TY - JOUR
T1 - Paradoxical insomnia and subjective–objective sleep discrepancy
T2 - A review
AU - Rezaie, Leeba
AU - Fobian, Aaron D.
AU - McCall, William Vaughn
AU - Khazaie, Habibolah
N1 - Funding Information:
Dr. McCall has been a scientific advisor for and Multiple Energy Technologies, LLC. He has also been a consultant to Anthem Insurance. His research has been supported by NIH award MH095776, American Foundation for Suicide Prevention award DIG-0-087-13, Merck, and MECTA. Dr. Fobian's research is supported by Award Number 1K23DK106570-01A1 from the National Institute of Diabetes and Digestive and Kidney Diseases. The others authors have nothing to disclose.
Funding Information:
Dr. McCall has been a scientific advisor for and Multiple Energy Technologies, LLC. He has also been a consultant to Anthem Insurance. His research has been supported by NIH award MH095776 , American Foundation for Suicide Prevention award DIG-0-087-13 , Merck, and MECTA. Dr. Fobian's research is supported by Award Number 1K23DK106570-01A1 from the National Institute of Diabetes and Digestive and Kidney Diseases . The others authors have nothing to disclose.
Publisher Copyright:
© 2018 Elsevier Ltd
PY - 2018/8
Y1 - 2018/8
N2 - Paradoxical insomnia is characterized by discrepancy between subjective and objective assessments of sleep and is challenging to diagnosis and treat. Typically, polysomnographic (PSG) findings show significantly longer total sleep time than patients' report of sleep, and the difference between subjective and PSG sleep is greater than that seen in other insomnia subtypes. Subjective–objective sleep discrepancy may also present in different clinical pictures, as marked discrepancies between patients' perception of sleep and objective findings are common in a variety of medical, sleep and psychiatric disorders. However, there is a paucity of literature about the etiology and treatment of sleep discrepancy and paradoxical insomnia. Therefore, the underlying neurophysiological mechanisms of sleep discrepancy and paradoxical insomnia should be further investigated. Additionally, well-controlled clinical trials are needed to establish an evidence based intervention for treatment.
AB - Paradoxical insomnia is characterized by discrepancy between subjective and objective assessments of sleep and is challenging to diagnosis and treat. Typically, polysomnographic (PSG) findings show significantly longer total sleep time than patients' report of sleep, and the difference between subjective and PSG sleep is greater than that seen in other insomnia subtypes. Subjective–objective sleep discrepancy may also present in different clinical pictures, as marked discrepancies between patients' perception of sleep and objective findings are common in a variety of medical, sleep and psychiatric disorders. However, there is a paucity of literature about the etiology and treatment of sleep discrepancy and paradoxical insomnia. Therefore, the underlying neurophysiological mechanisms of sleep discrepancy and paradoxical insomnia should be further investigated. Additionally, well-controlled clinical trials are needed to establish an evidence based intervention for treatment.
KW - Paradoxical insomnia
KW - Review
KW - Sleep discrepancy
KW - Sleep state misperception
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U2 - 10.1016/j.smrv.2018.01.002
DO - 10.1016/j.smrv.2018.01.002
M3 - Review article
C2 - 29402512
AN - SCOPUS:85041577454
SN - 1087-0792
VL - 40
SP - 196
EP - 202
JO - Sleep Medicine Reviews
JF - Sleep Medicine Reviews
ER -