1071 AMOUNT OF SLOW WAVE SLEEP IS ASSOCIATED WITH THE DISCREPANCIES BETWEEN OBJECTIVE AND SUBJECTIVE SLEEP MEASURES

Abstract Introduction: Discrepancies between objective and subjective sleep measures are common, however, they may be amplified within chronic pain populations. We explored factors hypothesized to contribute to discrepancies between self-report and objective sleep measures (i.e., actigraphy; polysom...

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Published in:Sleep (New York, N.Y.) N.Y.), 2017-04, Vol.40 (suppl_1), p.A398-A398
Main Authors: Lerman, SF, Buenaver, LF, Finan, PH, Medak, M, Amani, T, Tennen, HA, Haythornthwaite, JA, Smith, MT
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container_issue suppl_1
container_start_page A398
container_title Sleep (New York, N.Y.)
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creator Lerman, SF
Buenaver, LF
Finan, PH
Medak, M
Amani, T
Tennen, HA
Haythornthwaite, JA
Smith, MT
description Abstract Introduction: Discrepancies between objective and subjective sleep measures are common, however, they may be amplified within chronic pain populations. We explored factors hypothesized to contribute to discrepancies between self-report and objective sleep measures (i.e., actigraphy; polysomnography) in Temporomandibular Joint Disorder (TMJD), a chronic pain condition with a high prevalence of sleep disturbances. Methods: Baseline data was collected from 125 women diagnosed with TMJD and sleep disturbance (Insomnia Severity Index>8) as part of a larger study evaluating psychological interventions for sleep and pain. Assessment included self-report questionnaires, a one-night in-home polysomnography (PSG), 14 days of actigraphy and 14 days of daily diaries measuring standard sleep variables as well as mood and pain. Results: Correlations between self-report and actigraphy measures of sleep with PSG showed the following: Total Sleep Time (TST) (rs=.62-.70; p
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We explored factors hypothesized to contribute to discrepancies between self-report and objective sleep measures (i.e., actigraphy; polysomnography) in Temporomandibular Joint Disorder (TMJD), a chronic pain condition with a high prevalence of sleep disturbances. Methods: Baseline data was collected from 125 women diagnosed with TMJD and sleep disturbance (Insomnia Severity Index&gt;8) as part of a larger study evaluating psychological interventions for sleep and pain. Assessment included self-report questionnaires, a one-night in-home polysomnography (PSG), 14 days of actigraphy and 14 days of daily diaries measuring standard sleep variables as well as mood and pain. Results: Correlations between self-report and actigraphy measures of sleep with PSG showed the following: Total Sleep Time (TST) (rs=.62-.70; p&lt;.001); Time in Bed (TIB) (rs=.63-.79; p&lt;.001); Wake after sleep onset (WASO) (rs = .12-.34; ps = .001-.23); Sleep Efficiency (rs = .23-.27; p&lt;.05); and Sleep onset latency (rs=-.01, N.S). Discrepancy between PSG and self-perceptions (by diary) of TST, TIB and WASO were negatively correlated with percent of Slow Wave Sleep (%SWS) (rs = -.24-(-.54); p&lt;.05). Multiple regression analyses demonstrated that higher %SWS was associated with an overestimation of TST, TIB and WASO by self-report relative to PSG even when controlling for same day pain, positive and negative affect, pre-sleep arousal, catastrophizing and demographic variables. Conclusion: In these women with TMJD with impaired sleep and pain cognitions, perceptions of TST, TIB and WASO were associated with the percent of SWS measured by PSG. Sleep duration and continuity have been shown to impact pain perceptions and endogenous pain modulatory mechanisms. Consequently, future research should focus on interventions designed to deepen and consolidate sleep as a means of not only improving sleep but pain outcomes as well. Support (If Any): The present work was supported by NIH Grant R01 DE019731 (Haythornthwaite, JA and Smith, MT)</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleepj/zsx050.1070</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Pain ; Sleep</subject><ispartof>Sleep (New York, N.Y.), 2017-04, Vol.40 (suppl_1), p.A398-A398</ispartof><rights>Sleep Research Society 2017. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com 2017</rights><rights>Sleep Research Society 2017. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2020-3210b14ab28e9e9bb53168c2105411bf0d7ac5e4e1f22abbeac97cb7e02bd2673</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Lerman, SF</creatorcontrib><creatorcontrib>Buenaver, LF</creatorcontrib><creatorcontrib>Finan, PH</creatorcontrib><creatorcontrib>Medak, M</creatorcontrib><creatorcontrib>Amani, T</creatorcontrib><creatorcontrib>Tennen, HA</creatorcontrib><creatorcontrib>Haythornthwaite, JA</creatorcontrib><creatorcontrib>Smith, MT</creatorcontrib><title>1071 AMOUNT OF SLOW WAVE SLEEP IS ASSOCIATED WITH THE DISCREPANCIES BETWEEN OBJECTIVE AND SUBJECTIVE SLEEP MEASURES</title><title>Sleep (New York, N.Y.)