Sleep medicine最新文献

{"title":"Sleep problems in preschool mediate the association between chronotype and socioemotional problems at school-age","authors":"Derric Z.H. Eng ,&nbsp;Elaine K.H. Tham ,&nbsp;Nur K. Jafar ,&nbsp;Jael S.Y. Tan ,&nbsp;Daniel Y.T. Goh ,&nbsp;Yung Seng Lee ,&nbsp;Lynette P. Shek ,&nbsp;Oon-Hoe Teoh ,&nbsp;Fabian Yap ,&nbsp;Kok Hian Tan ,&nbsp;Johan G. Eriksson ,&nbsp;Yap Seng Chong ,&nbsp;Michael J. Meaney ,&nbsp;Shirong Cai ,&nbsp;Birit F.P. Broekman","doi":"10.1016/j.sleep.2024.09.003","DOIUrl":"10.1016/j.sleep.2024.09.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Evening-chronotype is associated with increased socioemotional problems among school-aged children. Inadequate sleep and increased sleep problems are also prevalent among evening-chronotype children and may underlie the relationship between chronotype and socioemotional problems. However, it is unclear whether the association between chronotype and socioemotional problems at school-age may be mediated by poorer sleep during late preschool.</p></div><div><h3>Methods</h3><p>Our study utilized cross-sectional data to examine the relations between chronotype, sleep duration, sleep problems and socioemotional problems in preschoolers. We subsequently performed longitudinal mediation analyses to examine how the association between chronotype at preschool-age and later socioemotional problems at school-age may be mediated by sleep problems and sleep duration during late preschool. 399 children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort study were included for analyses. Children's chronotype were identified with the Children's Chronotype Questionnaire at 4.5 years old. Sleep duration and problems were measured with the Children's Sleep Habits Questionnaire at 4.5 and 6 years old. Socioemotional problems were evaluated using the Child Behavioral Checklist at 4 and 7 years of age. All questionnaires were caregiver-reported.</p></div><div><h3>Results</h3><p>Linear regressions demonstrated that eveningness was associated with concurrent sleep problems and internalizing, externalizing and total behavioral problems at 4–4.5 years old, but not sleep duration. Mediation analyses supported that sleep problems (and not sleep duration) at 6 years old mediated the relationship between chronotype and socioemotional problems at 7 years old.</p></div><div><h3>Conclusions</h3><p>Our findings suggest addressing sleep problems during early development may reduce socioemotional problems at school-age, especially among evening-chronotype children.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 174-186"},"PeriodicalIF":3.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1389945724004246/pdfft?md5=bebace6ba0cc93ad493d7907ebb0aded&pid=1-s2.0-S1389945724004246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unlocking the role of Galectin-3: Implications for sleep disorders and health","authors":"Monica Levy Andersen,&nbsp;Mariana Moyses-Oliveira,&nbsp;Sergio Tufik","doi":"10.1016/j.sleep.2024.09.016","DOIUrl":"10.1016/j.sleep.2024.09.016","url":null,"abstract":"<div><p>Galectin-3 is a member of the lectin family, and is an intriguing protein that is found in diverse tissues across the body. It is known for its multifaceted involvement in various physiological functions, including tissue repair, immune function and neuroinflammation in the central nervous system. It also serves as a paracrine signal, promoting the growth of certain cells and contributing to fibrosis, while higher levels of Galectin-3 in the bloodstream correlate with an increased risk of mortality and cardiovascular disease-related outcomes in the general population. Recent scientific studies have identified a potential link between Galectin-3 and sleep disorders. However, the precise mechanisms through which galectin-3 influences sleep disorders remain an active area of investigation. Although initial studies suggest a potential association between Galectin-3 and sleep disruptions, including conditions, such as insomnia, insufficient sleep time, and obstructive sleep apnea, further research is required to establish a more definitive relationship. This review explores recent findings regarding the potential connection between Galectin-3 and sleep patterns, and offers insights into the complex interplay between this protein and sleep. These discoveries present promising prospects for the development of innovative therapeutic approaches aimed at sleep disorder management, using Galectin-3 as a potential target for interventions or as a biomarker for sleep health.