6; p = NS
 ◦ SD of lateral position of the vehicle: 25.0± 1.1 vs. 23.5 ± 1.0 cm; p = NS
• Driving performance for narcolepsy/IH vs. controls, respectively (placebo):
 ◦ Inappropriate road line crossings over 230 km: 2.1 ± 0.5 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/IH vs. controls, respectively (modafinil):
 ◦ Inappropriate road line crossings over 230 km: 1.1 ± 0.2 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/patients with IH treated with modafinil vs. placebo, respectively:
 ◦ SD of lateral position of the vehicle: 23.6 ± 0.6 vs. 24.9 ± 0.9; p = .06
Pizza et al., 2015 [114]FranceCross-sectional study• 71 IH
• 129 NT1
• 82 NT2
• 470 healthy controls
Risk of a driving accident in the last 5 years in IH:
• Vs. healthy controls:
 ◦ Adjusted for sex, age, marital status, coffee, and energy drink intake: OR (95% CI) 2.04 (1.05–3.95)
 ◦ Adjusted for previous covariates plus ESS and naps: OR 2.31 (0.94–5.71)
• Vs. patients with NT1:
 ◦ Adjusted for sex, age, civil status, energy drink consumption, and disease duration: OR 1.37 (0.63–3.00)
Rassu et al., 2022 [7]FranceProspective and cross-sectional• Cross-sectional sample: 166 untreated and 60 treated IH
• Longitudinal sample: 77 of the untreated patients who were then treated
Among numbers of patients with available values (n), “significant/very significant” impact of hypersomnolence on driving performance:
• Cross-sectional sample; p = .0006
 ◦ Untreated (n = 166) 64 (38.55%)
 ◦ Treated (n = 60) 8 (13.33%)
• Longitudinal sample; p < .0001
 ◦ Untreated (n = 77) 40 (51.95%)
 ◦ Treated (n = 77) 20 (25.97%)
Trotti et al., 2015 [147]United StatesRandomized controlled trial• 5 IH with long sleep
• 5 IH without long sleep
FOSQ differences between clarithromycin and placebo:
• Results from original published study on FOSQ (mean ± SD):
 ◦ Long sleep: 3.5 ± 3.7
 ◦ Without long sleep: 0.3 ± 0.9
• Previously unpublished total SF-36 score reported in the 2021 systematic literature review by Maski et al. [33]: Maski et al. considered improvements “clinically” but not statistically significant: mean (95% CI) 1.9 (−0.5 to 4.3)
• Trotti et al., 2021 Cochrane review [35]: using these previously unpublished FOSQ score data from 6 of the 10 patients with IH, no significant difference was found: 0.79 (−3.02, 4.60)
Van Schie et al., 2012 [173]The NetherlandsProspective cross-sectional• 42 NT1
• 5 NT2
• 12 OSA
• 37 IH without long sleep
SARTaccuracy
• No significant difference in error score/225 between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Median (IQR) 11.1 (6.0–17.4), 10.8 (9.5–21.1), 8.4 (6.1–14.3), and 9.0 (5.9–16.3); p > .64
SART mean RT:
• No significant difference in mean RT between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Mean ± SD: 337 ± 83 ms, 332 ± 74 ms, 366 ± 87 ms, and 359 ± 82 ms; p > .55
• No correlation of SART with MSLT
Wasling et al., 2020 [16]SwedenProspective and cross-sectional• 21 IH
• 23 healthy controls
• Procrastination scales: patients with IH scored significantly higher than healthy controls on IPS, but not on PPS or STS
• Domains of EQ-5D-5L: no difference from controls in mobility or self-care, but significantly worse on usual activities
Author(s), yearCountryStudy designPopulationFunctional outcomes
Bijlenga et al., 2021 [170]The NetherlandsProspective cohort• 6 IH3 of 6 patients with IH were found to be at an increased risk of impaired driving
