Journal of Sleep Research最新文献_第9页

Investigation of the "Not Better Explained" Diagnosis Criteria in Sleep Disorder Classifications: A Systematic Content Analysis and Critical Review. 睡眠障碍分类中“不能更好地解释”诊断标准的调查：系统的内容分析和批判性评论。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-03-13 DOI: 10.1111/jsr.70327

Jean-Arthur Micoulaud-Franchi, Vincent P Martin, Julien Coelho, Régis Lopez, Pierre-Alexis Geoffroy, Laure Peter-Derex, Isabelle Lambert, Charles M Morin, Clélia Quiles, Christophe Gauld

{"title":"Investigation of the \"Not Better Explained\" Diagnosis Criteria in Sleep Disorder Classifications: A Systematic Content Analysis and Critical Review.","authors":"Jean-Arthur Micoulaud-Franchi, Vincent P Martin, Julien Coelho, Régis Lopez, Pierre-Alexis Geoffroy, Laure Peter-Derex, Isabelle Lambert, Charles M Morin, Clélia Quiles, Christophe Gauld","doi":"10.1111/jsr.70327","DOIUrl":"https://doi.org/10.1111/jsr.70327","url":null,"abstract":"Accurate diagnostic boundaries between normal and pathological sleep are essential for appropriate care. Among diagnostic criteria, the \"Not Better Explained\" (NBE) exclusion criterion prevents misclassification by ensuring that symptoms are not attributable to another disorder. Despite its importance, the NBE criterion has never been systematically analysed across the International Classification of Sleep Disorders-Third Edition Text Revision (ICSD-3-TR) and the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Text Revision (DSM-5-TR). A systematic content analysis was conducted using a validated methodology for diagnostic criteria evaluation. Ten major sleep disorders were selected based on prevalence and clinical relevance. For each disorder in both classifications, NBE formulations were identified, extracted, and categorised by excluded condition and causal wording. The Jaccard index quantified overlap, and visualisations compared exclusion patterns. The ICSD-3-TR included the NBE criterion in 9 of 10 disorders, whereas the DSM-5-TR included it in 7 of 10. Overall overlap was strong (Jaccard index = 0.75). Differences were mainly semantic. The ICSD-3-TR more often excluded \"sleep disorders,\" \"substance use,\" and \"sleep behaviours,\" while the DSM-5-TR emphasised \"medical\" and \"mental disorders.\" The ICSD-3-TR predominantly used \"not better explained,\" whereas the DSM-5-TR employed more variable formulations (\"not attributable,\" \"not adequately explained\"…). By highlighting the strengths and inconsistencies in the use of the NBE criterion, we aim to contribute to a more empirically and conceptually grounded framework for sleep disorder diagnosis. Our work aims to inform ongoing efforts to improve the reliability, validity, and clinical utility of diagnostic classifications in sleep medicine.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70327"},"PeriodicalIF":3.9,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444004","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

One-Session Cognitive Behavioural Therapy for Insomnia in Integrated Primary Care: A Preliminary Study. 综合初级保健中一期认知行为疗法治疗失眠的初步研究。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-03-12 DOI: 10.1111/jsr.70324

Jamie L Walker, Rebecca L Campbell, Ana J Bridges, Carlos Acosta, Jason G Ellis, Michael L Perlis, Ivan Vargas

