Sleep continuity, stability and organization in good and bad sleepers
Abstract
The relationship between objective and subjective sleep quality is still debated. Here, we investigate differences in objective sleep parameters in habitual subjective good sleepers and bad sleepers with the aim of evaluating sleep continuity, stability and organization as possible determinants of subjective sleep quality. In total, 38 subjects (good sleepers, N = 18; bad sleepers, N = 20) underwent two nights of sleep recording. Traditional sleep parameters displayed no between-groups differences. Conversely, bad sleepers showed lower sleep continuity (awakenings frequency), stability (e.g. arousals and state transitions frequency) and organization (e.g. number of sleep cycles and time spent in cycles). Our findings point to the involvement of these measures in determining habitual sleep quality perception and suggest the possibility to include them in standard sleep assessments.
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The relationship between objective and subjective sleep quality is not well defined.
“In fact, the relationship between objective and subjective sleep quality is not well de fi ned [78].”
From The effect of caffeine on subsequent sleep: A systematic review and meta-analysis (2023) · cites this paper as [78]
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing
Benjamini, Y., & Hochberg, Y. (1995) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1995.tb02031.x · Cited by 109,482 · see citing works
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407 · see citing works
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · see citing works
Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_13 · Cited by 5,965 · see citing works
Cappuccio, F. P., Cooper, D., D'Elia, L., Strazzullo, P., & Miller, M. A. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr007 · Cited by 2,146 · see citing works
Julian, L. J. (2011) · Arthritis Care & Research · doi:10.1002/acr.20561 · Cited by 1,794 · see citing works
National Sleep Foundation's sleep quality recommendations: first report
Ohayon, M., Wickwire, E. M., Hirshkowitz, M., Albert, S. M., Avidan, A., Daly, F. J., Dauvilliers, Y., Ferri, R., Fung, C., Gozal, D., et al. (2017) · Sleep Health · doi:10.1016/j.sleh.2016.11.006 · Cited by 1,304 · see citing works
(1991) · Sleep · doi:10.1093/sleep/14.4.331 · Cited by 874 · cited 1× · see citing works
“Despite its importance for general health and wellbeing (e.g. Cappuccio et al., 2011; Pilcher et al., 1997), the construct of sleep quality remains elusive and lacking a clear definition.”
BackgroundPilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00004-4 · Cited by 841 · see citing works
(Mis)perception of Sleep in Insomnia: A Puzzle and a Resolution
Harvey, A. G., & Tang, N. K. Y. (2012) · Psychological Bulletin · doi:10.1037/a0025730 · Cited by 529 · see citing works
The Natural History of Insomnia: A Population-Based 3-Year Longitudinal Study
Morin, C. M., Bélanger, L., LeBlanc, M., Ivers, H., Savard, J., Espie, C. A., Mérette, C., Baillargeon, L., & Grégoire, J.-P. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2008.610 · Cited by 498 · see citing works
(2013) · Acta Neurologica Belgica · doi:10.1007/13760.2240-2993 · Cited by 462 · see citing works
The Subjective Meaning of Sleep Quality: A Comparison of Individuals with and without Insomnia
Harvey, A. G., Stinson, K., Whitaker, K. L., Moskovitz, D. J., & Virk, H. S. (2008) · SLEEP · doi:10.1093/sleep/31.3.383 · Cited by 459 · see citing works
Vitiello, M. V., Larsen, L. H., & Moe, K. E. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(04)00023-6 · Cited by 342 · see citing works
The subjective meaning of good sleep, an intraindividual approach using the Karolinska Sleep Diary
Åkerstedt, T., Hume, K., Minors, D., & Waterhouse, J. (1994) · Perceptual and Motor Skills · doi:10.2466/pms.1994.79.1.287 · Cited by 300 · see citing works
Paradoxical insomnia and subjective-objective sleep discrepancy: a review
Rezaie, L., Fobian, A. D., McCall, W. V., & Khazaie, H. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2018.01.002 · Cited by 236 · see citing works
Objective components of individual differences in subjective sleep quality
KEKLUND, G., & Åkerstedt, T. (1997) · Journal of Sleep Research · doi:10.1111/j.1365-2869.1997.00217.x · Cited by 223 · see citing works
