McCall W V, Edinger J D
VA Medical Center/Duke University Medical Center, Durham, North Carolina.
Sleep. 1992 Feb;15(1):71-3.
Sleep state misperception (SSM) is the diagnostic term proposed in the International Classification of Sleep Disorders to describe those insomniacs who mislabel their sleep as wakefulness. Although sleep misperception has long been recognized among insomnia patients, it is debatable whether this clinical finding warrants a distinctive diagnosis or simply represents an extreme variation of other, more common forms of insomnia. We present two cases to explore the clinical meaningfulness of SSM. It is concluded that SSM represents a distinctive, albeit rare, sleep disorder. However, refinements in existing diagnostic criteria may be needed to improve the meaningfulness of the SSM diagnosis.
睡眠状态误判（SSM）是《国际睡眠障碍分类》中提出的诊断术语，用于描述那些将自己的睡眠错误标记为清醒状态的失眠症患者。尽管睡眠误判在失眠患者中早已为人所知，但这一临床发现是否值得进行独特的诊断，还是仅仅代表其他更常见失眠形式的极端变体，仍存在争议。我们呈现两个病例以探讨睡眠状态误判的临床意义。得出的结论是，睡眠状态误判代表一种独特的、尽管罕见的睡眠障碍。然而，可能需要完善现有诊断标准以提高睡眠状态误判诊断的意义。