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 110-114"},"PeriodicalIF":3.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238471","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":"Temporal link between cardiac arrhythmias and postoperative episodes of hypoxemia during nocturnal sleep in patients with obstructive sleep apnea syndrome","authors":"Ludovic Seguin ,&nbsp;Monique Mendelson ,&nbsp;Stéphane Doutreleau ,&nbsp;Rita Clin ,&nbsp;Marie Destors ,&nbsp;Pierre Albaladejo ,&nbsp;Jean Louis Pépin ,&nbsp;Jean-François Payen ,&nbsp;Renaud Tamisier","doi":"10.1016/j.sleep.2024.09.014","DOIUrl":"10.1016/j.sleep.2024.09.014","url":null,"abstract":"<div><h3>Objective</h3><div>Obstructive Sleep Apnea (OSA) is known to impact morbidity in the perioperative period through a postoperative exacerbation of respiratory events after general anesthesia. Cardiac arrhythmias may be triggered by respiratory and/or hypoxic events, therefore we searched for a temporal link between cardiac arrhythmias and episodes of hypoxemia following surgery under general anesthesia during the nocturnal sleep phase.</div></div><div><h3>Methods</h3><div>We included patients with a preoperative STOP-BANG questionnaire score between 3 and 8, planned for an elective surgery with general anesthesia. Patients had a preoperative sleep study (N0) and two postoperative sleep studies on the first (N1) and third (N3) night after surgery. Patients with mild-to-moderate OSA (apnea/hypopnea index (AHI) between 15 and 30) were compared to patients with an AHI &lt;15 (nil-mild OSA group). Analysis was conducted to detect concomitant hypoxic episodes and cardiac arrhythmias as defined by auricular or ventricular premature complexes, ventricular or supraventricular arrhythmias.</div></div><div><h3>Main results</h3><div>39 patients comprised the moderate-OSA group and 12 patients the nil-mild OSA group. In the whole cohort, the incidence of cardiac arrhythmias associated with hypoxic episodes was increased at N3 compared to N0 (median: 1 event per hour of recorded time [IQR: 0; 4] vs 0 [0; 2], p = 0.04). We observed this in the OSA group compared to the nil-mild OSA group (1 [0; 4] vs 1 [0; 2], respectively; p = 0.02).</div></div><div><h3>Conclusion</h3><div>This study indicates that more cardiac arrhythmias associated with hypoxemic episodes can be observed in the postoperative night, in patients with moderate OSA. This reinforces the importance of preoperative screening for OSA.</div></div><div><h3>Clinical trial registry</h3><div>NCT02833662.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 260-267"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142322662","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":"Video gaming and sleep in adults: A systematic review","authors":"Oreste De Rosa ,&nbsp;Fiona C. Baker ,&nbsp;Giacinto Barresi ,&nbsp;Francesca Conte ,&nbsp;Gianluca Ficca ,&nbsp;Massimiliano de Zambotti","doi":"10.1016/j.sleep.2024.09.015","DOIUrl":"10.1016/j.sleep.2024.09.015","url":null,"abstract":"<div><p>Video games (VGs) are one of the most common forms of entertainment and their diffusion is constantly increasing. Although largely studied in the framework of their relationship with mental and physical health, the relationship of VGs with sleep are not yet fully understood. This review provides a systematic assessment of the studies that investigated the relationships between video gaming and sleep in adults. The review search included both online databases (PubMed, Scopus, and PsycInfo) and citation tracking. Twenty-six studies were included in the final qualitative analysis. Findings are described separately for subjective and objective sleep measures and then discussed considering exposure levels and VG typology. Observational studies showed an association between excessive video gaming, poor sleep quality, and delayed sleep timing, whereas habitual and/or casual use was not associated with poor sleep and some studies even showed a beneficial effect on daytime functioning. Experimental evidence shows that playing an arousing VG before sleep delays sleep onset with possible alteration of sleep structure, whereas non-arousing cognitively challenging video gaming resulted in improved sleep continuity, stability, and organization. Overall, these findings show that the effect of VGs on sleep depends on the level of arousal associated with gaming, gaming sessions’ duration, and frequency of gaming.