Journal of Sleep Research最新文献_第3页

Sleep and Trajectories of Respiratory and Allergic Symptoms Between 1 and 5.5 Years of Age in the Elfe Birth Cohort. Elfe出生队列中1 - 5.5岁之间的睡眠和呼吸及过敏症状轨迹

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-16 DOI: 10.1111/jsr.70208

Daniele Saade, Rosalie Delvert, Chantal Raherison-Semjen, Orianne Dumas, Mohammed Sedki, Marie-Noëlle Dufourg, Blandine de Lauzon-Guillain, Bénédicte Leynaert, Rachel Nadif, Annabelle Bédard, Sabine Plancoulaine

{"title":"Sleep and Trajectories of Respiratory and Allergic Symptoms Between 1 and 5.5 Years of Age in the Elfe Birth Cohort.","authors":"Daniele Saade, Rosalie Delvert, Chantal Raherison-Semjen, Orianne Dumas, Mohammed Sedki, Marie-Noëlle Dufourg, Blandine de Lauzon-Guillain, Bénédicte Leynaert, Rachel Nadif, Annabelle Bédard, Sabine Plancoulaine","doi":"10.1111/jsr.70208","DOIUrl":"https://doi.org/10.1111/jsr.70208","url":null,"abstract":"Sleep troubles and respiratory and allergic health issues are associated in children, but the timeline of their association is overlooked. This study investigates the associations between sleep patterns at age 1 and respiratory and allergic multi-trajectories (RespA-MTG) between ages 1 and 5.5, and the associations between these multi-trajectories and sleep at age 5.5 in the ELFE birth cohort. Sleep clusters at ages 1 and 5.5 (based on nocturnal and diurnal sleep duration, sleep onset difficulties, and night awakenings) and RespA-MTG between ages 1 and 5.5 (based on wheezing, asthma medication, eczema, allergic conjunctivitis) were identified using data-driven methods. Associations between sleep clusters and RespA-MTG were assessed using multinomial regressions adjusted for confounders in 9577 children. Two sleep clusters were identified at ages 1 and 5.5: good sleepers (79.9% at age 1, 83.1% at 5.5) and poor sleepers (20.1% and 16.9%, respectively). Four RespA-MTG were identified: pauci-symptomatic (44.4%), persistent non-respiratory allergic symptoms (23.1%), transient early respiratory symptoms (25.2%), and persistent respiratory and allergic symptoms (7.3%). Poor sleep at age 1 was associated with higher odds of transient early respiratory symptoms (Odds Ratio [95% Confidence Interval], 1.14 [0.99-1.31]) and persistent respiratory and allergic symptoms (1.29 [1.05-1.59]). Results were reinforced in children without wheezing at 2 months. A borderline association was observed between persistent respiratory and allergic symptoms and sleep at 5.5 in good sleepers at 1 year (1.22 [0.98-1.50]). In conclusion, sleep disturbances at age 1 are associated with later poorer respiratory and allergic health, suggesting early sleep troubles may predict these health concerns.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70208"},"PeriodicalIF":3.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075643","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 Single-Component Sleep Restriction Therapy for Insomnia in Adults: A Meta-Analysis of Randomised Controlled Trials. 单组分睡眠限制疗法对成人失眠的影响：一项随机对照试验的荟萃分析。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-12 DOI: 10.1111/jsr.70200

