Sleep medicine最新文献

{"title":"Theta-tACS modulates brain-heart interplay to enhance sleep in insomnia disorder","authors":"Ziqiang Shao ,&nbsp;Zhen Wang ,&nbsp;Qihan Li ,&nbsp;Zhe Du ,&nbsp;Jiayi Liu ,&nbsp;Yan Li ,&nbsp;Xumeng Zhao ,&nbsp;Dahua Yu ,&nbsp;Xiaona Sheng ,&nbsp;Yifei Zhu ,&nbsp;Kai Yuan","doi":"10.1016/j.sleep.2025.106606","DOIUrl":"10.1016/j.sleep.2025.106606","url":null,"abstract":"<div><div>Insomnia disorder (ID) is not merely a psychiatric condition but is also closely related to cardiovascular health. However, the role of brain-heart interplay (BHI) in the pathophysiology of ID, as well as the impact of transcranial current stimulation (tACS) on BHI, remains poorly understood. This study aimed to examine BHI alterations in ID and to investigate whether tACS can modulate these changes. Forty-four individuals with ID and 32 healthy controls (HCs) were enrolled. Patients with ID received theta-frequency tACS targeting the F3 electrode for 10 consecutive days. Synchronous electroencephalogram (EEG) and electrocardiogram (ECG) recordings were collected for the IDs before and after treatment. Bidirectional BHI metrics, derived from a synthetic data generation (SDG) model, as well as EEG power and heart rate variability (HRV), were compared between IDs and HCs at baseline, and pre-vs. post-tACS in IDs. Correlation and mediation analyses were conducted between BHI and behavioral outcomes. Our results revealed significantly increased BHI in both directions in IDs compared to HCs. Top-down BHI was associated with sleep quality (Pittsburgh Sleep Quality Index), while bottom-up BHI correlated with anxiety severity (Hamilton Anxiety Rating Scale). Notably, θ-tACS modulated the aberrant BHI in IDs. Furthermore, baseline top-down BHI at Fz predicted improvements in sleep quality and depressive symptoms, and mediated their recovery. These findings extend the hyperarousal theory of ID by highlighting the role of BHI, and suggest that BHI may serve as a promising predictor of clinical outcomes following θ-tACS intervention.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106606"},"PeriodicalIF":3.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectory of sleep patterns across adolescence in autistic and neurotypical youth","authors":"Beth A. Malow ,&nbsp;Rachael A. Muscatello ,&nbsp;Trey McGonigle ,&nbsp;Simon Vandekar ,&nbsp;Blythe A. Corbett","doi":"10.1016/j.sleep.2025.106604","DOIUrl":"10.1016/j.sleep.2025.106604","url":null,"abstract":"<div><h3>Study objectives</h3><div>Changes in sleep-wake patterns are synonymous with the developmental transition to adolescence. To examine the trajectory of sleep-wake patterns in adolescents with autism spectrum disorder (ASD) compared to typically developing (TD) adolescents.</div></div><div><h3>Methods</h3><div>The total sample consisted of 244 participants, 140 with ASD and 104 who were TD. Sleep data were collected annually in a 4-year longitudinal study on pubertal development, at four time points (10–13 years, 11–14 years, 12–15 years, and 13–16 years). Changes in self-reported weekday and weekend bedtime and waketime across pubertal status were compared between TD and ASD participants, using mixed effects models adjusted for sex, reported night wakings, melatonin use and a diagnosis by puberty interaction. A repeated measures adjusted proportional odds model was used to model reported daytime sleepiness using the same independent variables.</div></div><div><h3>Results</h3><div>The ASD and TD groups differed in the change in bedtime across pubertal stages (diagnosis by puberty interaction, X² = 24.27, df = 3, p &lt; 0.001). At time 1 (ages 10–13 years), bedtime was comparable in the autism and TD groups for both weekdays and weekends. As Tanner stage progressed, the TD group had later bedtimes compared to those with ASD. Moreover, there was a significant diagnosis by puberty interaction in daytime sleepiness (X² = 20.71, df = 3, p = 0.001) characterized by TD youth endorsing greater daytime sleepiness at later pubertal stages than ASD youth.</div></div><div><h3>Conclusions</h3><div>Autistic and TD adolescents exhibit differences in bedtime and daytime sleepiness with pubertal development. These differences may be related to hormonal differences or behavioral factors in these populations and warrant further study.