Dauvilliers et al., 2022 [171]Belgium, Czech Republic, Finland, France, Poland, Spain, USARandomized controlled trial115 IH:
• 56 LSO
• 59 placebo
• WPAI:SHP: improvements with LSO vs. placebo on work productivity
• FOSQ-10 score significantly improved with LSO. Estimated median difference (95% CI) between LSO and placebo groups in change in FOSQ-10 score from the end of the stable-dose period to the end of the double-blind, randomized withdrawal period: 3.7 (2.5–5.0); p < .0001
Mayer et al., 2015 [69]GermanyRandomized controlled trialIH drug-free without long sleep:
• 14 placebo
• 17 modafinil
6-point scale of effectiveness/performance: significant improvements with modafinil vs. placebo by week 3: mean difference (95% CI) −0.68 (−1.26, −0.10); p = .033
Ong et al., 2020 [145]USAClinical trial12 IH with depression who participated in online CBT• PROMIS: baseline; post treatment (mean [SD]), both comparisons NS:
 ◦ Global mental health: 37.74 [4.96]; 37.19 [7.61]
 ◦ Global physical health: 42.53 [7.92]; 42.13 [4.30]
• FOSQ: baseline 2.21 [0.39]; post treatment 2.33 [0.46];
p = 0.2688
Ozaki et al., 2012 [68]JapanProspective cohort• 54 IH without long sleep time treated for EDS with ≥ 1 year of follow-up
• 82 drug-naïve IH historical controls
Sociodemographic variables of treated patients with IH:
• Experience of divorce or break up with partner due to symptoms: yes, 13.0%; no, 87.0%
• Experience of being forced to relocate or being dismissed due to symptoms: yes, 25.9%; no, 74.1%
Philip P et al., 2014 [172]FranceRandomized controlled trial• 14 IH who crossed over between modafinil and placebo
• 13 narcolepsy
• 14 healthy controls
Assessment of driving performance in patients with narcolepsy and IH (mean ± SD):
• Driving performance for narcolepsy vs. IH, respectively:
 ◦ Inappropriate road line crossings over 230 km: 2.0 ± 0.7 vs. 1.3 ± 0.6; p = NS
 ◦ SD of lateral position of the vehicle: 25.0± 1.1 vs. 23.5 ± 1.0 cm; p = NS
• Driving performance for narcolepsy/IH vs. controls, respectively (placebo):
 ◦ Inappropriate road line crossings over 230 km: 2.1 ± 0.5 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/IH vs. controls, respectively (modafinil):
 ◦ Inappropriate road line crossings over 230 km: 1.1 ± 0.2 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/patients with IH treated with modafinil vs. placebo, respectively:
 ◦ SD of lateral position of the vehicle: 23.6 ± 0.6 vs. 24.9 ± 0.9; p = .06
Pizza et al., 2015 [114]FranceCross-sectional study• 71 IH
• 129 NT1
• 82 NT2
• 470 healthy controls
Risk of a driving accident in the last 5 years in IH:
• Vs. healthy controls:
 ◦ Adjusted for sex, age, marital status, coffee, and energy drink intake: OR (95% CI) 2.04 (1.05–3.95)
 ◦ Adjusted for previous covariates plus ESS and naps: OR 2.31 (0.94–5.71)
• Vs. patients with NT1:
 ◦ Adjusted for sex, age, civil status, energy drink consumption, and disease duration: OR 1.37 (0.63–3.00)
Rassu et al., 2022 [7]FranceProspective and cross-sectional• Cross-sectional sample: 166 untreated and 60 treated IH
• Longitudinal sample: 77 of the untreated patients who were then treated
Among numbers of patients with available values (n), “significant/very significant” impact of hypersomnolence on driving performance:
• Cross-sectional sample; p = .0006
 ◦ Untreated (n = 166) 64 (38.55%)
 ◦ Treated (n = 60) 8 (13.33%)
• Longitudinal sample; p < .0001
 ◦ Untreated (n = 77) 40 (51.95%)
 ◦ Treated (n = 77) 20 (25.97%)
