Higher Sleep Efficiency Predicts Slightly Higher Shame for Population

Higher Sleep Efficiency Predicts Slightly Higher Shame for Population

Contents

Variables

A
Sleep Efficiency 1854
A
Shame 1006

Categories

A
Sleep 111
A
Emotions 2028

Actions

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Your Data

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Low Confidence
Weak Effect Size
Positive Relationship
Population Study
cause image gauge image effect image
Participants reported a 41.2% average increase in Shame following above average Sleep Efficiency.

Abstract

Shame was generally 0.38% higher than average after 80.9 percent of Sleep Efficiency per 24 hours.

Aggregated data from 5 study participants suggests with a LOW degree of confidence (p=0.241, 95% CI -0.576 to 1.094) that Sleep Efficiency has a weakly positive predictive relationship (R=0.259) with Shame.

The highest quartile of Shame measurements were observed following an average 87.2 percent Sleep Efficiency.

The lowest quartile of Shame measurements were observed following an average 86 percent of Sleep Efficiency.

After an onset delay of 0 seconds, Shame is typically 3% lower than average over the 24 hours following around 86 percent of Sleep Efficiency Sleep Efficiency.

Keywords: Sleep Efficiency, Shame, N-of-1 trials, real-world evidence, causal inference, observational study

Preliminary: Based on 5 participants. Results may change as more data is collected.

Results

Primary Findings

Analysis of 84 paired observations from 5 participants revealed a minimal improvement in Shame following above-average Sleep Efficiency exposure.

+0.4%
Change from Baseline
Minimal effect on Shame
0.10
Predictor Impact Score
Weak evidence for causal relationship

Supporting Statistics

Low
Confidence
0.259
Correlation (r)
p = 0.120
Significance
z = 0.52
Effect Magnitude
φ = 1.00
Temporality

What This Means

When participants had above-average Sleep Efficiency:

  • Shame increased by 0.4% on average
  • Temporal analysis supports Sleep Efficiency as the predictor (not the outcome)

Interpreting the Predictor Impact Score

The Predictor Impact Score (PIS) integrates multiple Bradford Hill causal criteria into a single metric. Use this guide to interpret the score:

PIS Range Interpretation Recommended Action
≥ 0.5 Strong evidence High priority for RCT validation
0.3 - 0.5 Moderate evidence Consider for experimental investigation
0.1 - 0.3 Weak evidence Monitor for additional data
< 0.1 Insufficient evidence Low priority; may be noise

Note: PIS is a prioritization heuristic, not proof of causation. High scores indicate relationships worth investigating, not confirmed causal effects. With only 5 participants, these scores are preliminary and will become more reliable as additional data is collected.

Optimal Daily Values

No clear dose-response relationship detected. The Sleep Efficiency values associated with high and low Shame are too similar to provide meaningful dosing guidance. This may indicate a threshold effect (any amount works equally well), no effect, or insufficient data variance. With more participants, a clearer pattern may emerge.

Population Correlation

Sleep Efficiency Distribution

Shame Distribution

Statistical Summary

Relationship Statistics

Property Value
Cause Variable Name Sleep Efficiency
Effect Variable Name Shame
Sinn Predictive Coefficient 0.10194790218471
Confidence Level LOW
Confidence Interval 0.83536417945917
Forward Pearson Predictive Coefficient 0.2591
Critical T Value 1.79
Average Sleep Efficiency Over Previous 24 hours Before ABOVE Average Shame 87.2 percent
Average Sleep Efficiency Over Previous 24 hours Before BELOW Average Shame 86 percent
Duration of Action 24 hours
Effect Size weakly positive
Number of Paired Measurements 84
Optimal Pearson Product 0.12245941161927
P Value 0.24099712316522
Statistical Significance 0.1202
Strength of Relationship 0.83536417945917
Study Type population
Analysis Performed At 2026-01-04
Number of Participants 5

Sleep Efficiency Info

Property Value
Variable Name Sleep Efficiency
Aggregation Method MEAN
Analysis Performed At 2020-10-11
Duration of Action 24 hours
Kurtosis 7.3216313398995
Mean 86.964972477359 percent
Median 87.801418439716 percent
Minimum Allowed Value 1 percent
Number of Aggregate Predictors 1698
Number of Aggregate Outcomes 156
Number of Measurements 22620
Number of Measurements (including those generated by tagged, joined, or child variables) 1914
Public true
Onset Delay 0 seconds
Standard Deviation 5.9209578901457
Unit Percent
User Variables 147
UPC 878881000699
Variable Category Sleep
Variable ID 5211811
Variance 75.785458915098

