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Bridging the Gap: Exploring Sleep Expectation Versus Reality in Primary Care

Bridging the Gap Exploring Sleep Expectation Versus Reality in Primary Care
03/17/2025

Emerging data reveals a marked discrepancy in sleep expectations within primary care patients, highlighting a significant shortfall in perceived sleep duration compared to the optimal amount.

Recognizing this hidden gap between actual and preferred sleep is essential. This discussion underscores the vital role of tackling sleep discrepancies and insomnia within primary care, while also exploring how broader lifestyle factors may contribute to sleep health challenges.

Key Insights and Clinical Implications

Recent primary care research indicates that patients perceive their average sleep duration to be about 6.39 hours, compared to an ideal of approximately 8.07 hours. This considerable gap not only highlights concerns about sleep satisfaction but also indicates potential underlying sleep disorders like insomnia.

These findings urge clinicians to incorporate extensive sleep evaluations into regular practices. By utilizing tools such as the Insomnia Severity Index and analyzing lifestyle influences, including Body Mass Index and dietary patterns, healthcare providers can customize interventions to enhance overall sleep health.

Insomnia Severity and Its Impact

Detailed analysis demonstrates that the severity of insomnia, assessed via the Insomnia Severity Index, correlates with a broader gap between perceived and ideal sleep durations. Patients with higher ISI scores report a larger discrepancy, indicating insomnia as a notable factor in sleep dissatisfaction.

This association, highlighted within the same MDPI study, underscores the necessity for primary care clinicians to proactively address insomnia as a component of their integrative strategy to enhance patient sleep quality.

Lifestyle and Demographic Influences

In addition to clinical sleep evaluations, lifestyle and demographic factors substantially influence the sleep expectation–reality gap. Research indicates that a higher Body Mass Index, frequent consumption of cola, and advanced age are predictors of the gap between actual and ideal sleep durations.

This inductive finding underscores the wider lifestyle context impacting sleep quality. The CDC report highlights that everyday habits and demographic factors are essential considerations for clinicians addressing sleep health in primary care.

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