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The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring
Open accessAbstract
STUDY OBJECTIVES: To present an expert consensus, standardized, patient-informed sleep diary. METHODS AND RESULTS: Sleep diaries from the original expert panel of 25 attendees of the Pittsburgh Assessment Conference(1) were collected and reviewed. A smaller subset of experts formed a committee and reviewed the compiled diaries. Items deemed essential were included in a Core sleep diary, and those deemed optional were retained for an expanded diary. Secondly, optional items would be available in other versions. A draft of the Core and optional versions along with a feedback questionnaire were sent to members of the Pittsburgh Assessment Conference. The feedback from the group was integrated and the diary drafts were subjected to 6 focus groups composed of good sleepers, people with insomnia, and people with sleep apnea. The data were summarized into themes and changes to the drafts were made in response to the focus groups. The resultant draft was evaluated by another focus group and subjected to lexile analyses. The lexile analyses suggested that the Core diary instructions are at a sixth-grade reading level and the Core diary was written at a third-grade reading level. CONCLUSIONS: The Consensus Sleep Diary was the result of collaborations with insomnia experts and potential users. The adoption of a standard sleep diary for insomnia will facilitate comparisons across studies and advance the field. The proposed diary is intended as a living document which still needs to be tested, refined, and validated.
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“Sleep monitoring was conducted to confirm that there were no significant group differences in sleep that may have influenced the study's findings (Carney et al., 2012).”
From Using sleep to enhance exposure treatment for anxious children: A pilot study. (2026) · cites this paper as Carney et al., 2012
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“Patients were asked to keep a standard sleep diary throughout participation [19].”
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Temporal integration of light flashes by the human circadian system
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“(2) Polysomnography (PSG)([21]) test measures the physiological changes that occur during sleep by measuring the EEG, EMG, ECG, snoring, respiration, and diagnoses of the disorder (3) The sleep diary([22,23]) used to measure the patient’s sleep habits, sleep hygiene, and sleep problems for 2 weeks, and to evaluate the…”
MethodEffects of rumination and worry on sleep
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“As well, the myriad of COVID-19related concerns may lead to ruminative thinking or increased efforts in problem-solving, both known to disrupt both routines and sleep quality [40].”
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We know CBT-I works, now what?
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“Actiwatch [42] (Spectrum Plus, Philips Respironics, USA) and Sleep Diary [43] were used to record sleep onset latency (SOL), wake time after sleep onset (WASO), total sleep time (TST), and sleep efficiency (SE).”
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“The morning survey included questions from the Census Sleep Diary [10], and the evening survey captured food and beverage intake throughout the day.”
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Maternal Sleep in Pregnancy and Postpartum Part I: Mental, Physical, and Interpersonal Consequences
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“A more precise method of measuring sleep duration subjectively might be through sleep diaries that are currently considered the goldstandard concerning the subjective assessment of sleep (Carney et al., 2012).”
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“The following measures are reported: Saint Louis University Mental Status Examination (SLUMS), Consensus Sleep Diary (CSD), Insomnia Severity Index (ISI), Hamilton Rating Scale for Depression (HRSD), the Structured Clinical Interview for DSM-IV (SCID), and the Working Alliance InventoryObserver Rating Form (WAI-O).”
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“Primary outcome Sleep efficiency (SE), a summary index of insomnia, defined as (TST/TIB 100%), based on a standard sleep diary averaged across 1 week (Carney et al., 2012).”
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“Dependent variables derived from the sleep diary included TST, time in bed (TIB), SE, SOL, and number of awakenings (Carney et al., 2012).”
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“Participants completed a nine‐item sleep diary, based on the Consensus Diary (Carney et al., 2012), the morning after the over‐ night sleep study.”
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“” In addition, to characterize sleep and insomnia complaints, participants filled out the Insomnia Severity Index [29] once, and the Consensus Sleep Diary [31] every morning during the protocol (Figure 1).”
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“To solve this lack of standardization, in 2005, a workgroup was created to develop a standardized sleep diary which has been published recently: the Consensus Sleep Diary (CSD).(12) Three versions of the final CSD have been put forward, based on input from a large group of insomnia experts, and on focus groups of indi…”
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“In contrast, sleep diary provides habitual, daily monitoring of subjective sleep and thus could plausibly capture all six proposed Ru-SATED domains [49, 50].”
