Exploration of potential objective and subjective daily indicators of sleep health in normal sleepers

Allen, Sarah, Elder, Greg, Longstaff, Laura, Gotts, Zoe M., Sharman, Rachel, Akram, Umair and Ellis, Jason (2018) Exploration of potential objective and subjective daily indicators of sleep health in normal sleepers. Nature and Science of Sleep, 10. pp. 303-312. ISSN 1179-1608

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Official URL: https://doi.org/10.2147/NSS.S168841


Purpose: While the concept of "sleep health" has only recently been defined, how it relates to both subjective and objective sleep parameters is yet to be determined. The current study aimed to identify potential indicators of poorer sleep health, from subjective and objective daily sleep characteristics, in normal sleepers.

Participants and methods: Eighty-three individuals aged 18-65 years with no history of sleep disorders, chronic physical or psychiatric illnesses, or substance misuse were recruited from the North of England. Secondary analysis of a series of standardized studies, which included psychometrics, actigraphy, and an in-lab polysomnography (PSG) component, was undertaken. Questions from several psychometric sleep scales were combined to create an aggregate measure of sleep health status. Subjective sleep continuity was assessed by 2-week sleep diary. Objective measures comprised two continuous weeks of actigraphy and two nights of in-lab PSG.

Results: Significant negative correlations were evident between sleep health scores and both diary-derived subjective sleep latency (SL; diary) and actigraphy-derived SL (actigraphy). This was reflected by independent samples t-test between high and low sleep health groups. No relationships between sleep health and PSG parameters were observed. Regression analyses indicated sleep latencies from both the sleep diary and actigraphy as significant predictors, explaining 28.2% of the variance in sleep health.

Conclusion: Perceived increases in SL appear to be a primary indicator of declining sleep health in normal sleepers. The majority of objective sleep parameters, including gross PSG sleep parameters, appear not to be sensitive to sleep health status in normal sleepers. Future research is needed to understand the physical and psychological correlates of sleep health in larger samples.

Item Type: Article
Additional Information: Funding information: The Sleep Council provided financial support for the preparation of this article. Part of the data collection for this study was funded by a grant received from the ESRC for the Sleep GAPS project. This paper was presented at the 32nd annual meeting of the Associated Professional Sleep Societies as a poster presentation with interim findings. The Poster’s abstract was published in “Basic and Translational Sleep Science” in SLEEP, Volume 41, Abstract Supplement, 2018. https://doi.org/10.1093/sleep/zsy061.325.
Uncontrolled Keywords: sleep health, PSG, actigraphy, normal sleepers
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Paul Burns
Date Deposited: 18 Oct 2018 16:51
Last Modified: 11 Sep 2022 15:45
URI: https://nrl.northumbria.ac.uk/id/eprint/36371

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