{"title":"Nocturnal Sleep Dynamics Alterations in the Early Stages of Behavioral Variant Frontotemporal Dementia","authors":"Valentina Gnoni, Ludovica Tamburrino, Giulia Baldazzi, Daniele Urso, Stefano Zoccolella, Alessia Giugno, Michela Figorilli, Salvatore Nigro, Benedetta Tafuri, Davide Vilella, Alessandra Vitulli, Chiara Zecca, Maria Teresa Dell’Abate, Danilo Pani, Monica Puligheddu, Ivana Rosenzweig, Marco Filardi, Giancarlo Logroscino","doi":"10.1093/sleep/zsae201","DOIUrl":"https://doi.org/10.1093/sleep/zsae201","url":null,"abstract":"Study Objectives Sleep disorders have been recognized as an integral component of the clinical syndrome in several neurodegenerative diseases, including Alzheimer's Disease (AD). However, limited data exists for rarer types of neurodegenerative diseases, such as behavioral variant Frontotemporal Dementia (bvFTD). This study aims to analyze EEG power spectra and sleep stage transitions in bvFTD patients, hypothesizing that bvFTD may show distinctive sleep stage transitions compared to patients with Alzheimer's Disease (AD). Methods Eighteen probable bvFTD patients and eighteen age- and sex-matched probable AD patients underwent overnight polysomnography (PSG) and completed sleep disorders questionnaires. Sleep questionnaires, full-night EEG spectra, and sleep stage transitions indexes were compared between groups. Results bvFTD patients had higher Insomnia Severity Index (ISI) scores (95%CI: 0, 5) and reported poorer sleep quality than AD patients (p<0.01). Compared to AD, bvFTD patients showed higher N1 percentage (95%CI: 0.1, 6), lower N3 percentage (95%CI: -13.6, -0.6), higher sleep-wake transitions (95%CI: 1.49, 8.86) and N1 sleep-wake transitions (95%CI: 0.32, 6.1). EEG spectral analysis revealed higher spectral power in bvFTD compared to AD patients in faster rhythms, especially sigma rhythm, across all sleep stages. In bvFTD patients, sleep-wake transitions were positively associated with ISI. Conclusions Patients with bvFTD present higher rates of transitions between wake and sleep than AD patients. The increased frequency of sleep transitions indicates a higher degree of sleep instability in bvFTD, which may reflect an imbalance in sleep-wake promoting systems. Sleep stage transitions analysis may provide novel insights into the sleep alterations of bvFTD patients.","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142247437","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}
SleepPub Date : 2024-09-10DOI: 10.1093/sleep/zsae210
Garrett R Baber,Nancy A Hamilton,Jeffrey M Girard,Jamie M Cohen,Matthew K P Gratton,Samantha Ellis,Eliza Hemmer
{"title":"It's the Sentiment that Counts: Comparing Sentiment Analysis Tools for Estimating Affective Valence in Dream Reports.","authors":"Garrett R Baber,Nancy A Hamilton,Jeffrey M Girard,Jamie M Cohen,Matthew K P Gratton,Samantha Ellis,Eliza Hemmer","doi":"10.1093/sleep/zsae210","DOIUrl":"https://doi.org/10.1093/sleep/zsae210","url":null,"abstract":"","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142222680","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}
SleepPub Date : 2024-09-09DOI: 10.1093/sleep/zsae144
Daniel Ruivo Marques
{"title":"Searching for cognitive behavioral therapy for insomnia on Google: an infodemiological perspective.","authors":"Daniel Ruivo Marques","doi":"10.1093/sleep/zsae144","DOIUrl":"10.1093/sleep/zsae144","url":null,"abstract":"","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451499","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}
SleepPub Date : 2024-09-09DOI: 10.1093/sleep/zsad278
Sinh Lu, Julia E Stone, Elizabeth B Klerman, Andrew W McHill, Laura K Barger, Rebecca Robbins, Dorothee Fischer, Akane Sano, Charles A Czeisler, Shantha M W Rajaratnam, Andrew J K Phillips
