AUTHOR=Robbins Rebecca , Quan Stuart F. , Buysse Daniel J. , Weaver Matthew D. , Walker Matthew P. , Drake Christopher L. , Monten Kristen , Barger Laura K. , Rajaratnam Shantha M. W. , Roth Thomas , Czeisler Charles A. 

TITLE=A Nationally Representative Survey Assessing Restorative Sleep in US Adults

JOURNAL=Frontiers in Sleep

VOLUME=1

YEAR=2022

URL=https://www.frontiersin.org/journals/sleep/articles/10.3389/frsle.2022.935228

DOI=10.3389/frsle.2022.935228

ISSN=2813-2890

ABSTRACT=<p>Restorative sleep is a commonly used term but a poorly defined construct. Few studies have assessed restorative sleep in nationally representative samples. We convened a panel of 7 expert physicians and researchers to evaluate and enhance available measures of restorative sleep. We then developed the revised Restorative Sleep Questionnaire (REST-Q), which comprises 9 items assessing feelings resulting from the prior sleep episode, each with 5-point Likert response scales. Finally, we assessed the prevalence of high, somewhat, and low REST-Q scores in a nationally representative sample of US adults (<italic>n</italic> = 1,055) and examined the relationship of REST-Q scores with other sleep and demographic characteristics. Pairwise correlations were performed between the REST-Q scores and other self-reported sleep measures. Weighted logistic regression analyses were conducted to compare scores on the REST-Q with demographic variables. The prevalence of higher REST-Q scores (4 or 5 on the Likert scale) was 28.1% in the nationally representative sample. REST-Q scores positively correlated with sleep quality (<italic>r</italic> = 0.61) and sleep duration (<italic>r</italic> = 0.32), and negatively correlated with both difficulty falling asleep (<italic>r</italic> = −0.40) and falling back asleep after waking (<italic>r</italic> = −0.41). Higher restorative sleep scores (indicating more feelings of restoration upon waking) were more common among those who were: ≥60 years of age (OR = 4.20, 95% CI: 1.92–9.17); widowed (OR = 2.35, 95% CI: 1.01–5.42), and retired (OR = 2.02, 95% CI: 1.30–3.14). Higher restorative sleep scores were less frequent among those who were not working “other” (e.g., a person performing household duties, OR = 0.36, 95% CI: 0.10–1.00) and living in a household with two or more persons (OR = 0.51, 95% CI: 0.29–0.87). Our findings suggest that the REST-Q may be useful for assessing restorative sleep.</p>