ArticleJournal of sleep research2023
Actigraphy in studies on insomnia: Worth the effort?
Article in Journal of sleep research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Characteristics of macroscopic sleep structure in patients with mild cognitive impairment: a systematic review.Frontiers in psychiatry · 2023Pooled it
- Effects of lemborexant vs placebo on total daytime sleep in shift workers: a randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Trial
- The effectiveness of a cognitive behavioural therapy for insomnia based intervention to improve sleep quality in nursing home residents, a cluster randomised controlled trial.European geriatric medicine · 2026Trial
- Trial
- Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial.Journal of behavioral medicine · 2024Trial
- Required components of a sleep-wake online daily diary for accurate and efficient human research.Npj biological timing and sleep · 2026Article
- Associations of Circadian Rhythms with Cognitive Performance in Patients with Amnestic Mild Cognitive Impairment (aMCI).Journal of clinical medicine · 2026Article
- Assessing Night-to-Night Sleep Variability as a Hallmark of Chronic Insomnia Using Longitudinal, Contactless, Mobile Sleep Monitoring: Prospective Cohort Study.JMIR formative research · 2026Article
- Relationship between sleep duration and falls in older Mexican Americans: Sex differences in a longitudinal study.Journal of psychosomatic research · 2025Article
- Wearables as Translational Physiomarkers and Clinical Endpoints in Insomnia Research: Can Sleep Research Advance Psychiatry?Journal of sleep research · 2025Review
- Relationship between caregiving burden and alterations in circadian rhythms among spousal caregivers of individuals with cognitive impairment.BMC geriatrics · 2025Article
- Actigraphy-based assessment of circadian rhythmicity and sleep in patients with Usher syndrome type 2a: A case-control study.Journal of sleep research · 2025Article
- Cognitive behavioural therapy for insomnia decreases the discrepancy between objective and subjective measures of sleep.Trends in psychiatry and psychotherapy · 2025Article
- Biobehavioral predictors of mood, pain, fatigue, and insomnia in endometrial cancer survivors.Gynecologic oncology · 2024Article
- The predictive value of supervised machine learning models for insomnia symptoms through smartphone usage behavior.Sleep medicine: X · 2024Article
- Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies.Sleep health · 2024Article
- Comparing actigraphy and diary to measure daily and average sleep in firefighters: a Bland-Altman analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- How patients with insomnia interpret and respond to the consensus sleep diary: a cognitive interview study.Journal of patient-reported outcomes · 2024Article
- Article
- Actigraphy in studies on insomnia: Worth the effort?Journal of sleep research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
In the past decades, actigraphy has emerged as a promising, cost-effective, and easy-to-use tool for ambulatory sleep recording. Polysomnography (PSG) validation studies showed that actigraphic sleep estimates fare relatively well in healthy sleepers. Additionally, round-the-clock actigraphy recording has been used to study circadian rhythms in various populations. To this date, however, there is little evidence that the diagnosis, monitoring, or treatment of insomnia can significantly benefit from actigraphy recordings. Using a case-control design, we therefore critically examined whether mean or within-subject variability of actigraphy sleep estimates or circadian patterns add to the understanding of sleep complaints in insomnia. We acquired actigraphy recordings and sleep diaries of 37 controls and 167 patients with varying degrees of insomnia severity for up to 9 consecutive days in their home environment. Additionally, the participants spent one night in the laboratory, where actigraphy was recorded alongside PSG to check whether sleep, in principle, is well estimated. Despite moderate to strong agreement between actigraphy and PSG sleep scoring in the laboratory, ambulatory actigraphic estimates of average sleep and circadian rhythm variables failed to successfully differentiate patients with insomnia from controls in the home environment. Only total sleep time differed between the groups. Additionally, within-subject variability of sleep efficiency and wake after sleep onset was higher in patients. Insomnia research may therefore benefit from shifting attention from average sleep variables to day-to-day variability or from the development of non-motor home-assessed indicators of sleep quality.
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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.