Sleep and Biological Rhythms最新文献_第4页

Processing in the non-dominant hand during sleep: in terms of early, middle-early and late brain responses 睡眠期间非惯用手的处理过程：早期、中期和晚期的大脑反应

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2024-02-12 DOI: 10.1007/s41105-024-00511-6

Gonca Inanc, Murat Ozgoren, Adile Oniz

{"title":"Processing in the non-dominant hand during sleep: in terms of early, middle-early and late brain responses","authors":"Gonca Inanc, Murat Ozgoren, Adile Oniz","doi":"10.1007/s41105-024-00511-6","DOIUrl":"https://doi.org/10.1007/s41105-024-00511-6","url":null,"abstract":"The aim was to investigate brain responses to non-painful tactile stimuli applied to the non-dominant hand during sleep. 21 healthy subjects participated in the study (11 female, mean age ± SD: 20.67 ± 1.91 years). A 40-channel polysomnography system and a pneumatic tactile stimulator unit were used. Stimuli were applied to the participants’ non-dominant hand. Evoked potential components of the CZ electrode were examined in four sleep stages (N1, N2, N3, and REM). Repeated measures ANOVA was used in statistical analyses. Brain responses, categorized as early (P50, N100, and P200), mid-early (N300, P450, and N550), and late (P900 and Nlate), were detected all sleep stages. No notable variances were found in the amplitude and latency of early brain responses when analyzed across different sleep stages. Differences in both amplitude and latency were observed across different sleep stages for the N300, P450, P900, and Nlate response components. This study presents a pioneering exploration into the responses of the non-dominant hand throughout all sleep stages, encompassing eight distinct response components. This novel investigation contributes to the existing literature by shedding light on previously unexplored aspects. The observed early responses are identified as sensory, while middle to late responses align with cognitive processes within the realm of sleep research. Notably, N300, P450, P900, and Nlate components display variations across diverse sleep stages, marked by alterations in both amplitude and latency. These findings offer valuable insights into the dynamic nature of hand responses throughout the sleep continuum.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"241 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139751744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Examining the structure validity of the Pittsburgh Sleep Quality Index among female workers during New Zealand’s initial COVID-19 lockdown 考察匹兹堡睡眠质量指数在新西兰 COVID-19 封锁初期女工中的结构有效性

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2024-01-19 DOI: 10.1007/s41105-023-00509-6

Margrethe Helles, Richard Fletcher, Mirjam Münch, Rosemary Gibson

{"title":"Examining the structure validity of the Pittsburgh Sleep Quality Index among female workers during New Zealand’s initial COVID-19 lockdown","authors":"Margrethe Helles, Richard Fletcher, Mirjam Münch, Rosemary Gibson","doi":"10.1007/s41105-023-00509-6","DOIUrl":"https://doi.org/10.1007/s41105-023-00509-6","url":null,"abstract":"Sleep is important for good physical and mental health. The COVID-19 pandemic lockdown created a unique context that impacted psychological and social drivers for sleeping well. The Pittsburgh Sleep Quality Index (PSQI) is a widely used measurement tool assessing subjective sleep quality. The traditional model of the PSQI (a one-factor model), whilst validated and used across different populations, has also been questioned with regards to data fit and representativeness of its global score in different social and work-related circumstances. Examination of the structure validity of the PSQI in the unique context of the pandemic has been scarce. This study determined the PSQI structure validity amongst employed women considered to experience increased stressors during the pandemic lockdown. The subjectively reported PSQI data from 498 female workers (mean age 44.6 years) collected during New Zealand’s first national COVID-19 lockdown (April, 2020) was used. Confirmatory factor analyses compared the original one-factor model of the PSQI with the two- and three-factor models used by Jia et al. (2019) within this pandemic context. Results showed that the two-factor model provided a superior fit of the PSQI data compared to the original one-factor or a three-factor model. These findings suggest that a sub-score of the PSQI with two factors appears to be better at describing the sleep quality of healthy working women during the constrained situation of the pandemic lockdown compared to a single global sleep quality score. This indicates the importance of considering the validity of subjective sleep measures when used within unique social contexts and stressors.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"19 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139508857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Demographic predictors of bedtime procrastination in the Japanese population 日本人睡前拖延症的人口学预测因素