</title><description>Abstract Introduction: Discrepancies between objective and subjective sleep measures are common, however, they may be amplified within chronic pain populations. We explored factors hypothesized to contribute to discrepancies between self-report and objective sleep measures (i.e., actigraphy; polysomnography) in Temporomandibular Joint Disorder (TMJD), a chronic pain condition with a high prevalence of sleep disturbances. Methods: Baseline data was collected from 125 women diagnosed with TMJD and sleep disturbance (Insomnia Severity Index&gt;8) as part of a larger study evaluating psychological interventions for sleep and pain. Assessment included self-report questionnaires, a one-night in-home polysomnography (PSG), 14 days of actigraphy and 14 days of daily diaries measuring standard sleep variables as well as mood and pain. Results: Correlations between self-report and actigraphy measures of sleep with PSG showed the following: Total Sleep Time (TST) (rs=.62-.70; p&lt;.001); Time in Bed (TIB) (rs=.63-.79; p&lt;.001); Wake after sleep onset (WASO) (rs = .12-.34; ps = .001-.23); Sleep Efficiency (rs = .23-.27; p&lt;.05); and Sleep onset latency (rs=-.01, N.S). Discrepancy between PSG and self-perceptions (by diary) of TST, TIB and WASO were negatively correlated with percent of Slow Wave Sleep (%SWS) (rs = -.24-(-.54); p&lt;.05). Multiple regression analyses demonstrated that higher %SWS was associated with an overestimation of TST, TIB and WASO by self-report relative to PSG even when controlling for same day pain, positive and negative affect, pre-sleep arousal, catastrophizing and demographic variables. Conclusion: In these women with TMJD with impaired sleep and pain cognitions, perceptions of TST, TIB and WASO were associated with the percent of SWS measured by PSG. Sleep duration and continuity have been shown to impact pain perceptions and endogenous pain modulatory mechanisms. Consequently, future research should focus on interventions designed to deepen and consolidate sleep as a means of not only improving sleep but pain outcomes as well. 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We explored factors hypothesized to contribute to discrepancies between self-report and objective sleep measures (i.e., actigraphy; polysomnography) in Temporomandibular Joint Disorder (TMJD), a chronic pain condition with a high prevalence of sleep disturbances. Methods: Baseline data was collected from 125 women diagnosed with TMJD and sleep disturbance (Insomnia Severity Index&gt;8) as part of a larger study evaluating psychological interventions for sleep and pain. Assessment included self-report questionnaires, a one-night in-home polysomnography (PSG), 14 days of actigraphy and 14 days of daily diaries measuring standard sleep variables as well as mood and pain. Results: Correlations between self-report and actigraphy measures of sleep with PSG showed the following: Total Sleep Time (TST) (rs=.62-.70; p&lt;.001); Time in Bed (TIB) (rs=.63-.79; p&lt;.001); Wake after sleep onset (WASO) (rs = .12-.34; ps = .001-.23); Sleep Efficiency (rs = .23-.27; p&lt;.05); and Sleep onset latency (rs=-.01, N.S). Discrepancy between PSG and self-perceptions (by diary) of TST, TIB and WASO were negatively correlated with percent of Slow Wave Sleep (%SWS) (rs = -.24-(-.54); p&lt;.05). Multiple regression analyses demonstrated that higher %SWS was associated with an overestimation of TST, TIB and WASO by self-report relative to PSG even when controlling for same day pain, positive and negative affect, pre-sleep arousal, catastrophizing and demographic variables. Conclusion: In these women with TMJD with impaired sleep and pain cognitions, perceptions of TST, TIB and WASO were associated with the percent of SWS measured by PSG. Sleep duration and continuity have been shown to impact pain perceptions and endogenous pain modulatory mechanisms. Consequently, future research should focus on interventions designed to deepen and consolidate sleep as a means of not only improving sleep but pain outcomes as well. Support (If Any): The present work was supported by NIH Grant R01 DE019731 (Haythornthwaite, JA and Smith, MT)</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/sleepj/zsx050.1070</doi><oa>free_for_read</oa></addata></record>
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subjects Pain
Sleep
title 1071 AMOUNT OF SLOW WAVE SLEEP IS ASSOCIATED WITH THE DISCREPANCIES BETWEEN OBJECTIVE AND SUBJECTIVE SLEEP MEASURES
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