Creti, Laura, Libman, Eva, Baltzan, Marcel et al. · Journal of health psychology · 2010 · DOI
This study compared three different ways of measuring sleep in people with ME/CFS: overnight hospital testing (polysomnography), wrist-worn activity monitors (actigraphy), and patients reporting on their own sleep. Researchers found that while objective measurements matched what patients reported about total sleep time, the objective tests didn't capture daytime symptoms like non-refreshing sleep, fatigue, or sleepiness that patients actually experience.
Understanding how to accurately measure sleep in ME/CFS is clinically important because sleep disturbances are common in this population. This study reveals that standard sleep testing may miss the core complaint of non-refreshing sleep that characterizes ME/CFS, suggesting that patient-reported sleep quality should not be overlooked when evaluating treatment efficacy.
This cross-sectional study cannot establish causal relationships between sleep disturbances and daytime symptoms. The study also does not prove that objective sleep measures are inadequate for all clinical purposes—only that they do not capture certain subjective daytime experiences. Additionally, findings from a single-night measurement may not represent typical sleep patterns.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Creti, Laura, Libman, Eva, Baltzan, Marcel, Rizzo, Dorrie, Bailes, Sally, & Fichten, Catherine S (2010). Impaired sleep in chronic fatigue syndrome: how is it best measured?. Journal of health psychology. https://doi.org/10.1177/1359105309355336
BibTeX
@article{mecfsatlas-creti-2010-impaired-sleep,
author = {Creti, Laura and Libman, Eva and Baltzan, Marcel and Rizzo, Dorrie and Bailes, Sally and Fichten, Catherine S},
title = {Impaired sleep in chronic fatigue syndrome: how is it best measured?},
journal = {Journal of health psychology},
year = {2010},
doi = {10.1177/1359105309355336},
note = {PubMed: 20460416},
url = {https://www.mecfsatlas.com/evidence/creti-2010-impaired-sleep},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/creti-2010-impaired-sleep
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