Jianing Wei, Fanjiayi Yang, Chenshuang Li, Xiaofang Dong, Yanjin Liu

{"title":"The Effect of Single-Component Sleep Restriction Therapy for Insomnia in Adults: A Meta-Analysis of Randomised Controlled Trials.","authors":"Jianing Wei, Fanjiayi Yang, Chenshuang Li, Xiaofang Dong, Yanjin Liu","doi":"10.1111/jsr.70200","DOIUrl":"https://doi.org/10.1111/jsr.70200","url":null,"abstract":"A meta-analysis was used to explore the effects of single-component sleep restriction therapy (SRT) on insomnia in adults. PubMed, EMBASE, OVID, Scopus, Cochrane Library, and the Web of Science databases were searched until 31 July 2024. Literature quality evaluation was performed using Cochrane Collaboration's tool, and meta-analysis was performed using RevMan 5.4 software. For variables with low heterogeneity, fixed-effect models were employed to pool effect sizes; otherwise, the random effect model was used. Nine studies with 1239 participants were included. At post-treatment, fixed-effects models revealed significant benefits of SRT versus control for insomnia severity (points), sleep onset latency (minutes) measured by sleep diary or actigraphy and sleep quality measured by sleep diary. Random-effects models revealed significant benefits of SRT versus control for sleep efficiency (percentage) measured by sleep diary and wake time after sleep onset (minutes) measured by sleep diary. Besides, fixed-effects models revealed that, compared to control, as an expected consequence of the treatment mechanism, SRT led to a significant reduction in total sleep time (minutes). Long-term follow-up data indicated sustained SRT effects on insomnia severity, sleep efficiency and wake time after sleep onset, but not on sleep onset latency. Our results confirm the effectiveness of SRT on insomnia in adults. However, the long-term effects of SRT are not consistent, and further studies are needed in the future.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70200"},"PeriodicalIF":3.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054072","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

Observer Dreams: Criteria and Frequency. 观察者梦：标准和频率。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-11 DOI: 10.1111/jsr.70201

Darren M Lipnicki

{"title":"Observer Dreams: Criteria and Frequency.","authors":"Darren M Lipnicki","doi":"10.1111/jsr.70201","DOIUrl":"https://doi.org/10.1111/jsr.70201","url":null,"abstract":"Numerous theories of dreaming consider embodied self-representation and participation in dream events as key features. However, past studies suggest that the dream self is absent or an uninvolved observer in over 10% of adult REM dreams. Further, these dreams can be similarly elaborate and of comparable narrative structure to participatory dreams. The current study presents new criteria for observer dreams informed and illustrated by reports from adult dream series. Three types of observer status are described: (I) no embodied self-representation, (II) an essentially disembodied self that sees events from within the dream environment, and (III) an embodied self that observes events virtually, often on TV. All types require observation of events or an activity with dynamic flow. The new criteria are used to determine observer dream frequencies in the dream reports from Hall and Van de Castle's 1963-1964 University of Miami study. The overall percentage of observer dreams in the Miami reports was 13.1%, and Type I was the most frequent (8.0% of all reports). Past studies show that observer dreams are more frequent in children and older adults than in young adults. An exploratory investigation of age differences in the current study was consistent with this, suggesting a rise in observer dreams from young adulthood. Additionally, direct physical aggression was found in around 20% of observer dreams, with potential implications for the threat simulation hypothesis of dream function. This study's findings suggest that observer dreams warrant greater consideration, including integration into theories of dreaming.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70201"},"PeriodicalIF":3.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033366","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

Excessive Daytime Sleepiness and Its Associated Factors Among Male Road Transport Workers in Brazil. 巴西男性道路运输工人日间过度嗜睡及其相关因素

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-10 DOI: 10.1111/jsr.70198

Renato Canevari Dutra da Silva, Maria Flávia Campos Adelino, André Furtado Duarte, Josiane Santos de Souza, Fábio Vieira de Andrade Borges, Carlabianca Cabral de Jesus Canevari, Anderson Garcez

{"title":"Excessive Daytime Sleepiness and Its Associated Factors Among Male Road Transport Workers in Brazil.","authors":"Renato Canevari Dutra da Silva, Maria Flávia Campos Adelino, André Furtado Duarte, Josiane Santos de Souza, Fábio Vieira de Andrade Borges, Carlabianca Cabral de Jesus Canevari, Anderson Garcez","doi":"10.1111/jsr.70198","DOIUrl":"https://doi.org/10.1111/jsr.70198","url":null,"abstract":"This study aimed to estimate the occurrence of excessive daytime sleepiness (EDS) and its associated factors among male road transport workers. A cross-sectional study was conducted with a non-probabilistic sample of 414 drivers recruited at gas stations and parking lots in Formosa and Rio Verde, Goiás, Brazil, in 2024. The presence of EDS was evaluated using the Epworth Sleepiness Scale, and the investigated associated factors included demographic, socioeconomic, behavioural, health and professional characteristics. Logistic regression was used to explore the factors associated with EDS. The prevalence of EDS in the sample was 39.9% (95% CI: 35.1-44.6). After adjustment, a higher probability of EDS was observed among drivers aged between 41 and 60 years, with non-white skin colour, and those who were married. The analysis also indicated that drivers with high levels of anxiety and a high risk of obstructive sleep apnea were more susceptible to EDS whereas drivers with good sleep quality and adequate rest practices had a lower probability of EDS. Additionally, long working hours significantly increased the chance of EDS. In conclusion, the findings of this study revealed a high occurrence of EDS among male road transport drivers and its association with demographic characteristics, working conditions, mental health and sleep quality. Therefore, strategies addressing these factors are essential to reducing the occurrence of EDS and contributing to a safer road environment.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70198"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033333","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