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2024-01-18 DOI: 10.1007/s41105-023-00508-7

{"title":"Demographic predictors of bedtime procrastination in the Japanese population","authors":"","doi":"10.1007/s41105-023-00508-7","DOIUrl":"https://doi.org/10.1007/s41105-023-00508-7","url":null,"abstract":"<h3>Abstract</h3> Bedtime procrastination (BP) is prevalent and problematic, with no previous study conducted in Japan. This study developed the Japanese version of the Bedtime Procrastination Scale (BPS), assessed its validity, and investigated the relationship between BP, demographic features, and sleep outcomes. Participants were divided into two samples (N = 252 and N = 630). Sample 1 involved a longitudinal study to confirm test–retest reliability of the BPS. Sample 2 involved a cross-sectional study to assess confirmatory factor analysis, criterion-related validity, construct validity, and determine the internal consistency of the BPS. The relationship between BP and demographic features (gender, age, and employment status) and sleep outcomes (Athens Insomnia Scale, sleep hours, sleep onset latency, and sleep efficiency) was investigated using Sample 2. The BPS showed good internal consistency (Cronbach’s α coefficients = .90–91), test–retest reliability (ICC = .86), and one factor model was valid; CFI = .95, TLI = .94, RMSEA = .10, and SRMR = .04. The BPS had a moderate positive association with general procrastination, moderate negative associations with self-control, sleep quality, and sleep duration on weekdays, and those who answered “yes” to the item “Do you have trouble with bedtime procrastination?” had higher BPS scores. BPS scores were moderately higher for younger participants (≤ 40 years), slightly higher for females, and non-significantly different between employment statuses. The BPS showed a significant positive correlation with insomnia symptoms, weak positive association with sleep efficiency on weekdays and holidays, and no significant association with sleep onset latencies on holidays and weekdays. This study provides new data on demographic predictors of BP in Japan. No clear effects of gender and employment status were found, but age was a strong predictor of BP, where younger age groups had a higher BP risk.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"6 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139497451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Association between sleep quality and living environment among Chinese older persons: a cross-sectional study 中国老年人睡眠质量与居住环境的关系：一项横断面研究

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2024-01-17 DOI: 10.1007/s41105-023-00510-z

Yan Wang, Mengjie Guo, Jianan Li, Yan Zhang, Jing Cheng, Linhai Zhao, Lidan Wang, Guixia Fang, Guimei Chen, Zhongliang Bai, Han Liang, Ren Chen, Li Wang

{"title":"Association between sleep quality and living environment among Chinese older persons: a cross-sectional study","authors":"Yan Wang, Mengjie Guo, Jianan Li, Yan Zhang, Jing Cheng, Linhai Zhao, Lidan Wang, Guixia Fang, Guimei Chen, Zhongliang Bai, Han Liang, Ren Chen, Li Wang","doi":"10.1007/s41105-023-00510-z","DOIUrl":"https://doi.org/10.1007/s41105-023-00510-z","url":null,"abstract":"Sleep quality significantly affects the quality of life of older persons. Therefore, this study explored the relationship between sleep quality and living environment of older persons in China to provide a theoretical basis for therapies to alleviate sleep disorders in older persons. A total of 6211 subjects > 60 years of age in Anhui Province, China, were evaluated using the Pittsburgh Sleep Quality Index and a self-reported questionnaire. Multivariate logistic regression analysis revealed that living alone (OR = 1.26, 95% CI 1.09–1.46) and living in a rural area (OR = 1.19, 95% CI 1.06–1.34) were significantly associated with a high incidence of sleep disorders in older persons. Living near a park or foot paths suitable for exercise or walking was significantly associated with a lower incidence of sleep disorders in older persons (OR = 0.87, 95% CI 0.77–0.96). Individual factors such as female sex (OR = 1.30, 95% CI 1.14–1.48) and depression (OR = 2.80, 95% CI 2.47–3.19) were also associated with sleep quality in older persons. These data indicate a correlation exists between living environment and sleep quality.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"212 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139497478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 effects of an exercise program on inflammation in adults who differ according to obstructive sleep apnea severity 运动计划对阻塞性睡眠呼吸暂停严重程度不同的成年人炎症的影响