Dynamics of sleep-wake transitions during sleep
Lo, C., Amaral, L. A. N., Havlin, S., et al. (2002) · Europhysics Letters (EPL) · doi:10.1209/epl/i2002-00508-7 · Cited by 192 · see citing works
della Monica, C., Johnsen, S., Atzori, G., Groeger, J. A., & Dijk, D. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00255 · Cited by 164 · see citing works
Martínez, M. P., Miró, E., Sánchez, A. I., Díaz-Piedra, C., Cáliz, R., Vlaeyen, J. W. S., & Buela-Casal, G. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-013-9520-y · Cited by 161 · see citing works
Wells, G., Li, T., Maxwell, L. J., Maclean, R., & Tugwell, P. (2007) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2007.069690 · Cited by 153 · see citing works
Increased Sleep Fragmentation Leads to Impaired Off-Line Consolidation of Motor Memories in Humans
Djonlagic, I. E., Saboisky, J. P., Carusona, A. L., Stickgold, R., & Malhotra, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0034106 · Cited by 141 · see citing works
Morning recall of verbal material depends on prior sleep organization
Ficca, G., Lombardo, P., Rossi, L., & Salzarulo, P. (2000) · Behavioural Brain Research · doi:10.1016/s0166-4328(00)00177-7 · Cited by 121 · see citing works
Self-citationRiedner, B. A., Goldstein, M. R., Plante, D. T., Rumble, M. E., Ferrarelli, F., Tononi, G., & Benca, R. M. (2016) · SLEEP · doi:10.5665/sleep.5632 · Cited by 121 · see citing works
Fernandez-Mendoza, J., Vgontzas, A. N., Bixler, E. O., Singareddy, R., Shaffer, M. L., Calhoun, S. L., Karataraki, M., Vela-Bueno, A., & Liao, D. (2012) · SLEEP · doi:10.5665/sleep.1832 · Cited by 115 · see citing works
Reported vs Recorded Sleep Characteristics
Baekeland, F. (1971) · Archives of General Psychiatry · doi:10.1001/archpsyc.1971.01750120064011 · Cited by 114 · see citing works
Paradoxical insomnia: The role of CAP and arousals in sleep misperception
Parrino, L., Milioli, G., Paolis, F. D., Grassi, A., & Terzano, M. G. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2008.12.014 · Cited by 113 · see citing works
Empirical Note: Self‐Report Versus Recorded Sleep in Healthy Seniors
Hoch, C. C., Reynolds, C. F., Kupfer, D. J., Berman, S., Houck, P. R., & STACK, J. A. (1987) · Psychophysiology · doi:10.1111/j.1469-8986.1987.tb00298.x · Cited by 112 · see citing works
Factors involved in sleep satisfaction in the elderly
Zilli, I., Ficca, G., & Salzarulo, P. (2008) · Sleep Medicine · doi:10.1016/j.sleep.2008.01.004 · Cited by 107 · see citing works
Self-citationCastelnovo, A., Ferri, R., Punjabi, N. M., Castronovo, V., Garbazza, C., Zucconi, M., Ferini-Strambi, L., & Manconi, M. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2018.12.007 · Cited by 99 · see citing works
Klerman, E. B., Wang, W., Duffy, J. F., Dijk, D., Czeisler, C. A., & Kronauer, R. E. (2012) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2012.05.018 · Cited by 98 · see citing works
Subjective Versus Objective Evaluation of Hypnotic Efficacy: Experience with Zolpidem
Kryger, M. H., Steljes, D. G., Pouliot, Z., Neufeld, H., & Odynski, T. (1991) · SLEEP · doi:10.1093/sleep/14.5.399 · Cited by 98 · see citing works
Utility of Sleep Stage Transitions in Assessing Sleep Continuity
Caffo, B. S., Swihart, B., & Punjabi, N. M. (2010) · SLEEP · doi:10.1093/sleep/33.12.1681 · Cited by 92 · see citing works
Landis, C. A., Frey, C. A., Lentz, M. J., Rothermel, J., Buchwald, D., & Shaver, J. L. F. (2003) · Nursing Research · doi:10.1097/00006199-200305000-00002 · Cited by 92 · see citing works
Relationships Between Questionnaire Ratings of Sleep Quality and Polysomnography in Healthy Adults
Westerlund, A., Lagerros, Y. T., Kecklund, G., Axelsson, J., & Åkerstedt, T. (2014) · Behavioral Sleep Medicine · doi:10.1080/15402002.2014.974181 · Cited by 88 · see citing works
Sleep Continuity Measured By Survival Curve Analysis
Norman, R. G., Scott, M. A., Ayappa, I. A., Walsleben, J. A., & Rapoport, D. M. (2006) · SLEEP · doi:10.1093/sleep/29.12.1625 · Cited by 85 · see citing works
Insomnia and sleep misperception
Bastien, C., Ceklic, T., St-Hilaire, P., Desmarais, F., Pérusse, A. D., Lefrançois, J., & Pedneault-Drolet, M. (2014) · Pathologie Biologie · doi:10.1016/j.patbio.2014.07.003 · Cited by 65 · see citing works
Effects of NREM sleep instability on cognitive processing