Dog Tired: A Cross-Sectional Examination of the Relation Between Dog and/or Cat Ownership and Owners' Sleep. 狗累：狗和/或猫的所有权和主人睡眠之间关系的横断面检查。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-08 DOI: 10.1111/jsr.70188

Courtney J Bolstad, Michael R Nadorff

{"title":"Dog Tired: A Cross-Sectional Examination of the Relation Between Dog and/or Cat Ownership and Owners' Sleep.","authors":"Courtney J Bolstad, Michael R Nadorff","doi":"10.1111/jsr.70188","DOIUrl":"https://doi.org/10.1111/jsr.70188","url":null,"abstract":"Many behaviours which promote sleep overlap with the reported benefits of pet ownership. Research on pet ownership and sleep has predominately focused on co-sleeping with pets, leaving other pet ownership factors largely unexamined. The present study aimed to examine the relation between pet ownership and sleep as well as moderators and mediators of this relation. Participants (N = 1256; 80.8% White; 50.5% men) residing in the United States completed an online survey which included assessment of sleep disturbances, physical activity, perceived stress, anxiety symptoms, and light exposure. Participants were categorised into one of four pet ownership groups: non-pet owners, cat-only owners, dog-only owners, and owners of both a dog and cat. Data analyses included analysis of covariance, moderation, parallel mediation, and conditional process modelling. Key findings included that pet ownership was significantly related to sleep, with non-pet owners sleeping worse than pet owners. Those that owned both a dog and cat reported the best sleep of all four pet ownership groups. The relation between pet ownership and sleep did not vary by gender. The relation was significantly mediated by anxiety symptoms, perceived stress, light exposure, and sleep-wake timing. Anxiety symptoms and perceived stress were the most robust mediators of the relation between pet ownership and sleep. Walking regularity did not moderate these effects. These pre-clinical findings provide a foundation for future research examining how the integration of pet ownership and sleep-promoting behaviours can improve adherence to sleep health recommendations, thus improving owners' sleep.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70188"},"PeriodicalIF":3.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023600","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

Comparative Efficacy of Continuous Positive Airway Pressure and Mandibular Advancement Devices in the Treatment of Obstructive Sleep Apnea: A Systematic Review. 持续气道正压通气和下颌推进装置治疗阻塞性睡眠呼吸暂停的比较疗效：系统综述。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-08 DOI: 10.1111/jsr.70192

Gianna Dipalma, Angelo Michele Inchingolo, Pasquale Avantario, Antonio Mancini, Merigrazia Campanelli, Daniela Di Venere, Andrea Palermo, Francesco Inchingolo, Massimo Corsalini, Alessio Danilo Inchingolo

{"title":"Comparative Efficacy of Continuous Positive Airway Pressure and Mandibular Advancement Devices in the Treatment of Obstructive Sleep Apnea: A Systematic Review.","authors":"Gianna Dipalma, Angelo Michele Inchingolo, Pasquale Avantario, Antonio Mancini, Merigrazia Campanelli, Daniela Di Venere, Andrea Palermo, Francesco Inchingolo, Massimo Corsalini, Alessio Danilo Inchingolo","doi":"10.1111/jsr.70192","DOIUrl":"https://doi.org/10.1111/jsr.70192","url":null,"abstract":"Obstructive Sleep Apnea is a prevalent condition linked to various health issues, including cardiovascular disease and cognitive decline. This systematic review evaluates the comparative efficacy and patient adherence of two primary treatment modalities: Continuous Positive Airway Pressure and Mandibular Advancement Devices. This review incorporates studies from 2004 to 2024, applying Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and focusing on randomised controlled trials. Continuous Positive Airway Pressure is widely recognised as the gold standard for treating moderate to severe OSA, effectively reducing the Apnea-Hypopnea Index and improving oxygenation. However, its adherence rates are low due to discomfort from the mask and machine noise. Conversely, Mandibular Advancement Devices therapy offers a less invasive alternative with better adherence, especially for patients with mild to moderate Obstructive Sleep Apnea. Despite being less effective than Continuous Positive Airway Pressure in Apnea-Hypopnea Index reduction, Mandibular Advancement Devices demonstrate significant improvements in sleep quality, cognitive function and patient compliance. Continuous Positive Airway Pressure and Mandibular Advancement Devices significantly enhance patient outcomes, but adherence plays a crucial role in determining long-term success. Future research should investigate hybrid treatments combining Continuous Positive Airway Pressure and Mandibular Advancement Devices to optimise patient comfort and efficacy.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70192"},"PeriodicalIF":3.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023579","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

