Journal of Sleep Research最新文献

Dynamic Associations Among Infant Sleep Duration, Maternal Sleep Quality and Postpartum Mood Symptoms.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-04 DOI: 10.1111/jsr.70057

Michele L Okun, Brandon S Aylward, Eric M Phillips

{"title":"Dynamic Associations Among Infant Sleep Duration, Maternal Sleep Quality and Postpartum Mood Symptoms.","authors":"Michele L Okun, Brandon S Aylward, Eric M Phillips","doi":"10.1111/jsr.70057","DOIUrl":"https://doi.org/10.1111/jsr.70057","url":null,"abstract":"An increase in negative mood is common during the postpartum period. Two related but distinct factors can increase their risk: infant sleep duration and maternal sleep quality. This study evaluated the dynamic interplay among infant sleep duration, maternal sleep quality, and symptoms of postpartum depression and anxiety. This prospective observational pilot study included pregnant women (N = 168) aged 18-45 years, with a history of depression. Maternal sleep quality, mood symptoms, and infant sleep duration were collected monthly after delivery up to 6 months postpartum. Random intercept cross-lagged panel models (RI-CLPMs) were used to examine the stability and reciprocal relationships over the first 6 months. Separate RI-CLPMs were run for maternal postpartum depression and maternal anxiety (i.e., two RI-CLPMs with infant sleep duration, maternal sleep quality, and the respective maternal mood variable). Infant sleep was only associated with maternal sleep in the first month postpartum. At month 4, better infant sleep was associated with lower levels of maternal depression and anxiety. Maternal sleep problems significantly and positively predicted postpartum depression and anxiety at the subsequent month (b = 0.21 (SE = 0.07), p = 0.005; b = 0.32 (SE = 0.09), p < 0.001, respectively). Findings support previous research that maternal-infant sleep is most strongly coupled in early postpartum, whereas the link between maternal sleep quality and postpartum mood symptoms is persistent across 6 months postpartum. Infant sleep was variably associated with postpartum mood symptoms. Interventions need to address both maternal and infant sleep.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70057"},"PeriodicalIF":3.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Cognitive Behavioural Therapy for Insomnia (CBT-I) in Individuals With Neurodevelopmental Conditions: A Systematic Review.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-03 DOI: 10.1111/jsr.70058

Maja Cullen, Stephanie McCrory, Gemma Hooman, Megan Coyle, Leanne Fleming

{"title":"Effectiveness of Cognitive Behavioural Therapy for Insomnia (CBT-I) in Individuals With Neurodevelopmental Conditions: A Systematic Review.","authors":"Maja Cullen, Stephanie McCrory, Gemma Hooman, Megan Coyle, Leanne Fleming","doi":"10.1111/jsr.70058","DOIUrl":"https://doi.org/10.1111/jsr.70058","url":null,"abstract":"Cognitive Behavioural Therapy for insomnia (CBT-I) is the recommended first-line treatment for chronic insomnia disorder in diverse populations with co-occurring conditions. However, individuals with neurodevelopmental conditions are frequently excluded from CBT-I research, despite the high prevalence of sleep problems in this population. The present systematic review and narrative synthesis investigates the effectiveness of CBT-I in individuals with neurodevelopmental conditions. A literature search was completed in February 2024 across five databases. Of 1988 unique entries, 8 studies from 5 countries met all inclusion criteria, amounting to a combined sample size of 598 participants (male = 75.92%, age range = 4-68). Five interventions were delivered to children and adolescents (M = 8.7 years ±1.46), whilst 3 were delivered to adults (M = 35.78 years ±5.71). All interventions included at least 2 CBT-I components but were diverse in content and format. Two randomised controlled trials and six before-after studies suggested significant short-term effectiveness of CBT-I in individuals with Autism Spectrum Disorder (ASD) and/or Attention-Deficit/Hyperactivity Disorder (ADHD). Improvements in the severity of condition-specific characteristics were observed in some studies. Still, findings were inconsistent and mostly not maintained at follow-up. The quality of included articles was moderate due to small sample sizes, lack of blinding and deviations from the intended intervention. This variability may be explained by a lack of guidance on conducting CBT-I in this population. Hence, there is a need for further rigorous research and updated reviews to inform the implementation of CBT-I protocols for those with insomnia and neurodevelopmental conditions.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70058"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Automated Sleep Staging in Epilepsy Using Deep Learning on Standard Electroencephalogram and Wearable Data.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-03 DOI: 10.1111/jsr.70061

Jaiver Macea, Elisabeth R M Heremans, Renee Proost, Maarten De Vos, Wim Van Paesschen

