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Last updated: May 17, 2025

Actigraphy vs. Traditional Sleep Studies: Which Is Better?

Sleep is vital for our mental and physical well-being, and understanding our sleep patterns can lead to better health outcomes. Two common methods for assessing sleep are actigraphy and traditional polysomnography (PSG). In this blog, we'll break down these two approaches and see how they compare, especially concerning mental health.

What is Actigraphy?

Actigraphy involves wearing a small device, called an actigraph, typically on your wrist. This device tracks your movements throughout the night and estimates your sleep patterns based on activity levels. Here are some key features:

  • Non-Invasive: You can wear the actigraph during your normal daily activities without any discomfort.
  • Long-Term Monitoring: It allows for continuous data collection over several days or weeks.
  • Cost-Effective: Generally, it is less expensive than traditional sleep studies.

How Does Actigraphy Work?

  1. Wear the Device: You put on the actigraph, which looks similar to a wristwatch.
  2. Track Movements: The device records your movements, determining when you are awake and when you are asleep.
  3. Analyze Data: After a set period, you return the device, and the data is analyzed to provide insights into your sleep patterns.

What is Traditional Polysomnography (PSG)?

Polysomnography is a more comprehensive sleep study that usually takes place in a sleep lab. During this study, various physiological parameters are measured:

  • Brain Activity: Electrodes are placed on your scalp to monitor brain waves.
  • Eye Movements: This helps to identify different sleep stages.
  • Heart Rate: Electrodes are also used to monitor your heart rate.
  • Breathing Patterns: Sensors track your breathing to identify any sleep disorders, like sleep apnea.

Steps in a Traditional Sleep Study

  1. Preparation: You may be asked to refrain from caffeine and other stimulants before the study.
  2. Arrive at the Sleep Lab: You’ll spend the night in a controlled environment.
  3. Monitoring: The technicians will attach sensors to your body to monitor various functions while you sleep.
  4. Data Collection: The study typically lasts for one night, and you may be monitored while you sleep naturally.

Comparison: Actigraphy vs. Traditional Sleep Studies

FeatureActigraphyTraditional PSG
InvasivenessNon-invasiveInvasive
DurationDays to weeksOne night
CostGenerally lowerHigher
Data CollectedMovement patterns onlyComprehensive physiological data
LocationHomeSleep lab
Sleep Disorders DetectionLimitedComprehensive

Correlation with Mental Health

Both actigraphy and PSG can provide insights into your mental health:

  • Sleep Disorders: Poor sleep quality is often linked with anxiety and depression. Identifying sleep issues through either method can lead to better treatment options.
  • Behavioral Changes: Actigraphy can show patterns of sleep disruption that correlate with mood changes. For example, someone might exhibit irregular sleep patterns during stressful periods, indicating a need for psychological support.
  • Long-term Insights: Over time, actigraphy can help document changes in sleep patterns, providing valuable data for mental health professionals to assess how treatment is affecting sleep.

Real-Life Examples

  • Example 1: A student struggling with anxiety may wear an actigraph during exam season. The device reveals that their sleep is frequently interrupted, prompting them to seek therapy and develop coping strategies.
  • Example 2: A patient with suspected sleep apnea undergoes PSG. The results show significant breathing disruptions, leading to a diagnosis that allows for effective treatment and improved mental health.

Conclusion

Understanding the differences between actigraphy and traditional sleep studies is crucial for anyone looking to improve their sleep and, consequently, their mental health. By choosing the right method for your needs, you can take important steps toward better sleep hygiene and overall well-being.

Dr. Neeshu Rathore

Dr. Neeshu Rathore

Clinical Psychologist, Associate Professor, and PhD Guide. Mental Health Advocate and Founder of PsyWellPath.