Trotti et al., 2015 [147]United StatesRandomized controlled trial• 5 IH with long sleep
• 5 IH without long sleep
FOSQ differences between clarithromycin and placebo:
• Results from original published study on FOSQ (mean ± SD):
 ◦ Long sleep: 3.5 ± 3.7
 ◦ Without long sleep: 0.3 ± 0.9
• Previously unpublished total SF-36 score reported in the 2021 systematic literature review by Maski et al. [33]: Maski et al. considered improvements “clinically” but not statistically significant: mean (95% CI) 1.9 (−0.5 to 4.3)
• Trotti et al., 2021 Cochrane review [35]: using these previously unpublished FOSQ score data from 6 of the 10 patients with IH, no significant difference was found: 0.79 (−3.02, 4.60)
Van Schie et al., 2012 [173]The NetherlandsProspective cross-sectional• 42 NT1
• 5 NT2
• 12 OSA
• 37 IH without long sleep
SARTaccuracy
• No significant difference in error score/225 between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Median (IQR) 11.1 (6.0–17.4), 10.8 (9.5–21.1), 8.4 (6.1–14.3), and 9.0 (5.9–16.3); p > .64
SART mean RT:
• No significant difference in mean RT between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Mean ± SD: 337 ± 83 ms, 332 ± 74 ms, 366 ± 87 ms, and 359 ± 82 ms; p > .55
• No correlation of SART with MSLT
Wasling et al., 2020 [16]SwedenProspective and cross-sectional• 21 IH
• 23 healthy controls
• Procrastination scales: patients with IH scored significantly higher than healthy controls on IPS, but not on PPS or STS
• Domains of EQ-5D-5L: no difference from controls in mobility or self-care, but significantly worse on usual activities

CBT, cognitive behavioral therapy; EDS, excessive daytime sleepiness; EQ-5D, European Quality of Life-5 Dimensions Questionnaire; ESS, Epworth Sleepiness Scale; FOSQ, Functional Outcomes of Sleep Questionnaire; IH, idiopathic hypersomnia; IPS, Irrational Procrastination Scale; LSO, lower-sodium oxybate; MSLT, Multiple Sleep Latency Test; NS, not significant; NT1, narcolepsy type 1; NT2, narcolepsy type 2; OR, odds ratio; OSA, obstructive sleep apnea; PPS, Pure Procrastination Scale; PROMIS, Patient-Reported Outcomes Measurement Information System; RT, reaction time; SART, Sustained Attention to Response Task; SF-36, Short Form-36; STS, Susceptibility to Temptation Scale; WPAI:SHP, Work Productivity and Activity Impairment Questionnaire: Specific Health Problem.

Table 6.

Functional outcomes in IH populations

Author(s), yearCountryStudy designPopulationFunctional outcomes
Bijlenga et al., 2021 [170]The NetherlandsProspective cohort• 6 IH3 of 6 patients with IH were found to be at an increased risk of impaired driving
Dauvilliers et al., 2022 [171]Belgium, Czech Republic, Finland, France, Poland, Spain, USARandomized controlled trial115 IH:
• 56 LSO
• 59 placebo
• WPAI:SHP: improvements with LSO vs. placebo on work productivity
• FOSQ-10 score significantly improved with LSO. Estimated median difference (95% CI) between LSO and placebo groups in change in FOSQ-10 score from the end of the stable-dose period to the end of the double-blind, randomized withdrawal period: 3.7 (2.5–5.0); p < .0001
Mayer et al., 2015 [69]GermanyRandomized controlled trialIH drug-free without long sleep:
• 14 placebo
• 17 modafinil
6-point scale of effectiveness/performance: significant improvements with modafinil vs. placebo by week 3: mean difference (95% CI) −0.68 (−1.26, −0.10); p = .033
