Journal of Sleep Research最新文献_第10页

The Association Between Disordered Eating and Sleep in Non-Clinical Populations-A Systematic Review and Meta-Analysis. 非临床人群饮食失调与睡眠的关系——系统回顾和荟萃分析。

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-30 DOI: 10.1111/jsr.70117

Marie-Christine Opitz, Nora Trompeter, Francisco Diego Rabelo-da-Ponte, Michelle Carroll, Kyle Buchan, Giulia Gaggioni, Sarah Moody, Sylvane Desrivières, Nadia Micali, Ulrike Schmidt, Helen Sharpe

{"title":"The Association Between Disordered Eating and Sleep in Non-Clinical Populations-A Systematic Review and Meta-Analysis.","authors":"Marie-Christine Opitz, Nora Trompeter, Francisco Diego Rabelo-da-Ponte, Michelle Carroll, Kyle Buchan, Giulia Gaggioni, Sarah Moody, Sylvane Desrivières, Nadia Micali, Ulrike Schmidt, Helen Sharpe","doi":"10.1111/jsr.70117","DOIUrl":"https://doi.org/10.1111/jsr.70117","url":null,"abstract":"Sleep and disordered eating behaviours may be linked through physiological and psychological mechanisms; yet, no review has systematically investigated the relationship between different sleep indicators and disordered eating behaviours and cognitions outside a clinical context. The present systematic review and meta-analysis addressed this research gap to gain a better understanding of associations in non-clinical populations to potentially inform future prevention and early intervention approaches in the context of both sleep and disordered eating. All studies published from 2003 onwards were included if they assessed a relationship between disordered eating and sleep in a non-clinical population. In total, 89 studies were included, of which 33 met eligibility criteria for the meta-analyses. General eating pathology, loss of control eating, and excessive exercise were most consistently significantly associated with poorer sleep quality and higher insomnia symptoms, while evening chronotypes were most consistently associated with bulimia symptoms, night eating, and body image concerns. Likely due to the limited evidence available, findings relating to restrictive eating behaviours and bulimia symptoms were largely mixed. Primarily small and non-significant effects were found for associations between disordered eating and sleep duration measures. Overall, this review identified a need for more longitudinal research, the use of validated assessment methods, and studies focusing on restrictive eating, bulimia-related behaviours, and excessive exercise. Despite the heterogeneity of study populations and designs, this review highlights sleep problems (e.g., insomnia symptoms, impaired sleep quality) as a transdiagnostic correlate of disordered eating concerns.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70117"},"PeriodicalIF":3.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528513","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 Effectiveness of Melatonin for Sleep Disturbances in Parkinson' Disease: Systematic Review and Meta-Analysis. 褪黑素治疗帕金森病睡眠障碍的有效性：系统回顾和荟萃分析

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-30 DOI: 10.1111/jsr.70097

Obai Yousef, Moaz Elsayed Abouelmagd, Hala Khaddam, Abdulrahman Shbani, Raneem Yousef, Mostafa Meshref, Ibrahem Hanafi

{"title":"The Effectiveness of Melatonin for Sleep Disturbances in Parkinson' Disease: Systematic Review and Meta-Analysis.","authors":"Obai Yousef, Moaz Elsayed Abouelmagd, Hala Khaddam, Abdulrahman Shbani, Raneem Yousef, Mostafa Meshref, Ibrahem Hanafi","doi":"10.1111/jsr.70097","DOIUrl":"https://doi.org/10.1111/jsr.70097","url":null,"abstract":"Sleep disturbances in Parkinson's disease (PD) reduce quality of life. Melatonin, a sleep-wake hormone, shows treatment potential. However, its efficacy in PD remains unclear due to inconclusive findings across studies, warranting a systematic review to synthesise the available evidence. We searched PubMed, Cochrane, Web of Science, and Scopus for RCTs up to May 2025. Study quality was evaluated using the Cochrane Rob-2 tool. Statistical analysis was conducted using Review Manager version 5.4.1 with outcomes expressed as mean differences (MD) with 95% confidence intervals (CI). Out of eight studies with 409 PD patients, seven studies entered a meta-analysis that showed melatonin improved sleep quality and insomnia, as indicated by Pittsburgh Sleep Quality Index (PSQI) (MD = -1.75 [-2.94 to -0.55]; p = 0.004) and Epworth Sleepiness Scale (ESS) (MD = -1.07 [-1.87 to -0.27]; p = 0.009). Melatonin showed no significant impact on objective sleep parameters. However, sleep onset latency (MD = -9.74 [-17.47 to -2.02]; p = 0.001) and total sleep time (SMD = 0.84 [0.47 to 1.21]; p < 0.00001) improved, favouring melatonin, after adjusting for heterogeneity. Melatonin did not significantly change REM Sleep Behaviour Disorder Screening Questionnaire (RBDSQ) (MD = 0.71 [-0.44 to 1.86]; p = 0.23). No significant differences was found between melatonin and clonazepam in ESS (MD = -2.65 [-5.36 to 0.06]; p = 0.06). In conclusion, melatonin is a well-tolerated treatment that improves sleep quality, sleep onset latency, and total sleep time in PD. However, improvements in subjective sleep quality assessments did not meet minimal clinically important difference, which limits the clinical significance of these findings. Additional research is required to determine whether these benefits translate to other objective sleep parameters.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70097"},"PeriodicalIF":3.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528514","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

