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Eighty\u2010two patients were studied concerning demographic and socio\u2010economic features, medical, psychiatric and sleep comorbidities, substance use, sleep symptoms, actigraphy, video\u2010polysomnography, multiple sleep latency tests and treatment. The typical patient with insufficient sleep syndrome is a middle\u2010aged adult (with no difference of gender), employed, who has a family, often carrying psychiatric and neurological comorbidities, in particular headache, anxiety and depression. Other sleep disorders, especially mild sleep apnea and bruxism, were common as well. Actigraphy was a valuable tool in the characterisation of insufficient sleep syndrome, showing a sleep restriction during weekdays, associated with a recovery rebound of night sleep during weekends and a high amount of daytime sleep. An over\u2010 or underestimation of sleeping was common, concerning both the duration of night sleep and daytime napping. The average daily sleep considering both daytime and night\u2010time, weekdays and weekends corresponds to the recommended minimal normal duration, meaning that the burden of insufficient sleep syndrome could mainly depend on sleep fragmentation and low quality. Sleep efficiency was elevated both in actigraphy and video\u2010polysomnography. Multiple sleep latency tests evidenced a tendency toward sleep\u2010onset rapid eye movement periods. Our study offers a comprehensive characterisation of patients with insufficient sleep syndrome, and clarifies their sleeping pattern, opening avenues for management and treatment of the disorder. Current options seem not adapted, and in our opinion a cognitive\u2010behavioural psychotherapy protocol should be developed.<\/jats:p>","DOI":"10.1111\/jsr.14076","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T09:48:53Z","timestamp":1698832133000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical and instrumental features in 82 patients with insufficient sleep syndrome"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2795-1722","authenticated-orcid":false,"given":"Marco","family":"De Pieri","sequence":"first","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"},{"name":"Service de psychiatrie adulte, D\u00e9partement de psychiatrie, H\u00f4pitaux universitaires de Gen\u00e8ve  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Bueltemann","sequence":"additional","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Tedone","sequence":"additional","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Riccardi","sequence":"additional","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8875-9657","authenticated-orcid":false,"given":"Anna","family":"Castelnovo","sequence":"additional","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-3947","authenticated-orcid":false,"given":"Silvia","family":"Miano","sequence":"additional","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1849-7196","authenticated-orcid":false,"given":"Mauro","family":"Manconi","sequence":"additional","affiliation":[{"name":"Sleep Medicine Unit, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC)  Lugano Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11]]},"reference":[{"volume-title":"International classification of sleep disorders","year":"2014","author":"American Academy of Sleep Medicine","key":"e_1_2_10_2_1"},{"key":"e_1_2_10_3_1","unstructured":"American academy of sleep medicine. 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