The five sleep profiles that shape our mental health

In a major leap forward for sleep science, researchers have uncovered five distinct "sleep" profiles—patterns that reveal how our nightly rest is intertwined with mental health, cognition, and even the way our brains are wired.

For decades, scientists have known that poor sleep harms health — but most studies looked at one factor at a time, such as sleep duration or insomnia. To explore the other dimensions, the team analysed data from 770 adults who took part in the Human Connectome Project, a massive U.S. research initiative mapping how the brain connects and functions. The dataset included each person's sleep habits, brain scans, mental and physical health indicators, and cognitive test results.

Rather than isolating one variable, the researchers used multivariate analysis to find natural groupings — clusters of people with shared patterns across sleep, health, and brain activity. What emerged were five unique sleep-biopsychosocial profiles.

Five sleep profiles, five different stories:

• The first group, labelled "poor sleepers", experienced low-quality rest and high levels of depression, anxiety, and stress. Their brain scans showed unusually strong connections between subcortical regions and attention networks — suggesting a hyper-alert state even at rest.

• The second group, called "sleep resilient", showed an intriguing paradox. They faced greater psychological strain, including attention difficulties, but still reported sleeping well. Researchers believe these individuals may possess biological or behavioural buffers that protect them from the usual effects of stress.

• The third profile centred on short sleep duration, which correlated with lower cognitive performance — particularly in attention and memory tasks. A fourth group showed frequent sleep disruptions, often linked with medication use and mixed health outcomes.

• Finally, the "healthy sleepers" enjoyed stable, adequate rest and performed best across mental health and cognitive measures.

Implications for mental health

Perhaps the most striking finding was how dominant mental health factors were across nearly all sleep types. "Sleep is one of the five key pillars of human functioning," Dr Kebets noted. "It's not surprising that mental well-being shows up so strongly."

The discovery opens the door to more personalised approaches to sleep and mental health care. Instead of simply prescribing "more sleep", clinicians could one day tailor interventions to an individual's specific sleep profile and brain pattern.

A wake-up call for better rest:

For the general public, the takeaway is clear: sleep is not one-size-fits-all. Duration, quality, and resilience all matter — and together, they shape who we are.

Experts recommend maintaining consistent sleep schedules, limiting screen time before bed, and managing stress through relaxation or mindfulness. Small steps, they say, can make a big difference.

As this study reveals, how we sleep may be just as unique as how we think — and understanding that connection could be the key to unlocking healthier minds and stronger brains.

Source: PLOS Biology