Insomnia and daytime functioning
Abstract
Results from the present review challenge the assumption that daytime functioning deficits are associated with insomnia. Objectively-measured daytime sleepiness is not elevated in people with insomnia, and most cognitive/psychomotor tasks do not indicate deficits in people with insomnia. In contrast, a number of studies have found that people with insomnia self-report daytime symptoms such as elevated fatigue, mood disturbance and reduced quality of life. Studies including both objective and subjective daytime measures have generally found agreement between the two types of measures, with both typically indicating a lack of daytime impairment. The present review also summarizes evidence suggesting that reported daytime difficulties are produced by factors other than poor sleep, such as physiological or psychological arousal or sleep need misperception.
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The different relationships between problems with sleep onset, maintenance, and negative affect reported here stand in contrast to studies which find that both sleep onset and sleep maintenance problems are related to negative affect.
“Indeed, the different relationships between problems with sleep onset, maintenance, and negative affect reported here stands in contrast to studies which find that both sleep onset and sleep maintenance problems are related to negative affect [96–100].”
From A structural equation model of the relationship between insomnia, negative affect, and paranoid thinking (2017) · cites this paper as [100]
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- Authors
- Riedel, B. W., & Lichstein, K. L.
- Affiliations
- University of Memphis (US)
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2000-06
- Volume
- 4
- Issue
- 3
- Pages
- 277-298
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2142607527
- Cited by
- 309
- References
- 77
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 13 · 2023: 7 · 2022: 13 · 2021: 20 · 2020: 5 · 2019: 12 · 2018: 12 · 2017: 15 · 2016: 19 · 2015: 9 · 2014: 21 · 2013: 19 · 2012: 11
- FWCI
- 7.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging
- 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
- insomnia, daytime functioning, daytime sleepiness, cognitive impairment, psychomotor performance, fatigue, mood disturbance, quality of life, arousal
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