ArticleFrontiers in neurology2022
Sleep Misperception and Associated Factors in Patients With Anxiety-Related Disorders and Complaint of Insomnia: A Retrospective Study.
Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Non-pharmacological sleep management in breast cancer survivors: Evidence from a systematic review and meta-analysis of RCTs.Preventive medicine reports · 2026Review
- Sleep architecture differences and predictive markers of sleep perception impairment in depression.Scientific reports · 2026Article
- Night-to-Night Sleep Variability Modulates Subjective Sleep Perception in Chronic Insomnia: A Multilevel Analysis.Nature and science of sleep · 2026Article
- Factors associated with sleep state misperception in patients with obstructive sleep apnea: a cross-sectional study.Frontiers in neurology · 2026Article
- Prevalence, Clinical Correlates, Gender Differences, and Predictive Factors of Paradoxical Insomnia in Chinese Adults with Chronic Insomnia: A Cross-Sectional Study.Nature and science of sleep · 2026Article
- Machine Learning Models to Identify Clinically Significant Anxiety in Short-Term Insomnia Using Accelerometers.Depression and anxiety · 2025Article
- Patients with cluster headache show signs of insomnia and sleep related stress: results from an actigraphy and self-assessed sleep study.The journal of headache and pain · 2023Article
- Actigraphy monitoring in anxiety disorders: A mini-review of the literature.Frontiers in psychiatry · 2022Review
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10 authors.
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Abstract
Purpose: Data on sleep parameters by polysomnography (PSG) in patients with anxiety-related disorders are limited. Although the disturbance and risk factors of sleep misperception have been implicated in psychopathology, its role in anxiety-related disorders remains unclear. This retrospective study aimed to explore the characteristics and sleep parameters in patients with anxiety-related disorders and different sleep perception types, and to explore the associated factors for sleep misperception. Methods: Patients with anxiety-related disorders who had complaint of insomnia for more than 3 months were collected at Wuhan Mental Health Center between December 2019 and July 2021. Patients underwent a two-night PSG monitoring and completed a self-reported sleep questionnaire. Behaviors were assessed using 30-item Nurses' Observation Scale for Inpatient Evaluation (NOSIE-30). Patients were divided into normal sleep perception (NSP), positive sleep perception abnormality [PSPA; overestimation of total sleep time (TST) >60 min], and negative sleep perception abnormality (NSPA; underestimation of TST >60 min) groups. PSG indicators and NOSIE-30 scores were compared among groups using the one-way analysis of variance and the Kruskal-Wallis test. Multiple linear regression analysis was performed to determine the associated factors for misperception index. Results: The subjective and objective TST were 5.5 ± 1.9 h and 6.4 ± 1.7 h in 305 patients, respectively. Sixty-nine (22.6%) had PSPA, 80 (26.2%) had NSP, and 156 (51.1%) had NSPA. Subjective TST and objective sleep parameters were significantly different among groups. No statistical differences in NOSIE-30 subscale and total scores were observed among groups. Sex, rapid eye movement (REM)/TST (%), sleep efficiency, number of awakenings, Non-rapid eye movement of stage 2 sleep (NREM)/TST (%), REM spontaneous arousal times, sleep latency, diagnosis, social competence, and manifest psychosis were associated with sleep misperception. Conclusion: Sleep misperception is common in patients with anxiety-related disorders. Various sleep perception types have different PSG profiles, but similar personal and social behaviors. These data may be helpful to conduct personalized treatment.
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