Accuracy of sleep perceptions among insomnia sufferers and normal sleepers
Abstract
Objective To examine the distribution, consistency, and correlates of sleep time perceptions in primary insomnia sufferers and normal sleepers across settings (laboratory and home).Methods Fifty-two middle-aged and older insomnia sufferers and 49 matched normal sleepers underwent multiple nights of laboratory and home polysomnography (PSG) and provided concurrent subjective estimates of their sleep. Descriptive statistics, cluster analyses, and inferential tests were used to examine the nature of sleep time perceptions, identify subgroups with distinctive patterns such as perceptions, and explore factors that may contribute to these subgroups' distinctive sleep perceptions.Results Consistent with previous studies, the insomnia sufferers, as a group, showed a greater tendency to underestimate the time they slept than did the normal sleepers, but the accuracy of sleep time perceptions varied widely within each sample. Correlational analyses showed that study participants in each sample showed a moderate level of consistency in how accurately they estimated sleep time across nights. Subsequent cluster analyses conducted to identify subgroups with distinctive patterns of sleep time perceptions yielded four subgroups within the insomnia sample and three subgroups within the normal sleeper sample. Although the sleep setting significantly affected sleep perceptions for one insomnia subgroup, both laboratory and home objective-subjective sleep comparisons provided similar impressions regarding the relative accuracy of each subgroup's nocturnal sleep/wake perceptions. Finally, varying patterns of subgroup differences were noted across several common psychometric measures.Conclusions The underestimation of sleep time is not a generic characteristic that separates all insomnia sufferers from normal sleepers. Sleep setting, personality traits, and perhaps constitutional factors appear to influence perceptions of sleep and wake time duration.
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Sleep duration evaluated by self-report questionnaires and diaries may not agree with actigraphy and PSG; in healthy populations self-reported sleep duration appears longer than actigraphy estimates, while in populations with sleep disturbances self-reported sleep duration tends to be shorter.
“sleep duration evaluated by self-report questionnaires and diaries may not agree with the results of actigraphy and PSG. In healthy populations, self-reported sleep duration appears to be longer compared with actigraphy estimates, while in populations with sleep disturbances, self-reported sleep duration tends to be shorter”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [375]
The perception of sleep varies widely among insomnia patients, who often underestimate TST and overestimate SOL and WASO compared to objective sleep findings.
“The perception of sleep varies widely among insomnia patients. These patients often underestimate TST and overestimate SOL and nocturnal awakenings WASO when compared to objective sleep findings. ( 11 - 14 )”
From Physical exercise as a therapeutic approach for adults with insomnia: Systematic review and meta-analysis (2022) · cites this paper as [13]
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- Authors
- Means, M.
- Affiliations
- Durham VA Medical Center (US)
- Corresponding author
- Means, M
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 4
- Issue
- 4
- Pages
- 285-296
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2094388152
- Cited by
- 217
- References
- 39
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 11 · 2022: 13 · 2021: 11 · 2020: 11 · 2019: 10 · 2018: 12 · 2017: 9 · 2016: 13 · 2015: 10 · 2014: 14 · 2013: 17 · 2012: 12
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- NSUWorks (Nova Southeastern University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- primary insomnia, personality traits, sleep duration, older adults
- MeSH terms
- Analysis of Variance, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Medical Records, Middle Aged, Psychometrics, Surveys and Questionnaires, Reaction Time, Self-Assessment, Sleep, Time Factors, Wakefulness, Case-Control Studies, Polysomnography
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