{"title":"One-Session Cognitive Behavioural Therapy for Insomnia in Integrated Primary Care: A Preliminary Study.","authors":"Jamie L Walker, Rebecca L Campbell, Ana J Bridges, Carlos Acosta, Jason G Ellis, Michael L Perlis, Ivan Vargas","doi":"10.1111/jsr.70324","DOIUrl":"https://doi.org/10.1111/jsr.70324","url":null,"abstract":"Chronic insomnia is commonly reported in primary care settings. One-session cognitive behavioural therapy for insomnia (CBT-I) is a brief intervention designed to fit the fast-paced nature of primary care but has not been studied in this context. This preliminary study assessed the effectiveness of one-session CBT-I in an integrated primary care clinic. Adult patients (N = 37) with clinically elevated insomnia symptoms were randomly assigned to receive either one-session CBT-I (n = 17) or an active attentional control (n = 20). The primary outcomes included insomnia symptoms, total wake time (TWT) and sleep efficiency (SE). Outcomes were assessed at baseline, post-treatment, 1-month post-treatment and 3-months post-treatment. At post-treatment, the CBT-I group showed greater improvements than the control group in TWT and SE, and these differences persisted at the 1-month follow-up. The CBT-I group also demonstrated larger reductions in insomnia symptoms than controls at 1- and 3-month follow-ups. More specifically, the CBT-I group demonstrated significant improvements in TWT, mean (SD) change = -57.0 min (57.5) and SE, mean (SD) change = 8.8% (9.3). At 1 month, these improvements persisted, with sustained improvements in TWT, mean (SD) change = -62.1 min (44.3) and SE, mean (SD) change = 10.8% (9.5), for the CBT-I group. Additionally, CBT-I participants reported significantly lower insomnia symptoms at 1 month, mean (SD) change = -6.4 (3.9) and 3 months post-treatment, mean (SD) change = -7.3 (4.2). This study provides preliminary support for using one-session CBT-I to treat clinically elevated insomnia symptoms in primary care.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70324"},"PeriodicalIF":3.9,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433630","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 Systematic Review on Insomnia and Circadian Rhythms Desynchronization in Obsessive-Compulsive Disorder: From Childhood to Adulthood. 从儿童期到成年期强迫症患者的失眠和昼夜节律不同步的系统综述。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-03-12 DOI: 10.1111/jsr.70322

Giovanna Grenno, Gaspare Alfì, Mario Miniati, Matteo Gambini, Andrea Coccoglioniti, Alessio A Gugliotta, Donatella Marazziti, Lino Nobili, Angelo Gemignani, Laura Palagini

{"title":"A Systematic Review on Insomnia and Circadian Rhythms Desynchronization in Obsessive-Compulsive Disorder: From Childhood to Adulthood.","authors":"Giovanna Grenno, Gaspare Alfì, Mario Miniati, Matteo Gambini, Andrea Coccoglioniti, Alessio A Gugliotta, Donatella Marazziti, Lino Nobili, Angelo Gemignani, Laura Palagini","doi":"10.1111/jsr.70322","DOIUrl":"10.1111/jsr.70322","url":null,"abstract":"Obsessive-compulsive disorder is frequently accompanied by sleep disturbances, particularly insomnia and circadian dysregulation. These conditions are increasingly recognised not only as comorbidities but also as factors potentially influencing the severity and course of obsessive-compulsive symptoms. This systematic review synthesises findings from 28 studies investigating the association between obsessive-compulsive disorder, insomnia and circadian alterations across different age groups. Insomnia was found to be highly prevalent among individuals with obsessive-compulsive disorder and associated with greater symptom severity, especially regarding intrusive thoughts and cognitive-affective dysregulation. Circadian disruptions, such as delayed sleep phase, evening chronotype, and atypical hormonal rhythms, were frequently observed and related to emotional instability and clinical variability. These results underscore the importance of systematically assessing and addressing sleep-related disturbances in patients with obsessive-compulsive disorder. Integrating sleep and circadian-focused strategies into clinical care may improve treatment outcomes and provide insight into underlying neurobiological mechanisms.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70322"},"PeriodicalIF":3.9,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433454","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

Chronotype and All-Cause Mortality in US Middle-Aged and Older Adults: Results From the NHANES. 美国中老年人的睡眠类型和全因死亡率：来自NHANES的结果。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-03-11 DOI: 10.1111/jsr.70328

Zhuozhi Lin, Matthew J Reid, Anis Davoudi, Paul Nestadt, Jacek Urbanek, Junrui Di, Vadim Zipunnikov, Darlynn M Rojo-Wissar, Adam P Spira

