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A Study of Insomnia and Sleep Loss
Author Bio
Part I
Matching Sleep Variables
Research Questions
Currently selected section: Environmental Conditioning
Matching Perception and Physiology
PSG and Self Report Data Mismatch
Questions for Further Research
Part III


Chapter 15: Challenges to the Study of Insomnia and Sleep Loss: The Role of Environmental Conditioning in Measurements of Insomnia
        

Photograph collage of difficulty sleeping. An environmental conditioning component related to insomnia has been postulated. This means that as people experience difficulty sleeping in their environment, various features (stimuli) of the bedroom and the time period or rituals preceding sleep can become associated with fears of and frustrations about sleeplessness or sleep loss. A form of anticipatory anxiety develops that creates a level of mental and physiological activation that impedes sleep induction. This raises a question about the laboratory environment for sleep and its affect on usual sleep. If one is conditioned to sleep poorly in their usual environment, will they sleep better if removed from their usual environment? Alternatively, if one is sensitive to one's environment but is a good sleeper in the usual one, does moving to the sleep laboratory worsen sleep?

Fortunately, it has been determined that most people adapt quickly to the laboratory sleep environment and can fall asleep with usual ease (or display a typical amount of difficulty) after a short period of adaptation. These observations underlie the common protocol used in sleep studies, which is to conduct multiple nights of PSG sleep assessment and separate out the first night as an adaptation night from overall analysis.

Trying to minimize the effect of a strange sleeping environment has led to technologies developed for home monitoring. Monitoring in the home carries its own set of methodological liabilities, including the as-yet-unavoidable necessity of applying electrodes; missing data due to lack of technical oversight during the recording period; and electrical interference with signals.

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