Ong et al., 2020 [145]USAClinical trial12 IH with depression who participated in online CBT• PROMIS: baseline; post treatment (mean [SD]), both comparisons NS:
 ◦ Global mental health: 37.74 [4.96]; 37.19 [7.61]
 ◦ Global physical health: 42.53 [7.92]; 42.13 [4.30]
• FOSQ: baseline 2.21 [0.39]; post treatment 2.33 [0.46];
p = 0.2688
Ozaki et al., 2012 [68]JapanProspective cohort• 54 IH without long sleep time treated for EDS with ≥ 1 year of follow-up
• 82 drug-naïve IH historical controls
Sociodemographic variables of treated patients with IH:
• Experience of divorce or break up with partner due to symptoms: yes, 13.0%; no, 87.0%
• Experience of being forced to relocate or being dismissed due to symptoms: yes, 25.9%; no, 74.1%
Philip P et al., 2014 [172]FranceRandomized controlled trial• 14 IH who crossed over between modafinil and placebo
• 13 narcolepsy
• 14 healthy controls
Assessment of driving performance in patients with narcolepsy and IH (mean ± SD):
• Driving performance for narcolepsy vs. IH, respectively:
 ◦ Inappropriate road line crossings over 230 km: 2.0 ± 0.7 vs. 1.3 ± 0.6; p = NS
 ◦ SD of lateral position of the vehicle: 25.0± 1.1 vs. 23.5 ± 1.0 cm; p = NS
• Driving performance for narcolepsy/IH vs. controls, respectively (placebo):
 ◦ Inappropriate road line crossings over 230 km: 2.1 ± 0.5 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/IH vs. controls, respectively (modafinil):
 ◦ Inappropriate road line crossings over 230 km: 1.1 ± 0.2 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/patients with IH treated with modafinil vs. placebo, respectively:
 ◦ SD of lateral position of the vehicle: 23.6 ± 0.6 vs. 24.9 ± 0.9; p = .06
Pizza et al., 2015 [114]FranceCross-sectional study• 71 IH
• 129 NT1
• 82 NT2
• 470 healthy controls
Risk of a driving accident in the last 5 years in IH:
• Vs. healthy controls:
 ◦ Adjusted for sex, age, marital status, coffee, and energy drink intake: OR (95% CI) 2.04 (1.05–3.95)
 ◦ Adjusted for previous covariates plus ESS and naps: OR 2.31 (0.94–5.71)
• Vs. patients with NT1:
 ◦ Adjusted for sex, age, civil status, energy drink consumption, and disease duration: OR 1.37 (0.63–3.00)
Rassu et al., 2022 [7]FranceProspective and cross-sectional• Cross-sectional sample: 166 untreated and 60 treated IH
• Longitudinal sample: 77 of the untreated patients who were then treated
Among numbers of patients with available values (n), “significant/very significant” impact of hypersomnolence on driving performance:
• Cross-sectional sample; p = .0006
 ◦ Untreated (n = 166) 64 (38.55%)
 ◦ Treated (n = 60) 8 (13.33%)
• Longitudinal sample; p < .0001
 ◦ Untreated (n = 77) 40 (51.95%)
 ◦ Treated (n = 77) 20 (25.97%)
Trotti et al., 2015 [147]United StatesRandomized controlled trial• 5 IH with long sleep
• 5 IH without long sleep
FOSQ differences between clarithromycin and placebo:
• Results from original published study on FOSQ (mean ± SD):
 ◦ Long sleep: 3.5 ± 3.7
 ◦ Without long sleep: 0.3 ± 0.9
• Previously unpublished total SF-36 score reported in the 2021 systematic literature review by Maski et al. [33]: Maski et al. considered improvements “clinically” but not statistically significant: mean (95% CI) 1.9 (−0.5 to 4.3)
• Trotti et al., 2021 Cochrane review [35]: using these previously unpublished FOSQ score data from 6 of the 10 patients with IH, no significant difference was found: 0.79 (−3.02, 4.60)
Van Schie et al., 2012 [173]The NetherlandsProspective cross-sectional• 42 NT1
• 5 NT2
• 12 OSA