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2023-12-30 DOI: 10.1007/s41105-023-00505-w

Devon A. Dobrosielski, Karla A. Kubitz, Mary F. Walter, Hyunjeong Park, Christopher Papandreou, Susheel P. Patil

{"title":"The effects of an exercise program on inflammation in adults who differ according to obstructive sleep apnea severity","authors":"Devon A. Dobrosielski, Karla A. Kubitz, Mary F. Walter, Hyunjeong Park, Christopher Papandreou, Susheel P. Patil","doi":"10.1007/s41105-023-00505-w","DOIUrl":"https://doi.org/10.1007/s41105-023-00505-w","url":null,"abstract":"Exercise improves chronic inflammation and is recommended as a first-line medical or behavioral treatment for OSA with obesity. We examined whether the effects of an exercise program on inflammatory blood markers differed according to severity of OSA among obese adults. Overweight (BMI > 27 kg/m2) adults were evaluated for OSA using overnight polysomnography and subsequently classified as exhibiting no-to-mild OSA (AHI < 15 events/hour) or moderate-to-severe OSA (AHI ≥ 15 events/hour). Cardiorespiratory fitness, body composition assessed by DXA, fasting metabolic parameters and adipokines (i.e., glucose, insulin, leptin and adioponectin), and multiple markers of inflammation (i.e., CRP, IL-4, IL-8 and TNF-α) were measured at baseline (Pre) and following a 6-week (3 days per week) comprehensive exercise program (Post). Ten adults (Age: 48 ± 8 years; W:6; M:4) with no/mild OSA and 12 adults (Age: 54 ± 8 years; W:5; M:7) with moderate/severe OSA completed all aspects of the trial. No significant differences in age, cardiorespiratory fitness, body composition, fasting metabolic parameters and most inflammatory markers were observed between groups at baseline. Exercise training decreased total fat mass (Pre: 41,167 ± 13,315 g; Post: 40,311 ± 12,657 g; p = 0.008), leptin (Pre: 26.7 ± 29.6 pg/ml; Post: 22.7 ± 19.4 pg/ml; p = 0.028) and adiponectin (Pre: 16.6 ± 10.9 µg/ml; Post: 11.0 ± 10.6 µg/ml; p = 0.004) in those with moderate/severe OSA. Among those with no/mild OSA, exercise training resulted in a decrease in total fat mass (Pre = 37,332 ± 20,258 g; Post: 37,068 ± 18,268 g, p = 0.037). These data suggest that while 6 weeks of exercise reduced adipokines in those with moderate-to-severe OSA, it was not sufficient to improve common markers of inflammation among overweight adults with OSA.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"7 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139067614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Unintended consequences: college students’ melatonin usage, sleep disturbance, and depressive symptoms 意外后果：大学生使用褪黑激素、睡眠障碍和抑郁症状

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2023-12-22 DOI: 10.1007/s41105-023-00506-9