{"title":"Automated Sleep Staging in Epilepsy Using Deep Learning on Standard Electroencephalogram and Wearable Data.","authors":"Jaiver Macea, Elisabeth R M Heremans, Renee Proost, Maarten De Vos, Wim Van Paesschen","doi":"10.1111/jsr.70061","DOIUrl":"https://doi.org/10.1111/jsr.70061","url":null,"abstract":"Automated sleep staging on wearable data could improve our understanding and management of epilepsy. This study evaluated sleep scoring by a deep learning model on 223 night-sleep recordings from 50 patients measured in the hospital with an electroencephalogram (EEG) and a wearable device. The model scored the sleep stage of every 30-s epoch on the EEG and wearable data, and we compared the output with a clinical expert on 20 nights, each for a different patient. The Bland-Altman analysis examined differences in the automated staging in both modalities, and using mixed-effect models, we explored sleep differences between patients with and without seizures. Overall, we found moderate accuracy and Cohen's kappa on the model scoring of standard EEG (0.73 and 0.59) and the wearable (0.61 and 0.43) versus the clinical expert. F1 scores also varied between patients and the modalities. The sensitivity varied by sleep stage and was very low for stage N1. Moreover, sleep staging on the wearable data underestimated the duration of most sleep macrostructure parameters except N2. On the other hand, patients with seizures during the hospital admission slept more each night (6.37, 95% confidence interval [CI] 5.86-7.87) compared with patients without seizures (5.68, 95% CI 5.24-6.13), p = 0.001, but also spent more time in stage N2. In conclusion, wearable EEG and accelerometry could monitor sleep in patients with epilepsy, and our approach can help automate the analysis. However, further steps are essential to improve the model performance before clinical implementation. Trial Registration: The SeizeIT2 trial was registered in clinicaltrials.gov, NCT04284072.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70061"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Religiosity, Religious Orientation, and a Good Night's Sleep: The Role of Anxiety and Depression. 宗教信仰、宗教取向与一夜好眠：焦虑和抑郁的作用。

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-03 DOI: 10.1111/jsr.70055

Najwa Basis, Lital Keinan Boker, Tamar Shochat

{"title":"Religiosity, Religious Orientation, and a Good Night's Sleep: The Role of Anxiety and Depression.","authors":"Najwa Basis, Lital Keinan Boker, Tamar Shochat","doi":"10.1111/jsr.70055","DOIUrl":"https://doi.org/10.1111/jsr.70055","url":null,"abstract":"Religious belief can be beneficial to mental health, particularly in relation to anxiety and depression, both of which are strongly linked to poor sleep. This study aimed to investigate the role of anxiety and depression as mediators in the relationship between religiosity/religious orientation and sleep health in the Druze community in Israel. The cross-sectional study included 93 religious and 140 non-religious Druze adults who completed a questionnaire and a 2-week sleep diary. We tested the effects of religiosity (yes/no) and religious orientation (religion as end, means and quest) on sleep quality and efficiency. Next, we examined anxiety and depression as mediators in these relationships. Eighty-three (35.6%) respondents had borderline or clinical anxiety, while 24(10.3%) had borderline or clinical depression. Thirty (12.9%) reported poor sleep quality. In mediation models, anxiety fully mediated the relationship between religiosity and sleep quality (β = 0.195, 95% CI [0.109-0.296]); religiosity and sleep efficiency (β = 0.619, 95% CI [0.193-1.137]); religion as end and sleep quality (β = 0.091, 95% CI [0.046-0.150]); religion as end and sleep efficiency (β = 0.304, 95% CI [0.094-0.577]); religion as quest and sleep efficiency (β = -0.325, 95% CI [-0.575-0.086]). Additionally, anxiety partially mediated the relationship between religion as quest and sleep quality (β = -0.096, 95% CI [-0.152-0.052]). In all models, non-religious status, lower levels of religion as end, and higher levels of religion as quest predicted higher anxiety, which in turn predicted lower sleep quality and efficiency. Other models were non-significant for anxiety or depression. Anxiety plays a crucial role in the relationship between religiosity, religious orientation and sleep health. Religious individuals experience less anxiety and report better sleep quality.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70055"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Twenty-Four Hour Rest-Activity Rhythm Disturbances and Neural Alterations Associated With Emotion Regulation in Shift Workers.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-03 DOI: 10.1111/jsr.70052

Kyung Hwa Lee, Ha Young Lee, Jeong Eun Jeon, Mi Hyun Lee, Jooyoung Lee, Jiyoon Shin, Min Cheol Seo, Yu Jin Lee, Seog Ju Kim

