Determinants of perceived sleep quality in normal sleepers
Open accessAbstract
Objective: This study aimed to establish the determinants of perceived sleep quality over a longer period of time, taking into account the separate contributions of actigraphy-based sleep measures and self-reported sleep indices. Methods: Fifty participants (52 ± 6.6 years; 27 females) completed two consecutive weeks of home monitoring, during which they kept a sleep–wake diary while their sleep was monitored using a wrist-worn actigraph. The diary included questions on perceived sleep quality, sleep–wake information, and additional factors such as well-being and stress. The data were analyzed using multilevel models to compare a model that included only actigraphy-based sleep measures (model Acti) to a model that included only self-reported sleep measures to explain perceived sleep quality (model Self). In addition, a model based on the self-reported sleep measures and extended with nonsleep-related factors was analyzed to find the most significant determinants of perceived sleep quality (model Extended). Results: Self-reported sleep measures (model Self) explained 61% of the total variance, while actigraphy-based sleep measures (model Acti) only accounted for 41% of the perceived sleep quality. The main predictors in the self-reported model were number of awakenings during the night, sleep onset latency, and wake time after sleep onset. In the extended model, the number of awakenings during the night and total sleep time of the previous night were the strongest determinants of perceived sleep quality, with 64% of the variance explained. Conclusion: In our cohort, perceived sleep quality was mainly determined by self-reported sleep measures and less by actigraphy-based sleep indices. These data further stress the importance of taking multiple nights into account when trying to understand perceived sleep quality.
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Perceptions of sleep capture individual outcomes, which have a strong influence in driving behavioural decision making.
“Regardless, perceptions of sleep capture individual outcomes, which have a strong in fl uence in driving behavioural decision making [79].”
From The effect of caffeine on subsequent sleep: A systematic review and meta-analysis (2023) · cites this paper as [79]
The Discussion (page unavailable) says people interpret their sleep individually and that perceived sleep experience may affect other parts of life, such as daytime functioning. It does not establish that sleep perceptions strongly influence behavioural decision-making. (LLM, conf=0.84)
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The effect of caffeine on subsequent sleep: A systematic review and meta-analysis
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“Regardless, perceptions of sleep capture individual outcomes, which have a strong in fl uence in driving behavioural decision making [79].”
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- Authors
- Goelema, M. S., Regis, M., Haakma, R., van den Heuvel, E. R., Markopoulos, P., & Overeem, S.
- Affiliations
- Eindhoven University of Technology (NL)
- Personal Health Group, Philips Group Innovation Research, Eindhoven, The Netherlands
- Department of Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, The Netherlands
- Kempenhaeghe (NL)
- Corresponding author
- Goelema, M. S.
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2017-10-12
- Volume
- 17
- Issue
- 4
- Pages
- 388-397
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W2755159264
- Cited by
- 53
- References
- 27
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 12 · 2021: 7 · 2020: 5 · 2019: 1 · 2018: 3
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Behavioral Sleep Medicine (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- TU/e Research Portal (publishedVersion, other-oa)
- TU/e Research Portal (submittedVersion)
- TU/e Research Portal (submittedVersion, other-oa)
- Funders
- POINT ONE, a government agency providing general funding for the project
- Royal Philips, a commercial sponsor providing general funding for the (PhD) project
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- subjective sleep quality, actigraphy, self-reported sleep, sleep awakenings, sleep latency, wake after sleep onset, total sleep time, well-being, stress
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Sleep, Cohort Studies, Actigraphy, Self Report
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