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 91-105"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1389945724004362/pdfft?md5=5fb328b7ec41a9319ffa21ef1cbdb47c&pid=1-s2.0-S1389945724004362-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between sleep bruxism and snoring in adults: An observational study","authors":"Helena Polmann ,&nbsp;Patrícia Pauletto ,&nbsp;Joyce Duarte ,&nbsp;Jéssica Conti Réus ,&nbsp;Israel Maia ,&nbsp;Graziela De Luca Canto","doi":"10.1016/j.sleep.2024.08.032","DOIUrl":"10.1016/j.sleep.2024.08.032","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the association between sleep bruxism and snoring. Additionally, the associations between sleep bruxism and age, sex, body mass index, sleep structure, sleep quality, and sleepiness were evaluated.</div></div><div><h3>Methods</h3><div>Adults suspected of having sleep disorders (n = 61) underwent single-night video polysomnography according to the American Academy of Sleep Medicine criteria. Validated questionnaires were used to assess sleepiness and sleep quality, and clinical examinations were performed to document weight and height. Jamovi software was used for statistical analysis. Logistic regression analyses of the different sleep stages—REM sleep, NREM sleep, and total sleep time—were conducted.</div></div><div><h3>Results</h3><div>No association was found between sleep bruxism and snoring (P &gt; 0.31), with a small effect size (V = 0.171). However, the snore index was found to influence the rhythmic masticatory muscle activity index during REM sleep, with an odds ratio of 1.018 (95 % CI: 1.005 to 1.03; P = 0.05). Moreover, logistic regression showed that the desaturation index presented an odds ratio of 5.01 (95 % CI: 0.96 to 26.13; p = 0.056), with a medium effect size (&gt;3.5). Sleep bruxism was not associated with age, sex, body mass index, or other sleep variables.</div></div><div><h3>Conclusion</h3><div>Snoring appears to be associated with bruxism during REM sleep. No associations were found between sleep bruxism and sex, age, or body mass index. This lack of association underscores the complexity of sleep bruxism and snoring and highlights the need for further research. Concerning sleep architecture, only desaturation episodes were associated with bruxism during REM sleep. Neither sleep quality nor sleepiness was associated with sleep bruxism.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 276-281"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Images in sleep medicine sleep-disordered breathing in Wolfram's syndrome - A near-fatal event","authors":"Mariana Serino ,&nbsp;Pedro Amorim ,&nbsp;Ana Pimentel ,&nbsp;Paulo Viana ,&nbsp;José Manuel Pereira ,&nbsp;Mafalda van Zeller","doi":"10.1016/j.sleep.2024.09.012","DOIUrl":"10.1016/j.sleep.2024.09.012","url":null,"abstract":"<div><p>Wolfram syndrome (WS) is a rare autosomal-recessive genetic disorder. <em>The authors report a case of a patient with WS and undiagnosed/untreated</em> obstructive sleep apnea <em>(OSA) associated with prolonged periods of apnea and hypopnea and nocturnal hypoxemia</em>, which may have predisposed him to the development of a near-fatal event during sleep. Addressing sleep-disordered breathing in patients with WS could improve their quality of life and potentially their longevity.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 106-109"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238469","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":"Racial and ethnic differences in the receipt of continuous positive airway pressure treatment for obstructive sleep apnea","authors":"Vivian Hsing-Chun Wang ,&nbsp;Yike Li ,&nbsp;David T. Kent ,&nbsp;José A. Pagán ,&nbsp;Milla Arabadjian ,&nbsp;Jasmin Divers ,&nbsp;Donglan Zhang","doi":"10.1016/j.sleep.2024.09.011","DOIUrl":"10.1016/j.sleep.2024.09.011","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the pattern of health services access and utilization that may contribute to racial/ethnic disparities in receiving continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA).</p></div><div><h3>Methods</h3><p>This cross-sectional study used a national sample from the <em>All of Us</em> Research Program, which included over 80 % of participants from underrepresented populations in biomedical research. Study participants included adults aged 18 years and older diagnosed with OSA (N = 8518). Diagnosis of OSA and CPAP treatment were ascertained by diagnostic and procedural codes from the electronic health records. Sociodemographic characteristics and health service utilization factors were identified using self-reported survey data.</p></div><div><h3>Results</h3><p>With this national survey, the overall diagnosed prevalence of OSA was 8.8 %, with rates of 8.12 % in non-Hispanic (NH) Black adults, 5.99 % in Hispanic adults, and 10.35 % in NH White adults. When comparing to NH White adults, Hispanic adults were less likely to receive CPAP treatment for OSA after adjusting for socioeconomic and demographic characteristics, access to and utilization of health services, and comorbidities such as obesity and having multiple chronic conditions (OR = 0.73, 95 % CI = 0.59,0.90), <em>p</em> &lt; 0.01.</p></div><div><h3>Conclusions</h3><p>The rates of CPAP treatment among OSA patients are not consistent across racial and ethnic groups. Unequal access to health services based on residence may contribute to these differences. Interventions that target disparities in OSA diagnosis, access to treatment, and barriers in insurance coverage could potentially help reduce racial and ethnic differences in OSA diagnosis and management.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 42-49"},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230325","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":"Obstructive sleep apnea comorbid with insomnia symptoms and objective short sleep duration is associated with clinical and preclinical cardiometabolic risk factors: Clinical implications","authors":"Slobodanka Pejovic ,&nbsp;Alexandros N. Vgontzas ,&nbsp;Julio Fernandez-Mendoza ,&nbsp;He Fan ,&nbsp;Yun Lin ,&nbsp;Maria Karataraki ,&nbsp;Edward O. Bixler","doi":"10.1016/j.sleep.2024.09.013","DOIUrl":"10.1016/j.sleep.2024.09.013","url":null,"abstract":"<div><h3>Background</h3><p>Insomnia with objective short sleep duration (ISSD) but not insomnia with normal sleep duration (INSD) is associated with cardiometabolic morbidity. It has been reported that sleep apnea comorbid with insomnia (COMISA) confers higher cardiovascular risk than each condition alone. We hypothesize that the association of COMISA with clinical (hypertension) and preclinical (inflammatory and metabolic) biomarkers is driven by the ISSD phenotype.</p></div><div><h3>Methods</h3><p>A clinical sample of 101 adults with mild-to-moderate OSA (mmOSA) (5 ≤ AHI &lt;30) and insomnia symptoms underwent polysomnography or home sleep apnea testing, blood pressure measures (BP), fasting blood glucose, insulin, CRP and IL-6 plasma levels. Insomnia was based on PSQI. Objective short sleep duration was based on the median total sleep time of the sample. Participants were classified into 2 groups based on objective sleep duration: mmOSA with ISSD vs. mmOSA with INSD. Analysis of covariance and logistic regression analysis were conducted controlling for confounders.</p></div><div><h3>Results</h3><p>Systolic and diastolic BP were elevated in the ISSD group compared to INSD group (p = 0.039 and p = 0.004, respectively). Also, the risk of hypertension was significantly higher in the ISSD (OR = 3.88, 95%CI = 1.26–11.95, p &lt; 0.05) compared to INSD group. Plasma IL-6 concentrations and insulin resistance as indexed by glucose/insulin ratio were significantly higher in the ISSD group compared to INSD group (both p &lt; 0.05). CRP levels were not different between the two groups.</p></div><div><h3>Conclusion</h3><p>It appears that the additive adverse effects of COMISA on cardiometabolic risks are driven by the ISSD phenotype, a finding with potential implications for further phenotyping COMISA.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 115-119"},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238176","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":"Mental health, substance use, and a composite of sleep health in adults, 2018 Ohio behavioral risk factor surveillance system","authors":"Christine Horvat Davey ,&nbsp;Stephanie Griggs ,&nbsp;Deepesh Duwadi ,&nbsp;Shemaine Martin ,&nbsp;Ronald L. Hickman Jr.","doi":"10.1016/j.sleep.2024.09.010","DOIUrl":"10.1016/j.sleep.2024.09.