{"title":"Twenty-Four Hour Rest-Activity Rhythm Disturbances and Neural Alterations Associated With Emotion Regulation in Shift Workers.","authors":"Kyung Hwa Lee, Ha Young Lee, Jeong Eun Jeon, Mi Hyun Lee, Jooyoung Lee, Jiyoon Shin, Min Cheol Seo, Yu Jin Lee, Seog Ju Kim","doi":"10.1111/jsr.70052","DOIUrl":"https://doi.org/10.1111/jsr.70052","url":null,"abstract":"We examined the neural basis of emotion regulation in shift workers, and the relationships between the neural basis of emotion regulation, mood, sleep disturbance and 24-h rest-activity rhythm (RAR). Fifty-six shift workers (SW) with non-standard shift schedules and 52 controls (CON) participated in this study. They completed self-reported measures of sleep and mood problems, kept a sleep diary, and wore a wrist actigraphy device to assess sleep and 24-h RAR. They underwent one-night polysomnography and were scanned while performing an emotion regulation task. We examined group differences in the neural basis of emotion regulation and correlations between neural, mood, sleep and 24-h RAR variables. SW showed greater sleep disturbance (i.e., lower actigraphy-estimated sleep efficiency) and altered 24-h RAR (e.g., lower actigraphy-estimated interdaily stability) than CON. SW also exhibited increased anterior insula (AI) response to negative pictures (vs. neutral pictures) but reduced activation in the dorsomedial prefrontal cortex (dMPFC) and AI-dMPFC functional connectivity during emotion regulation compared to CON. Shift work was associated with increased motor activity during the most active 10-h period, which then contributed to increased AI response to negative pictures. Our findings suggest that shift work may be associated with the neurobiological alterations of emotion regulation. Furthermore, increased motor activity may serve as a pathway through which shift work could contribute to neurobiological alterations associated with emotional regulation.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70052"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Relationship Between Emotion Regulation, Mood and Distressing Dreams Using Daily Sleep Diary Reports in Trauma Survivors.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-03 DOI: 10.1111/jsr.70054

Nadia Malek, Anthony Santistevan, Leslie M Yack, Miles Kovnick, Shane Pracar, Emily Berg, Thomas J Metzler, Steven H Woodward, Thomas C Neylan, Anne Richards

{"title":"Evaluating the Relationship Between Emotion Regulation, Mood and Distressing Dreams Using Daily Sleep Diary Reports in Trauma Survivors.","authors":"Nadia Malek, Anthony Santistevan, Leslie M Yack, Miles Kovnick, Shane Pracar, Emily Berg, Thomas J Metzler, Steven H Woodward, Thomas C Neylan, Anne Richards","doi":"10.1111/jsr.70054","DOIUrl":"https://doi.org/10.1111/jsr.70054","url":null,"abstract":"Posttraumatic stress disorder (PTSD) is a debilitating psychiatric condition that affects approximately 6% of the US population, with even higher rates among veterans. Sleep disturbances (e.g., distressing dreams) are among the most reported symptoms in individuals with PTSD. Distressing dreams (sometimes referred to as nightmares) have been associated with significant negative mental health outcomes, such as suicide. Therefore, understanding factors that contribute to or mitigate the risk of experiencing distressing dreams is critical for improving mental health in people with PTSD. The current study uses data on twice daily mood ratings from a mobile phone application across 3 weeks of follow-up to assess the bidirectional relationship between mood and distressing dreams. Additionally, we investigate how emotion regulation difficulties contribute to the incidence of distressing dreams and to their impact on overall mood. Participants were veterans (N = 90) and civilians (N = 13) enrolled as part of a larger study of distressing dream physiology in trauma-exposed individuals. Our results suggest that among individuals with poor mood before bed, the risk of having at least one distressing dream increases, resulting in poor mood the following morning. This negative mood state carried over into the evening on the next day, thereby further increasing the risk of having another distressing dream. Adjusting for sex, age and PTSD severity, we find that individuals with better emotion regulation have a lower incidence of distressing dreams and better mood on average. Future research on novel interventions targeting emotion regulation, mood and/or sleep disturbances is warranted.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70054"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Performance Evaluation of the Verily Numetric Watch Sleep Suite for Digital Sleep Assessment Against In-Lab Polysomnography.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-01 DOI: 10.1111/jsr.70036

Benjamin W Nelson, Sohrab Saeb, Poulami Barman, Nishant Verma, Hannah Allen, Massimiliano de Zambotti, Fiona C Baker, Nicole Arra, Niranjan Sridhar, Shannon S Sullivan, Scooter Plowman, Erin Rainaldi, Ritu Kapur, Sooyoon Shin