Macrophage Migratory Inhibitory Factor May Contribute to the Production of Nitric Oxide in Obstructive Sleep Apnea. 巨噬细胞迁移抑制因子可能参与阻塞性睡眠呼吸暂停中一氧化氮的产生。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-08 DOI: 10.1111/jsr.70176

Risaki Kawachi, Yoshiki Kobayashi, Hisashi Ooka, Akira Kanda, Mikiya Asako, Masao Yagi, Hiroshi Iwai

{"title":"Macrophage Migratory Inhibitory Factor May Contribute to the Production of Nitric Oxide in Obstructive Sleep Apnea.","authors":"Risaki Kawachi, Yoshiki Kobayashi, Hisashi Ooka, Akira Kanda, Mikiya Asako, Masao Yagi, Hiroshi Iwai","doi":"10.1111/jsr.70176","DOIUrl":"https://doi.org/10.1111/jsr.70176","url":null,"abstract":"In obstructive sleep apnea (OSA), repeated airway obstruction alters mucosal inflammation, which increases exhaled nitric oxide (NO) production in the nasal cavity. However, the underlying mechanism remains unclear. Accordingly, we aimed to examine the mechanism underlying NO production in patients with OSA. We included eight patients with moderate-to-severe OSA who underwent continuous positive airway pressure (CPAP) therapy. Nasal cavity NO levels were measured before and after CPAP; additionally, the levels of inflammatory cytokines in the supernatants of nasal mucosal samples and mRNA expression of inflammation-related molecules in epithelial cells were analysed. Additionally, we examined changes in inflammation-related molecules following stimulation of airway epithelial cells with the aforementioned supernatants and after CPAP treatment. Consistent with previous reports, nasal cavity NO levels improved after the introduction of CPAP therapy. There was a significant post-treatment decrease in the levels of macrophage migration inhibitory factors (MIF) in the nasal mucosal cavity. Additionally, there was a post-treatment increase in mRNA expression of SIRT1, as well as decreased mRNA expression of HIF-1α and inducible nitric oxide synthase (iNOS), in nasal mucosal epithelial cells. Similar results were obtained in airway epithelial cells stimulated with supernatants from nasal mucosal samples. Furthermore, airway epithelial cells stimulated with recombinant MIF showed decreased SIRT1 expression, as well as increased HIF-1α and iNOS expression. This study describes local inflammatory changes in the nasal mucosa of patients with OSA, suggesting that MIF is involved in NO production. Appropriate therapeutic intervention with CPAP can effectively control this inflammation.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70176"},"PeriodicalIF":3.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015645","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

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-09-03 DOI: 10.1111/jsr.70194

Kelly Sansom, Murthy M N Mittinty, Hannah Scott, Bastien Lechat, Daniel Windred, Andrew J K Phillips, Robert Adams, Peter R Eastwood, Amy C Reynolds