Stepped-Care Management of Insomnia: Treatment Choices Guided by a Patient Decision Aid in a Pragmatic Nonrandomized Clinical Trial Setting. 失眠的阶梯式护理管理：在实用的非随机临床试验环境下，由患者决策辅助指导的治疗选择。

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-26 DOI: 10.1111/jsr.70127

Janet M Y Cheung, Lee M Ritterband, Si-Jing Chen, Hans Ivers, Charles M Morin

{"title":"Stepped-Care Management of Insomnia: Treatment Choices Guided by a Patient Decision Aid in a Pragmatic Nonrandomized Clinical Trial Setting.","authors":"Janet M Y Cheung, Lee M Ritterband, Si-Jing Chen, Hans Ivers, Charles M Morin","doi":"10.1111/jsr.70127","DOIUrl":"https://doi.org/10.1111/jsr.70127","url":null,"abstract":"Patients with insomnia face difficult decisions when choosing between treatment options with competing risk-benefit profiles. Patient treatment choices were evaluated as part of a pragmatic nonrandomized clinical trial for a two-step cognitive behavioural therapy for insomnia (CBT-I) intervention. Upon enrollment, participants were guided by a patient decision aid (PtDA), outlining the risk-benefit profiles of medication, face-to-face CBT-I (FtFCBT-I), and digital CBT-I (dCBT-I). In Step 1, participants chose between dCBT-I alone, combined dCBT-I plus medication or medication alone. Non-remitters who enrolled into Step 2 chose between FtFCBT-I, medication, or no additional treatment. A secondary analysis was conducted evaluating patient treatment choices, the presence of decisional conflict, and the acceptability of the PtDA. In Step 1, 47.4% (n = 73) of participants chose dCBT-I, followed by combined dCBT-I plus medication (42.3% n = 66) and medication alone (9.74%; n = 15). The dCBT-I group was less likely to use medications or used them less frequently compared to the other treatment groups. Men and individuals less motivated to change sleep habits were more likely to choose medication in Step 1. In Step 2, 60.9% (n = 42) of non-remitters chose FtFCBT-I, followed by no additional treatment (23.6%; n = 16) and medication (15.9%; n = 11). Non-remitters from the medication group in Step 1 were more likely to choose medication again in Step 2. Over 90% of participants across both treatment steps endorsed the PtDA as acceptable and facilitated their decision-making. This corroborated with the minimal decisional conflict observed, highlighting a potential role in further developing and integrating patient decision aids into practice. Trial Registration: NCT03633305.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70127"},"PeriodicalIF":3.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506054","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

Feasibility, Validity and Economic Impact of a Home-Based Sleep Screening Test in the Detection of Sleep-Related Breathing Disorders in Individuals Living With Spinal Cord Injury: A Multi-Method Study and Cost-Minimisation Analysis. 以家庭为基础的睡眠筛查试验在脊髓损伤患者中检测睡眠相关呼吸障碍的可行性、有效性和经济影响：多方法研究和成本最小化分析

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-25 DOI: 10.1111/jsr.70112

Julio C Furlan, Julia I Coschignano, Sarah Berger, Sander L Hitzig, James Milligan, Peter Athanasopoulos, Mark I Boulos