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Various factors impact sleep health including mental health and substance use. Mental health issues and substance use continue to rise in the United States. Yet, the association between mental health, substance use and sleep health in adults remains unclear.</div></div><div><h3>Methods</h3><div>We used multivariable linear regression models to examine the associations between mental health (poor mental health days in the past 30 days) and substance use (marijuana, tobacco, alcohol) with sleep health (individual dimensions of sleep: alertness, sleep efficiency, duration, and sleep health composite score) in 4333 participants from the 2018 Ohio Behavioral Risk Factor Surveillance System Survey.</div></div><div><h3>Results</h3><div>Better mental health was associated with higher alertness, higher sleep efficiency, longer sleep duration and a higher sleep health composite score even after controlling for covariates (individual: sex at birth, age, body mass index, race, education, sleep disordered breathing, and area-level: socioeconomic deprivation) (all <em>p</em> &lt; .001). Higher marijuana and tobacco use were associated with lower individual sleep health dimensions (marijuana with sleep efficiency and duration and tobacco use with lower efficiency) and a lower sleep health composite score even after controlling for covariates for tobacco use (<em>p</em> &lt; .001). Contrary to the hypothesis, higher alcohol use was associated with higher alertness and a higher sleep health composite score (<em>p</em> &lt; .001), however after adjusting for covariates these associations were no longer significant.</div></div><div><h3>Conclusions</h3><div>The implications of these trends on sleep health are important to address as mental health and substance use are modifiable targets to consider when addressing sleep health.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 254-259"},"PeriodicalIF":3.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How sleep in patients with serious mental illness is recorded and treated, and its impact on service engagement","authors":"Aviva Stafford ,&nbsp;Sheri Oduola ,&nbsp;Sarah Reeve","doi":"10.1016/j.sleep.2024.09.002","DOIUrl":"10.1016/j.sleep.2024.09.002","url":null,"abstract":"<div><h3>Background</h3><p>Sleep and mental health share a bidirectional relationship whereby problems in one exacerbate the other. Accordingly, sleep problems are frequent and severe in serious mental illness (SMI) populations, exacerbating SMI symptoms. This study examined the documentation and treatment of sleep problems within anonymised clinical records of SMI patients, and their association with attendance rates and number of appointments scheduled.</p></div><div><h3>Methods</h3><p>Patient records between 01.09.2021 and 31.08.2022 were identified and relevant records (<em>n</em> = 229) extracted from an NHS Trust database. Content analysis was used to assess documentation and treatment of sleep problems and Chi-square tests were used to assess demographic differences. Mann-Whitney U tests were used to compare attendance rates and number of appointments scheduled between patients with/without sleep problems.</p></div><div><h3>Results</h3><p>Most (<em>n</em> = 170; 84 %) patients with sleep problems had no or minimal assessment of the sleep problem within their records. Patients were primarily offered no (<em>n</em> = 115; 57 %) or non-recommended (<em>n</em> = 69; 34 %) sleep treatment. More outpatients were offered no sleep treatment (<em>n</em> = 89; 64 %) than inpatients (<em>n</em> = 26; 41 %) (<em>p</em> = .002) whilst more inpatients were offered non-recommended sleep treatments (n = 33; 52 %) than outpatients (<em>n</em> = 36; 26 %) (<em>p</em> &lt; .001). No significant associations were found between sleep and attendance or appointments scheduled.</p></div><div><h3>Conclusions</h3><p>There is a lack of routine clinical attention to sleep assessment and treatment in SMI groups. Where sleep is addressed, treatment often conflicts with guidelines. Improved sleep assessment and treatment could significantly enhance current SMI patient care.</p></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"124 ","pages":"Pages 58-69"},"PeriodicalIF":3.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1389945724004131/pdfft?md5=f19dfe8684d81ce0527b23714d0c023b&pid=1-s2.0-S1389945724004131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}