{"title":"Health Related Quality of Life and Sleep Regularity Among Middle-Aged to Older Adults From the Community.","authors":"Kelly Sansom, Murthy M N Mittinty, Hannah Scott, Bastien Lechat, Daniel Windred, Andrew J K Phillips, Robert Adams, Peter R Eastwood, Amy C Reynolds","doi":"10.1111/jsr.70194","DOIUrl":"https://doi.org/10.1111/jsr.70194","url":null,"abstract":"Irregular sleep is increasingly related to poorer health, with stronger links to cardiovascular disease and mortality than sleep duration. Its impact on health-related quality of life, however, remains unclear, particularly in community-based populations. This study examined whether objectively measured sleep regularity is associated with physical and mental health-related quality of life. Sleep regularity was calculated using the Sleep Regularity Index from actigraphy data in 768 middle-aged to older adults from the Raine Study (median age [range] = 57 [53-61]; 58% female). Physical and mental health-related quality of life were assessed using the 12-item Short Form Health Survey. Quantile regression was used to examine associations at the 25th, 50th, and 75th percentiles, adjusting for age, sex, comorbidity count, sleep duration, and shift work. Median sleep regularity scores declined with self-rated health, from 77.17 (excellent) to 61.49 (poor). A 10-unit increase in sleep regularity was associated with higher mental health scores at the 25th (1.80; 95% CI: 0.90-2.60), 50th (1.20; 95% CI: 0.50-1.90), and 75th (0.50; 95% CI: 0.20-0.90) percentiles. For physical health, a 10-unit increase in sleep regularity was associated with a 1.20 (95% CI: 0.30-2.20) higher score at the 25th percentile, with no evidence of association at higher percentiles. These findings suggest that poorer sleep regularity is related to lower physical and mental health-related quality of life. Future research should explore whether improving sleep regularity can enhance quality of life in middle-aged to older adults.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70194"},"PeriodicalIF":3.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992885","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 Slow Wave-Bistability and the Connection Between the Sleeping Brain and the Environment-Neurobiological Considerations. 睡眠慢波双稳定性与睡眠大脑与环境的联系-神经生物学考虑。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-08-30 DOI: 10.1111/jsr.70184

Péter Halász, Anna Szűcs, Carlotta Mutti, Liborio Parrino

引用次数: 0

Evaluating the Effect of a Sleep Prehabilitation Intervention in Patients Awaiting Elective Surgery: Protocol for a Single-Blind Randomised Trial. 评估睡眠前康复干预在等待择期手术患者中的效果：单盲随机试验方案。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2025-08-30 DOI: 10.1111/jsr.70173

Daniel Sibley, Ian Randall, S Nicole Culos-Reed, P Maxwell Slepian, Mandeep Singh, Daniel Santa Mina

{"title":"Evaluating the Effect of a Sleep Prehabilitation Intervention in Patients Awaiting Elective Surgery: Protocol for a Single-Blind Randomised Trial.","authors":"Daniel Sibley, Ian Randall, S Nicole Culos-Reed, P Maxwell Slepian, Mandeep Singh, Daniel Santa Mina","doi":"10.1111/jsr.70173","DOIUrl":"https://doi.org/10.1111/jsr.70173","url":null,"abstract":"Adequate sleep health is critical for surgical recovery. Disrupted sleep can impede wound healing and cognitive performance and contribute to poor surgical outcomes. Preoperative intervention aimed at improving surgical outcomes is often referred to as prehabilitation and commonly uses exercise, nutrition or psychological intervention. Sleep prehabilitation interventions have not yet been studied. This randomised assessor-blinded trial will measure the effect of a personalised sleep prehabilitation (PSP) intervention in addition to standard of care prehabilitation (PREHAB) on participant sleep health compared to PREHAB alone (Clinicaltrials.gov ID: NCT06762639). One hundred fifty-four English-speaking patients from the University Health Network's Prehabilitation Program with sleep disturbance and a surgery within 4-12 weeks will be recruited. Patients will be excluded if they are participating in PREHAB remotely, have an existing sleep disorder, are a shift worker, have travel plans outside of their usual time zone or have a cognitive disability that precludes participation. Study assessments occur at baseline, 1 week before surgery and 6 weeks after surgery. PREHAB consists of individualised exercise and nutrition support as well as psychological intervention. The PSP consists of a baseline sleep assessment, brief behavioural treatment for insomnia (BBTI), sleep hygiene and behaviour-change support. The primary outcome is the Pittsburgh Sleep Quality Index (PSQI). The primary analysis will be an ANCOVA to detect differences in PSQI between groups 1 week before surgery whilst controlling for baseline scores. The proposed study will be the first to explore the effect of a personalised preoperative sleep intervention.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70173"},"PeriodicalIF":3.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958357","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