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What is Sleep state misperception (SSM)?

User Kyanite
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Sleep State Misperception (SSM) is a condition where people perceive their sleep as being much less than it actually is, often leading to distress despite normal sleep patterns shown in sleep studies. It differs from other sleep disorders like insomnia, sleep apnea, or narcolepsy which have more objective physiological symptoms. Treatment usually involves cognitive behavioral therapy rather than medication.

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Sleep State Misperception (SSM)

Sleep State Misperception (SSM) is a condition where an individual perceives their sleep as significantly less than what is recorded or observed. People with SSM will report that they did not sleep or slept very little despite evidence from sleep studies (such as polysomnography) showing normal or near-normal sleep duration and architecture. This misperception can cause distress and concern about sleep quality, leading to increased focus on and anxiety around sleep.

SSM is distinct from sleep disorders where the sleep deficit is actual, such as insomnia, sleep apnea, or narcolepsy. These disorders are quantifiable through various symptoms and sleep study abnormalities. In the case of SSM, individuals may not present such physiological evidence of a sleep disorder but will still experience psychological distress due to their perception of sleep deprivation.

Understanding SSM is important because it highlights the complexity of sleep and our consciousness of it. States of consciousness and sleep are regulated by biological rhythms, including the circadian rhythms, which can become disrupted, leading to misperceptions about sleep. Treatment for SSM typically involves cognitive behavioral therapy to adjust perceptions and attitudes towards sleep rather than pharmacological interventions used for other sleep disorders.

User Ihor Patsian
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