Shame Info

Property Value
Variable Name Shame
Aggregation Method MEAN
Analysis Performed At 2020-09-17
Duration of Action 24 hours
Kurtosis 3.5182882978692
Maximum Allowed Value 5 out of 5
Mean 2.2230770157837 out of 5
Median 2.1592856711705 out of 5
Minimum Allowed Value 1 out of 5
Number of Aggregate Predictors 890
Number of Aggregate Outcomes 116
Number of Measurements 20707
Number of Measurements (including those generated by tagged, joined, or child variables) 20608
Public true
Onset Delay 0 seconds
Standard Deviation 0.4756748348929
Unit 1 to 5 Rating
User Variables 1541
UPC 0
Variable Category Emotions
Variable ID 1443
Variance 0.54942944533929

Introduction

Background

Sleep Efficiency (Sleep) and Shame (Emotions) are both important factors in understanding human health and well-being. This study investigates the relationship between these two variables using real-world observational data.

Traditional randomized controlled trials (RCTs), while the gold standard for causal inference, are often impractical, expensive, or unethical for studying many health relationships. Aggregated N-of-1 observational studies offer a complementary approach that leverages within-subject comparisons across large populations to identify meaningful patterns.

Research Question

Does Sleep Efficiency affect Shame?

Additionally, we seek to determine:

  1. What is the direction and magnitude of any effect?
  2. How confident can we be in this relationship based on the available data?
  3. What are the optimal levels of Sleep Efficiency for maximizing Shame?

Study Objective

The objective of this study is to determine the nature of the relationship (if any) between Sleep Efficiency and Shame. Additionally, we attempt to determine the Sleep Efficiency values most likely to produce optimal Shame values.

Study Overview

This is a population-level observational study using aggregated N-of-1 methodology. By aggregating individual N-of-1 experiments, we can identify population-level patterns while accounting for the substantial individual variation that exists in most health relationships. Effect sizes are reported as percent change from baseline, enabling intuitive interpretation and comparison across different measures.

Full Methodology: Framework for Real-World Evidence-Based Pharmacovigilance: Aggregated N-of-1 Trials for Quantifying Treatment Effects

Discussion

Interpretation of Findings

Participants experienced a 0.4% improvement in Shame following above-average Sleep Efficiency exposure. The Predictor Impact Score (PIS) of 0.10 indicates weak evidence for a causal relationship.

Statistical Significance

Using a two-tailed t-test with alpha = 0.05, it was determined that the change in Shame is not statistically significant at a 95% confidence interval. This suggests that the Sleep Efficiency value may not have a significant influence on the Shame value, or that more data is needed to detect an effect.

After treatment, a 41.2% increase (-0.0328 out of 5) from the mean baseline 1.49 out of 5 was observed. The relative standard deviation at baseline was 48.36%. The observed change was 0.515334 times the standard deviation.

A common rule of thumb considers a change greater than twice the baseline standard deviation on two separate pre-post experiments may be considered significant. This occurrence would have only a 5% likelihood of resulting from random fluctuation (a p-value < 0.05).

T-Test Details
Observed t-value: 0.994
Critical t-value: 1.790

Since t = 0.99 < 1.79, we cannot reject the null hypothesis.

Biological Plausibility

A plausible bio-chemical mechanism between predictor and outcome is critical for interpreting observational findings. This is where human judgment excels beyond statistical analysis.

Community feedback on the biological plausibility of this relationship is still being collected. Consider the known mechanisms by which Sleep Efficiency might influence Shame.

Bradford Hill Criteria Assessment

The Bradford Hill criteria provide a framework for assessing causality in observational studies. Our methodology operationalizes six of the nine criteria through the Predictor Impact Score (PIS):

Criterion How Addressed Metric
Strength Effect size magnitude Percent change from baseline (Δ%), z-score
Consistency Cross-participant replication Number of users (N), number of pairs (n)
Temporality Predictor precedes outcome Temporality factor (φ), onset delay (δ > 0)
Biological Gradient Dose-response relationship Gradient coefficient (φgradient)
Plausibility Biological mechanism assessment Community votes on mechanism plausibility
Specificity Category appropriateness Interest factor (finterest)

Predictor Impact Score (PIS)

The PIS integrates multiple Bradford Hill criteria into a composite metric quantifying how reliably a predictor affects an outcome. Higher scores indicate stronger evidence:

Population-Level PIS:

$$\text{PIS}_{\text{agg}} = |r_{\text{forward}}| \cdot w \cdot \phi_{\text{users}} \cdot \phi_{\text{pairs}} \cdot \phi_{\text{change}} \cdot \phi_{\text{gradient}}$$

