Sleep Medicine: X最新文献

{"title":"Mind at rest, mind at risk: A prospective population-based study of sleep and subsequent mental disorders","authors":"Mari Hysing ,&nbsp;Allison G. Harvey ,&nbsp;Ann Kristin Skrindo Knudsen ,&nbsp;Jens C. Skogen ,&nbsp;Anne Reneflot ,&nbsp;Børge Sivertsen","doi":"10.1016/j.sleepx.2025.100138","DOIUrl":"10.1016/j.sleepx.2025.100138","url":null,"abstract":"<div><h3>Background</h3><div>Depression and anxiety disorders are highly prevalent among young adults, with evidence suggesting sleep problems as key risk factors.</div></div><div><h3>Objective</h3><div>This study aimed to examine the association between insomnia and sleep characteristics with major depressive episode (MDE) and anxiety disorders, and the association after accounting for baseline mental health symptoms.</div></div><div><h3>Methods</h3><div>We conducted a prospective cohort study using data from the Students’ Health and Wellbeing Study (SHoT), surveying Norwegian higher education students aged 18 to 35 (N = 53,362). A diagnostic assessment of 10,460 participants was conducted in 2023. Self-reported insomnia, sleep duration, sleep onset latency, and wake after sleep onset were recorded in 2022. MDE and five types of anxiety disorders were assessed after one year using a self-administered CIDI 5.0. Analyses adjusted for age, sex, baseline mental health symptoms, and somatic conditions.</div></div><div><h3>Results</h3><div>Insomnia in young adults was associated with a significantly increased risk of MDE (adjusted RR = 3.50, 95 % CI = 3.18–3.84) and generalized anxiety disorder (GAD) (adjusted RR = 2.82, 95 % CI = 2.55–3.12) one year later. Sleep duration showed a reversed J-shaped association with mental disorders, with both short and, to a lesser extent, long sleep durations linked to elevated risks, even after adjusting for baseline mental health symptoms and somatic conditions. Although the associations were attenuated after adjustment, they remained statistically significant.</div></div><div><h3>Conclusion</h3><div>Sleep disturbances, including insomnia and abnormal sleep durations, predict mental health issues in young adults, even after accounting for baseline mental health and somatic health. Addressing sleep problems early may help prevent subsequent mental health conditions in this population.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"9 ","pages":"Article 100138"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of variations in sleep patterns across Brazil: Exploring geographic influences","authors":"Giovana Longo-Silva ,&nbsp;Renan Serenini ,&nbsp;Roberto Antunes ,&nbsp;Márcia Lima ,&nbsp;Anny Pedrosa ,&nbsp;Risia Menezes","doi":"10.1016/j.sleepx.2024.100137","DOIUrl":"10.1016/j.sleepx.2024.100137","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the influence of latitude, longitude, sunrise, and daylight, in conjunction with individual and behavioral factors, on sleep duration, wake time, and bedtime in a country with the world's broadest latitude range, yet characterized by homogeneity in language, cultural traits, and consistent time zones.</div></div><div><h3>Methods</h3><div>Participants (n = 1440; 18-65y) were part of a virtual population-based survey (2021–22). Sleep patterns were spatially represented through maps using Multilevel B-spline Interpolation. Relationships between and within biological/personal/socio-economic, behavioral and environment characteristics, and sleep outcomes were examined by Lasso regression. Restricted cubic splines were employed to examine the shape of the association of latitude and sunrise with sleep variables and of screen time before bed with bedtime.</div></div><div><h3>Results</h3><div>Latitude emerged as the primary geographic factor influencing variations in sleep duration and wake time, shortening and advancing, respectively, as latitude increased (towards equatorial line). Younger individuals, those living without partners, with depression, engaging in more frequent evening alcohol consumption, and with poorer diet quality, tended to wake up later. All the variables influenced bedtime, with daylight emerging as the environmental factor exerting the strongest association. While the variability in bedtime showed a non-linear association with latitude and sunrise, it displayed a dose-response relationship with screen time before bed.</div></div><div><h3>Conclusions</h3><div>Given that adults living in the same country, potentially with a similar timetable, could be having shorter sleep durations according to their latitude position, further studies are required to contemplate advocating for policies that implement schedules based on the sun position rather than the national time zone.