{"title":"Chronotype and All-Cause Mortality in US Middle-Aged and Older Adults: Results From the NHANES.","authors":"Zhuozhi Lin, Matthew J Reid, Anis Davoudi, Paul Nestadt, Jacek Urbanek, Junrui Di, Vadim Zipunnikov, Darlynn M Rojo-Wissar, Adam P Spira","doi":"10.1111/jsr.70328","DOIUrl":"10.1111/jsr.70328","url":null,"abstract":"We examined the association between behavioural chronotype estimates and all-cause mortality in a nationally representative sample of middle-aged and older adults. We studied 2261 participants aged ≥ 50 years from the National Health and Nutrition Examination Survey (NHANES) who wore an ActiGraph on their hip for 7 days and were instructed to remove it for sleep. We estimated the average midpoint of time-in-bed (TIB) on weekends and categorised participants based on two sets of chronotype cutoffs. Chronotype I was defined as follows: intermediate-type I (≥ 3:30 AM and ≤ 4:30 AM), early-type I (≥ 11:00 PM and < 3:30 AM) and late-type I (> 4:30 AM and ≤ 11:00 AMm). In chronotype definition II, we expanded the intermediate category by 1 h on each side. We examined associations between chronotype and all-cause mortality in three age groups (50-65, n = 1055; 66-80, n = 895; 81+, n = 311) using survey-weighted Cox models. Six-hundred-fifty deaths occurred. Following adjustment for age, sex, race/ethnicity, poverty income ratio, BMI, smoking and drinking status, comorbidities and average TIB, among participants aged 81+, late-type I was associated with 123% greater mortality risk (HR = 2.23, 95% CI = 1.33, 3.74) versus intermediate-type I. Among participants aged 50-65, late-type II was associated with a 107% greater mortality risk (HR = 2.07, 95% CI = 1.09, 3.91) versus intermediate-type II. Findings suggest, in adults 50-65 and those aged 81+, that compared to individuals with intermediate chronotype, those with late chronotype have a higher risk of all-cause mortality; however, these associations may differ as a function of the temporal boundaries by which late chronotype is defined.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70328"},"PeriodicalIF":3.9,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433558","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

No Evidence for Seasonal Variations in Fatigue, Sleepiness and Insomnia Symptoms: Spring Fatigue Is a Cultural Phenomenon Rather Than a Seasonal Syndrome. 没有证据表明疲劳，嗜睡和失眠症状的季节变化：春季疲劳是一种文化现象而不是季节综合症。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-03-09 DOI: 10.1111/jsr.70319

Christine Blume, Albrecht Vorster

{"title":"No Evidence for Seasonal Variations in Fatigue, Sleepiness and Insomnia Symptoms: Spring Fatigue Is a Cultural Phenomenon Rather Than a Seasonal Syndrome.","authors":"Christine Blume, Albrecht Vorster","doi":"10.1111/jsr.70319","DOIUrl":"https://doi.org/10.1111/jsr.70319","url":null,"abstract":"Although not as prominent as in other animals, humans also experience seasonal variations in sleep duration and circadian processes. These variations are likely primarily driven by changes in photoperiod length. Anecdotally, many people report experiencing fatigue and low energy levels, particularly during spring in Germany, Switzerland and Austria. This phenomenon is commonly referred to as 'spring fatigue'. However, scientific evidence for such a seasonal syndrome is missing. We thus investigated temporal variations in fatigue, daytime sleepiness, insomnia symptoms and sleep quality through an online survey including nine assessments of the same individuals over 1 year. We hypothesised that fatigue and daytime sleepiness would be higher during shorter photoperiods. We further expected lower sleep quality and more severe insomnia symptoms under shorter photoperiods. Additionally, we explored variations with photoperiod change, across months and seasons. Hypotheses were tested using Bayesian linear mixed-effects models. The study and analyses were pre-registered. Between April 2024 and September 2025, 418 adults (80% women) completed at least two assessments. Nearly half of the participants (47%) reported experiencing spring fatigue. Repeated assessments across 1 year showed no evidence for seasonal or monthly variations in fatigue, sleepiness, insomnia symptoms or sleep quality. Fatigue during day-to-day activities decreased with longer photoperiods but was independent of photoperiod change. Overall, the results provide evidence against spring fatigue as a genuine seasonal phenomenon. The discrepancy between high self-reports of the phenomenon and stable longitudinal patterns suggests that spring fatigue may reflect cultural labelling and result from cognitive-perceptual biases, rather than being a genuine seasonal syndrome.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70319"},"PeriodicalIF":3.9,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377882","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

