Smartphone Addiction Proneness Is Associated With Subjective-Objective Sleep Discrepancy in Patients With Insomnia Disorder
Open Access
- 25 November 2021
- journal article
- research article
- Published by Korean Neuropsychiatric Association in Psychiatry Investigation
- Vol. 18 (11), 1035-1043
- https://doi.org/10.30773/pi.2020.0360
Abstract
Objective Subjective reports of patients with insomnia often show a discrepancy with their objective assessments of sleep. We aimed to assess subjective-objective sleep discrepancy in subjects with insomnia disorder as well as the psychological factors associated with the discrepancy. Methods This study is a secondary analysis of the baseline data of a randomized controlled study on 110 adults aged 18 years to 59 years with insomnia disorder. Subjective reports on sleep and the objective measures acquired by an overnight polysomnography were used to measure the sleep discrepancy. Smartphone Addiction Proneness Scale (SAPS), Center for Epidemiologic Studies Depression Scale (CES-D), beck anxiety inventory (BAI), and Global Assessment of Recent Stress (GARS) were used to evaluate the psychological factors associated with the sleep discrepancy. Results Mean total sleep time (TST) discrepancy of the participants was-81.65 +/- 97.41 minutes. Multivariable logistic regression analyses revealed that age (adjusted OR=1.07, 95% CI=1.01-1.13, p=0.027), years of education (adjusted OR=0.69, 95% CI=0.48-0.91, p=0.017), and smartphone addiction proneness (adjusted OR=1.14, 95% CI=1.04-1.27, p=0.008) were independent predictors of TST misperception. Mean sleep onset latency (SOL) discrepancy of the participants was 41.28 +/- 45.01 minutes. Only anxiety was an independent predictor of SOL misperception (adjusted OR=1.16, 95% CI=1.05-1.31, p=0.006). Conclusion The present study provides empirical evidence to increase our understanding of the various factors that are associated with subjective-objective sleep discrepancy. Screening insomnia patients with smartphone addiction proneness may help predict the potential discrepancy between the patients' subjective reports and objective measures of sleep duration.Keywords
Funding Information
- Ministry of Agriculture, Food and Rural Affairs (115044-03-3-HD030)
- Soonchunhyang University
This publication has 45 references indexed in Scilit:
- The subjective–objective mismatch in sleep perception among those with insomnia and sleep apneaJournal of Sleep Research, 2013
- (Mis)perception of sleep in insomnia: A puzzle and a resolution.Psychological Bulletin, 2012
- Sleep Misperception and Chronic Insomnia in the General Population: Role of Objective Sleep Duration and Psychological ProfilesPsychosomatic Medicine, 2011
- Aging and Sleep: Physiology and PathophysiologySeminars in Respiratory and Critical Care Medicine, 2010
- Measuring the error in sleep estimation in normal subjects and in patients with insomniaJournal of Sleep Research, 2010
- Anxiety Symptoms and Objectively Measured Sleep Quality in Older WomenAmerican Journal of Geriatric Psychiatry, 2009
- Playing a violent television game affects heart rate variabilityActa Paediatrica, 2008
- Discrepancy between subjective and objective sleep in patients with depressionPsychiatry and Clinical Neurosciences, 2003
- Reliability and validity of the beck anxiety inventoryJournal of Anxiety Disorders, 1992
- A Global Assessment of Recent Stress (GARS) ScaleThe International Journal of Psychiatry in Medicine, 1986