{"title":"Feasibility, Validity and Economic Impact of a Home-Based Sleep Screening Test in the Detection of Sleep-Related Breathing Disorders in Individuals Living With Spinal Cord Injury: A Multi-Method Study and Cost-Minimisation Analysis.","authors":"Julio C Furlan, Julia I Coschignano, Sarah Berger, Sander L Hitzig, James Milligan, Peter Athanasopoulos, Mark I Boulos","doi":"10.1111/jsr.70112","DOIUrl":"https://doi.org/10.1111/jsr.70112","url":null,"abstract":"This prospective multi-method study was performed to assess the feasibility and validity of an unattended home-based sleep screening test (HBSST) in the detection of sleep-related breathing disorders (SRBDs) among individuals with spinal cord injury (SCI). Further, the economic impact of the HBSST was compared with polysomnography using cost-minimisation analysis. Adults with subacute/chronic (> 1 month) SCI were recruited for the multi-method study. Feasibility analysis included quantitative and qualitative data. A pilot validity analysis compared the apnea-hypopnea index (AHI) from the HBSST and from polysomnography in nine individuals with mild-to-severe SRBD. Notably, HBSST and polysomnography tests were separately performed. Of the 28 participants (11 females, 17 males; mean age: 54.9 years) with subacute/chronic, complete (n = 7) or incomplete SCI at cervical (n = 18), thoracic (n = 8) or lumbosacral levels, nine individuals were diagnosed with a moderate-to-severe SRBD. All participants successfully completed the HBSST. Most of the participants (60.71%) set up the device for the HBSST without any assistance. The AHI from the HBSST was significantly correlated with the AHI from the polysomnography (r = 0.717; p = 0.0248; n = 9). Finally, our results indicated that the use of HBSST was a cost-saving approach when compared with polysomnography. In conclusion, the results of our prospective multi-method study provided novel and clinically important data to support the feasibility and suggest criterion validity of a HBSST when compared with the findings from polysomnography completed during different nights. The results of our cost-minimisation analysis indicated that the HBSST is a more cost-effective strategy for detection of SRBDs in the SCI population than polysomnography.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70112"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497397","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

Sleep Deprivation Alters Gut Microbiome Diversity and Taxonomy: A Systematic Review and Meta-Analysis of Human and Rodent Studies. 睡眠剥夺改变肠道微生物多样性和分类：人类和啮齿动物研究的系统回顾和荟萃分析。

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-25 DOI: 10.1111/jsr.70125

Thanaporn Supasitdikul, José Roberto Rodríguez Mazariegos, Nam Nguyen Nhat, Yu-Tang Tung, Deng-Fa Yang, Li-Jen Lee, Shirley Priscilla Gunawan, Yang-Ching Chen

{"title":"Sleep Deprivation Alters Gut Microbiome Diversity and Taxonomy: A Systematic Review and Meta-Analysis of Human and Rodent Studies.","authors":"Thanaporn Supasitdikul, José Roberto Rodríguez Mazariegos, Nam Nguyen Nhat, Yu-Tang Tung, Deng-Fa Yang, Li-Jen Lee, Shirley Priscilla Gunawan, Yang-Ching Chen","doi":"10.1111/jsr.70125","DOIUrl":"https://doi.org/10.1111/jsr.70125","url":null,"abstract":"Sleep deprivation (SD) affects the gut microbiome, but findings across studies vary in terms of microbiota changes, SD induction methods and gut measurements. The effects of SD on the gut microbiome in humans and rodents have not been comprehensively reviewed. This meta-analysis investigated SD-related factors and their effects on the gut microbiome in human and rodent models. We analysed data from studies published before February 28, 2024, and calculated standardised mean differences (SMDs). Subgroup analyses were conducted for rodents and humans. A total of 20 studies (4 human, 5 rat, 8 mouse and 3 combined human and rodent) were included. SD significantly reduced alpha diversity (Shannon and Simpson indices) and increased the Firmicutes-to-Bacteroidetes ratio. In rodents, the Shannon index was lower (SMD = -1.27, 95% CI: -2.20 to -0.34), and the Firmicutes/Bacteroidetes ratio was higher (SMD = 2.60, 95% CI: 1.61-3.59). Human studies showed nonsignificant trends, limited by small sample sizes. Analysis at the phylum, family and genus levels showed a modest decrease in Actinobacteria and Tenericutes and a minor increase in Bacteroidetes, Firmicutes and Proteobacteria. Reductions in Lactobacillaceae and Erysipelotrichaceae and increases in Ruminococcaceae and Lachnospiraceae were observed. A2, Lactobacillus and Ruminococcus_1 were less abundant in the SD group. Overall, SD alters gut microbiome composition. Standardised human studies are needed to clarify translational relevance.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70125"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497399","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 Comparison of Snoring Changes With a Supine-Avoidance Alarm Device Compared to Constant Positive Airway Pressure Treatment in Patients With Supine-Predominant OSA. 仰卧位为主的OSA患者使用仰卧位回避报警装置与持续气道正压治疗后打鼾变化的比较