Epithelial Na⁺/K⁺ Imbalance and Impaired Na⁺/K⁺-ATPase Activity as Surface Markers of Airway Remodelling in Obstructive Sleep Apnea. 上皮Na+/K+失衡和Na+/K+- atp酶活性受损作为阻塞性睡眠呼吸暂停气道重构的表面标志物

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-03-02 DOI: 10.1111/jsr.70323

Yen-Chun Chen, Chi-Hsuan Huang, Chia-Han Chen, Yun-Ho Lin, Shih-Han Hung, How Tseng, Fu-Der Mai

{"title":"Epithelial Na+/K+ Imbalance and Impaired Na+/K+-ATPase Activity as Surface Markers of Airway Remodelling in Obstructive Sleep Apnea.","authors":"Yen-Chun Chen, Chi-Hsuan Huang, Chia-Han Chen, Yun-Ho Lin, Shih-Han Hung, How Tseng, Fu-Der Mai","doi":"10.1111/jsr.70323","DOIUrl":"https://doi.org/10.1111/jsr.70323","url":null,"abstract":"Airway remodelling in obstructive sleep apnea encompasses diverse histopathological and neuromuscular alterations, yet surface-level epithelial changes and ionic characteristics remain insufficiently studied. Using time-of-flight secondary ion mass spectrometry, this study identified disrupted epithelial ionic homeostasis in the upper airway. Inferior turbinate specimens were collected from 18 patients with obstructive sleep apnea and 22 controls undergoing upper airway surgery. Compared with controls, specimens from patients with obstructive sleep apnea demonstrated significantly elevated sodium-to-potassium ratios (1.66 ± 1.38 vs. 0.83 ± 0.38, p = 0.033), with a marginal association persisting after adjustment for age and body mass index (p = 0.057). Immunohistochemistry revealed reduced sodium-potassium adenosine triphosphatase expression in the epithelium of obstructive sleep apnea specimens (p = 0.0077), while histology showed epithelial metaplasia and inflammatory changes. Among several machine learning classifiers, the random forest model achieved the highest diagnostic performance, yielding an area under the curve of 0.7928 and consistently identifying the sodium-to-potassium ratio as the most discriminative feature. Together, these findings demonstrate that disrupted sodium-to-potassium balance and diminished sodium-potassium adenosine triphosphatase expression constitute epithelial signatures in obstructive sleep apnea. Such ionic dysregulation may impair membrane potential and pharyngeal muscle responsiveness, thereby promoting airway collapsibility. Given the established role of ion channels in neuromuscular regulation, the epithelial sodium-to-potassium ratio may represent not only a diagnostic biomarker but also a potential predictor of therapeutic response to potassium channel-targeted interventions.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70323"},"PeriodicalIF":3.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344676","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

Smart Lighting and Mindfulness Interventions: Pathways to Better Health and Learning in High School Education. 智能照明和正念干预：改善高中教育健康和学习的途径。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-02-28 DOI: 10.1111/jsr.70307

