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Discrepancy between objective and subjective measurements of sleep quality: the role of panic-agoraphobic spectrum

Published online by Cambridge University Press:  19 July 2023

F. Cruz Sanabria ,
M. Violi ,
L. Massoni ,
C. Bonelli ,
D. Gravina ,
S. Bruno ,
U. Faraguna ,
L. Dell’Osso  and
C. Carmassi
F. Cruz Sanabria*
Affiliation:
1Department of Translational Research and of New Surgical and Medical Technologies
M. Violi
Affiliation:
2Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
L. Massoni
Affiliation:
2Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
C. Bonelli
Affiliation:
2Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
D. Gravina
Affiliation:
2Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
S. Bruno
Affiliation:
1Department of Translational Research and of New Surgical and Medical Technologies
U. Faraguna
Affiliation:
1Department of Translational Research and of New Surgical and Medical Technologies
L. Dell’Osso
Affiliation:
1Department of Translational Research and of New Surgical and Medical Technologies 2Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
C. Carmassi
Affiliation:
1Department of Translational Research and of New Surgical and Medical Technologies 2Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
*
*Corresponding author.

Abstract

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Introduction

There is evidence that anxiety and depressive symptoms may lead individuals to under-estimate their own sleep quality, particularly among younger subjects (aged <45 yrs).

Objectives

The aim of this study was to investigate the discrepancy between objective and subjective measurements of sleep quality in a sample of healthy control subjects (HCs) with no Axis I mental disorders, and the possible impact of panic-agoraphobic spectrum symptoms.

Methods

A total of 117 HCs (65 males and 97 females; Age: 35.3±14yrs) were evaluated by the: Panic Agoraphobic Spectrum-Self Report (PAS-SR), to investigate panic spectrum; the Pittsburgh Sleep Quality Index (PSQI) and actigraphy, respectively for the subjective and the objective sleep efficiency (SE) measures. Groups were divided according to the congruence between SE-actigraphic vs SE-PSQI (“Accurate”, “Underestimate”, “Overestimate”), establishing as a threshold an SE>85% as a measure of good SE. Regression analyses were conducted to assess the association between PAS-SR domains and the discrepancy between objective and subjective measurements, controlling confounding factors such as age, gender and BMI

Results

Since our data showed that a low sleep quality was associated with a greater age and that higher PAS-SR scores were associated with younger age, we used a sub-sample of 117 participants with age <45 years and comparing the 3 groups of subjects created on the basis of the discrepancy: Accurate, N = 74 (63.2 %), “Overestimate group”, N= 23 (19.7 %), “Underestimate group”: N=20 (17.1 %), we found a statistically significant difference among groups in the PAS.SR separation anxiety domain (p value=0.032), with a multinomial regression model confirming this domain contributed significantly to the differentiation between the three groups with higher symptoms being associated with a higher probability of belonging to the “underestimate” group.

Conclusions

Our results suggest that the discrepancy between objective and subjective sleep efficiency measurements in HCs could be affected by panic spectrum symptoms, particularly separation anxiety.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S266
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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