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106604"},"PeriodicalIF":3.8,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep spindle density and sleep depth as predictors of cardiovascular outcomes: A prospective EEG study","authors":"Alen Juginović ,&nbsp;Ivan Aranza ,&nbsp;Valentina Biloš","doi":"10.1016/j.sleep.2025.106599","DOIUrl":"10.1016/j.sleep.2025.106599","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to investigate the relationship between sleep EEG features and cardiovascular outcomes in a large prospective cohort. We aimed to identify key EEG markers that could serve as indicators of cardiovascular risk.</div></div><div><h3>Methods</h3><div>This study utilized baseline polysomnography (PSG) data from Sleep Heart Health Study Visit 1 (SHHS1), including 5782 participants aged 40 and older. PSG recorded EEG features including sleep spindle density, power, and the odds ratio product (ORP), a measure of sleep depth. Cardiovascular outcomes, including CHD and CVD incidence and mortality, were assessed during the follow-up visit (SHHS2). Statistical analysis included logistic regression and receiver operating characteristic (ROC) curves to examine associations between EEG features and CHD/CVD risk.</div></div><div><h3>Results</h3><div>Among 5782 participants (median age: 63 years; 47.6 % male), 15.7 % had CHD, and 23.7 % had CVD. CHD- and CVD-related deaths occurred in 4.6 % and 7.1 % of participants, respectively. Higher ORP, indicating shallower sleep, was associated with a 78.2 % increased risk of CHD and a 63.8 % increased risk of CVD. Short REM latency was also linked to increased cardiovascular risk. In contrast, higher sleep spindle density and frequency and greater REM sleep proportion were protective, reducing odds of CHD, CVD, and mortality. Elevated ORP in non-REM sleep was associated with a 133.8 % increase in CHD mortality and 63.7 % increase in CVD mortality.</div></div><div><h3>Conclusions</h3><div>Sleep spindle density and sleep depth are key EEG features associated with cardiovascular outcomes. EEG patterns from routine sleep studies may offer valuable biomarkers for identifying individuals at elevated cardiovascular risk, enabling earlier preventive interventions.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106599"},"PeriodicalIF":3.8,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two different interpretations of heterogeneity: one justifies and the other limits meta-analysis","authors":"Masoud Mohammadi","doi":"10.1016/j.sleep.2025.106603","DOIUrl":"10.1016/j.sleep.2025.106603","url":null,"abstract":"","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106603"},"PeriodicalIF":3.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insomnia and emotional dysfunction: Altered brain network connectivity across sleep and wakefulness states","authors":"Siyu Li ,&nbsp;Zhuo Wang ,&nbsp;Yun Li ,&nbsp;Xue Luo ,&nbsp;Taotao Ru ,&nbsp;Qingwei Chen ,&nbsp;Guofu Zhou","doi":"10.1016/j.sleep.2025.106582","DOIUrl":"10.1016/j.sleep.2025.106582","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the relationship between insomnia-induced sleep disturbance and emotional dysfunction and whether the brain network functional connectivity patterns during either wakefulness or sleep states functioned as a mediator in this relationship.</div></div><div><h3>Methods</h3><div>Twenty participants with non-clinical insomnia disorder (ID) and 20 normal controls (NC) were recruited and underwent resting-state Electroencephalography (EEG) recordings during wakefulness and sleep stages. Functional connectivity was analyzed using coherence (COH) across multiple frequency bands. The relationships between COH metrics and self-reported emotional measures and the potential mediation effects were investigated.</div></div><div><h3>Results</h3><div>The ID group revealed sleep stage-specific alterations in brain network functional connectivity, with enhanced alpha connectivity being observed in non-rapid eye movement (NREM) sleep and increased delta connectivity in both phasic and tonic rapid eye movement (REM) sleep stages. Increased alpha band connectivity in anterior-posterior networks during wakefulness was associated with emotional regulation difficulties and depressive symptoms. Mediation analyses showed that alpha and delta band connectivity between frontal-occipital regions mediated the relationship between insomnia and emotional dysregulation.