Where φ-factors are saturation functions approaching 1 as evidence accumulates:

  • φusers = 1 - e-N/10 (user saturation)
  • φpairs = 1 - e-n/nsig (pair saturation)
  • φchange = 1 - e-Δspread/Δsig (effect spread saturation)
  • w = weighted average of plausibility votes

Temporality Assessment

We assess evidence for correct causal direction using the temporality factor:

$$\phi_{\text{temporal}} = \frac{|r_{\text{forward}}|}{|r_{\text{forward}}| + |r_{\text{reverse}}|}$$

Values approaching 1 indicate the predictor precedes the outcome (supporting causation); values near 0.5 suggest ambiguous directionality; values near 0 suggest reverse causation or confounding by indication.

Limitations

As with any observational study, correlation does not prove causation. Key limitations include:

  • Unmeasured confounders: Variables not tracked may influence results
  • Self-selection bias: Health trackers may differ from the general population
  • Measurement error: Self-reported data may contain recall bias
  • Confounding by indication: Sicker individuals may use more treatments

However, within-subject comparison and temporal precedence analysis partially mitigate these limitations. If the relationship is merely coincidental, as participants independently modify their Sleep Efficiency values, the observed strength will decline over time. Spurious correlations naturally dissipate as more data is collected.

Future Directions

Future research should examine:

  • Subgroup analyses to identify individual differences in response
  • Potential confounders and mediators of the observed relationship
  • Optimal dosing and timing for Sleep Efficiency
  • Confirmation through prospective or randomized designs
  • Biological mechanisms underlying the observed effects

Conclusion

📊 Preliminary Findings: With 5 participants, these results are based on limited data. Effect sizes and confidence will improve as more participants contribute data. Consider these findings directional rather than definitive.

Above-average Sleep Efficiency was associated with a 0.4% improvement in Shame—a minimal effect. The Predictor Impact Score of 0.10 indicates this relationship is warranting continued monitoring.

Bottom Line: Based on a PIS of 0.10 and a 0.4% effect size, this relationship shows weak evidence. Additional observational data is recommended before investing in experimental validation. Note: These conclusions may strengthen or change direction as more data is collected.

These findings contribute to our understanding of how Sleep Efficiency may influence Shame in real-world conditions. While preliminary, these results may inform future research directions. As more participants contribute data, the reliability and precision of these findings will improve substantially.

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Methods

Study Design

This study is based on data donated by 5 participants. Thus, the study design is equivalent to the aggregation of 5 separate n=1 observational natural experiments.

This within-subject design is powerful because it controls for all stable individual characteristics (genetics, baseline health status, socioeconomic factors) that might otherwise confound the relationship between variables.

Data Analysis

Temporal Assumptions

The analysis incorporates temporal assumptions about the relationship between variables:

  • Onset Delay: It was assumed that 0 seconds would pass before a change in Sleep Efficiency would produce an observable change in Shame.
  • Duration of Action: It was assumed that Sleep Efficiency could produce an observable change in Shame for as much as 24 hours after the stimulus event.

Statistical Methods

For each participant, we calculated the Pearson correlation coefficient between Sleep Efficiency values and subsequent Shame values. Individual correlations were then aggregated using Fisher's z-transformation to produce a population-level estimate:

Individual Correlation:

$$r_i = \frac{\sum(x_{ij} - \bar{x}_i)(y_{ij} - \bar{y}_i)}{\sqrt{\sum(x_{ij} - \bar{x}_i)^2 \sum(y_{ij} - \bar{y}_i)^2}}$$

Fisher's Z-Transformation:

$$z_i = \frac{1}{2} \ln\left(\frac{1 + r_i}{1 - r_i}\right)$$

Aggregated Correlation:

$$\bar{r} = \tanh(\bar{z}) \quad \text{where} \quad \bar{z} = \frac{1}{N}\sum_{i=1}^{N} z_i$$

Effect Size Calculation

Effect sizes are reported as percent change from baseline. For each participant, we compare the outcome following above-average predictor values to the overall baseline outcome:

$$\Delta\%_{\text{baseline}} = \frac{\bar{O}_{\text{follow-up}} - \bar{O}_{\text{baseline}}}{\bar{O}_{\text{baseline}}} \times 100$$

Effect Magnitude (Z-Score)

To assess effect magnitude relative to natural variability, we calculate the z-score:

$$z = \frac{|\Delta\%_{\text{baseline}}|}{\text{RSD}_{\text{baseline}}}$$

where RSDbaseline is the relative standard deviation of outcome during baseline period

A z-score > 2 indicates statistical significance (p < 0.05), meaning the observed change exceeds typical baseline fluctuation and is unlikely due to random variation.

