For many years, virtually everyone in the sleep medicine field has been aware of the incongruence of individuals' denial of subjective daytime sleepiness, as opposed to other indicators, such as Multiple Sleep Latency Test results; reports of tiredness, fatigue, or lack of energy; or frequent unintentional sleep episodes. This incongruence has been explained in a number of ways. Some claim that people do not experience themselves as sleepy because it has been years since they experienced adequate restorative sleep. That is, they have habituated to an existence wherein physiologic sleepiness during wakefulness is constantly high and the experience of sustained alertness has long been forgotten. For example, the scenario of a patient with untreated sleep apnea who, upon questioning, denies feeling sleepy but was sleeping in the exam room and has fallen asleep at the wheel on a few occasions during the past month is a common experience of sleep medicine physicians. Some propose that such individuals simply do not remember what it is like to be "wide awake and alert."
Links with this icon indicate that you are leaving the CDC website.
The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
You will be subject to the destination website's privacy policy when you follow the link.
CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.
For more information on CDC's web notification policies, see Website Disclaimers.
CDC.gov Privacy Settings
We take your privacy seriously. You can review and change the way we collect information below.
These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
Cookies used to make website functionality more relevant to you. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests.
Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data.
Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. These cookies may also be used for advertising purposes by these third parties.
Thank you for taking the time to confirm your preferences. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page.