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“In the absence of a standardized measure for sleep aid use, we utilized items from the Consensus Sleep Diary (Carney et al., 2012), modified wording appropriately for each substance, and adapted the response timeline for the past 2 weeks for consistency with the Insomnia Severity Index (Bastien, Vallieres, & Morin, 20…”
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“The ID group had a higher ISI (t(126)= 14.35, p=2.2e−16), longer subjective SOL (CSD: t(96)= 4.39, p=3.0e−05), longer WASO (CSD: t(96)= 6.69, p=1.5e−9; PSG: t (104)= 3.09, p= .003), shorter TST (CSD: t(96)=−8.24, p=8.6e−13; PSG: t(104)=−2.7, p= .007), and lower SE (CSD: t (96)=−8.72, p=8.1e−14; PSG: t(104)=−3.35, p= .…”
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“Sleep diaries and questionnaires [23] also have several drawbacks, namely users’ adherence and reporting bias [23], [24].”
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Pilcher, J. J., & Morris, D. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00045 · Cited by 92
“Individuals record relevant information before and after a night of sleep, including when they believe themselves to have fallen asleep, how long they slept, and how often they awoke during the night (Carney et al., 2012).”
BackgroundSubjective and objective sleep differ in male and female collegiate athletes
Carter, J. R., Gervais, B. M., Adomeit, J. L., & Greenlund, I. M. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.01.016 · Cited by 69
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Kudrnáčová, M., & Kudrnáč, A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282085 · Cited by 69
Winsky‐Sommerer, R., de Oliveira, P., Loomis, S., Wafford, K. A., Dijk, D., & Gilmour, G. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.09.027 · Cited by 69
Psychological Hibernation in Antarctica
Sandal, G. M., van deVijver, F., & Smith, N. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02235 · Cited by 69
Daly-Eichenhardt, A., Scott, W., Howard-Jones, M., Nicolaou, T., & McCracken, L. M. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01326 · Cited by 69
Insomnia in Patients With Chronic Kidney Disease
Lindner, A. V., Novák, M., Bohra, M., & Mucsi, I. (2015) · Seminars in Nephrology · doi:10.1016/j.semnephrol.2015.06.007 · Cited by 68
Rogojanski, J., Carney, C. E., & Monson, C. M. (2012) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.02.003 · Cited by 72
Self-citationWhen Thinking Impairs Sleep: Trait, Daytime and Nighttime Repetitive Thinking in Insomnia
Lancee, J., Eisma, M. C., van Zanten, K. B., & Topper, M. (2015) · Behavioral Sleep Medicine · doi:10.1080/15402002.2015.1083022 · Cited by 73
Nightly sleep duration, fragmentation, and quality and daily risk of migraine
Bertisch, S. M., Li, W., Buettner, C., Mostofsky, E., Rueschman, M., Kaplan, E. R., Fung, J., Huntington, S., Murphy, T., Stead, C., et al. (2019) · Neurology · doi:10.1212/wnl.0000000000008740 · Cited by 69
Chakraborty, R., Micic, G., Thorley, L., Nissen, T. R., Lovato, N., Collins, M. J., & Lack, L. C. (2020) · SLEEP · doi:10.1093/sleep/zsaa208 · Cited by 66
Randall, C., Nowakowski, S., & Ellis, J. G. (2018) · Behavioral Sleep Medicine · doi:10.1080/15402002.2018.1518227 · Cited by 71
“The Consensus Sleep Diary (Carney et al., 2012) was used throughout the present study.”
MethodSleep Well and Recover Faster with Less Pain—A Narrative Review on Sleep in the Perioperative Period
Sipilä, R. M., & Kalso, E. A. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10092000 · Cited by 70
“Keeping a sleep diary is a widely used method of assessing subjective sleep measures, and its standardized use has been proposed [66,67].”
