{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T02:31:50Z","timestamp":1786415510806,"version":"build-2736575974"},"reference-count":24,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Sleep Medicine"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.sleep.2026.109163","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T06:53:17Z","timestamp":1784962397000},"page":"109163","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Subjective sleep quality reflects sleep continuity rather than respiratory severity or sleep stage composition"],"prefix":"10.1016","volume":"147","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5850-2076","authenticated-orcid":false,"given":"Damla Azakli","family":"Yazici","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4380-6226","authenticated-orcid":false,"given":"Eslem","family":"G\u00fcl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1102-270X","authenticated-orcid":false,"given":"Ecem","family":"Bilensoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7006-5550","authenticated-orcid":false,"given":"Ay\u015fe","family":"Bahadir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7703-110X","authenticated-orcid":false,"given":"Sibel","family":"Yurt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1110-6823","authenticated-orcid":false,"given":"Mehmet Akif","family":"Ozgul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.sleep.2026.109163_bib1","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1093\/sleep\/29.3.375","article-title":"Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders","volume":"29","author":"Kushida","year":"2006","journal-title":"Sleep"},{"issue":"1","key":"10.1016\/j.sleep.2026.109163_bib2","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.arbres.2021.03.017","article-title":"International consensus document on obstructive sleep apnea","volume":"58","author":"Mediano","year":"2022","journal-title":"Arch Bronconeumol"},{"issue":"3","key":"10.1016\/j.sleep.2026.109163_bib3","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.smrv.2007.02.005","article-title":"Persistent sleepiness in CPAP treated obstructive sleep apnea patients: evaluation and treatment","volume":"11","author":"Santamaria","year":"2007","journal-title":"Sleep Med Rev"},{"issue":"6","key":"10.1016\/j.sleep.2026.109163_bib4","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1097\/MCP.0b013e328365ab4a","article-title":"On treatment but still sleepy: cause and management of residual sleepiness in obstructive sleep apnea","volume":"19","author":"Launois","year":"2013","journal-title":"Curr Opin Pulm Med"},{"issue":"1","key":"10.1016\/j.sleep.2026.109163_bib5","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1093\/sleep\/34.1.111","article-title":"The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA","volume":"34","author":"Antic","year":"2011","journal-title":"Sleep"},{"issue":"1","key":"10.1016\/j.sleep.2026.109163_bib6","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s11325-019-01830-6","article-title":"Residual excessive daytime sleepiness in patients with obstructive sleep apnea treated with positive airway pressure therapy","volume":"24","author":"Foster","year":"2020","journal-title":"Sleep Breath"},{"issue":"8","key":"10.1016\/j.sleep.2026.109163_bib7","doi-asserted-by":"crossref","DOI":"10.3346\/jkms.2023.38.e54","article-title":"Effects of continuous positive airway pressure on sleep state misperception in patients with obstructive sleep apnea","volume":"38","author":"Lee","year":"2023","journal-title":"J Kor Med Sci"},{"issue":"8","key":"10.1016\/j.sleep.2026.109163_bib8","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1513\/AnnalsATS.202206-482OC","article-title":"Relationship between self-reported sleepiness and positive airway pressure treatment adherence in obstructive sleep apnea","volume":"20","author":"Cistulli","year":"2023","journal-title":"Ann Am Thorac Soc"},{"issue":"1","key":"10.1016\/j.sleep.2026.109163_bib9","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5665\/sleep.3298","article-title":"Sleep health: can we define it? Does it matter?","volume":"37","author":"Buysse","year":"2014","journal-title":"Sleep"},{"issue":"1","key":"10.1016\/j.sleep.2026.109163_bib10","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.biopsycho.2013.05.014","article-title":"In search of objective components for sleep quality indexing in normal sleep","volume":"94","author":"Rosipal","year":"2013","journal-title":"Biol Psychol"},{"key":"10.1016\/j.sleep.2026.109163_bib11","article-title":"The evaluation of the Groningen sleep quality scale","author":"Meijman","year":"1988","journal-title":"Groningen: Heymans Bulletin, HB 88-13-EX"},{"issue":"4","key":"10.1016\/j.sleep.2026.109163_bib12","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.sleep.2007.06.017","article-title":"High-altitude