Jack S. Peltz, Ronald Rogge

{"title":"Unintended consequences: college students’ melatonin usage, sleep disturbance, and depressive symptoms","authors":"Jack S. Peltz, Ronald Rogge","doi":"10.1007/s41105-023-00506-9","DOIUrl":"https://doi.org/10.1007/s41105-023-00506-9","url":null,"abstract":"With such high rates of undergraduate sleep problems, students have chosen to take melatonin, an over-the-counter supplement that can facilitate sleep. Questions remain as to the effectiveness of melatonin for sleep problems, and questions have emerged about its impact on mental health. Accordingly, the current study examined how ongoing melatonin usage might impact relative changes in college students’ sleep disturbance and ultimately their depressive symptoms. The two-wave (baseline and 2-month follow-up), online sample consisted of 331 undergraduates (86% female; Mage = 21.3, SD = 2.4), who reported on melatonin usage, sleep disturbance, and depressive symptoms. Controlling for sleep hygiene, socio-economic status, and gender, our model demonstrated a significant indirect effect from ongoing melatonin usage to depressive symptoms. Specifically, melatonin consumption predicted relative increases in sleep disturbance, which, in turn, predicted corresponding increases in students’ depressive symptoms. Given the increasing prevalence of melatonin usage, the potential for unforeseen consequences remains high. Results suggest that the negative consequences of melatonin use can include both college students’ mental health and their sleep. Given the efficacy of addressing sleep problems with cognitive or behavioral strategies, it is essential that student support services highlight alternatives to melatonin and the potential problems associated with its use.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"84 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139027094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Quetiapine improves sensorimotor gating deficit in a sleep deprivation-induced rat model 喹硫平可改善睡眠剥夺诱导大鼠模型中的感觉运动门控缺陷

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2023-12-14 DOI: 10.1007/s41105-023-00504-x

Öznur Özge Özcan, Burcu Çevreli, Arzu Temizyürek, Mesut Karahan, Muhsin Konuk

{"title":"Quetiapine improves sensorimotor gating deficit in a sleep deprivation-induced rat model","authors":"Öznur Özge Özcan, Burcu Çevreli, Arzu Temizyürek, Mesut Karahan, Muhsin Konuk","doi":"10.1007/s41105-023-00504-x","DOIUrl":"https://doi.org/10.1007/s41105-023-00504-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3>Sleep deprivation (SD) impairs pre-stimulus inhibition, but the effect of quetiapine (QET) remains largely unknown.<h3 data-test=\"abstract-sub-heading\">Objective</h3>This study aimed to investigate the behavioral and cognitive effects of QET in both naïve and sleep-deprived rats.<h3 data-test=\"abstract-sub-heading\">Materials and methods</h3>Seven groups (n = 49) of male Wistar Albino rats were used in this study. SD was performed using the modified multiple platform technique in a water tank for 72 h. Our study consists of two experiments investigating the effect of QET on pre-pulse inhibition (PPI) of the acoustic startle reflex. The first experiment tested the effect of short- and long-term administration of QET on PPI response in non-sleeping (NSD) rats. The second experiment used 72 h REM sleep deprivation as a model for SD-induced impairment of the PPI response. Here, we tested the effect of QET on the % PPI of SD rats by short- and long-term intraperitoneal injection at the last 90 min of sleep SD and immediately subsequently tested for PPI.<h3 data-test=\"abstract-sub-heading\">Results</h3>72 h SD impaired PPI, reduced startle amplitude, and attenuated the PPI% at + 4 dB, + 8 dB, and + 16 dB prepulse intensities. 10 mg/kg short and long-term QET administration completely improved sensorimotor gating deficit, increased startle amplitude, and restored the impaired PPI% at + 4 dB, + 8 dB, and + 16 dB after 72 h SD in rats.<h3 data-test=\"abstract-sub-heading\">Conclusion</h3>Our results showed short- and long-term administration of QET improved sensorimotor gating deficit in 72 h SD. Further research is required for the etiology of insomnia and the dose-related behavioral effects of QET.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"100 1 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138691792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Correction to: Effect of physical activity on sleep problems in sedentary adults: a scoping systematic review 更正为体育锻炼对久坐成年人睡眠问题的影响：范围界定系统综述

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2023-12-12 DOI: 10.1007/s41105-023-00507-8

Anushree Rai, Mosab M. Aldabbas, Zubia Veqar

引用次数: 0

Urbanisation negatively impacts sleep health and mood in adolescents: a comparative study of female students from city and rural schools of North India 城市化对青少年睡眠健康和情绪的负面影响：对印度北部城市和农村学校女生的比较研究

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2023-12-11 DOI: 10.1007/s41105-023-00503-y

