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Study objectives <p>Sleep is fundamental for optimal health and well-being. Many adults do not attain adequate sleep due to detrimental sleep habits. An instrument to assess sleep hygiene could be valuable in evaluating patients’ sleep and might facilitate improvements in sleep and sleep-related health.</p> Methods <p>We developed a comprehensive, 20-item sleep hygiene survey, the Atlantic Sleep Hygiene Questionnaire (ASHQ), based on an extensive review and critical analysis of the current sleep hygiene literature. ASHQ was administered to more than 750 consecutive adult patients in a sleep clinic. Patients also completed surveys measuring sleepiness (Epworth Sleepiness Scale, ESS) and fatigue (Fatigue Severity Scale, FSS), as well as a single-item analog survey of sleep quality (Sleep Quality Scale, SQS), and these were compared to the ASHQ.</p> Results <p>An exploratory ASHQ score of 8 or more (detrimental sleep habits) was significantly associated with abnormal sleepiness (ESS score of 10 or greater, out of a maximum of 24) and abnormal fatigue (FSS score of 36 or greater, out of a maximum of 63). Worse sleep hygiene (higher ASHQ scores) was also associated with lower subjective sleep quality based on SQS scores. Hence, ASHQ scores directly correlated with subjective sleepiness, fatigue and overall sleep quality.</p> Conclusions <p>ASHQ may provide a novel approach to assess sleep hygiene and could potentially improve sleep, quality of life and general health, as well as specific medical conditions in which sleep may play a role.</p>

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Atlantic Sleep Hygiene Questionnaire (ASHQ): a novel multidimensional survey to evaluate sleep hygiene

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月21日

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  • Matthew D. Epstein,
  • Katherine Kellenberger,
  • John Rutledge,
  • Stephanie Chiu,
  • Moira Kendra,
  • Melissa Landsman,
  • Federico Cerrone

摘要

Study objectives

Sleep is fundamental for optimal health and well-being. Many adults do not attain adequate sleep due to detrimental sleep habits. An instrument to assess sleep hygiene could be valuable in evaluating patients’ sleep and might facilitate improvements in sleep and sleep-related health.

Methods

We developed a comprehensive, 20-item sleep hygiene survey, the Atlantic Sleep Hygiene Questionnaire (ASHQ), based on an extensive review and critical analysis of the current sleep hygiene literature. ASHQ was administered to more than 750 consecutive adult patients in a sleep clinic. Patients also completed surveys measuring sleepiness (Epworth Sleepiness Scale, ESS) and fatigue (Fatigue Severity Scale, FSS), as well as a single-item analog survey of sleep quality (Sleep Quality Scale, SQS), and these were compared to the ASHQ.

Results

An exploratory ASHQ score of 8 or more (detrimental sleep habits) was significantly associated with abnormal sleepiness (ESS score of 10 or greater, out of a maximum of 24) and abnormal fatigue (FSS score of 36 or greater, out of a maximum of 63). Worse sleep hygiene (higher ASHQ scores) was also associated with lower subjective sleep quality based on SQS scores. Hence, ASHQ scores directly correlated with subjective sleepiness, fatigue and overall sleep quality.

Conclusions

ASHQ may provide a novel approach to assess sleep hygiene and could potentially improve sleep, quality of life and general health, as well as specific medical conditions in which sleep may play a role.