Ya-Ting Carolyn Yang, Jeen-Shing Wang, Maira Karan, Jamie M Zeitzer

{"title":"Smart Lighting and Mindfulness Interventions: Pathways to Better Health and Learning in High School Education.","authors":"Ya-Ting Carolyn Yang, Jeen-Shing Wang, Maira Karan, Jamie M Zeitzer","doi":"10.1111/jsr.70307","DOIUrl":"https://doi.org/10.1111/jsr.70307","url":null,"abstract":"Adolescents worldwide suffer from severe sleep deprivation and negative emotional states, leading to diminished learning performance. It may be possible to increase students' sleep as well as improve associated emotional states (e.g., stress, depression) and learning performance (e.g., concentration, academic achievement) through non-pharmacological methods. Five classrooms of tenth grade female students in Taiwan were exposed to five different interventions meant to increase sleep duration over the course of a 19-week semester: control (conventional health course, typical indoor lighting), Group 1 (30 min of morning outdoor exercise), Group 2 (mindfulness-based sleep course), Group 3 (4 h of morning simulated sunlight exposure from a smart lighting system), Group 4 (both mindfulness-based sleep course and smart lighting). Sleep, cognitive, emotional, and educational outcomes were tracked. As compared to the control condition, morning outdoor exercise did not improve health or learning performance. The smart indoor lighting and mindfulness-based sleep course independently improved students' sleep duration, emotional states, and concentration. The combination of the mindfulness-based sleep course and the smart lighting system elicited the greatest changes in students' physical and mental health, including improving academic achievement. This study suggests that in the future, existing conventional health courses in schools could be replaced or supplemented with a mindfulness-based sleep course and classroom lighting could be replaced with smart lighting systems to provide better health and learning benefits for adolescent students.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70307"},"PeriodicalIF":3.9,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317368","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 Knowledge and Cognitions and Their Relation to Behavioural Sleep Indices. 睡眠知识和认知及其与睡眠行为指数的关系。

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-02-28 DOI: 10.1111/jsr.70320

Kristen E Boog, Emily M Bartholomay, Karla K Fehr

{"title":"Sleep Knowledge and Cognitions and Their Relation to Behavioural Sleep Indices.","authors":"Kristen E Boog, Emily M Bartholomay, Karla K Fehr","doi":"10.1111/jsr.70320","DOIUrl":"https://doi.org/10.1111/jsr.70320","url":null,"abstract":"The aim of the present study was to examine a novel model of the causal relationships among dysfunctional sleep beliefs, repetitive negative thinking (RNT), sleep knowledge, sleep habits and sleep outcomes. Participants were 190 college students who completed baseline questionnaires and wore actigraphy for two nights. Path analysis was used to examine whether sleep habits, knowledge and beliefs and RNT predicted sleep onset latency (SOL), total sleep time (TST) and wake time after sleep onset (WASO). The hypothesised model provided adequate fit to the data with one area of potential model misspecification. The re-specified model provided significantly better fit to the data and predicted a significant but small amount of variability in behavioural indices of sleep. Findings demonstrate that cognitive aspects (e.g., RNT, dysfunctional sleep beliefs) predict sleep outcomes, providing support for treatment components of cognitive-behavioural therapy for insomnia. The lack of direct effects of sleep habits and knowledge on sleep outcomes confirms that interventions to improve sleep in college students likely need to go beyond addressing knowledge of recommended sleep habits.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70320"},"PeriodicalIF":3.9,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317403","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

Digital Cognitive Behavioural Therapy for Insomnia Compared to Sleep Health Education in Older Adults With Mild Cognitive Impairment and Insomnia: A Feasibility Randomised Controlled Trial. 数字认知行为治疗失眠症与睡眠健康教育在老年轻度认知障碍和失眠症患者中的比较：一项可行性随机对照试验

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-02-26 DOI: 10.1111/jsr.70317

Camilla M Hoyos, Nicole Espinosa, Nathaniel S Marshall, Haley M LaMonica, Christopher J Gordon, Simon D Kyle, Ronald R Grunstein, Sharon L Naismith