Nisha Singh, Neelu Anand Jha, Vinod Kumar

{"title":"Urbanisation negatively impacts sleep health and mood in adolescents: a comparative study of female students from city and rural schools of North India","authors":"Nisha Singh, Neelu Anand Jha, Vinod Kumar","doi":"10.1007/s41105-023-00503-y","DOIUrl":"https://doi.org/10.1007/s41105-023-00503-y","url":null,"abstract":"This study investigated the impact of social settings on sleep, physical and mental health in female adolescents of North India (latitude 29.5 oN; longitude 77.5 oE). Using a battery of questionnaires, we compared the chronotype, sleep–wake pattern, sleep health (e.g. sleep quality, daytime sleepiness and fatigue) and mood (via depression, anxiety and stress symptoms) in female students (age 14–18 years) from rural (N = 719) and urban (N = 1033) schools separated by about 35 km, but families had almost similar socio-demographic details. The morning type was prevalent amongst rural, whilst the evening type was prevalent amongst urban students who also had access to smart phones, suggesting a possible greater use of the internet. There were greater negative sleep effects, daytime sleepiness, overall poor sleep quality, higher fatigue and anxiety levels in urban than the rural cohort. Interestingly, these measures also differed between school days and free days, suggesting an impact of the conflict between internal biological and social timings (= social jet lag). We also found a significant relationship between chronotype, internet addiction, mood-related parameters and measures of sleep health. Overall, these results suggest a possible impact of social settings on sleep health and mood-related behaviours in female adolescents.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"81 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138573365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Efficacy of cognitive behavioral therapy for insomnia in the perinatal period: a meta-analysis of randomized controlled trials 认知行为疗法对围产期失眠症的疗效：随机对照试验荟萃分析

IF 1.1 4区医学

Sleep and Biological Rhythms Pub Date : 2023-12-10 DOI: 10.1007/s41105-023-00502-z

Shuya Feng, Bingqin Dai, Huawei Li, Huili Fu, Yunping Zhou

{"title":"Efficacy of cognitive behavioral therapy for insomnia in the perinatal period: a meta-analysis of randomized controlled trials","authors":"Shuya Feng, Bingqin Dai, Huawei Li, Huili Fu, Yunping Zhou","doi":"10.1007/s41105-023-00502-z","DOIUrl":"https://doi.org/10.1007/s41105-023-00502-z","url":null,"abstract":"The meta-analysis aims to explore the effect of cognitive behavioral therapy for insomnia (CBT-I) in the perinatal period. Randomized controlled trials (RCTs) assessed the effects of CBT-I in perinatal women with insomnia, published in English, were eligible. Electronic searches were performed using PubMed, Embase (Elsevier), PsycINFO (Ebsco), and Web of Science (Clarivate Analytics). Insomnia Severity Index (ISI) as the primary outcome was used to estimate the pooled effects and durable efficacy of CBT-I. The secondary outcome measures were Edinburgh Postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI). Of 46 studies reviewed, seven studies met the inclusion criteria. The meta-analysis indicated significant improvement in insomnia as measured with the ISI (standardized mean difference (SMD) = − 0.62, 95% confidence intervals (CI) − 0.77, − 0.47, I2 = 28%). At the follow-up time point, the meta-analysis indicated the durable efficacy of CBT-I (SMD = − 0.47, 95% CI − 0.90, − 0.03, I2 = 73%). Definite improvement of CBT-I on EPDS (SMD = -0.31, 95% CI − 0.55, − 0.06, I2 = 33%) and PSQI (SMD = − 0.82, 95% CI − 1.27, − 0.38, I2 = 68%) score change post-intervention were found. In sub-analyses, CBT-I had similar effect sizes, independent of possible modifiers (study population, comparison group, delivery format, etc.). This meta-analysis demonstrates that CBT-I is effective in alleviating insomnia, depression, and sleep quality among perinatal women. It is equally important to find that CBT-I has a durable efficacy on insomnia in the perinatal period. However, it is necessary to include larger samples and conduct rigorous RCTs to further explore this issue.","PeriodicalId":21896,"journal":{"name":"Sleep and Biological Rhythms","volume":"69 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138564126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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