Subjective reports versus objective measurement of sleep latency and sleep duration in pregnancy
Abstract
This study compared self-reported sleep latency (SL) and total sleep time (TST) to objective measures on polysomnography (PSG) during pregnancy. Thirty-three women in the third trimester (T3) of pregnancy, 16 women in the first trimester (T1) of pregnancy, and 15 non-pregnant women underwent overnight PSG, and shortly after awakening reported their perceived SL and TST. Results showed that, on average, the T3 group slightly overestimated their TSTs, whereas the T1 and non-pregnant groups underestimated TSTs when compared with objective measurement. All groups overestimated SL, and perceived SL was closest to the first epoch of 10 min of uninterrupted sleep or the first epoch of slow-wave sleep, rather than the first epoch of sleep (the current definition used for diagnostic sleep studies). The wide variation in discrepancies between estimation and PSG measurement for both TST and SL shows that self-reports made by both pregnant and non-pregnant women tend to be unreliable, which has important implications both clinically and for the many studies based on self-reported sleep patterns in pregnancy.
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Although objective measures such as polysomnography provide the most accurate way to assess sleep, there is evidence that subjectively measured sleep variables could be more closely associated with functional outcomes.
“Although objective measures such as polysomnography provide the most accurate way to assess sleep, there is evidence that subjectively measured sleep variables could be more closely associated with functional outcomes.51”
From Pilot evaluation of the Sleep Ninja: A smartphone application for adolescent insomnia symptoms (2019) · cites this paper as [51]
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- Authors
- Wilson, D. L., Fung, A., Walker, S. P., & Barnes, M.
- Affiliations
- La Trobe University (AU)
- Mercy Hospital for Women (AU)
- The University of Melbourne (AU)
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2013-07
- Volume
- 11
- Issue
- 3
- Pages
- 207-221
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W2037024294
- Cited by
- 52
- References
- 48
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 6 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 1 · 2016: 6 · 2015: 5 · 2014: 2 · 2013: 4
- FWCI
- 4.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- sleep latency, total sleep time, pregnancy, self-reported sleep, subjective sleep measures, polysomnography, third trimester, first trimester, slow-wave sleep
- MeSH terms
- Adult, Female, Humans, Pregnancy, Pregnancy Trimester, First, Pregnancy Trimester, Third, Sleep, Polysomnography, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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