PURPOSE Evaluation of daytime sleepiness in the clinical sleep practice is commonly performed by administering the Epworth Sleepiness Scale (ESS). Our study investigates gender differences of ESS responses in patients (PTs) with a primary complaint of nighttime sleep disruption as they relate to ESS responses obtained from PTs' spouses (Ss). METHODS One hundred and sixty-four patient-spouse (PT-S) pairs were recruited for the study and asked to independently complete ESS questionnaires consisting of 8 sleepiness scenarios (Q1-Q8). Descriptive summaries were frequencies and percentages for categorical data, and medians and quartiles for continuous variables. Differences between PT-S pairs and different data sets were evaluated using a two-tail independent T test and Wilcoxon's Rank Sum Test. All analyses were done in SAS for Windows 9.4. RESULTS Eighty-five male and 75 female PTs were recruited for the study. Female PTs reported significantly higher total ESS scores than male PTs (12.16 vs 9.64, p < 0.0001) and had significantly higher sleepiness for scenarios Q1, Q4, Q6, and Q8. When compared with their Ss' responses, male PTs underestimated, while female PTs overestimated their sleepiness with statistical significance observed for total ESS score as well as for all sleepiness scenarios except for Q5 ("lying down to rest in the afternoon"). African-American (AA) males reported significantly higher total ESS scores than Caucasian (C) males, while AA females reported lower total ESS scores than C females. Discrepancy between PT-S ESS scores was higher in C than in AA PTs. CONCLUSIONS Significant gender differences were noted when PT-S ESS responses were compared. Demonstrated gender differences were further influenced by the PT's race.

中文翻译：

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患者配偶配对评分显示 Epworth 嗜睡量表的性别差异

目的 临床睡眠实践中对白天嗜睡的评估通常通过使用 Epworth 嗜睡量表 (ESS) 来进行。我们的研究调查了主要抱怨夜间睡眠中断的患者 (PT) 的 ESS 反应的性别差异，因为它们与从 PT 的配偶 (Ss) 获得的 ESS 反应有关。方法 招募了 164 对患者配偶 (PT-S) 进行研究，并要求他们独立完成由 8 种困倦情景 (Q1-Q8) 组成的 ESS 问卷。描述性摘要是分类数据的频率和百分比，以及连续变量的中位数和四分位数。使用双尾独立 T 检验和 Wilcoxon 秩和检验评估 PT-S 对和不同数据集之间的差异。所有分析均在 SAS for Windows 9.4 中完成。结果 本研究招募了 85 名男性和 75 名女性 PT。女性 PT 报告的 ESS 总分明显高于男性 PT（12.16 对 9.64，p < 0.0001），并且在场景 Q1、Q4、Q6 和 Q8 中睡意明显更高。与他们的 S 的反应相比，男性 PT 低估了他们的困倦，而女性 PT 高估了他们的困倦，对于总 ESS 分数以及除 Q5（“下午躺下休息”）以外的所有困倦情景观察到的统计显着性。非裔美国人 (AA) 男性报告的 ESS 总分明显高于白人 (C) 男性，而 AA 女性报告的 ESS 总分低于 ​​C 女性。PT-S ESS 分数之间的差异在 C 中高于 AA PT。结论 当比较 PT-S ESS 反应时，注意到显着的性别差异。