Comparison of subjective and objective measures of insomnia in monozygotic twins discordant for chronic fatigue syndrome.
Watson, Nathaniel F, Kapur, Vishesh, Arguelles, Lester M et al.·Sleep·2003
People with ME/CFS report feeling like they sleep poorly and don't rest well, but when researchers measured their actual sleep using medical equipment, the sleep looked similar to their healthy identical twins. The main difference was that people with ME/CFS had more REM sleep (a specific sleep stage) and felt much less refreshed after sleeping, even though the equipment showed they were sleeping normally. This suggests that ME/CFS may involve a mismatch between how sleep actually is and how it feels.