{"title":"Performance Evaluation of the Verily Numetric Watch Sleep Suite for Digital Sleep Assessment Against In-Lab Polysomnography.","authors":"Benjamin W Nelson, Sohrab Saeb, Poulami Barman, Nishant Verma, Hannah Allen, Massimiliano de Zambotti, Fiona C Baker, Nicole Arra, Niranjan Sridhar, Shannon S Sullivan, Scooter Plowman, Erin Rainaldi, Ritu Kapur, Sooyoon Shin","doi":"10.1111/jsr.70036","DOIUrl":"https://doi.org/10.1111/jsr.70036","url":null,"abstract":"The goal was to evaluate the performance of a suite of 12 sleep measures generated by a multi-sensor wrist-worn wearable device, the verily numetric watch (VNW), in a diverse cohort. We used polysomnography (PSG) as reference during one-night simultaneous recording in a sample of N = 41 (18 male, age range: 18-78 years). We performed epoch-by-epoch comparisons for all measures. Key specific analyses were: core accuracy metrics for sleep versus wake classification; bias for continuous measures (Bland-Altman); unweighted Cohen's kappa and accuracy for sleep stage classifications and mean count difference and linearly weighted Cohen's kappa for count metric. In addition, we performed exploratory subgroup analyses by sex, age, skin tone, body mass index and arm hair density. Sensitivity and specificity (95% CI) of sleep versus wake classification were 0.97 (0.96, 0.98) and 0.66 (0.61, 0.71), respectively. Mean total sleep time bias was 14.55 min (1.61, 27.16); wake after sleep onset, -11.77 min (-23.89, 1.09); sleep efficiency, 3.15% (0.68, 5.57); sleep onset latency, -3.24 min (-9.38, 3.57); light-sleep duration, 3.78 min (-7.04, 15.06); deep-sleep duration, 3.91 min (-4.59, 12.60) and rapid eye movement-sleep duration, 6.94 min (0.57, 13.04). Mean difference for the number of awakenings, 0.17: (95% CI: -0.32, 0.71) and overall accuracy of sleep stage classification, 0.78 (0.51, 0.88). Most measures showed statistically significant proportional biases and/or heteroscedasticity. Exploratory subgroup results appeared largely consistent with the overall group, although small samples precluded strong conclusions. These results support the use of VNWs in classifying sleep versus wake, sleep stages and overnight sleep measures.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70036"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Space-Time Organisation of Sleep Slow Oscillations as Potential Biomarker for Hypersomnolence.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-01 DOI: 10.1111/jsr.70059

Mahmoud Alipour, Joseph Rausch, Sara C Mednick, Jesse D Cook, David T Plante, Paola Malerba

{"title":"The Space-Time Organisation of Sleep Slow Oscillations as Potential Biomarker for Hypersomnolence.","authors":"Mahmoud Alipour, Joseph Rausch, Sara C Mednick, Jesse D Cook, David T Plante, Paola Malerba","doi":"10.1111/jsr.70059","DOIUrl":"https://doi.org/10.1111/jsr.70059","url":null,"abstract":"Research suggests that the spatial profile of slow wave activity (SWA) could be altered in hypersomnolence. Slow oscillations (SOs; 0.5-1.5 Hz), single waveform events contributing to SWA, can be labelled as Global, Frontal, or Local depending on their presentation on the scalp. We showed that SO space-time types differentiate in their amplitudes, coordination with sleep spindles, and propagation patterns. This study applies our data-driven analysis to the nocturnal sleep of adults with and without hypersomnolence and major depressive disorder (MDD) to explore the potential relevance of SO space-time patterns as hypersomnolence signatures in the sleep EEG. We leverage an existing dataset of nocturnal polysomnography with high-density EEG in 83 adults, organised in four groups depending on the presence/absence of hypersomnolence and on the presence/absence of MDD. Group comparisons were conducted considering either two groups (hypersomnolence status) or the four groups separately. Data shows enhanced Frontal SO activity compared with Global activity in hypersomnolence, with or without MDD, and a loss of Global SO amplitude at central regions in hypersomnolence without MDD compared to controls. As Global SOs travel fronto-parietally, we interpret these results as likely driven by a loss of coordination of Global SO activity in hypersomnolence without MDD, resulting in an overabundance of Frontal SOs. This study suggests that characteristics of Frontal SO and Global SOs may have the potential to differentiate individuals with hypersomnolence without MDD, and that the space-time organisation of SOs could be a mechanistically relevant indicator of changes in sleep brain dynamics related to hypersomnolence.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70059"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Longitudinal Study of Postpartum Maternal Sleep and Sensitivity: Examining Depressive Symptoms and Social Support as Moderators.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-01 DOI: 10.1111/jsr.70056

