ArticleJournal of psychosomatic research2014
Sleep-wake misperception in sleep apnea patients undergoing diagnostic versus titration polysomnography.
Article in Journal of psychosomatic research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 35 citations in OpenAlex.
- Trial
- Ambulatory screening tool for sleep apnea: analyzing a single-lead electrocardiogram signal (ECG).Sleep & breathing = Schlaf & Atmung · 2018Trial
- Dexmedetomidine promotes biomimetic non-rapid eye movement stage 3 sleep in humans: A pilot study.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2018Trial
- Generative AI vs web search for patient education: a comparative evaluation of OSA information quality.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Association between sleep duration and hypertension risk in patients with obstructive sleep apnea.NPJ primary care respiratory medicine · 2025Article
- Assessing sleep metrics in stroke survivors: a comparison between objective and subjective measures.Sleep & breathing = Schlaf & Atmung · 2024Article
- Effects of Continuous Positive Airway Pressure on Sleep State Misperception in Patients With Obstructive Sleep Apnea.Journal of Korean medical science · 2023Article
- Factors associated with sleep state misperception in patients with obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2022Article
- Migraine may disturb sleep perception during sleep onset: a retrospective data analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Discordant Subjective Perception of Sleep in Patients with Obstructive Sleep Apnea and Insomnia: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Association Between Subjective-Objective Discrepancy of Sleeping Time and Health-Related Quality of Life: A Community-Based Polysomnographic Study.Psychosomatic medicine · 2022Article
- A Study of Factors Causing Sleep State Misperception in Patients with Depression.Nature and science of sleep · 2022Article
- Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management.International journal of environmental research and public health · 2021Review
- The (mis)perception of sleep: factors influencing the discrepancy between self-reported and objective sleep parameters.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Article
- Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea.Contemporary clinical trials · 2020Article
- Analysis of Clinical Characteristics and Polysomnography Indicators of Obstructive Sleep Apnea-Hypopnea Syndrome Patients Based on Sleep Perception Types.Frontiers in neurology · 2020Article
- Perception of sleep duration in adult patients with suspected obstructive sleep apnea.PloS one · 2020Article
- Is subjective sleep evaluation a good predictor for obstructive sleep apnea?Clinics (Sao Paulo, Brazil) · 2018Observational
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveInsomnia is commonly co-morbid with obstructive sleep apnea. Among patients reporting insomnia symptoms, sleep misperception occurs when self-reported sleep duration under-estimates objective measures. Misperception represents a clinical challenge since insomnia management is based entirely on patient self-report. We tested the hypothesis that misperception occurring in sleep apnea patients would improve with subsequent treatment.
methodsWe compared subjective sleep-wake reports with objective sleep in adults with obstructive sleep apnea (n=405) in two nights of polysomnography (diagnostic and treatment) within a median interval of 92 days.
resultsSleep latency was generally over-estimated, while wake after sleep onset and number of awakenings were under-estimated. None of these estimations differed between diagnostic and treatment polysomnograms. We observed a large spectrum of total sleep time misperception values during the diagnostic polysomnogram, with one third of the cohort under-estimating their total sleep time by at least 60 min. Of those with >60 minute misperception, we observed improved total sleep time perception during treatment polysomnography. Improved perception correlated with improvements in self-reported sleep quality and response confidence. We found no polysomnogram or demographic predictors of total sleep time misperception for the diagnostic polysomnogram, nor did we find objective correlates of improved perception during titration.
conclusionOur results suggest that misperception may improve with treatment of obstructive sleep apnea in patients who also exhibit misperception. Within subject changes in misperception are consistent with misperception being, at least to some extent, a state characteristic, which has implications for management of patients with comorbid insomnia and sleep apnea.
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Registered trials
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.