sleep disturbance: results of the Groningen sleep quality questionnaire survey","volume":"9","author":"Jafarian","year":"2008","journal-title":"Sleep Med"},{"key":"10.1016\/j.sleep.2026.109163_bib13","series-title":"The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications","year":"2023"},{"issue":"6","key":"10.1016\/j.sleep.2026.109163_bib14","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","article-title":"A new method for measuring daytime sleepiness: the Epworth sleepiness scale","volume":"14","author":"Johns","year":"1991","journal-title":"Sleep"},{"issue":"5","key":"10.1016\/j.sleep.2026.109163_bib15","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1002\/nau.25322","article-title":"First uninterrupted sleep period in children and adolescents with nocturnal enuresis: added value in diagnosis and follow-up during therapy","volume":"43","author":"Karamaria","year":"2024","journal-title":"Neurourol Urodyn"},{"issue":"10","key":"10.1016\/j.sleep.2026.109163_bib16","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1016\/j.sleep.2014.05.013","article-title":"Increases in duration of first uninterrupted sleep period are associated with improvements in PSQI-measured sleep quality","volume":"15","author":"Bliwise","year":"2014","journal-title":"Sleep Med"},{"key":"10.1016\/j.sleep.2026.109163_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.smrv.2022.101657","article-title":"Physiological markers of sleep quality: a scoping review","volume":"64","author":"McCarter","year":"2022","journal-title":"Sleep Med Rev"},{"issue":"11","key":"10.1016\/j.sleep.2026.109163_bib18","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.5665\/sleep.5154","article-title":"The effects of sleep continuity disruption on positive mood and sleep architecture in healthy adults","volume":"38","author":"Finan","year":"2015","journal-title":"Sleep"},{"issue":"5","key":"10.1016\/j.sleep.2026.109163_bib19","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1183\/09031936.00016808","article-title":"Prevalence of residual excessive sleepiness in CPAP-treated sleep apnoea patients: the French multicentre study","volume":"33","author":"P\u00e9pin","year":"2009","journal-title":"Eur Respir J"},{"issue":"2","key":"10.1016\/j.sleep.2026.109163_bib20","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1513\/pats.200708-119MG","article-title":"Adherence to continuous positive airway pressure therapy: the challenge to effective treatment","volume":"5","author":"Weaver","year":"2008","journal-title":"Proc Am Thorac Soc"},{"issue":"2","key":"10.1016\/j.sleep.2026.109163_bib21","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1080\/15402002.2014.974181","article-title":"Relationships between questionnaire ratings of sleep quality and polysomnography in healthy adults","volume":"14","author":"Westerlund","year":"2016","journal-title":"Behav Sleep Med"},{"issue":"3","key":"10.1016\/j.sleep.2026.109163_bib22","doi-asserted-by":"crossref","DOI":"10.1111\/jsr.13519","article-title":"High sleep fragmentation parallels poor subjective sleep quality during the third wave of the Covid-19 pandemic: an actigraphic study","volume":"31","author":"Conte","year":"2022","journal-title":"J Sleep Res"},{"issue":"4","key":"10.1016\/j.sleep.2026.109163_bib23","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1111\/j.1365-2869.2004.00418.x","article-title":"Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000 British adults","volume":"13","author":"Groeger","year":"2004","journal-title":"J Sleep Res"},{"issue":"3","key":"10.1016\/j.sleep.2026.109163_bib24","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.biopsycho.2009.12.011","article-title":"We know when we are sleepy: subjective versus objective measurements of moderate sleepiness in healthy adults","volume":"83","author":"Horne","year":"2010","journal-title":"Biol Psychol"}],"container-title":["Sleep Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1389945726004028?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1389945726004028?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T02:15:28Z","timestamp":1786414528000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1389945726004028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":24,"alternative-id":["S1389945726004028"],"URL":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109163","relation":{},"ISSN":["1389-9457"],"issn-type":[{"value":"1389-9457","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Subjective sleep quality reflects sleep continuity rather than respiratory severity or sleep stage composition","name":"articletitle","label":"Article Title"},{"value":"Sleep Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109163","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109163"}}