Subjective but Not Actigraphy-Defined Sleep Predicts Next-Day Fatigue in Chronic Fatigue Syndrome: A Prospective Daily Diary Study.
Russell, Charlotte, Wearden, Alison J, Fairclough, Gillian et al.·Sleep·2016
This study found that how people with ME/CFS feel about their sleep quality matters more for next-day fatigue than what sleep monitors actually measure. When patients reported poor sleep quality or felt their sleep wasn't refreshing, they experienced worse fatigue the following day. Interestingly, people who worried or felt anxious before bed reported worse sleep, and waking up in a bad mood partly explained why poor sleep led to more fatigue.