{"title":"The organization of sleep-wake patterns around daily schedules in college students.","authors":"Sinh Lu, Julia E Stone, Elizabeth B Klerman, Andrew W McHill, Laura K Barger, Rebecca Robbins, Dorothee Fischer, Akane Sano, Charles A Czeisler, Shantha M W Rajaratnam, Andrew J K Phillips","doi":"10.1093/sleep/zsad278","DOIUrl":"10.1093/sleep/zsad278","url":null,"abstract":"<p><p>The amount of time available in a day is fixed, and consequently, sleep is often sacrificed for waking activities. For college students, daily activities, comprised of scheduled classes, work, study, social, and other extracurricular events, are major contributors to insufficient and poor-quality sleep. We investigated the impact of daily schedules on sleep-wake timing in 223 undergraduate students (age: 18-27 years, 37% females) from a United States university, who were monitored for ~30 days. Sleep-wake timing and daily recorded activities (attendance at academic, studying, exercise-based, and/or extracurricular activities) were captured by a twice-daily internet-based diary. Wrist-worn actigraphy was conducted to confirm sleep-wake timing. Linear mixed models were used to quantify associations between daily schedule and sleep-wake timing at between-person and within-person levels. Later scheduled start time predicted later sleep onset (between and within: p < .001), longer sleep duration on the previous night (within: p < .001), and later wake time (between and within: p < .001). Later schedule end time predicted later sleep onset (within: p < .001) and shorter sleep duration that night (within: p < .001). For every 1 hour that activities extended beyond 10 pm, sleep onset was delayed by 15 minutes at the within-person level and 40 minutes at the between-person level, and sleep duration was shortened by 6 and 23 minutes, respectively. Increased daily documented total activity time predicted earlier wake (between and within: p < .001), later sleep onset that night (within: p < .05), and shorter sleep duration (within: p < .001). These results indicate that daily schedules are an important factor in sleep timing and duration in college students. Clinical Trial: Multi-scale Modeling of Sleep Behaviors in Social Networks; URL: https://clinicaltrials.gov/study/NCT02846077; Registration:NCT02846077.</p>","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486323","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}
SleepPub Date : 2024-09-09DOI: 10.1093/sleep/zsae134
Masoud Tahmasian, Vincent Küppers
{"title":"The toll of 24/7 societal demands: the brain health risks of shift work.","authors":"Masoud Tahmasian, Vincent Küppers","doi":"10.1093/sleep/zsae134","DOIUrl":"10.1093/sleep/zsae134","url":null,"abstract":"","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327857","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}
SleepPub Date : 2024-09-09DOI: 10.1093/sleep/zsae115
Meredith L Wallace, Susan Redline, Nina Oryshkewych, Sanne J W Hoepel, Annemarie I Luik, Katie L Stone, Rachel P Kolko, Joon Chung, Yue Leng, Rebecca Robbins, Ying Zhang, Lisa L Barnes, Andrew S Lim, Lan Yu, Daniel J Buysse
{"title":"Pioneering a multi-phase framework to harmonize self-reported sleep data across cohorts.","authors":"Meredith L Wallace, Susan Redline, Nina Oryshkewych, Sanne J W Hoepel, Annemarie I Luik, Katie L Stone, Rachel P Kolko, Joon Chung, Yue Leng, Rebecca Robbins, Ying Zhang, Lisa L Barnes, Andrew S Lim, Lan Yu, Daniel J Buysse","doi":"10.1093/sleep/zsae115","DOIUrl":"10.1093/sleep/zsae115","url":null,"abstract":"<p><strong>Study objectives: </strong>Harmonizing and aggregating data across studies enables pooled analyses that support external validation and enhance replicability and generalizability. However, the multidimensional nature of sleep poses challenges for data harmonization and aggregation. Here we describe and implement our process for harmonizing self-reported sleep data.</p><p><strong>Methods: </strong>We established a multi-phase framework to harmonize self-reported sleep data: (1) compile items, (2) group items into domains, (3) harmonize items, and (4) evaluate harmonizability. We applied this process to produce a pooled multi-cohort sample of five US cohorts plus a separate yet fully harmonized sample from Rotterdam, Netherlands. Sleep and sociodemographic data are described and compared to demonstrate the utility of harmonization and aggregation.</p><p><strong>Results: </strong>We collected 190 unique self-reported sleep items and grouped them into 15 conceptual domains. Using these domains as guiderails, we developed 14 harmonized items measuring aspects of satisfaction, alertness/sleepiness, timing, efficiency, duration, insomnia, and sleep apnea. External raters determined that 13 of these 14 items had moderate-to-high harmonizability. Alertness/Sleepiness items had lower harmonizability, while continuous, quantitative items (e.g. timing, total sleep time, and efficiency) had higher harmonizability. Descriptive statistics identified features that are more consistent (e.g. wake-up time and duration) and more heterogeneous (e.g. time in bed and bedtime) across samples.