Multi-Night Home Assessment of Total Sleep Time Misperception in Obstructive Sleep Apnea with and Without Insomnia Symptoms
2024

Understanding Sleep Time Misperception in Obstructive Sleep Apnea

Sample size: 141 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kuhn Jasmin, Schiphorst Laura R. B., Wulterkens Bernice M., Asin Jerryll, Duis Nanny, Overeem Sebastiaan, van Gilst Merel M., Fonseca Pedro

Primary Institution: Eindhoven University of Technology

Hypothesis

The study investigates predictors of total sleep time misperception in obstructive sleep apnea patients over multiple nights in a home environment.

Conclusion

Patients with obstructive sleep apnea and insomnia symptoms tend to underestimate their total sleep time, while those without insomnia symptoms tend to overestimate it.

Supporting Evidence

  • Patients with insomnia symptoms showed a median total sleep time underestimation of 5%.
  • Daily self-reported sleep quality was significantly lower in the OSA-I group compared to the OSA group.
  • Multilevel modeling identified insomnia symptoms and apnea-hypopnea index as significant predictors of total sleep time misperception.

Takeaway

Some people think they sleep less than they really do, especially if they have trouble sleeping. This study looked at how this happens in people with sleep apnea.

Methodology

The study used a wrist-worn device to measure objective total sleep time and a digital diary for self-reported sleep time over multiple nights.

Potential Biases

Potential biases include center-specific biases and the exclusion of participants with incomplete data.

Limitations

The study's retrospective nature and reliance on self-reported data may introduce bias, and the sample may not represent all demographics.

Participant Demographics

The sample included 49 women and 92 men, with a median age of 50 years, ranging from 24 to 76 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/clockssleep6040050

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