Abstract
Sleep state misperception (SSM) is defined by the International Classification of Sleep Disorders (ICSD) as “a disorder in which a complaint of insomnia or excessive sleepiness occurs without objective evidence of sleep disturbance” (1). SSM is included under the category of primary insomnias in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (2). It is also referred to as pseudoinsomnia, subjective complaint of disorder of initiating and maintaining sleep without objective findings, and sleep hypochondriasis.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
American Sleep Disorders Association. (1990) International classification of sleep disorders: diagnostic and coding manual. American Sleep Disorders Association, Rochester, MN.
American Psychiatric Association. (1994) Diagnostic and statistical manual of mental disorders ( 4th ed. ). American Psychiatric Association, Washington, DC.
Held, R., Schwartz, B., and Fischgold, H. (1959) Fausse insomnie: Etude psychoanalytique et electroencephalographique. Presse Med. 67, 141–143.
Carskadon, M., Dement, W., Merrill, M., Guilleminault, C., Zarcone, V., and Spiegel, R. (1976) Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. Am. J. Psychiatry 133, 1382–1388.
Richardson, G., Carskadon, M., Flagg, W., van den Hoed, J., Dement, W., and Mitler, M. (1978) Excessive daytime sleepiness in man: multiple sleep latency measurement in narcoleptic and control subjects. Electroencephalogr. Clin. Neurophysiol. 45, 621–627.
Coleman, R. M., Roffwarg, H. P., Kennedy, S. J., et al. (1982) Sleep wake disorders based on a polysomnographic diagnosis. JAMA 247, 997–1003.
Buysse, D., Reynolds, C., Kupfer, D., et al. (1994) Clinical diagnosis in 216 insomnia patients using the International Classification of Sleep Disorders (ICSD), DSM-IV and ICD-10 categories: a report from the APA/NIMH DSM-IV Field Trial. Sleep 17, 630–637.
Bonnet, M. and Moore, S. (1982) The threshold of sleep: perception of sleep as a function of time asleep and auditory threshold. Sleep 5, 267–276.
Switch, D. (1984) NREM sleep continuity and the sense of having slept in normal sleepers. Sleep 7, 147–154.
Laposky, A., Anch, M., and Duntley, S. (2001) The association between EEG and sleep perception during MSLT naps on subjects with excessive daytime sleepiness. Sleep and Hypnosis 3, 84–92.
Frankel, B., Coursey, R., Buchbinder, R., and Snyder, F. (1976) Recorded and reported sleep in chronic primary insomnia. Arch. Gen. Psychiatry 33, 615–623.
Reynolds, C., Kupfer, D., Buysse, D., Coble, P., and Yeager, A. (1991) Subtyping DSM-III-R primary insomnia: a literature review by the DSM-IV work group on sleep disorders. Am. J. Psychiatry 148, 432–438.
Mercer, J., Bootzin, R., and Lack, L. (2002) Insomniacs’ perception of wake instead of sleep. Sleep 25, 564–571.
Salin-Pascual, R., Roehrs, T., Merlotti, L., Zorick, F., and Roth, T. (1992) Long-term study of the sleep of insomnia patients with sleep-state misperception and other insomnia patients. Am. J. Psychiatry 149, 904–908.
Perlis, M., Merica, H., Smith, M., and Giles, D. (2001) Beta EEG activity and insomnia. Sleep Med. Rev. 5, 365–376.
Borkovec, T. (1979) Pseudo (experiential)-insomnia and idiopathic(objective) insomnia: theoretical and therapeutic issues. Adv. Behav. Res. Ther. 2, 27–55.
Kuisk, L., Bertelson, A., and Walsh, J. (1989) Presleep cognitive hyperarousal and affect as factors in objective and subjective insomnia. Percept. Mot. Skills 69, 1219–1225.
Perlis, M. L., Smith, M. T., Orff, H. J., Andrews, P. J., and Giles, D. E. (2001) The mesograde amnesia of sleep may be attenuated in subjects with primary insomnia. Physiol. Behav. 74, 71–76.
Martin, S., Wraith, P., Deary, I., and Douglas, N. (1997) The effect of nonvisible sleep fragmentation on daytime function. Am. J. Respir. Crit. Care Med. 155, 1596–1601.
Bonnett, M. H. and Arand, D. L. (1997) Physiological activation in patients with sleep state misperception. Psychosom. Med. 59 (5), 533–540.
Hauri, P. and Wishbey, J. (1992) Wrist actigraphy in insomnia. Sleep 15, 293–301.
Schneider-Helmert, D. and Kumar, A. (1995) Sleep, its subjective perception, and daytime performance in insomniacs with a pattern of alpha sleep. Biol. Psychiatry 37, 99–105.
Perlis, M., Smith, M., Orff, H., Andrews, P., and Giles, D. (2001) Beta/gamma activity in patients with insomnia and in good sleeper controls. Sleep 24, 110–117.
Gillin, C., Rapaport, M., Winokur, A., and Albala, B. J. (1997) A comparison of nefazodone and fluoxetine on mood and on objective, subjective, and clinician-rated measures of sleep in depressed patients: A double-blind, 8-week clinical trial. J. Clin. Psychiatry 58, 185–192.
Rush, A. J., Armitage, R., Gillin, C., et al. (1998) comparative effects of nefazodone and fluoxetine on sleep in outpatients with major depressive disorder. Biol. Psychiatry 44, 14.
Hicks, J, A., Argyropoulos, S. V., Rich, A. S., et al. (2002) Randomized controlled study of sleep after nefazodone or paroxetine treatment in out-patients with depression. Br. J. Psychiatry 180, 528–535.
Smith, S. and Trinder, J. (2002) The effect of arousals during sleep onset on estimates of sleep onset latency. J. Sleep Res. 9 (2), 129–135.
Mercer, J. D., Bootzin, R. R., and Lack, L. C. (2002) Insomniacs’ perception of wake instead of sleep. Sleep 25 (5), 564–571.
Hauri, P. J. and Wisbey, J. (1992) Wrist actigraphy in insomnia. Sleep 15 (4), 293–301.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer Science+Business Media New York
About this chapter
Cite this chapter
Duntley, S. (2004). Sleep State Misperception. In: Attarian, H.P. (eds) Clinical Handbook of Insomnia. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-662-1_8
Download citation
DOI: https://doi.org/10.1007/978-1-59259-662-1_8
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-61737-465-4
Online ISBN: 978-1-59259-662-1
eBook Packages: Springer Book Archive