</div></div><div><h3>Conclusions</h3><div>These findings reveal the pattern of functional connectivity is differently changed in insomnia disorder across wakefulness and sleep states, and such connectivities play a mediation rolein relationship between chronic sleep disruption and emotional regulation in insomnia disorder. These findings provide a novel insight into the neurophysiological mechanisms linking sleep disruption to emotional dysfunction and suggest these aberrant functional connectivity patterns as potential neurophysiological targets for insomnia intervention.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106582"},"PeriodicalIF":3.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond infantile colic: tracking motor skills, sensory processing, and sleep at the cusp of toddlerhood","authors":"Rabia Zorlular ,&nbsp;Halil Degirmencioglu ,&nbsp;Ali Zorlular","doi":"10.1016/j.sleep.2025.106598","DOIUrl":"10.1016/j.sleep.2025.106598","url":null,"abstract":"<div><div>This study aimed to evaluate the motor development, sensory processing skills, and sleep characteristics of toddlers with a history of infantile colic and compare them to their typically developing peers. A total of 46 toddlers were included in the study: 24 toddlers with a history of infantile colic and 22 typically developing peers (control group), aged between 10 and 15 months. Sensory processing skills, motor development, and sleep characteristics were evaluated using the Test of Sensory Functions in Infants, the Peabody Developmental Motor Scales–2, and the Brief Infant Sleep Questionnaire, respectively. Significant differences in favor of the control group were observed in reactivity to tactile deep pressure (p = 0.026), adaptive motor function (p = 0.003), visual-tactile integration (p = 0.012), and total scores (p &lt; 0.001) assessed by the TSFI, as well as in the control group scored higher in gross motor (p &lt; 0.001), fine motor (p = 0.025), and total motor scores (p &lt; 0.001) measured by the PDMS-2. Upon examining the sleep characteristics of the groups, nighttime sleep duration (p = 0.039) and total sleep duration (p = 0.009) were significantly longer in the control group. The colic group exhibited a significantly higher frequency of nocturnal awakenings (p = 0.004) and greater nocturnal wakefulness (p = 0.006). Toddlers with a history of infantile colic experience greater difficulties in sleep patterns, sensory processing, and motor development compared to their peers. Early evaluation and targeted intervention programs are crucial for addressing these potential developmental delays.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106598"},"PeriodicalIF":3.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Same scale, different names? An assessment of the psychometric properties of three established scales that measure cognitive processes in insomnia, and the introduction of the sleep worry 7 questionnaire","authors":"Sebastian Isaksson ,&nbsp;Vera Henriksson ,&nbsp;Osame Salim ,&nbsp;Charlotte Bäccman ,&nbsp;Annika Norell","doi":"10.1016/j.sleep.2025.106595","DOIUrl":"10.1016/j.sleep.2025.106595","url":null,"abstract":"<div><h3>Background</h3><div>Previous reports have highlighted the abundance of cognitive constructs in insomnia research as a growing issue. Several questionnaires that measure sleep-related cognitions have been developed and there are indications of conceptual overlap between different cognitive constructs and the questions used to operationalize them.</div></div><div><h3>Objectives</h3><div>This study examines the convergent validity of three established questionnaires measuring cognitive processes in insomnia: the Anxiety and Preoccupation about Sleep Questionnaire (APSQ), the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-10), and the Pre-Sleep Arousal Scale (PSAS-C). Another objective was to explore how a briefer scale can be structured as well as to investigate this scale's ability to predict incident and persistent insomnia compared to the established scales.</div></div><div><h3>Methods</h3><div>2333 participants from the general population completed surveys on insomnia symptoms and cognitive processes at baseline and 18 months later. Confirmatory factor analysis was used to investigate the scales' conceptual overlap as well as distinctive factors. An exploratory factor analysis was conducted to investigate the underlying factor structure of the items from the APSQ, the DBAS-10 and the PSAS-C. This analysis formed the basis of the creation of a new short scale: Sleep Worry 7. Binary logistic regressions were used to assess all scales’ abilities to predict incident and persistent insomnia.