G. Keklund et T. Akerstedt, OBJECTIVE COMPONENTS OF INDIVIDUAL-DIFFERENCES IN SUBJECTIVE SLEEP QUALITY, Journal of sleep research, 6(4), 1997, pp. 217-220
The relation between subjective and objective (polysomnography) is of
obvious interest in understanding sleep. The aim of the present study
was to examine the item structure of the Karolinska Sleep Diary (KSD),
and the covariation between KSD and sleep-stage variables, with cross
-sectional (inter-individual) data obtained in natural conditions. Thi
rty-seven subjects had a polysomnography prior to a work day. After ri
sing they completed the Karolinska Sleep Diary. A factor analysis of t
he diary yielded two factors: (1) a sleep-quality index (SQI) related
to the initiation and maintenance of sleep, and (2) a second factor re
lated to difficulties waking-up and to whether sleep was recuperative
and sufficient. The strongest predictors (multiple regression) of the
sleep quality index was slow-wave sleep (SWS) and sleep efficiency [an
d variables related to sleep continuity - total sleep time (TST) and t
he amount of stage 0]. The obtained results were in agreement with pre
vious laboratory findings. It was concluded that sleep quality seems t
o he a matter of depth of sleep and sleep continuity.