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-25 DOI: 10.1111/jsr.70128

Matthew M Rahimi, Andrew Vakulin, David Stevens, Peter G Catcheside

{"title":"A Comparison of Snoring Changes With a Supine-Avoidance Alarm Device Compared to Constant Positive Airway Pressure Treatment in Patients With Supine-Predominant OSA.","authors":"Matthew M Rahimi, Andrew Vakulin, David Stevens, Peter G Catcheside","doi":"10.1111/jsr.70128","DOIUrl":"https://doi.org/10.1111/jsr.70128","url":null,"abstract":"This study aimed to quantify how much snoring occurs in patients with supine-predominant OSA and the comparative effectiveness of supine-avoidance therapy versus CPAP to reduce objective measures of snoring. Participants had a 1-week in-home sleep posture assessment and a in-home PSG study before being randomised to either CPAP or supine-avoidance therapy for 6-8 weeks, then switched treatments for another 6-8 weeks. Snoring and treatment outcomes were examined in a subgroup of patients with supine dependent snoring. Baseline measurements showed snoring frequency was 48.9 [95% CI 16.7 to 188.7], 26.3 [95% CI 17.0 to 106.3], 57.5 [95% CI 16.8 to 190.7] snores/h for the whole group, supine snorer and non-supine snorers respectively. Supine sleep as a percentage of total sleep was almost completely abolished with supine-avoidance treatment (Baseline = 30.7% [95% 15.4 to 46.4], supine-avoidance = 0.2% [95% 0.0 to 15.7]). In the whole group, CPAP significantly reduced overall snoring frequency although residual snoring remained. However, no treatment effect was observed with supine-avoidance therapy in reducing snoring frequency (frequency of snores ≥ 50 dBA; baseline = 48.9 [95% 16.7 to 188.7], supine-avoidance = 36.8 [95% 6.3 to 233.7], CPAP = 4.2 [95% 2.1 to 29.5] snores/h). In the sub-group of supine-predominant snorers, supine-avoidance therapy was associated with reduced snoring frequency (Baseline = 26.3 [95% 17.0 to 106.3], supine-avoidance = 14.3 [95% 3.0 to 18.1], CPAP = 4.6 [95% 2.6 to 8.9] snores/h). Supine-avoidance therapy may not necessarily lead to a systematic reduction of snoring frequency in patients with supine-predominant OSA but appears effective in a subgroup of patients.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70128"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484874","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

Insomnia Subtypes in Clinical Population According to the Insomnia Type Questionnaire (ITQ): A Multi-Centre Study in Spanish Sleep Clinics. 根据失眠类型问卷（ITQ）的临床人群失眠亚型：西班牙睡眠诊所的一项多中心研究

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-25 DOI: 10.1111/jsr.70116

Francesca Canellas, Manuel de Entrambasaguas, Odile Romero, Ainhoa Álvarez, Rybel Wix, Francisco Javier Puertas, Jesús Pujol, Guillem Frontera

