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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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Tiernan, C., Lyons, M., Comyns, T., Nevill, A. M., & Warrington, G. D. (2019) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2018-0945 · Cited by 26
Baxter, S. K., Johnson, M., Clowes, M., O’Brien, D., Norman, P. E., Stavroulakis, T., Bianchi, S. M., Elliott, M., McDermott, C. J., & Hobson, E. (2019) · Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration · doi:10.1080/21678421.2019.1627372 · Cited by 26
Vgontzas, A., Li, W., Mostofsky, E., Rueschman, M., Mittleman, M. A., & Bertisch, S. M. (2020) · SLEEP · doi:10.1093/sleep/zsaa001 · Cited by 26
“Every morning participants completed the electronic Consensus Sleep Diary [32], which includes questions on sleep timings, quality (very poor, poor, fair, good, very good), awakenings, and medications.”
BackgroundNon‐pharmacologic treatment of insomnia in primary care settings
Hrehová, L., & Mezian, K. (2021) · International Journal of Clinical Practice · doi:10.1111/ijcp.14084 · Cited by 27
Rumble, D., O’Neal, K., Overstreet, D. S., Penn, T. M., Jackson, P., Aroke, E. N., Sims, A., King, A. L., Hasan, F. N., Quinn, T. L., et al. (2021) · Journal of Behavioral Medicine · doi:10.1007/s10865-021-00234-w · Cited by 26
Salwen‐Deremer, J. K., Smith, M. T., Aschbrenner, K. A., Haskell, H. G., Speed, B. C., & Siegel, C. A. (2021) · BMJ Open Gastroenterology · doi:10.1136/bmjgast-2021-000805 · Cited by 26
Inhulsen, M. M. R., Busch, V., & van Stralen, M. M. (2022) · Journal of School Health · doi:10.1111/josh.13175 · Cited by 28
Snoozy: A Chatbot-Based Sleep Diary for Children Aged Eight to Twelve
Aarts, T., Markopoulos, P., Giling, L., Văcărețu, T., & Pillen, S. (2022) · ACM International Conference on Interaction Design and Children (IDC) · doi:10.1145/3501712.3529718 · Cited by 26
Verma, S., Quin, N., Astbury, L., Wellecke, C., Wiley, J. F., Davey, M. J., Rajaratnam, S. M. W., & Bei, B. (2022) · Psychological Medicine · doi:10.1017/s0033291722002616 · Cited by 26
The influence of sexual activity on sleep: A diary study
Oesterling, C., Borg, C., Juhola, E., & Lancel, M. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13814 · Cited by 26
“To assess sleep variables, the Core Consensus Sleep Diary (CCSD; Carney et al., 2012) was utilised.”
MethodTurco, M., Biscontin, A., Corrias, M., Caccin, L., Bano, M., Chiaromanni, F., Salamanca, M., Mattei, D., Salvoro, C., Mazzotta, G. M., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-06769-w · Cited by 27
Dolsen, E. A., Soehner, A. M., & Harvey, A. G. (2017) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000529 · Cited by 27
Bai, S., Ricketts, E. J., Thamrin, H., Piacentini, J. C., Albano, A. M., Compton, S. N., Ginsburg, G. S., Sakolsky, D. J., Keeton, C. P., Kendall, P. C., et al. (2019) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-019-00582-x · Cited by 30
Shin, J.-W., Kim, S., Shin, Y. J., Park, B., & Park, S. (2023) · Nature and Science of Sleep · doi:10.2147/nss.s409981 · Cited by 25
“A 7-day sleep diary was used to assess nighttime symptoms.(18,30) The diary assessed bedtime, lights out time, rise time and wake time after sleep onset (WASO) with sleep onset latency (SOL).”
MethodGroeneveld, L., Beulens, J. W. J., Blom, M. T., van Straten, A., van der Zweerde, T., Elders, P. J. M., & Rutters, F. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.05.029 · Cited by 25
Nødtvedt, Ø. O., Hansen, A. L., Bjorvatn, B., & Pallesen, S. (2017) · Sleep and Biological Rhythms · doi:10.1007/s41105-017-0095-9 · Cited by 27
Wilson, N., Wynter, K. H., Anderson, C., Rajaratnam, S. M. W., Fisher, J., & Bei, B. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2024-8 · Cited by 25
Nurses Consuming Energy Drinks Report Poorer Sleep and Higher Stress
Higbee, M. R., Chilton, J. M., El‐Saidi, M. A., Duke, G., & Haas, B. K. (2019) · Western Journal of Nursing Research · doi:10.1177/0193945919840991 · Cited by 26
“Poor sleep quality and fewer hours of sleep have been associated with diminished work performance and impaired critical thinking (Carney et al., 2012; Chien et al., 2013), which can negatively impact patient and worker safety.”
BackgroundBei, B., Pinnington, D. M., Shen, L., Blumfield, M., Drummond, S. P. A., Newman, L. K., & Manber, R. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-019-2390-8 · Cited by 25
Hoffman, C. L., Browne, M., & Smith, B. P. (2020) · Animals · doi:10.3390/ani10020278 · Cited by 30
“The survey included questions from the Consensus Sleep Diary [31], which is a standardized, commonly used tool that sleep researchers developed for collecting individuals’ daily assessments of their previous night’s sleep quality (e.g. “How many times did you wake up, not counting your final awakening?”).”
MethodInfluentialLunsford‐Avery, J. R., Keller, C., Kollins, S. H., Krystal, A. D., Jackson, L., & Engelhard, M. (2020) · JMIR mhealth and uhealth · doi:10.2196/20590 · Cited by 25
“The daily Consensus Sleep Diary queried previous night bedtime, sleep-onset latency, wake time during the night, time of final awakening, and final rising time [31].”
MethodSelf-citationSweating Out the Circadian Rhythm: A Technical Review
Upasham, S., Churcher, N. K. M., Rice, P., & Prasad, S. (2021) · ACS Sensors · doi:10.1021/acssensors.0c02622 · Cited by 26
Galbiati, A., Sforza, M., Scarpellino, A., Salibba, A., Leitner, C., D’Este, G., Mombelli, S., Ferini‐Strambi, L., & Castronovo, V. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.705112 · Cited by 28
Cheung, F., Ho, A., Chan, J., Li, X., Chan, N., Zhang, J.-H., Ho, C.-S., Wing, Y. K., & Li, S. (2022) · Chronobiology International · doi:10.1080/07420528.2022.2025821 · Cited by 24
“A consensus sleep diary (Carney et al. 2012) was provided to participants, and they were asked to complete the sleep diary immediately after they got up on a daily basis to maximize their recall accuracy.”
BackgroundOswald, L. B., Morales-Cruz, J., Eisel, S. L., Rio, J. D., Hoogland, A. I., Ortiz-Rosado, V., Soto-Lopez, G., Rodriguez-Rivera, E., Savard, J., Castro, E., et al. (2022) · Journal of Behavioral Medicine · doi:10.1007/s10865-022-00313-6 · Cited by 27
“Participants were given printed educational content to review as well as blank sleep diaries to complete before each session based on the Consensus Sleep Diary (Carney et al., 2012).”
Method
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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