Dar Ran-Peled, Avel Horwitz, Omer Finkelstein, Naama Atzaba-Poria, Liat Tikotzky

{"title":"A Longitudinal Study of Postpartum Maternal Sleep and Sensitivity: Examining Depressive Symptoms and Social Support as Moderators.","authors":"Dar Ran-Peled, Avel Horwitz, Omer Finkelstein, Naama Atzaba-Poria, Liat Tikotzky","doi":"10.1111/jsr.70056","DOIUrl":"https://doi.org/10.1111/jsr.70056","url":null,"abstract":"This longitudinal study examined whether links between postpartum maternal sleep and the quality of the mother-infant relationship are moderated by depressive symptoms and social support. Assessments were conducted at 4 months (N = 130) and 8 months postpartum (N = 108). Maternal sleep (i.e., sleep percent, minutes and variability) was measured over seven nights using actigraphy and sleep diaries. Questionnaires captured socio-demographic information, feeding methods, social support and maternal depressive symptoms. At the 8-month assessment, a 20-min free-play interaction between mother and infant was video recorded and later maternal sensitivity was coded using the Emotional Availability Scales (EAS). The findings showed no significant Pearson correlations between maternal sleep and maternal sensitivity when controlling for infant feeding methods. A series of two-step hierarchical multiple regression models was used to examine depression and social support as moderators of the links between maternal sleep and maternal sensitivity. While depressive symptoms did not moderate these relationships, social support did. Specifically, higher actigraphic and reported sleep variability (i.e., less stable sleep) was associated with lower maternal sensitivity during play interactions, but only among mothers with high levels of social support. Evidence emerged for both concurrent and prospective links. The results suggest that maternal sleep is associated with sensitivity only in mothers with high social support. Possible explanations for this unexpected finding are discussed. Moreover, in this group, sleep variability is more strongly linked to maternal sensitivity than other sleep characteristics, highlighting the importance of sleep stability.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70056"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship of Circadian Blood Pressure Dysregulation With Left Ventricular Structure and Function in Children With Obstructive Sleep Apnea.

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-04-01 DOI: 10.1111/jsr.70049

Abigail M Witter, David F Smith, Md Tareq Ferdous Khan, Aisaku Nakamura, Christine L Schuler, Mark W DiFrancesco, Md Monir Hossain, Raouf S Amin

{"title":"Relationship of Circadian Blood Pressure Dysregulation With Left Ventricular Structure and Function in Children With Obstructive Sleep Apnea.","authors":"Abigail M Witter, David F Smith, Md Tareq Ferdous Khan, Aisaku Nakamura, Christine L Schuler, Mark W DiFrancesco, Md Monir Hossain, Raouf S Amin","doi":"10.1111/jsr.70049","DOIUrl":"https://doi.org/10.1111/jsr.70049","url":null,"abstract":"Obstructive sleep apnea (OSA) in children alters circadian blood pressure (BP) rhythms. We hypothesised that circadian BP dysregulation in paediatric OSA is associated with structural and functional cardiac changes. This was a single-centre, cross-sectional, observational study of children 5-14 years with OSA and healthy controls. Participants underwent polysomnography, 24-h ambulatory BP monitoring, and echocardiography. Circadian BP parameters included times arrived at BP and BP velocity peaks and nadirs, and nocturnal BP dipping. Regression and mediation analyses assessed the relationship between circadian BP parameters and cardiac structure and function. There were 100 children with OSA and 94 controls enrolled with mean ± SD obstructive apnea hypopnea index (OAHI) of 8.2 ± 9.0 and 0.3 ± 0.3 respectively. Earlier diastolic BP and BP velocity peaks were associated with decreased left ventricular relaxation (e' velocity) and increased left atrial pressure (E/e' ratio). Diastolic nocturnal dipping was greater in controls than in the OSA group. Lower nocturnal dipping was also associated with decreased left ventricular relaxation and increased left atrial pressure. Systolic BP dipping was negatively associated with isovolumetric relaxation time. OAHI was a significant covariate in many models. Diastolic nocturnal dipping was a significant mediator in the associations between OAHI and left ventricular relaxation. Circadian BP parameters were not significantly associated with pulmonary artery pressure or cardiac geometry. Shifts in circadian BP parameters and reduced BP dipping were associated with diastolic dysfunction in children; OSA severity influenced many associations highlighting the relevance of OSA severity to cardiac function. Trial Registration: ClinicalTrials.gov identifier: NCT00059111, NCT01837459.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70049"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0