Aricò, D., Drago, V., Foster, P. S., Heilman, K. M., Williamson, J. B., & Ferri, R. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.02.009 · Cited by 65 · see citing works
van Liempt, S., Vermetten, E. H. G. J. M., Lentjes, E. G. W. M., Arends, J. B. A. M., & Westenberg, H. G. M. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.03.009 · Cited by 57 · see citing works
Sleep Spindles Characteristics in Insomnia Sufferers and Their Relationship with Sleep Misperception
Normand, M.-P., St-Hilaire, P., & Bastien, C. (2016) · Neural Plasticity · doi:10.1155/2016/6413473 · Cited by 53 · see citing works
Determinants of perceived sleep quality in normal sleepers
Goelema, M. S., Regis, M., Haakma, R., van den Heuvel, E. R., Markopoulos, P., & Overeem, S. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2017.1376205 · Cited by 53 · see citing works
Refreshing Sleep and Sleep Continuity Determine Perceived Sleep Quality
Libman, E., Fichten, C. S., Creti, L., Conrod, K., Tran, D., Grad, R. M., Jorgensen, M., Amsel, R., Rizzo, D., Baltzan, M., et al. (2016) · Sleep Disorders · doi:10.1155/2016/7170610 · Cited by 46 · see citing works
Sleep Measures Expressing ‘Functional Uncertainty' in Elderlies' Sleep
Conte, F., Arzilli, C., Errico, B. M., Giganti, F., Iovino, D., & Ficca, G. (2014) · Gerontology · doi:10.1159/000358083 · Cited by 45 · see citing works
Self-citationFunctional uncertainty, aging and memory processes during sleep.
Salzarulo, P., Formicola, G., Lombardo, P., Gori, S., Rossi, L., Murri, L., & Cipolli, C. (1997) · PubMed · Cited by 28 · see citing works
Conte, F., Carobbi, G., Errico, B. M., & Ficca, G. (2012) · Frontiers in Neurology · doi:10.3389/fneur.2012.00109 · Cited by 22 · see citing works
Self-citationThe Effect of Cognitive Activity on Sleep Maintenance in a Subsequent Daytime Nap
Arzilli, C., Cerasuolo, M., Conte, F., Bittoni, V., Gatteschi, C., Albinni, B., Giganti, F., & Ficca, G. (2018) · Behavioral Sleep Medicine · doi:10.1080/15402002.2018.1425870 · Cited by 19 · see citing works
Self-citationSleep stage transitions in chronic fatigue syndrome patients with or without fibromyalgia
Kishi, A., Natelson, B. H., Togo, F., Struzik, Z. R., Rapoport, D. M., & Yamamoto, Y. (2010) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2010.5626478 · Cited by 17 · see citing works
Conceptions of sleep experience: a layman perspective
Goelema, M. S., de Bruijn, R., Overeem, S., Møst, E. I. S., Haakma, R., & Markopoulos, P. (2018) · BMC Research Notes · doi:10.1186/s13104-018-3584-2 · Cited by 13 · see citing works
Sleep-dependent motor sequence memory consolidation in individuals with periodic limb movements
Sergeeva, V., Viczko, J., Ray, L. B., Owen, A. M., & Fogel, S. M. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.09.005 · Cited by 7 · see citing works
Salzarulo, P. (1973) · Revue d Electroencé phalographie et de Neurophysiologie Clinique · doi:10.1016/s0370-4475(73)80027-9 · Cited by 3 · see citing works
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The effect of caffeine on subsequent sleep: A systematic review and meta-analysis
Gardiner, C., Weakley, J., Burke, L. M., Roach, G. D., Sargent, C., Maniar, N., Townshend, A., & Halson, S. L. (2023) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2023.101764 · Cited by 315 · see citing works
“In fact, the relationship between objective and subjective sleep quality is not well de fi ned [78].”
Background
- Authors
- Conte, F., Cerasuolo, M., Fusco, G., Giganti, F., Inserra, I., Malloggi, S., Di Iorio, I., & Ficca, G.
- Affiliations
- University of Campania "Luigi Vanvitelli" (IT)
- University of Florence (IT)
- NEUROFARBA, University of Firenze, Italy
- Corresponding author
- Ficca, Gianluca
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2020-02-07
- Volume
- 26
- Issue
- 12
- Pages
- 2131-2142
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W3005110439
- Cited by
- 26
- References
- 53
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 1 · 2023: 7 · 2022: 1 · 2021: 8 · 2020: 2
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- subjective sleep quality, sleep continuity, sleep stability, sleep organization, awakening, arousal, sleep cycles, sleep assessment
- MeSH terms
- Arousal, Humans, Sleep Initiation and Maintenance Disorders, Sleep, Sleep Wake Disorders
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