{"doi":"10.1093/sleep/zsaa250","title":"Sleep misestimation among older adults suffering from insomnia with short and normal objective sleep duration and the effects of cognitive behavior therapy","abstract":"<jats:title>Abstract</jats:title>\n               <jats:sec>\n                  <jats:title>Study Objectives</jats:title>\n                  <jats:p>Compare the degree of sleep misestimation in older adults with insomnia presenting with objectively short relative to normal sleep duration, and investigate the differential therapeutic response on sleep misestimation between the proposed sleep duration phenotypes to cognitive-behavior therapy for insomnia (CBTi).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Methods</jats:title>\n                  <jats:p>Ninety-one adults (male = 43, mean age = 63.34, SD = 6.41) with sleep maintenance insomnia were classified as short sleepers (SS; &amp;lt;6 h total sleep time [TST]) or normal sleepers (NS; ≥6 h TST) based on one night of home-based polysomnography. Participants were randomly allocated to CBTi (N = 30 SS, N = 33 NS) or to a wait-list control condition (N = 9 SS, N = 19 NS). Sleep misestimation was calculated as the difference scores of subjective (sleep diary reported) and objective (derived from actigraphy) sleep onset latency (SOL), wake after sleep onset (WASO), and TST at pre- and post-treatment, and 3-month follow-up.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>Prior to treatment, perception of SOL, WASO, and TST did not differ between patients with objectively short sleep duration relative to those with objectively normal sleep duration. Patients’ perception of WASO and TST, improved immediately following treatment and at 3-month follow-up relative to the waitlist group. These improvements did not differ significantly between those with short or normal objective sleep duration prior to treatment.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions</jats:title>\n                  <jats:p>The degree of sleep misestimation is similar for older adults suffering from chronic insomnia with short or normal objective sleep duration. Irrespective of objective sleep duration prior to treatment, CBTi produces significant improvements in sleep perception.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Trial Registration Number</jats:title>\n                  <jats:p>ACTRN12620000883910</jats:p>\n               </jats:sec>","journal":"Sleep","year":2021,"id":687369,"datarank":0.42498200160843247,"base_score":2.833213344056216,"endowment":2.833213344056216,"self_citation_contribution":0.42498200160843247,"citation_network_contribution":0.0,"self_endowment_contribution":0.42498200160843247,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":16,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1573391,"name":"Gorica Micic","orcid":"0000-0001-5281-8603","position":1,"is_corresponding":false},{"id":859250,"name":"Leon Lack","orcid":"0000-0002-8505-5873","position":2,"is_corresponding":false},{"id":858870,"name":"Nicole Lovato","orcid":"0000-0001-8990-6658","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Sleep misestimation among older adults suffering from insomnia with short and normal objective sleep duration and the effects of cognitive behavior therapy","abstract":"<jats:title>Abstract</jats:title>\n               <jats:sec>\n                  <jats:title>Study Objectives</jats:title>\n                  <jats:p>Compare the degree of sleep misestimation in older adults with insomnia presenting with objectively short relative to normal sleep duration, and investigate the differential therapeutic response on sleep misestimation between the proposed sleep duration phenotypes to cognitive-behavior therapy for insomnia (CBTi).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Methods</jats:title>\n                  <jats:p>Ninety-one adults (male = 43, mean age = 63.34, SD = 6.41) with sleep maintenance insomnia were classified as short sleepers (SS; &amp;lt;6 h total sleep time [TST]) or normal sleepers (NS; ≥6 h TST) based on one night of home-based polysomnography. Participants were randomly allocated to CBTi (N = 30 SS, N = 33 NS) or to a wait-list control condition (N = 9 SS, N = 19 NS). Sleep misestimation was calculated as the difference scores of subjective (sleep diary reported) and objective (derived from actigraphy) sleep onset latency (SOL), wake after sleep onset (WASO), and TST at pre- and post-treatment, and 3-month follow-up.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>Prior to treatment, perception of SOL, WASO, and TST did not differ between patients with objectively short sleep duration relative to those with objectively normal sleep duration. Patients’ perception of WASO and TST, improved immediately following treatment and at 3-month follow-up relative to the waitlist group. These improvements did not differ significantly between those with short or normal objective sleep duration prior to treatment.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions</jats:title>\n                  <jats:p>The degree of sleep misestimation is similar for older adults suffering from chronic insomnia with short or normal objective sleep duration. Irrespective of objective sleep duration prior to treatment, CBTi produces significant improvements in sleep perception.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Trial Registration Number</jats:title>\n                  <jats:p>ACTRN12620000883910</jats:p>\n               </jats:sec>","is_dataset_classified":null,"base_score":2.833213344056216,"endowment":2.833213344056216,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"33231256","pmcid":null,"openalex_id":"https://openalex.org/W3109891723","authors":[],"funders":[],"total_grants":0,"fwci":2.3188,"citation_percentile":0.88501647,"influential_citations":0,"citation_trend":[{"year":2021,"count":3},{"year":2022,"count":3},{"year":2023,"count":8},{"year":2024,"count":1},{"year":2026,"count":1}],"oa_status":"bronze","license":"https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model","oa_locations":[{"url":"https://academic.oup.com/sleep/article-pdf/44/5/zsaa250/37933458/zsaa250.pdf","host_type":"journal"},{"url":"https://academic.oup.com/sleep/article-pdf/44/5/zsaa250/37933458/zsaa250.pdf","host_type":"publisher"},{"url":"http://academic.oup.com/sleep/advance-article-pdf/doi/10.1093/sleep/zsaa250/35104471/zsaa250.pdf","host_type":"publisher"},{"url":"http://academic.oup.com/sleep/article-pdf/44/5/zsaa250/37933458/zsaa250.pdf","host_type":"publisher"},{"url":"https://doi.org/10.1093/sleep/zsaa250","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/33231256","host_type":"repository"}],"fields_of_study":["Sleep and related disorders","Sleep and Wakefulness Research","Sleep and Work-Related Fatigue","Actigraphy","Aged","Cognitive Behavioral Therapy","Humans","Male","Middle Aged","Polysomnography","Sleep","Sleep Initiation and Maintenance Disorders","Treatment Outcome"],"mesh_terms":["Aged","Humans","Sleep Initiation and Maintenance Disorders","Male","Middle Aged","Sleep","Cognitive Behavioral Therapy","Treatment Outcome","Polysomnography","Actigraphy"],"keywords":["Sleep onset","Insomnia","Actigraphy","Sleep onset latency","Polysomnography","Sleep (system call)","Psychology","Audiology","Primary Insomnia","Sleep diary","Medicine","Sleep disorder","Physical therapy","Psychiatry","Electroencephalography","Older Adults","Cognitive-behavior Therapy","Sleep Duration","Sleep Misestimation"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-18T21:51:33.457959Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}