{"title":"Insomnia Subtypes in Clinical Population According to the Insomnia Type Questionnaire (ITQ): A Multi-Centre Study in Spanish Sleep Clinics.","authors":"Francesca Canellas, Manuel de Entrambasaguas, Odile Romero, Ainhoa Álvarez, Rybel Wix, Francisco Javier Puertas, Jesús Pujol, Guillem Frontera","doi":"10.1111/jsr.70116","DOIUrl":"https://doi.org/10.1111/jsr.70116","url":null,"abstract":"The lack of robust subtyping for insomnia disorder (ID) led to its current classification as a uniform condition. A novel approach to subtyping ID developed a new tool, the insomnia type questionnaire (ITQ). Our research aimed to assess whether the ID subtypes identified in the general population could also be found in ID patients referred to sleep clinics in a multi-centre study throughout Spain, and to gather insights for the management of complex ID patients. The ITQ classified ID patients into the five previously described subtypes: Type 1 = 35.1%, Type 2 = 12%, Type 3 = 46.7%, Type 4 = 5.8% and Type 5 = 0.4%. Compared to the general population, there was an overrepresentation of Types 1 and 3, consistently across all participating clinical centres. The total self-reported sleep duration was 4.7 (SD 1.2) h, with no significant differences between subtypes. Type 1 patients had significantly higher scores in the Insomnia Severity Index, Inventory of Depressive Symptomatology self-rated and State-Trait Anxiety Inventory. Type 3 patients were more worried about their sleep. Type 4 had the lowest depression and anxiety scores. ITQ subtyping showed that ID patients attending sleep clinics had high scores in depression, specially Type 1 patients, who probably need a differentiated therapeutic approach. The over-representation of Type 3 patients suggests that they are more worried about their sleep than the other subtypes. These findings highlight the difficulties faced by sleep clinicians to treat complex and refractory-toto-treatment ID patients and those with comorbid insomnia.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70116"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497398","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 Effect of Digital Cognitive Behavioural Therapy for Insomnia in People With Co-Morbid Insomnia and Sleep Apnoea (COMISA): A Pilot Randomised Controlled Trial. 数字认知行为疗法对失眠合并睡眠呼吸暂停（COMISA）患者的影响：一项随机对照试验

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-25 DOI: 10.1111/jsr.70114

Alexander Sweetman, Cele Richardson, Allan Smith, Chelsea Reynolds

{"title":"The Effect of Digital Cognitive Behavioural Therapy for Insomnia in People With Co-Morbid Insomnia and Sleep Apnoea (COMISA): A Pilot Randomised Controlled Trial.","authors":"Alexander Sweetman, Cele Richardson, Allan Smith, Chelsea Reynolds","doi":"10.1111/jsr.70114","DOIUrl":"https://doi.org/10.1111/jsr.70114","url":null,"abstract":"Co-morbid insomnia and sleep apnoea (COMISA) is a prevalent and debilitating condition. Cognitive behavioural therapy for insomnia (CBTi) is an effective but largely inaccessible treatment in patients with COMISA. We aimed to test a self-guided interactive digital CBTi program tailored for COMISA and insomnia alone. A pilot randomised controlled trial was conducted to investigate the effect of an interactive tailored digital CBTi program, versus digital sleep education (control) on symptoms of insomnia, depression, anxiety, sleepiness, fatigue, and maladaptive beliefs about sleep in people with COMISA. Online questionnaires were administered at baseline, 8 weeks, 16 weeks, and 24 weeks. Intent-to-treat mixed models and complete-case Fisher's exact analyses were used. Participants were 30 adults with COMISA (Age M[sd] = 61.0[10.3], 60% female, BMI = 33.5[6.5]). Compared to control, CBTi was associated with lower insomnia (M[95% CI] difference = 8.3[5.0-11.6], p < 0.001, d = 2.88), depression (3.7[1.0-6.5], p = 0.008, d = 1.66), anxiety (2.9[0.9-4.9], p = 0.005, d = 0.62), sleepiness (2.7[0.8-4.5], p = 0.007, d = 0.71), and maladaptive beliefs about sleep (13.9[5.7-22.2], p = 0.001, d = 1.16), but not fatigue (1.9[-1.2-4.9], p = 0.229, d = 0.68) at 8-week follow-up, controlling for baseline scores. The CBTi group experienced greater rates of insomnia remission (ISI < 8; 42%, vs. 0%, p = 0.012), and improvement (ISI reduction ≥ 6; 75% vs. 14%; p = 0.004) by 8-weeks. Improvements in the CBTi group were sustained by 24-weeks. This tailored digital CBTi program led to large and sustained improvements in insomnia, depression, anxiety, sleepiness, and maladaptive beliefs about sleep in people with COMISA. Trial Registration: This trial was prospectively registered on the Australian and New Zealand Clinical Trials Registry (ANZCTR, ACTRN12622001218785). https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=384648&isReview=true.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70114"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484876","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

Self-Reported Precipitating and Priming Factors for Somnambulism in Adult Sleepwalkers. 成人梦游症患者自我报告的促发和启动因素。