{"title":"Digital Cognitive Behavioural Therapy for Insomnia Compared to Sleep Health Education in Older Adults With Mild Cognitive Impairment and Insomnia: A Feasibility Randomised Controlled Trial.","authors":"Camilla M Hoyos, Nicole Espinosa, Nathaniel S Marshall, Haley M LaMonica, Christopher J Gordon, Simon D Kyle, Ronald R Grunstein, Sharon L Naismith","doi":"10.1111/jsr.70317","DOIUrl":"https://doi.org/10.1111/jsr.70317","url":null,"abstract":"While symptoms of insomnia are common in older adults with mild cognitive impairment (MCI) and predict future cognitive decline, a robust evidence base for treating insomnia in MCI is lacking. This study investigated the feasibility of recruiting and delivering a digital cognitive behavioural therapy for insomnia (dCBT-I) in this group. In a parallel open-label randomised-controlled feasibility trial, participants were recruited and screened via the internet and assessed for MCI using videoconference methods. Eligible participants were randomised to dCBT-I (Sleepio, 6 weekly sessions) or control (3 online modules of sleep health education) over a 12-week period. Inclusion criteria included adults aged ≥ 50 years, Insomnia Severity Index (ISI) > 10, and clinical criteria of MCI on a neuropsychological battery. The primary outcomes were the proportion of participants who met screening and randomisation criteria, and their recruitment pathway (clinic vs. online). A secondary outcome was the effect size of the difference in ISI between groups at week 12. Recruitment occurred March-August 2023 (dCBT-I = 19; control = 21; 30 females; mean [SD] age = 59.7 years [7.3]; ISI = 17.0 [3.7]). 37% of participants issued a pre-screening number (n = 246) were eligible to attend online screening. 47% of those issued a screening number (n = 90) were eligible to be randomised (n = 42), with 2 not proceeding (final n = 40). dCBT-I improved 12 weeks ISI compared to control (Cohen's d [95% CI] -1.6 [-2.4 to -0.8]). 79% of participants completed ≥ 4 sessions. This population can be recruited through online pathways and follow the protocol as well as adhere to the intervention of this remotely conducted trial. Trials Registration: ClinicalTrials.gov Registry: (NCT05568381 registered 03/10/2022).","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70317"},"PeriodicalIF":3.9,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307065","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 6 Months of Dietary Counselling on Sleep Outcomes Among Patients With Cardiovascular Diseases: A Randomised Controlled Trial. 6个月饮食咨询对心血管疾病患者睡眠结果的影响：一项随机对照试验

IF 3.9 3区医学

Journal of Sleep Research Pub Date : 2026-02-24 DOI: 10.1111/jsr.70311

Auke J C F Verkaar, Iris van Damme, Eva R van Veldhuisen, H Myrthe Boss, Johanna M Geleijnse, Renate M Winkels

{"title":"The Effect of 6 Months of Dietary Counselling on Sleep Outcomes Among Patients With Cardiovascular Diseases: A Randomised Controlled Trial.","authors":"Auke J C F Verkaar, Iris van Damme, Eva R van Veldhuisen, H Myrthe Boss, Johanna M Geleijnse, Renate M Winkels","doi":"10.1111/jsr.70311","DOIUrl":"https://doi.org/10.1111/jsr.70311","url":null,"abstract":"Sleep problems are highly prevalent among patients with cardiovascular diseases (CVD). We examined the effect of dietary counselling on sleep outcomes among patients with CVD. We performed secondary analyses within a previously conducted six-month randomised controlled trial among patients with CVD. Within the trial, the intervention group received dietary counselling aimed to increase adherence to the Dutch dietary guidelines and the control group received usual care. Diet quality was assessed with an index, in which higher scores (range 0-160) indicated better adherence. Sleep outcomes were assessed with the Pittsburgh Sleep Quality Index. An overall score > 5 was classified as a poor sleep quality. Among the 112 patients with CVD included in these analyses (68.9 ± 9.2 years; 74% male; 27.7 ± 4.0 kg/m2), 32% had a poor sleep quality at baseline. Diet quality seemed to improve more in the intervention group (from 104.7 ± 16.5 to 117.0 ± 16.1) than in the control group (from 102.1 ± 22.2 to 107.7 ± 19.7). The intervention did not result in statistically significant differential changes over time between the intervention (n = 57) and control group (n = 55) for sleep quality (0.2 points on overall PSQI; 95% CI -0.6, 1.0), sleep duration (9.0 min; 95% CI -15.8, 33.8), sleep onset latency (3.8 min; 95% CI -3.5, 11.1), or sleep efficiency (-0.2%; 95% CI -4.0, 3.7). To conclude, counselling on a healthy diet did not result in better sleep outcomes among patients with CVD. Improvements in diet quality within this study might have been insufficient to affect sleep, or improving diet quality might not affect sleep among patients with CVD.","PeriodicalId":17057,"journal":{"name":"Journal of Sleep Research","volume":" ","pages":"e70311"},"PeriodicalIF":3.9,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284181","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