</div></div><div><h3>Results and conclusions</h3><div>The overlap between the three scales was neither large enough to conclude that they are measuring the same construct, nor could it be confirmed that they measure three distinct questionnaire-specific cognitive processes within insomnia. The brief scale created within this study was able to predict persistent insomnia at similar levels to the three established scales combined, indicating that it captures important cognitions involved in the maintenance of insomnia. Measuring sleep-related cognitions with fewer items might be beneficial in both clinical contexts and research.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106595"},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported outcome measure for central disorders of hypersomnolence (PROM-CDH): development and validation","authors":"Bijlenga Denise ,&nbsp;De Boer Josephine ,&nbsp;Fronczek Rolf ,&nbsp;Tiemensma Jitske ,&nbsp;Lammers Gert Jan","doi":"10.1016/j.sleep.2025.106589","DOIUrl":"10.1016/j.sleep.2025.106589","url":null,"abstract":"<div><h3>Study objectives</h3><div>Central disorders of hypersomnolence (CDH) have a major impact on patients' quality of life (QoL). We developed and validated a disease-specific patient-reported outcome measure (PROM) to measure QoL in CDH: the PROM-CDH, for adults with narcolepsy types 1 and 2 (NT1 and NT2), and idiopathic hypersomnia (IH).</div></div><div><h3>Methods</h3><div>The developmental process involved focus groups and interviews with adults with CDH (n = 27), family members (n = 8) and sleep medicine specialists (n = 5). In the quantitative evaluation, the draft version of the PROM-CDH, together with the Epworth Sleepiness Scale (ESS), Fatigue Severity Scale (FSS), Hospital Anxiety and Depression Scale (HADS), ADHD rating scale (ADHD-RS) and the 36-item Short Form (SF-36) were filled out online by N = 369 patients with (suspected) CDH.</div></div><div><h3>Results</h3><div>Internal consistency was good for the total group and within diagnostic groups (all Cronbach's α &gt; .8). Age was positively (β = .11; p = .003), and female gender (β = −3.67; p = .002), comorbid sleep apnea (β = −4.77; p = .005), and depression (β = −12.71; p &lt; .001) were negatively associated with the PROM-CDH score. Exploratory and confirmatory factor analyses resulted in five subscales. Convergent validity showed highest correlation between the PROM-CDH total score and HADS Depression (r = −.71; p &lt; .01); and the SF-36 subscales Emotional wellbeing (r = .65; p &lt; .01) and Energy/fatigue (r = .71; p &lt; .01). Additional adjustments including content validity in consensus rounds resulted in the final PROM-CDH (version 1, 2023).</div></div><div><h3>Conclusions</h3><div>The PROM-CDH has high potential in clinical practice for patients with CDH, to support clinical care, as an important outcome in clinical trials, and as a sleep care quality indicator. Further international validation is ongoing, and it is freely available in multiple languages.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106589"},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of sleep quality on glucose variability among adolescents with type 1 diabetes in China: A multi-central temporal longitudinal association analysis","authors":"Qingting Li ,&nbsp;Wencong Lv ,&nbsp;Weichao Yuwen ,&nbsp;Zhumin Jia ,&nbsp;Xia Li ,&nbsp;Jia Guo","doi":"10.1016/j.sleep.2025.106597","DOIUrl":"10.1016/j.sleep.2025.106597","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Study objectives&lt;/h3&gt;&lt;div&gt;High glucose variability is common among adolescents with type 1 diabetes mellitus (T1DM). On person level, poor sleep quality has been reported to be an important factor associated with high glucose variability among adolescents with T1DM. However, on day level, the effect of sleep quality on glucose variability remains unclear, limiting temporal adjustment of treatment regimens. This study aimed to concurrently explore associations between sleep quality and glucose variability at both day and person levels among Chinese adolescents with T1DM based on the 24-h Recursive Cycle model.