BackgroundMethodKallestad, H., Scott, J. L., Vedaa, Ø., Lydersen, S., Vethe, D., Morken, G., Stiles, T. C., Sivertsen, B., & Langsrud, K. (2020) · SLEEP · doi:10.1093/sleep/zsab185 · Cited by 64
Kuhn, E. R., Miller, K. E., Puran, D., Wielgosz, J., YorkWilliams, S. L., Owen, J. E., Jaworski, B. K., Hallenbeck, H. W., McCaslin, S. E., & Taylor, K. L. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.11.003 · Cited by 64
Measuring physical activity in older adults: calibrating cut-points for the MotionWatch 8©
Landry, G. J., Falck, R. S., Beets, M. W., & Liu-Ambrose, T. Y. L. (2015) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2015.00165 · Cited by 70
de Bruin, E. J., van Steensel, F. J. A., & Meijer, A. M. (2016) · SLEEP · doi:10.5665/sleep.6024 · Cited by 66
Sleep and cognitive function in chronic stroke: a comparative cross-sectional study
Falck, R. S., Best, J. R., Davis, J. C., Eng, J. J., Middleton, L. E., Hall, P. A., & Liu-Ambrose, T. Y. L. (2019) · SLEEP · doi:10.1093/sleep/zsz040 · Cited by 64
Zhang, J., Qin, Z., So, T. H., Chen, H., Lam, W. L., Yam, L. L., Chan, P. Y., Lao, L., & Zhang, Z. (2021) · Integrative Cancer Therapies · doi:10.1177/15347354211019103 · Cited by 66
Recent advances in sleep and depression
Mirchandaney, R., Asarnow, L. D., & Kaplan, K. A. (2022) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000837 · Cited by 71
“Sleep in depression is typically measured either by retrospective self-report, collecting prospective data via a sleep diary [30] or inferred from rest and activity patterns via actigraphy.”
MethodThe Influence of Environmental Factors on Sleep Quality in Hospitalized Medical Patients
Bano, M., Chiaromanni, F., Corrias, M., Turco, M., Rui, M. D., Amodio, P., Merkel, C., Gatta, A., Mazzotta, G. M., Costa, R., et al. (2014) · Frontiers in Neurology · doi:10.3389/fneur.2014.00267 · Cited by 67
Hagatun, S., Vedaa, Ø., Nordgreen, T., Smith, O. R. F., Pallesen, S., Havik, O. E., Bjorvatn, B., Thorndike, F. P., Ritterband, L. M., & Sivertsen, B. (2017) · Behavioral Sleep Medicine · doi:10.1080/15402002.2017.1301941 · Cited by 61
“Participants in both groups were asked to complete online sleep diaries (Carney et al., 2012; Lichstein & Riedel, 1994; Morin, 1993) before and after the nine-week intervention period.”
BackgroundCannabis and alcohol use for sleep aid: A daily diary investigation.
Goodhines, P. A., Gellis, L. A., Ansell, E. B., & Park, A. (2019) · Health Psychology · doi:10.1037/hea0000765 · Cited by 63
“—Selected items from the Expanded Consensus Sleep Diary for Morning (Carney et al., 2012) were used, including poor sleep quality rating (“How would you rate the quality of your sleep?”; responses options: 0 [very good] to 5 [very poor]), sleep duration (“In total, how long did you sleep?”; responses scaled to hours),…”
MethodScogin, F. R., Lichstein, K. L., DiNapoli, E. A., Woosley, J. A., Thomas, S. J., LaRocca, M. A., Byers, H. D., Mieskowski, L., Parker, C. P., Yang, X. T., et al. (2018) · Journal of Psychotherapy Integration · doi:10.1037/int0000121 · Cited by 69
Self-citationKing, L. S., Rangel, E., Simpson, N. S., Tikotzky, L., & Manber, R. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2019.07.017 · Cited by 68
Vargas, I., & Lopez‐Duran, N. L. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.01.030 · Cited by 62
The Cycle of Daily Stress and Sleep: Sleep Measurement Matters
Slavish, D. C., Asbee, J., Veeramachaneni, K., Messman, B., Scott, B., Sin, N. L., Taylor, D. J., & Dietch, J. R. (2020) · Annals of Behavioral Medicine · doi:10.1093/abm/kaaa053 · Cited by 70
Bos, F. M., von Klipstein, L., Emerencia, A. C., Veermans, E., Verhage, T., Snippe, E., Doornbos, B., Hadders-Prins, G., Wichers, M., & Riese, H. (2022) · JMIR Mental Health · doi:10.2196/36430 · Cited by 70
“The full lists of EMA items are available in item S9 in Multimedia Appendix 1 [16-18,22,23,26,37,42,47,50-72] (Bos, F, unpublished data, May 2022; Jenner, JGL, unpublished data, October 2006; Bringmann, L, unpublished data, January 2021).”