Statistical Significance

Correlation significance is assessed using a two-tailed t-test:

$$t = \frac{r\sqrt{n-2}}{\sqrt{1-r^2}}$$

We reject the null hypothesis (ρ = 0) at α = 0.05 when |t| exceeds the critical value, providing statistical evidence that the observed relationship is not due to chance.

Data Sources

Sleep Efficiency data was primarily collected using Fitbit. Fitbit makes activity tracking easy and automatic.

Shame data was primarily collected using QuantiModo. QuantiModo allows you to easily track mood, symptoms, or any outcome you want to optimize in a fraction of a second. You can also import your data from over 30 other apps and devices. QuantiModo then analyzes your data to identify which hidden factors are most likely to be influencing your mood or symptoms.

Data Quality

Data quality measures were applied to ensure reliable results:

  • Minimum Data Requirement: Only participants with sufficient paired observations were included in the analysis.
  • Outlier Handling: Extreme values were winsorized to reduce the influence of measurement errors.
  • Missing Data: Days with missing values were handled using appropriate filling strategies based on the variable type.
  • Test User Exclusion: Test accounts and invalid users were excluded from all analyses.

Principal Investigator

Program & Methods

Mike P. Sinn
Sinn, M. P.

Designed and implemented data collection, aggregation, causal inference pipeline, and automated study generation framework. Developed the Predictor Impact Score methodology operationalizing Bradford Hill criteria for ranking causal relationships in observational data. When he tells people this at parties, they usually say they have to go check on their car.

Individual study outputs are automated, reproducible, and open to external audit. (Which I would seriously recommend.)

Contact

Cite This Study

APA Format
Sinn, M. P. (2026). Causal Analysis: Does Sleep Efficiency Affect Shame?. The Journal of Citizen Science. https://studies.crowdsourcingcures.org/study/cause-5211811-effect-1443-population-study
BibTeX 
@misc{sinn_cause_5211811_effect_1443_population_study_2026,
  author = {Sinn, Mike P.},
  title = {Causal Analysis: Does Sleep Efficiency Affect Shame?},
  year = {2026},
  publisher = {The Journal of Citizen Science},
  url = {https://studies.crowdsourcingcures.org/study/cause-5211811-effect-1443-population-study},
  note = {Accessed: January 7, 2026}
}
Chicago/Turabian
Sinn, Mike P. "Causal Analysis: Does Sleep Efficiency Affect Shame?." The Journal of Citizen Science. Accessed January 7, 2026. https://studies.crowdsourcingcures.org/study/cause-5211811-effect-1443-population-study.
Harvard
Sinn, M.P., 2026. Causal Analysis: Does Sleep Efficiency Affect Shame?. [Aggregated N-of-1 Study] The Journal of Citizen Science. Available at: https://studies.crowdsourcingcures.org/study/cause-5211811-effect-1443-population-study [Accessed January 7, 2026].

Study Type: Aggregated N-of-1 Observational Mega-Study
Evidence Level: Level II (Real-World Evidence)
Methodology: Bradford Hill Criteria with Predictor Impact Score (PIS)

References

This framework was originally developed in 2013 based on the Bradford Hill criteria. Subsequent literature has independently validated similar approaches to causal inference from observational data:

  1. Hill, A.B. (1965). The environment and disease: association or causation? Proceedings of the Royal Society of Medicine, 58(5), 295-300. [Bradford Hill criteria]
  2. Lillie, E.O., et al. (2011). The n-of-1 clinical trial: the ultimate strategy for individualizing medicine? Personalized Medicine, 8(2), 161-173. [N-of-1 methodology]
  3. Pearl, J. (2009). Causality: Models, Reasoning, and Inference . Cambridge University Press. [Causal inference]
  4. Hernán, M.A., & Robins, J.M. (2020). Causal Inference: What If . Chapman & Hall/CRC. [Free textbook]
  5. FDA (2018). Framework for FDA's Real-World Evidence Program . U.S. Food and Drug Administration. [Regulatory context]
  6. Duan, N., et al. (2013). Single-patient (n-of-1) trials: a pragmatic clinical decision methodology . Journal of Clinical Epidemiology, 66(8), S21-S28.
  7. Platt, R., et al. (2018). The FDA Sentinel Initiative—an evolving national resource . New England Journal of Medicine, 379(22), 2091-2093.

This information is for research and educational purposes only, not medical advice. Consult a healthcare provider before making health decisions. Terms of Service

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