ArticleProceedings of the National Academy of Sciences of the United States of America2025
Discrepancies between subjective and objective sleep assessments revealed by in-home electroencephalography during real-world sleep.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effect of exercise training on clinical and physiological variables in adults with myotonic dystrophy type 1: a systematic review and meta-analysis.Journal of neurology · 2026Pooled it
- Short-term sleep benefitsFrontiers in pharmacology · 2026Pooled it
- Trial
- Hyperoside-Rich Blueberry Leaf Tea Improves Sleep Continuity in Adults with Poor Sleep: A Two-Week Randomized Double-Blind Controlled Trial.Nutrients · 2026Trial
- Subjective and objective quality of sleep with radiant or convection cooling systems: a randomized, cross-over trial.Scientific reports · 2025Trial
- In-home validation of wrist actigraphy against portable electroencephalography for sleep assessment in older adults.Sleep & breathing = Schlaf & Atmung · 2026Article
- Self-Reported Adverse Events in Psychiatric Outpatients Taking Hypnotics: Higher Real-World Frequencies Than Those Listed in Package Inserts.Neuropsychopharmacology reports · 2026Article
- Evidence on Sleep and Academic Achievement in First-Year University Students: A Scoping Review.Clocks & sleep · 2026Review
- Sleep measurement and clinical impact in osteoarthritis and inflammatory arthritis: a scoping review.Rheumatology (Oxford, England) · 2026Article
- Human-Centered AI in Sleep Health Management: Scoping Review of Stakeholder Perspectives and Co-Design Practices.Journal of medical Internet research · 2026Article
- Light exposure and sleep architecture in real-world settings.Npj biological timing and sleep · 2026Article
- Sleep fragmentation correlates with amyloid beta deposition at brain autopsy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Sleep and Cardiovascular Health Among Women With a History of Hypertensive Disorders of Pregnancy: Pilot Observational Study.JMIR cardio · 2026Observational
- Application of the patient-reported and nurse-rated Richards-Campbell Sleep Questionnaire in neurorehabilitation inpatients.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Mind the gap: obtaining reliable sleep estimates and the diagnostic value of sleep discrepancy in individuals with Alzheimer's disease and Lewy body disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Effects of Aquatic Exercise on Sleep Quality in Patients with Chronic Diseases: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Subjective sleep quality predict clinical pain severity more strongly than polysomnographic parameters: Machine learning findings from a cross-sectional study.Sleep medicine · 2026Article
- Targeting the Sleep-Glymphatic-Vascular Continuum in Cerebral Small Vessel Disease: A Nutritional Perspective on Neuroprotective Potential of Tocotrienols (T3).Life (Basel, Switzerland) · 2026Review
- The sleep quality of nurses may depend not only on socio-economic status but also on multiple determinants, requiring multivariate analysis.Journal of family medicine and primary care · 2026Article
- The CommonNutrients · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
Sleep insufficiency and sleep disorders pose serious health challenges. This study aimed to determine the potential discrepancy between subjective and objective sleep assessments, including the latter made by physicians, by analyzing a 421-participant dataset in Japan comprising multiple nights of in-home sleep electroencephalogram (EEG) data and questionnaire responses on sleep habits or subjective experiences. We employed logistic regression models to examine which subjective and objective sleep parameters physicians are paying attention to when assessing sleep insufficiency, insomnia, sleep quality, and sleep apnea. Questionnaire responses, including subjective sleep assessments, exhibited poor performance predicting physicians' assessments, whereas objective data demonstrated good predictive performance, indicating a discrepancy between subjective and objective sleep assessments. Although the in-home sleep EEG measurements had minimal first night effects, incorporating measurements over multiple nights can improve the detection of objective insomnia. Moreover, we found that participants with severe sleep insufficiency overestimated their sleep duration, whereas those with subjective insomnia but without objective insomnia underestimated it. Additionally, subjective sleep quality reflected sleep efficiency but not the frequency of short awakenings or objective sleep depth. In particular, the effects of apnea on objective sleep quality were not subjectively perceived. Collectively, our findings suggest that subjective sleep assessments alone are insufficient for evaluating sleep health and that health checkups and advice based on sleep EEG measurements may be useful in improving sleep habits and for early detection of sleep disorders.
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