• 37 IH without long sleep
SARTaccuracy
• No significant difference in error score/225 between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Median (IQR) 11.1 (6.0–17.4), 10.8 (9.5–21.1), 8.4 (6.1–14.3), and 9.0 (5.9–16.3); p > .64
SART mean RT:
• No significant difference in mean RT between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Mean ± SD: 337 ± 83 ms, 332 ± 74 ms, 366 ± 87 ms, and 359 ± 82 ms; p > .55
• No correlation of SART with MSLT
Wasling et al., 2020 [16]SwedenProspective and cross-sectional• 21 IH
• 23 healthy controls
• Procrastination scales: patients with IH scored significantly higher than healthy controls on IPS, but not on PPS or STS
• Domains of EQ-5D-5L: no difference from controls in mobility or self-care, but significantly worse on usual activities
Author(s), yearCountryStudy designPopulationFunctional outcomes
Bijlenga et al., 2021 [170]The NetherlandsProspective cohort• 6 IH3 of 6 patients with IH were found to be at an increased risk of impaired driving
Dauvilliers et al., 2022 [171]Belgium, Czech Republic, Finland, France, Poland, Spain, USARandomized controlled trial115 IH:
• 56 LSO
• 59 placebo
• WPAI:SHP: improvements with LSO vs. placebo on work productivity
• FOSQ-10 score significantly improved with LSO. Estimated median difference (95% CI) between LSO and placebo groups in change in FOSQ-10 score from the end of the stable-dose period to the end of the double-blind, randomized withdrawal period: 3.7 (2.5–5.0); p < .0001
Mayer et al., 2015 [69]GermanyRandomized controlled trialIH drug-free without long sleep:
• 14 placebo
• 17 modafinil
6-point scale of effectiveness/performance: significant improvements with modafinil vs. placebo by week 3: mean difference (95% CI) −0.68 (−1.26, −0.10); p = .033
Ong et al., 2020 [145]USAClinical trial12 IH with depression who participated in online CBT• PROMIS: baseline; post treatment (mean [SD]), both comparisons NS:
 ◦ Global mental health: 37.74 [4.96]; 37.19 [7.61]
 ◦ Global physical health: 42.53 [7.92]; 42.13 [4.30]
• FOSQ: baseline 2.21 [0.39]; post treatment 2.33 [0.46];
p = 0.2688
Ozaki et al., 2012 [68]JapanProspective cohort• 54 IH without long sleep time treated for EDS with ≥ 1 year of follow-up
• 82 drug-naïve IH historical controls
Sociodemographic variables of treated patients with IH:
• Experience of divorce or break up with partner due to symptoms: yes, 13.0%; no, 87.0%
• Experience of being forced to relocate or being dismissed due to symptoms: yes, 25.9%; no, 74.1%
Philip P et al., 2014 [172]FranceRandomized controlled trial• 14 IH who crossed over between modafinil and placebo
• 13 narcolepsy
• 14 healthy controls
Assessment of driving performance in patients with narcolepsy and IH (mean ± SD):
• Driving performance for narcolepsy vs. IH, respectively:
 ◦ Inappropriate road line crossings over 230 km: 2.0 ± 0.7 vs. 1.3 ± 0.6; p = NS
 ◦ SD of lateral position of the vehicle: 25.0± 1.1 vs. 23.5 ± 1.0 cm; p = NS
• Driving performance for narcolepsy/IH vs. controls, respectively (placebo):
 ◦ Inappropriate road line crossings over 230 km: 2.1 ± 0.5 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/IH vs. controls, respectively (modafinil):
 ◦ Inappropriate road line crossings over 230 km: 1.1 ± 0.2 vs. 0.2 ± 0.7; p < .05
• Driving performance for narcolepsy/patients with IH treated with modafinil vs. placebo, respectively:
 ◦ SD of lateral position of the vehicle: 23.6 ± 0.6 vs. 24.9 ± 0.9; p = .06
