Objective vs. subjective measurements of sleep in depressed insomniacs: first night effect or reverse first night effect?

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
Catherine McCall, W Vaughn McCall

Abstract

This study examined changes in sleep parameters between the laboratory and the home setting before and after laboratory monitoring in depressed insomniacs undergoing treatment. This study was a post hoc analysis of a double-blind, randomized, placebo-controlled clinical trial performed with 60 depressed, insomniac outpatients. Patients underwent actigraphic monitoring along with sleep diaries over a continuous 2-week period. After one week of baseline monitoring, subjects spent one night in the laboratory with concurrent actigraphic and PSG monitoring with sleep diaries. Actigraphic monitoring and sleep diaries were continued for another week at home, along with initiation of open-label fluoxetine (FLX). Actigraphically recorded laboratory sleep during the night in the laboratory was found to be improved relative to actigraphically recorded sleep at home, with less wake time and greater sleep time and sleep efficiency occurring in the laboratory. In contrast, sleep diaries indicated a slight worsening of sleep in the laboratory compared to home, with significantly more awakenings in the laboratory compared to the week at home before and after the laboratory night. The differences between objective and subjective sleep measureme...Continue Reading

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Citations

Aug 5, 2017·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A Yu GortsevaA O Konradi
Jun 25, 2019·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·George F Koob, Ian M Colrain
Apr 10, 2013·The Journal of Headache and Pain·Morten EngstrømTrond Sand
Jun 8, 2019·JMIR MHealth and UHealth·Zilu Liang, Mario Alberto Chapa-Martell
Jul 30, 2020·Sleep Disorders·Mohammed M AlshehriCatherine F Siengsukon
Oct 12, 2018·The Cochrane Database of Systematic Reviews·Susanne RösnerMichael Soyka
Dec 9, 2020·Journal of Sleep Research·Matthew W Driller, Ian C Dunican
Mar 31, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Samuel TschoppKurt Tschopp
Jul 24, 2021·Disability and Rehabilitation·Carolina Climent-SanzMontserrat Gea-Sánchez
Oct 6, 2021·Nursing Forum·Kathy L NelsonCynthia F Corbett

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