Discrepancy Between Subjective Symptomatology and Objective Neuropsychological Performance in Insomnia

Abstract

The discrepancy between subjective daytime complaints and objective performance in individuals with insomnia is common, but poorly understood. This discordance may suggest that daytime impairment corresponds less to "output" and more to attentional bias or to the realistic appraisal that "effort" is required to maintain normal performance.

Early Sleep Psychiatric Intervention for Acute Insomnia: Implications from a Case of Obsessive-Compulsive Disorder

“…1,4 Characteristically, insomniacs often report their sleep to be worse than is objectively measured. 5,6 .It means that the discrepancy between subjective daytime complaints and objective performance in individuals with insomnia is common. 6 Therefore, we have to organize specifi c remedies for co-occurring acute insomnia itself.…”

“…5,6 .It means that the discrepancy between subjective daytime complaints and objective performance in individuals with insomnia is common. 6 Therefore, we have to organize specifi c remedies for co-occurring acute insomnia itself. 7 Here we present a case of OCD involving a 25-year-old male.…”

“…This manifestation explained by itself a typical psychopathology of insomnia. 5,6 This monitoring continued for a week. During this week, he was encouraged to visit our clinic 3 times for evaluation.…”

“…Despite their nature of subjective-objective discrepancy, 5,6 individuals suffering from acute insomnia are situated under a subjectively perceived overwhelming threat.…”

“…Overestimation of performance deficits may also be explained by psychophysiological hyperarousal model of insomnia. 6,8 Perhaps such a focused intervention has a nonspecific and positive psychotherapeutic effect. This could also have implications about the possible application of actigraphy to treat sleep problems within anxiety disorders.…”