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-24 DOI: 10.1111/jsr.70126

Cloé Blanchette-Carrière, Mathieu Pilon, Simon Trudeau, Lydia Hébert-Tremblay, Alex Desautels, Jacques Montplaisir, Antonio Zadra

{"title":"Self-Reported Precipitating and Priming Factors for Somnambulism in Adult Sleepwalkers.","authors":"Cloé Blanchette-Carrière, Mathieu Pilon, Simon Trudeau, Lydia Hébert-Tremblay, Alex Desautels, Jacques Montplaisir, Antonio Zadra","doi":"10.1111/jsr.70126","DOIUrl":"https://doi.org/10.1111/jsr.70126","url":null,"abstract":"Several studies have explored how factors that deepen sleep (e.g., sleep deprivation) and factors that fragment sleep (e.g., environmental stimuli) facilitate the occurrence of somnambulistic episodes experienced by sleepwalkers in the sleep laboratory. Little is known, however, about the broader range of variables that sleepwalkers perceive as contributing to their episodes in their home environment. We examined self-reported precipitating and priming factors for sleepwalking in a large cohort of 188 adults diagnosed with primary somnambulism using a comprehensive questionnaire. The most frequently endorsed precipitating or priming factors for sleepwalking episodes were psychological stress (95%), bad dreams and nightmares (78%), and sleep deprivation (60%). Factors such as irregular sleep schedules, intense movies, and new sleep environments were also relatively common. In contrast, substance use (e.g., alcohol, caffeine) and physical ailments (e.g., fever, pain) were cited less frequently. We found few significant differences in reported factors based on biological sex, age of onset, or family history, although women were more likely to associate noisy environments and the use of hypnotics with their episodes. These findings emphasise the critical role of stress in sleepwalking and suggest that stress management and sleep hygiene should be incorporated into treatment strategies. Furthermore, our study underscores the growing recognition of dream-like mentation as an integral component of sleepwalking in adults. Future research should focus on refining our understanding of the role of psychosocial stressors and their possible neurobiological mechanisms underlying adult somnambulism.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70126"},"PeriodicalIF":3.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484875","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

Comprehensive Assessment of Real-Life 24-h Light Exposure Pattern in Children and Young Adults: Intensity, Timing and Rhythm. 儿童和青少年现实生活中24小时光照模式的综合评估：强度、时间和节奏。

IF 3.4 3区医学

Journal of Sleep Research Pub Date : 2025-06-23 DOI: 10.1111/jsr.70119

Qi Li, Wen-Qin Ding, Yu-Ting Shen, Yu-Hui Wan, Pu-Yu Su, Fang-Biao Tao, Ying Sun

{"title":"Comprehensive Assessment of Real-Life 24-h Light Exposure Pattern in Children and Young Adults: Intensity, Timing and Rhythm.","authors":"Qi Li, Wen-Qin Ding, Yu-Ting Shen, Yu-Hui Wan, Pu-Yu Su, Fang-Biao Tao, Ying Sun","doi":"10.1111/jsr.70119","DOIUrl":"https://doi.org/10.1111/jsr.70119","url":null,"abstract":"Increased urban living has changed our daily patterns of light exposure, with lower light levels during the day and higher levels at night. However, few studies have documented the light exposure pattern in school-aged children and free-living young adults. To characterise the 24-h light exposure pattern in children and young adults, and to explore the difference between the two age groups, this study measured daily light exposure pattern, including intensity, timing, rhythm, via wearable light sensors for at least 5 consecutive days among 831 children aged 7-11 years and 344 young adults over 18 years recruited from China. The median intensity of light exposure during daytime was more than 1000 lx in children, but significantly lower for young adults (191.62 lx [98.76, 338.57]; p < 0.001). Children were exposed to higher levels of light exposure during the entire nighttime and sleep time compared to young adults. In addition, children showed more robust light exposure rhythm, with higher interdaily stability (IS) and lower intradaily variability (IV) (IS: 0.90 [0.85, 0.94]; IV: 0.59 [0.51, 0.68]) than young adults (IS: 0.71 [0.62, 0.78]; IV: 0.85 [0.70, 0.99]; all p < 0.001). The median intensity of daylight and nightlight was higher on weekdays both in children and young adults. In this cross-sectional study, children and young adults were exposed to light exposure patterns diverging from recommendation. Our findings suggest that interventions enhancing daylight and avoiding nightlight need to be implemented, especially for young adults.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70119"},"PeriodicalIF":3.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475698","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}

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