ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
The (mis)perception of sleep: factors influencing the discrepancy between self-reported and objective sleep parameters.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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35 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
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- Effect of diamine oxidase (DAO) enzyme dietary supplementation in subjects with insomnia symptoms and single nucleotide polymorphisms of theSleep medicine: X · 2026Article
- The Association Between Circadian Disruption in Core Body Temperature Rhythm and Post-Chemotherapy Sleep Disturbances in Breast Cancer Survivors.Journal of sleep research · 2026Article
- Conventional polysomnographic parameters fail to predict unrefreshing sleep in patients suspected of obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2026Article
- Misperception of supine sleep in the sleep laboratory: a retrospective review of self-reported versus polysomnography-measured sleep position.Sleep & breathing = Schlaf & Atmung · 2026Article
- Associations Between Sleep State Misperception and Emotional States in Middle-Aged Adults: A Community-Based Cross-Sectional Study.Behavioural neurology · 2026Article
- Cross-modal conditional associations between psychometric and polysomnographic indicators in sleep center patients: a Gaussian graphical model.Frontiers in psychiatry · 2026Article
- Self-perceived life course sleep duration trajectories and risk and age at onset of Parkinson's disease.NPJ Parkinson's disease · 2025Article
- Multimodal Sleep Measurement and Alignment Analysis in Outpatients With Major Depressive Episode: Observational Study.JMIR mHealth and uHealth · 2025Observational
- Identification of five sleep-biopsychosocial profiles with specific neural signatures linking sleep variability with health, cognition, and lifestyle factors.PLoS biology · 2025Article
- Comparison of Subjective and Objective Sleep Quality in Patients With Obstructive Sleep Apnea Syndrome.Brain and behavior · 2025Article
- Sleep trajectories across three cognitive-aging pathways in community older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- The Sleep Expectation-Reality Gap: Exploring Discrepancies Between Perceived and Ideal Sleep Duration in Primary Care Patients.Healthcare (Basel, Switzerland) · 2025Article
- Improving sleep health through sleep hygiene education in adults aged 50-80 years.Frontiers in sleep · 2025Article
- Multi-Night Home Assessment of Total Sleep Time Misperception in Obstructive Sleep Apnea with and Without Insomnia Symptoms.Clocks & sleep · 2024Article
- Assessing sleep metrics in stroke survivors: a comparison between objective and subjective measures.Sleep & breathing = Schlaf & Atmung · 2024Article
- Conceptualizing Sleep Satisfaction: A Rapid Review.Behavioral sciences (Basel, Switzerland) · 2024Review
- Article
- Relationship between insomnia and pain in patients with chronic orofacial pain.Pain medicine (Malden, Mass.) · 2024Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesSelf-reported perception of sleep often differs from objective sleep study measures, but factors predicting the discrepancy between self-reported and objective sleep parameters are controversial, and a comparison of laboratory vs ambulatory polysomnography (PSG) is lacking.
methodsWe retrospectively analyzed PSGs conducted between 2012 and 2016. Linear regression was applied to predict the discrepancy between self-reported and objective sleep parameters (total sleep time, sleep efficiency, sleep latency, using age, sex, arousal index, type of sleep disorder, and PSG type [laboratory vs ambulatory] as regressors).
resultsA total of 303 PSGs were analyzed (49% women, median age 48 years), comprising patients with insomnia (32%), sleep-related breathing disorders (27%), sleep-related movement disorders (15%), hypersomnia/narcolepsy (14%), and parasomnias (12%). Sleep disorder was the best predictor of discrepancy between self-reported and objective total sleep time, and patients with insomnia showed higher discrepancy values compared to all other patient groups (P < .001), independent of age and PSG type (P > .05). Contributory effects for higher discrepancy values were found for lower arousal index. Patients with insomnia underestimated both total sleep time (median discrepancy: 46 minutes, P < .001) and sleep efficiency (median discrepancy: 11%, P < .001). No significant predictor for discrepancy of sleep latency was found.
conclusionsMisperception of sleep duration and efficiency is common in sleep lab patients, but most prominent in insomnia, independent of age, sex, or laboratory vs ambulatory recording setting. This underlines the role of PSG in patients with a clinical diagnosis of insomnia and its use in cognitive behavioral therapy.
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