Dysmenorrhea, the Menstrual Cycle, and Sleep
Woosley, J. A., & Lichstein, K. L. (2013) · Behavioral Medicine · doi:10.1080/08964289.2013.829020 · Cited by 60
Self-citationBei, B., Pinnington, D. M., Quin, N., Shen, L., Blumfield, M., Wiley, J. F., Drummond, S. P. A., Newman, L. K., & Manber, R. (2021) · Psychological Medicine · doi:10.1017/s0033291721001860 · Cited by 64
“Secondary outcomes include: DSM-5 Insomnia Disorder (without duration criteria) status from the DSISD (Edinger et al., 2009), self-report sleep patterns over the past week [total sleep time (TST) and sleep efficiency (SE)] from a modified Consensus Sleep Diary (Carney et al., 2012), sleep-related impairment (e.g., sle…”
MethodEffects of exercise on sleep among young women with Generalized Anxiety Disorder
Herring, M. P., Kline, C. E., & O’Connor, P. J. (2015) · Mental health and physical activity · doi:10.1016/j.mhpa.2015.09.002 · Cited by 61
“Diaries are considered the “gold standard” for subjective sleep assessment (Carney et al., 2012) and are modestly correlated with objective measures of sleep (e.”
BackgroundHansen, M. V., Madsen, M. T., Andersen, L. T., Hageman, I., Rasmussen, L. S., Bokmand, S., Rosenberg, J., & Gögenür, I. (2014) · International Journal of Breast Cancer · doi:10.1155/2014/416531 · Cited by 64
“SLEEP DIARY The sleep diary is regarded as the gold standard for subjective sleep assessment, although lack of a standardized and widely used sleep diary has compromised the ability to fully interpret and integrate results from previous studies [117].”
MethodAdverse Effects of Daylight Saving Time on Adolescents' Sleep and Vigilance
Medina, D., Ebben, M. R., Milrad, S. F., Atkinson, B., & Krieger, A. C. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4938 · Cited by 59
van der Meijden, W. P., van Someren, J. L., Lindert, B. H. W. T., Bruijel, J., van Oosterhout, F., Coppens, J. E., Kalsbeek, A., Cajochen, C., Bourgin, P., & Someren, E. J. W. V. (2016) · SLEEP · doi:10.5665/sleep.5858 · Cited by 60
Maurer, L., Espie, C., Omlin, X., Reid, M. J., Sharman, R., Gavriloff, D., Emsley, R., & Kyle, S. (2020) · Sleep · doi:10.1093/sleep/zsaa096 · Cited by 47
Metadata
- Authors
- Carney, C. E., Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Krystal, A. D., Lichstein, K. L., & Morin, C. M.
- Affiliations
- Toronto Metropolitan University (CA)
- University of Pittsburgh (US)
- Duke University (US)
- Duke Medical Center (US)
- University of Alabama (US)
- Université Laval (CA)
- Corresponding author
- Carney, Colleen E.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-02
- Volume
- 35
- Issue
- 2
- Pages
- 287-302
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC3250369
- OpenAlex
- W2012435382
- Cited by
- 2,172
- References
- 26
- Citations by year
- 2026: 199 · 2025: 241 · 2024: 246 · 2023: 230 · 2022: 236 · 2021: 249 · 2020: 165 · 2019: 162 · 2018: 113 · 2017: 95 · 2016: 69 · 2015: 82 · 2014: 39 · 2013: 28 · 2012: 15
- FWCI
- 69.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Corpus Université Laval (Université Laval) (submittedVersion)
- Funders
- Pfizer
- Sanofi
- Johnson and Johnson
- Canadian Institutes of Health Research (MT42504)
- National Institute on Aging (K24AG000972, #AG14738, R01AG014738, R01AG008415, AG 00972, AG 08415, AG26177)
- National Heart, Lung, and Blood Institute (R01HL073259, HL-073259)
- National Institute of Mental Health (MH#60413, R01MH024652, R01MH067057, MH 24652, R01MH060413, MH67057, R37MH024652, MH30915)
- National Institute on Drug Abuse (DA13574, R01DA013574)
- National Cancer Institute (CA 112035, R01CA112035)
- National Center for Research Resources (UL1RR031980)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- sleep diary, insomnia, sleep apnea, expert consensus, standardized assessment tools, focus groups, readability
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, Sleep, Sleep Apnea Syndromes, Sleep Wake Disorders, Focus Groups, Consensus, Young Adult, Health Records, Personal, Self Report
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