Evidence map›Paper›PMID 40741637›Full record

ArticleJournal of sleep research2026

Sleep in Functional Motor Disorders: A Case-Control Polysomnographic Study.

Jiří Nepožitek, Simona Dostálová, Martin Jirásek, Gabriela Chaloupková, Zuzana Forejtová, Lucia Nováková, Veronika Rottová, Veronika Konvičná, Karel Šonka, Mark J Edwards and 1 more

Abstract read
In one paragraph

Article in Journal of sleep research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jiří NepožitekDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Simona DostálováDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Martin JirásekDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Gabriela ChaloupkováDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Zuzana ForejtováDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Lucia NovákováDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Veronika RottováDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Veronika KonvičnáDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Karel ŠonkaDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Mark J EdwardsInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Tereza SerranováDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Funding

Agentura Pro Zdravotnický Výzkum České Republiky NU20-04-0332European Union-Next Generation EU: the project National Institute for Neurological Research (Programme EXCELES) LX22NPO5107Ministerstvo Zdravotnictví Ceské Republiky MH CZ-DRO-VFN64165Univerzita Karlova v Praze, Cooperatio Program in Neuroscience
6 · The paper itself

Abstract

Sleep problems are frequent in functional motor disorders (FMDs). Surprisingly, objective correlates of impaired sleep and its relationship to other comorbidities have been understudied, and no polysomnographic study is available. We aimed to map the polysomnographic parameters in the context of self-reported sleep and mood symptoms and search for comorbid sleep disorders in FMD and healthy controls. Thirty-seven patients (mean age [SD], 48.2 [10.6] years) with clinically definite FMD and 37 controls (48.6 [11.2] years) underwent structured medical and sleep history assessment, neurological examination and polysomnography and completed questionnaires for sleep quality, sleepiness, depression and anxiety. In FMD, specific sleep disorders were identified in our cohort, with 32% having restless legs syndrome, 38% clinically significant obstructive sleep apnoea and 8% periodic limb movements in sleep. FMD patients reported worse sleep quality (p < 0.001), higher sleepiness (p < 0.001), depression (p < 0.001) and anxiety (p < 0.001), had longer REM sleep latency (p < 0.001), worse sleep efficiency (p = 0.012) and increased wake ratio (p = 0.013). Furthermore, longer sleep latency (p = 0.030) and decreased REM sleep ratio (p = 0.027) in FMD reached nominal significance before adjustment for multiple comparisons. In FMD, subjective sleep quality positively correlated with depression (ρ = 0.54; p < 0.002) and anxiety (ρ = 0.61; p < 0.001) and subjective sleepiness correlated with depression (ρ = 0.42; p = 0.010). Self-reported measures did not correlate with any polysomnographic parameters. Polysomnography detected sleep structure changes in FMD. Sleep abnormalities, including impairments in REM sleep, should be considered in the management of FMD. Future studies should further explore the role of REM sleep disturbances in the pathophysiology of FMD.

Indexed as

Conversion DisorderSleep Wake DisordersAdultAnxietyCase-Control StudiesDepressionFemaleHumansMaleMiddle AgedPolysomnographyRestless Legs SyndromeSleep QualitySurveys and Questionnairesfunctional motor disorderfunctional movement disorderfunctional neurological disordermovement disorderspolysomnographyREM sleep

Identifiers

PMID40741637
PMCPMC13003293

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.