</p><p><strong>Conclusions: </strong>Our process can guide researchers and cohort stewards toward effective sleep harmonization and provide a foundation for further methodological development in this expanding field. Broader national and international initiatives promoting common data elements across cohorts are needed to enhance future harmonization and aggregation efforts.</p>","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945865","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}
SleepPub Date : 2024-09-09DOI: 10.1093/sleep/zsae154
David Gozal, Antoine Adamantidis, Katie L Stone, Allan I Pack
{"title":"The current status of the journal SLEEP.","authors":"David Gozal, Antoine Adamantidis, Katie L Stone, Allan I Pack","doi":"10.1093/sleep/zsae154","DOIUrl":"10.1093/sleep/zsae154","url":null,"abstract":"","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580810","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}
SleepPub Date : 2024-09-09DOI: 10.1093/sleep/zsae063
Sanjay R Patel, Amy M Sawyer, Daniel J Gottlieb
{"title":"Con: can comparing adherent to non-adherent patients provide useful estimates of the effect of continuous positive airway pressure?","authors":"Sanjay R Patel, Amy M Sawyer, Daniel J Gottlieb","doi":"10.1093/sleep/zsae063","DOIUrl":"10.1093/sleep/zsae063","url":null,"abstract":"","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060556","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":"Community-based intervention for obstructive sleep apnea in the general population: a randomized controlled trial.","authors":"Longlong Wang, Qiong Ou, Guangliang Shan, Weixin Zhan, Jinhuan Huang, Qiuqiang Lin, Jianfei Li, Yibin Liu, Yuejun Xu, Chunyan Chen, Weili Chen","doi":"10.1093/sleep/zsae132","DOIUrl":"10.1093/sleep/zsae132","url":null,"abstract":"<p><strong>Study objectives: </strong>To investigate the engagement and health outcomes of community-based intervention for obstructive sleep apnea (OSA) in the general population.</p><p><strong>Methods: </strong>We conducted a 3-month randomized controlled trial in two communities in southern China. We initially screened the general population for high-risk OSA and further diagnosis using home sleep testing. Eligible participants were randomly (1:1) assigned to either a control or continuous positive airway pressure-based integrated intervention group. The primary outcomes were multimodal indicators reflecting health outcomes, including health-related quality of life (Short Form-36 [SF-36]), sleep-related symptoms, and cardiometabolic risk.</p><p><strong>Results: </strong>Of the 2484 participants screened, 1423 identified as having high-risk OSA were considered for telephone invitations to participate in the trial. Of these, 401 participants responded positively (28.2%), 279 were diagnosed with OSA, and 212 were randomized. The intervention significantly improved several domains of SF-36, including physical functioning (intergroup difference, 2.8; p = .003), vitality (2.3; p = .031), and reported health transition (6.8; p = .005). Sleep-related symptoms, including Epworth Sleepiness Scale (-0.7; p = .017), Fatigue Severity Scale (-3.0; p = .022), Insomnia Severity Index (-1.8; p < .001), and Pittsburgh Sleep Quality Index (-0.7; p = .032), also showed significant improvements. Although the intervention did not significantly alter glycolipid metabolism, ventricular function, or cardiac structural remodeling, it achieved a significant reduction in systolic (-4.5 mmHg; p = .004) and diastolic blood pressure (BP; -3.7 mmHg; p < .001).</p><p><strong>Conclusions: </strong>Community-based intervention for previously undiagnosed OSA in the general population yielded improvements in health-related quality of life, sleep-related symptoms, and BP. However, engagement in the intervention program was low.</p><p><strong>Clinical trial registration: </strong>\"Community Intervention Trial for OSA\";URL: https://www.chictr.org.cn/showprojEN.html?proj=144927;Trial identification number: ChiCTR2100054800.</p>","PeriodicalId":22018,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432818","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}