Abstract
The purpose of the present study was to investigate sleep disorders of two infertile depressive women by wrist-worn activity monitoring (ACTIWATCH^<[○!R]>), subjective sleep checklist and sleep diary. The first patient was 27 years old, and her bilateral tubes and left ovary had been removed due to repeated ectopic pregnancy and dermoid cyst. The second patient was 34 years old and had bilateral obstructed tubes and uterine myoma. They were prescribed hypnotics, anti depressants and antianxiety drugs. ACTIWATCH^<[○!R]> was worn two or four weeks. In both cases, self-reported sleeping times were significantly but not so strongly correlated with those evaluated by ACTIWATCH^<[○!R]>. ACTIWATCH^<[○!R]> showed increased activity when the patients felt sleepy, while it showed decreased activity when they felt they could not sleep well. In the present two cases, physical and mental conditions evaluated with visual analogue scales were not correlated with sleeping times evaluated by ACTIWATCH^<[○!R]>. The evidence suggests that using ACTIWATCH^<[○!R]> with subjective sleep checklist and sleep diary is valid in patients with insomnia.