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A multi-center, seven-day, temporal longitudinal study was conducted among Chinese adolescents with T1DM. Glucose variability measures were calculated by fingertip blood glucose level at least seven times a day. Subjective sleep quality was measured by total sleep time, wake after sleep onset, number of awakenings, a score of sleep quality, sleep time, and wake time using a sleep diary. Objective sleep quality was assessed by Fitbit Inspire HR and included total sleep time, wake after sleep onset, and number of awakenings, rapid eye movement, light sleep time, deep sleep time, sleep time, wake time, sleep midpoint, and sleep efficiency. A multilevel linear regression model was performed to examine the associations between objective and subjective sleep quality and glucose variability at day and person levels. Gender, age, diabetes duration, complications documented within the preceding 6 months, HbA1c, and insulin pump therapy were controlled at person-level model.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 51 adolescents with T1DM participated in this study, which included 357 records of data. Only 21.57 % (N = 12) of adolescents met the recommended sleep time of 480 min per night measured by Fitbit. About a quarter (N = 11) of adolescents had a coefficient of variation of blood glucose &gt;36 %. At person level, there was no significant association between sleep quality and glucose variability (&lt;em&gt;p &gt;&lt;/em&gt; 0.05). Multilevel models found significant associations between sleep quality and glucose variability at day level. Lower score of subjective sleep quality was significantly associated with higher standard deviation of blood glucose (&lt;em&gt;p &lt;&lt;/em&gt; 0.05) in the next day. Less Fitbit-measured light sleep time was significantly associated with higher standard deviation of blood glucose, and postprandial of glycemic excursions in the next day (&lt;em&gt;p &lt;&lt;/em&gt; 0.05). More Fitbit-measured awakenings and less rapid eye movement were associated with higher postprandial glycemic excursions in the next day (&lt;em&gt;p &lt;&lt;/em&gt; 0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Nearly 80 % of Chinese adolescents with T1DM did not meet the recommended amount of sleep for their age group. They experienced more wakes after sleep onset at night and poorer sleep quality than their subjective experience. A","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106597"},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The informed choice model of care: Offering caregivers choices for infant behavioural sleep intervention","authors":"Sarah Blunden ,&nbsp;Sarah Honaker ,&nbsp;Jacy Hyland ,&nbsp;Perran Boran ,&nbsp;Alex Metse","doi":"10.1016/j.sleep.2025.106596","DOIUrl":"10.1016/j.sleep.2025.106596","url":null,"abstract":"<div><div>Sleep in infants aged 6–18 months can be disrupted and may cause impairment in some families. Caregivers often seek assistance to improve their infant's sleep through behavioural sleep interventions (BSI). BSI approaches can vary considerably ranging from leaving a child to cry alone to reactive co-sleeping. The majority of available literature on BSI focusses on less responsive approaches (such as controlled crying or cry-it-out) and so understandably these are the most commonly recommended and prescribed by health professionals. However, these may not be the preferred option for some caregivers. Many factors influence caregiver choice of a preferred intervention for their infant, including their beliefs about controlled crying, caregiver cry-tolerance, infant age and temperament, and cultural norms. Yet many caregivers seeking help from healthcare providers for infant sleep report being presented with only one or two BSI options, denying them the opportunity to make an informed decision about a preferred choice.</div><div>We propose here the notion of an Informed Choice Model of Care (ICMoC) in which those caregivers who are seeking help for perceived sleep problems in their infants, are informed about a broad range of BSIs and select an approach that best fits their needs and preferences in collaboration with their child's healthcare provider. We suggest that the use of the ICMoC may increase caregiver agency and empowerment, facilitate successful completion of BSI protocols, and thus reduce the negative impacts of poor sleep for infants and their families.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"133 ","pages":"Article 106596"},"PeriodicalIF":3.8,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}