{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:25:45Z","timestamp":1788279945367,"version":"build-2803163510"},"reference-count":44,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"IMPULS framework of the Eindhoven MedTech Innovation Center","award":["PISANO"],"award-info":[{"award-number":["PISANO"]}]},{"DOI":"10.13039\/501100016238","name":"Dutch Ministry of Economic Affairs and Climate Policy","doi-asserted-by":"publisher","award":["PISANO"],"award-info":[{"award-number":["PISANO"]}],"id":[{"id":"10.13039\/501100016238","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clocks &amp; Sleep"],"abstract":"<jats:p>Total sleep time (TST) misperception has been reported in obstructive sleep apnea (OSA). However, previous findings on predictors were inconsistent and predominantly relied on single-night polysomnography, which may alter patients\u2019 sleep perception. We leveraged advances in wearable sleep staging to investigate predictors of TST misperception in OSA over multiple nights in the home environment. The study included 141 patients with OSA, 75 without insomnia symptoms (OSA group), and 66 with insomnia symptoms (OSA-I group). Objective TST was measured using a previously validated wrist-worn photoplethysmography and accelerometry device. Self-reported TST was assessed using a digital sleep diary. TST misperception was quantified with the misperception index (MI), calculated as (objective \u2212 self-reported TST)\/objective TST. MI values differed significantly between the OSA (median = \u22120.02, IQR = [\u22120.06, 0.02]) and the OSA-I group (0.05, [\u22120.02, 0.13], p &lt; 0.001). Multilevel modeling revealed that the presence of insomnia symptoms (\u03b2 = 0.070, p &lt; 0.001) and lower daily reported sleep quality (\u03b2 = \u22120.229, p &lt; 0.001) were predictive of higher MI (TST underestimation), while a higher apnea\u2013hypopnea index (AHI) was predictive of lower MI (TST overestimation; \u03b2 = \u22120.001, p = 0.006). Thus, insomnia symptoms and AHI are associated with TST misperception in OSA patients, but in opposite directions. This association extends over multiple nights in the home environment.<\/jats:p>","DOI":"10.3390\/clockssleep6040050","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T08:33:51Z","timestamp":1733387631000},"page":"777-788","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multi-Night Home Assessment of Total Sleep Time Misperception in Obstructive Sleep Apnea with and Without Insomnia Symptoms"],"prefix":"10.3390","volume":"6","author":[{"given":"Jasmin","family":"Kuhn","sequence":"first","affiliation":[{"name":"Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands"},{"name":"Philips Sleep and Respiratory Care, 5656AE Eindhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura R. B.","family":"Schiphorst","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands"},{"name":"Philips Sleep and Respiratory Care, 5656AE Eindhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernice M.","family":"Wulterkens","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands"},{"name":"Philips Sleep and Respiratory Care, 5656AE Eindhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9573-9478","authenticated-orcid":false,"given":"Jerryll","family":"Asin","sequence":"additional","affiliation":[{"name":"Center for Sleep Medicine, Amphia Hospital, 4818CK Breda, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanny","family":"Duis","sequence":"additional","affiliation":[{"name":"Center for Sleep Medicine, Amphia Hospital, 4818CK Breda, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6445-9836","authenticated-orcid":false,"given":"Sebastiaan","family":"Overeem","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands"},{"name":"Sleep Medicine Center Kempenhaeghe, 5591VE Heeze, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2138-5686","authenticated-orcid":false,"given":"Merel M.","family":"van Gilst","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands"},{"name":"Sleep Medicine Center Kempenhaeghe, 5591VE Heeze, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2932-6402","authenticated-orcid":false,"given":"Pedro","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, Eindhoven University of Technology, 5612AP Eindhoven, The Netherlands"},{"name":"Philips Sleep and Respiratory Care, 5656AE Eindhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/PSY.0b013e3181fe365a","article-title":"Sleep misperception and chronic insomnia in the general population: Role of objective sleep duration and psychological profiles","volume":"73","author":"Calhoun","year":"2011","journal-title":"Psychosom. 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