Chronic insomnia

Some people with chronic insomnia think that they do not sleep during certain periods; whereas sleep measurements show that they do. Up till now, scientists have not able to pinpoint the exact causes of so-called ‘sleep misperception’. However, new research from Eindhoven University of Technology (TU/e); Kempenhaeghe Center for Sleep Medicine, Philips and Maastricht University shows that it is the period after falling asleep that determines whether or not people experience sleep.
The results underline that sleep misperception is a real problem for insomnia patients; which should take seriously. As many as 1 in 10 Dutch people suffer from sleeplessness. Some people with insomnia experience pronounced sleep misperception. “Someone can feel as though they have hardly slept, while in reality; they asleep for several hours. This can give patients the feeling that they are not taken seriously.

The sleep misperception

Our research shows that sleep misperception is real and it provides more insight into the underlying mechanism.” Although the total sleep time may sufficient; the researchers have now found that the stretches of sleep in the first hour and a half of the night must much longer in order to give people suffering from sleep misperception; the feeling that they are sleeping well. People with insomnia who wake up within half an hour after falling asleep do not feel like they have slept.

Conversely, good sleepers only need 10 minutes of continuous sleep to be aware of their sleep. “Their model shows that people with misperception issues do not really sleep differently; but rather experience sleep differently. According to the researchers; the current method of interpreting sleep needs to updated. An important yardstick for sleep doctors is the time it takes for a patient to fall asleep.

The electroencephalogram

To find this, they make an electroencephalogram (EEG); using electrodes that measure brain activity. Overeem: “In sleep medicine, it has agreed that a patient has fallen asleep when the first signs of sleep have become visible on the EEG. However, the process of falling asleep is not yet complete; they can now demonstrate that the duration and structure of that first sleep are also of diagnostic value.”
‘For how long do you have to sleep continuously in order to be aware that you have slept?’ She focusing her research on people around the age of 60 and studied the EEG measurements of 20 test subjects with insomnia and 21 good sleepers. All subjects indicated, after one night’s sleep; how long they thought that they were awake the night before.
“I then developed a model in which I investigated the influence of waking up during the first part of the night on the perception of the moment of falling asleep. The researchers will test the developed model in a follow-up study which will involve 160 people of different ages who spent the night. This larger study should show, among other things, whether there is a difference between the elderly and the young and to what extent sleep misperception varies between people with insomnia.