{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:11:34Z","timestamp":1790727094066,"version":"4.1.0"},"reference-count":34,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Excessive daytime sleepiness in obstructive sleep apnoea (OSA) is often measured differently by patients and their partners. This study investigated the association between patient- and partner-completed Epworth Sleepiness Scale (ESS) scores and a potential correlation with OSA severity. One hundred two participants, 51 patients and 51 partners, completed the ESS before and three months after initiating CPAP treatment. There was no significant difference when comparing patients\u2019 and partners\u2019 ESS scores at baseline (10.75 \u00b1 5.29 vs. 11.47 \u00b1 4.96, respectively) and at follow-up (6.04 \u00b1 4.49 vs. 6.41 \u00b1 4.60, respectively). There was a strong correlation between patients\u2019 and partners\u2019 ESS scores on both (baseline and follow-up) assessments (p &lt; 0.001). There was significant improvement in patients\u2019 and partners\u2019 ESS scores after CPAP therapy (p &lt; 0.001). There was no significant difference in patients\u2019 or partners\u2019 ESS scores between patients with mild, moderate or severe OSA. There was no significant correlation between oxygen desaturation index (ODI) and ESS score reported either by patient or by partner. In conclusion, our study revealed a strong correlation between patient- and partner-reported ESS scores. However, neither patient- nor partner-completed ESS scores were associated with OSA severity.<\/jats:p>","DOI":"10.3390\/life12101523","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T23:09:29Z","timestamp":1664492969000},"page":"1523","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association between Patient- and Partner-Reported Sleepiness Using the Epworth Sleepiness Scale in Patients with Obstructive Sleep Apnoea"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4428-7248","authenticated-orcid":false,"given":"Konstantinos","family":"Chaidas","sequence":"first","affiliation":[{"name":"Ear, Nose, and Throat Department, Oxford University Hospitals NHS Foundation Trust, Oxford OX39DU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kallirroi","family":"Lamprou","sequence":"additional","affiliation":[{"name":"Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford OX37LE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Stradling","sequence":"additional","affiliation":[{"name":"Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford OX37LE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabel H.","family":"Nickol","sequence":"additional","affiliation":[{"name":"Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford OX37LE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1513\/pats.200709-155MG","article-title":"The epidemiology of adult obstructive sleep apnea","volume":"5","author":"Punjabi","year":"2008","journal-title":"Proc. Am. Thorac. Soc."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/S1389-9457(01)00072-7","article-title":"Quality of life in obstructive sleep apnea: A systematic review of the literature","volume":"2","author":"Moyer","year":"2001","journal-title":"Sleep Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/j.jacc.2008.05.002","article-title":"Sleep apnea and cardiovascular disease: An American Heart Association\/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing","volume":"52","author":"Somers","year":"2008","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.sleep.2004.01.021","article-title":"Excessive daytime sleepiness in obstructive sleep apnea: Prevalence, severity, and predictors","volume":"5","author":"Seneviratne","year":"2004","journal-title":"Sleep Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.jsmc.2020.02.005","article-title":"Subjective and Objective Assessment of Hypersomnolence","volume":"15","author":"Murray","year":"2020","journal-title":"Sleep Med. Clin."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","article-title":"A new method for measuring daytime sleepiness: The Epworth sleepiness scale","volume":"14","author":"Johns","year":"1991","journal-title":"Sleep"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/NMD.0b013e31816ff3bf","article-title":"The Epworth sleepiness scale in the identification of obstructive sleep apnea","volume":"196","author":"Rosenthal","year":"2008","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1017\/S0022215111003082","article-title":"Assessment of predictive ability of Epworth Sleepiness Scale in screening of patients with sleep apnoea","volume":"126","author":"Sil","year":"2012","journal-title":"J. Laryngol. Otol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.sleep.2007.08.004","article-title":"Confirmatory factor analysis of the Epworth Sleepiness Scale (ESS) in patients with obstructive sleep apnoea","volume":"9","author":"Smith","year":"2008","journal-title":"Sleep Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.sleep.2004.03.003","article-title":"Variability in the Epworth Sleepiness Scale score between the patient and the partner","volume":"5","author":"Kumru","year":"2004","journal-title":"Sleep Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1007\/s11325-016-1370-8","article-title":"The utility of patient-completed and partner-completed Epworth Sleepiness Scale scores in the evaluation of obstructive sleep apnea","volume":"20","author":"Bhat","year":"2016","journal-title":"Sleep Breath."