1. Sleep diaries and other subjective measures are essential for the assessment of insomnia.
- Author
-
Perlis, Michael, Grandner, Michael, Posner, Donn, Spiegelhalder, Kai, and Riemann, Dieter
- Subjects
- *
SLEEP duration , *SLEEP latency , *SLEEP , *PSYCHOBIOLOGY , *SOMNOLOGY , *WAKEFULNESS , *SLEEP interruptions - Abstract
This article emphasizes the importance of using subjective measures, such as sleep diaries, to assess insomnia. It argues that objective measures like polysomnography (PSG) are not suitable for diagnosing or treating insomnia, as they are only effective for sleep disorders with underlying pathologies. Sleep diaries are considered more accurate because they capture an individual's perception of sleep continuity over multiple nights. The article also discusses the limitations of objective measures, such as EEG-based devices and wearables, in accurately assessing sleep continuity in individuals with insomnia. It concludes that until a pathophysiological measure is discovered for insomnia, sleep diaries remain the optimal method for assessing sleep continuity disturbance. The Insomnia Severity Index (ISI) is often recommended as the best measure for assessing insomnia, but it has its own limitations. Insomnia is a psychophysiological condition that can be evaluated using a combination of subjective and objective measures, and it is important to understand the strengths and limitations of each method and explore discrepancies between them. The document also provides a list of references covering various aspects of insomnia, including its impact on neuropsychological performance, cognitive impairment, pharmacotherapy for older adults, perception of sleep, use of placebos in treatment, actigraphy as a measurement tool, and assessment and management of insomnia. These references offer a comprehensive overview of current research and understanding of insomnia. [Extracted from the article]
- Published
- 2024
- Full Text
- View/download PDF