Pizza et al., 2015 [114]FranceCross-sectional study• 71 IH
• 129 NT1
• 82 NT2
• 470 healthy controls
Risk of a driving accident in the last 5 years in IH:
• Vs. healthy controls:
 ◦ Adjusted for sex, age, marital status, coffee, and energy drink intake: OR (95% CI) 2.04 (1.05–3.95)
 ◦ Adjusted for previous covariates plus ESS and naps: OR 2.31 (0.94–5.71)
• Vs. patients with NT1:
 ◦ Adjusted for sex, age, civil status, energy drink consumption, and disease duration: OR 1.37 (0.63–3.00)
Rassu et al., 2022 [7]FranceProspective and cross-sectional• Cross-sectional sample: 166 untreated and 60 treated IH
• Longitudinal sample: 77 of the untreated patients who were then treated
Among numbers of patients with available values (n), “significant/very significant” impact of hypersomnolence on driving performance:
• Cross-sectional sample; p = .0006
 ◦ Untreated (n = 166) 64 (38.55%)
 ◦ Treated (n = 60) 8 (13.33%)
• Longitudinal sample; p < .0001
 ◦ Untreated (n = 77) 40 (51.95%)
 ◦ Treated (n = 77) 20 (25.97%)
Trotti et al., 2015 [147]United StatesRandomized controlled trial• 5 IH with long sleep
• 5 IH without long sleep
FOSQ differences between clarithromycin and placebo:
• Results from original published study on FOSQ (mean ± SD):
 ◦ Long sleep: 3.5 ± 3.7
 ◦ Without long sleep: 0.3 ± 0.9
• Previously unpublished total SF-36 score reported in the 2021 systematic literature review by Maski et al. [33]: Maski et al. considered improvements “clinically” but not statistically significant: mean (95% CI) 1.9 (−0.5 to 4.3)
• Trotti et al., 2021 Cochrane review [35]: using these previously unpublished FOSQ score data from 6 of the 10 patients with IH, no significant difference was found: 0.79 (−3.02, 4.60)
Van Schie et al., 2012 [173]The NetherlandsProspective cross-sectional• 42 NT1
• 5 NT2
• 12 OSA
• 37 IH without long sleep
SARTaccuracy
• No significant difference in error score/225 between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Median (IQR) 11.1 (6.0–17.4), 10.8 (9.5–21.1), 8.4 (6.1–14.3), and 9.0 (5.9–16.3); p > .64
SART mean RT:
• No significant difference in mean RT between NT1, NT2, OSA, and IH groups, respectively:
 ◦ Mean ± SD: 337 ± 83 ms, 332 ± 74 ms, 366 ± 87 ms, and 359 ± 82 ms; p > .55
• No correlation of SART with MSLT
Wasling et al., 2020 [16]SwedenProspective and cross-sectional• 21 IH
• 23 healthy controls
• Procrastination scales: patients with IH scored significantly higher than healthy controls on IPS, but not on PPS or STS
• Domains of EQ-5D-5L: no difference from controls in mobility or self-care, but significantly worse on usual activities

CBT, cognitive behavioral therapy; EDS, excessive daytime sleepiness; EQ-5D, European Quality of Life-5 Dimensions Questionnaire; ESS, Epworth Sleepiness Scale; FOSQ, Functional Outcomes of Sleep Questionnaire; IH, idiopathic hypersomnia; IPS, Irrational Procrastination Scale; LSO, lower-sodium oxybate; MSLT, Multiple Sleep Latency Test; NS, not significant; NT1, narcolepsy type 1; NT2, narcolepsy type 2; OR, odds ratio; OSA, obstructive sleep apnea; PPS, Pure Procrastination Scale; PROMIS, Patient-Reported Outcomes Measurement Information System; RT, reaction time; SART, Sustained Attention to Response Task; SF-36, Short Form-36; STS, Susceptibility to Temptation Scale; WPAI:SHP, Work Productivity and Activity Impairment Questionnaire: Specific Health Problem.

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