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S1389-9457(01)00079-X","article-title":"Comparison of Epworth Sleepiness Scale scores by patients with obstructive sleep apnea and their bed partners","volume":"3","author":"Walter","year":"2002","journal-title":"Sleep Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1007\/s00508-014-0591-8","article-title":"Daytime sleepiness in patients with obstructive sleep apnea and severe obesity: Prevalence, predictors, and therapy","volume":"126","author":"Koehler","year":"2014","journal-title":"Wien. Klin. Wochenschr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1007\/s00405-011-1808-3","article-title":"The relationship between the Epworth Sleepiness Scale and polysomnographic parameters in obstructive sleep apnea patients","volume":"269","author":"Lee","year":"2012","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1046\/j.1365-2273.1999.00256.x","article-title":"The Epworth Sleepiness Scale: Can it be used for sleep apnoea screening among snorers?","volume":"24","author":"Osman","year":"1999","journal-title":"Clin. Otolaryngol. Allied Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2504","DOI":"10.1038\/oby.2007.297","article-title":"Daytime sleepiness in the obese: Not as simple as obstructive sleep apnea","volume":"15","author":"Dixon","year":"2007","journal-title":"Obesity"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"171","DOI":"10.5664\/jcsm.3446","article-title":"Self-evaluated and close relative-evaluated Epworth Sleepiness Scale vs. multiple sleep latency test in patients with obstructive sleep apnea","volume":"10","author":"Li","year":"2014","journal-title":"J. Clin. Sleep Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.1007\/s00405-010-1250-y","article-title":"Correlation of the Epworth Sleepiness Scale with respiratory sleep parameters in patients with sleep-related breathing disorders and upper airway pathology","volume":"267","author":"Bausmer","year":"2010","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/j.sleep.2015.03.010","article-title":"Prevalence and determinants of subjective sleepiness in healthy elderly with unrecognized obstructive sleep apnea","volume":"16","author":"Sforza","year":"2015","journal-title":"Sleep Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1378\/chest.12-2174","article-title":"The Epworth Sleepiness Scale: Conventional self vs physician administration","volume":"143","author":"Damiani","year":"2013","journal-title":"Chest"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1046\/j.1365-2869.1999.00166.x","article-title":"Sleepiness in obstructive sleep apnea syndrome and simple snoring evaluated by the Epworth Sleepiness Scale","volume":"8","author":"Manni","year":"1999","journal-title":"J. Sleep Res."},{"key":"ref_22","first-page":"3245","article-title":"Can the Epworth sleepiness score predict the apnoea-hypopnoea index in obstructive sleep apnoea and hypopnoea syndrome: A comparitive audit of patient and partner scoring","volume":"38","author":"Hughes","year":"2011","journal-title":"Eur. Respir. J."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1136\/thx.50.9.994","article-title":"Self assessment of daytime sleepiness: Patient versus partner","volume":"50","author":"Kingshott","year":"1995","journal-title":"Thorax"},{"key":"ref_24","first-page":"55","article-title":"Is the Epworth Sleepiness Scale an appropriate screening tool for patients with sleep disordered breathing (SDB): A retrospective clinical audit","volume":"7","author":"Barry","year":"2021","journal-title":"ERJ Open Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1093\/sleep\/28.4.472","article-title":"Sleepiness in patients with moderate to severe sleep-disordered breathing","volume":"28","author":"Kapur","year":"2005","journal-title":"Sleep"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1007\/s11325-013-0805-8","article-title":"Clinical and polysomnographic differences between OSAH patients with\/without excessive daytime sleepiness","volume":"17","year":"2013","journal-title":"Sleep Breath."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.sleep.2008.05.001","article-title":"Excessive daytime sleepiness in sleep apnea: It is not just apnea hypopnea index","volume":"9","author":"Vgontzas","year":"2008","journal-title":"Sleep Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/S0140-6736(81)92140-1","article-title":"Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares","volume":"1","author":"Sullivan","year":"1981","journal-title":"Lancet"},{"key":"ref_29","first-page":"CD003002","article-title":"Drug therapy for obstructive sleep apnoea in adults","volume":"31","author":"Mason","year":"2013","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1093\/sleep\/34.1.111","article-title":"The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA","volume":"34","author":"Antic","year":"2011","journal-title":"Sleep"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"690008","DOI":"10.3389\/fneur.2021.690008","article-title":"Excessive Daytime Sleepiness in Obstructive Sleep Apnea Patients Treated With Continuous Positive Airway Pressure: Data From the European Sleep Apnea Database","volume":"12","author":"Bonsignore","year":"2021","journal-title":"Front. Neurol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1001\/archinte.163.5.565","article-title":"Continuous positive airway pressure therapy for treating sleepiness in a diverse population with obstructive sleep apnea: Results of a meta-analysis","volume":"163","author":"Patel","year":"2003","journal-title":"Arch. Intern. Med."},{"key":"ref_33","first-page":"OC14","article-title":"Effect of CPAP Therapy in Improving Daytime Sleepiness in Indian Patients with Moderate and Severe OSA","volume":"10","author":"Battan","year":"2016","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5152\/tao.2018.3025","article-title":"The Ignored Parameter in the Diagnosis of Obstructive Sleep Apnea Syndrome: The Oxygen Desaturation Index","volume":"56","author":"Temirbekov","year":"2018","journal-title":"Turk. Arch. Otorhinolaryngol."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/12\/10\/1523\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:41:49Z","timestamp":1760143309000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/12\/10\/1523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,29]]},"references-count":34,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["life12101523"],"URL":"https:\/\/doi.org\/10.3390\/life12101523","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,29]]}}}