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"9 ","pages":"Article 100137"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum/Erratum to “Magnesium-L-threonate improves sleep quality and daytime functioning in adults with self-reported sleep problems: A randomized controlled trial” [Sleep Med: X 8 (2024) 100121]","authors":"Heather A. Hausenblas ,&nbsp;Tarah Lynch ,&nbsp;Stephanie Hooper ,&nbsp;Aahana Shrestha ,&nbsp;Doug Rosendale ,&nbsp;Jennifer Gu","doi":"10.1016/j.sleepx.2025.100141","DOIUrl":"10.1016/j.sleepx.2025.100141","url":null,"abstract":"","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"9 ","pages":"Article 100141"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of sodium oxybate versus placebo on improvement of nighttime sleep in adult patients with narcolepsy: A systematic review and meta-analysis","authors":"Adina Arshad ,&nbsp;Muhammad Abdul Muqtadir Qureshi ,&nbsp;Muhammad Abdullah Masood ,&nbsp;Hafiz Shahbaz Zahoor ,&nbsp;Ayesha Nazakat ,&nbsp;Anfal Fatima ,&nbsp;Javed Iqbal","doi":"10.1016/j.sleepx.2024.100136","DOIUrl":"10.1016/j.sleepx.2024.100136","url":null,"abstract":"<div><h3>Background</h3><div>Narcolepsy, a central hypersomnolence disorder, disrupts sleep regulation. Sodium oxybate, a CNS (central nervous system) depressant, is widely used as a treatment, but there are surprisingly very few rigorous studies comparing its effectiveness to placebo in adults.</div></div><div><h3>Objectives</h3><div>To measure the comparative efficacy of sodium oxybate at a dosage regimen of 9 g versus placebo in improving nighttime sleep quality, reducing nocturnal arousals and sleep stage shifts, and enhancing the overall refreshed nature of sleep in adult patients with narcolepsy.</div></div><div><h3>Methods</h3><div>The methodology included a literature review of PubMed, Cochrane, Scopus, Google Scholar, and Clinicaltrials.gov, retrieving 53 randomized controlled trials (RCT) after removing 14 duplicates. Four studies met the criteria for gauging the efficacy of sodium oxybate compared to placebo in the adult population with narcolepsy. The primary efficacy outcome was improved sleep quality, whereas secondary outcomes were reduced nocturnal arousals and sleep stage shifts with an overall refreshed sleep nature. Analyses used RevMan 5.3 software, and SMD (standardized mean differences) with 95 % CI (confidence intervals) were calculated. Risk and publication biases were measured with Cochrane risk of bias tools and Comprehensive Meta-Analysis Software. Evidence certainty was measured using GRADEpro.</div></div><div><h3>Results</h3><div>Four RCT involving 1079 participants were analyzed for said outcomes, and relevant forest plots were generated. Statistical analysis showed a substantial improvement in sleep quality [SMD = 0.74(95%Cl:0.53,0.95; p &lt; 0.00001; I² = 0 %; (high certainty)] and refreshing nature of sleep [SMD = 0.81(95%CI:0.51,1.11; P &lt; 0.00001; I² = 0 %; (moderate certainty)], reduction in nocturnal arousals [SMD = −0.62(95%CI: 0.92,-0.32; p &lt; 0.00001; I² = 0 %; (moderate certainty)] and sleep stage shifts [SMD = −1.22(95%CI: 1.46,-0.98; p &lt; 0.00001; I² = 0 %; (high certainty)]. The risk of bias was located high for one study. Symmetrical funnel plots and Egger's regression intercepts testified to no significant publication bias.</div></div><div><h3>Conclusions</h3><div>The results showed that sodium oxybate considerably improved the quality of nocturnal sleep, resulting in substantial restorative advantages as well as a decrease in nocturnal arousals and sleep stage transitions. Significant results with low heterogeneity and p-values &lt;0.05, showing consistent effects, were obtained from the analysis. However, overall reliability may be impacted by a high risk of bias in one study.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"9 ","pages":"Article 100136"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The potential impact of habitual sleep quality on glycaemic control and inflammation: A study on geriatric patients recently diagnosed with type 2 diabetes mellitus (T2DM)","authors":"Nadia Hussain ,&nbsp;Amal Hussain Ibrahim Al Haddad ,&nbsp;Saima Abbass ,&nbsp;Zina Alfahl","doi":"10.1016/j.sleepx.2025.100139","DOIUrl":"10.1016/j.sleepx.2025.100139","url":null,"abstract":"<div><div>Sleep quality and its relationship with glycaemic control is of particular interest in the context of geriatric diabetes. We aimed to investigate the potential impact of habitual sleep quality on glycaemic control status among geriatric patients recently diagnosed with type 2 diabetes mellitus (T2DM). A total of 193 geriatric patients recently diagnosed with T2DM in a tertiary-care hospital were selected. A developed questionnaire was used to assess various aspects of sleep quality. Glycaemic control was evaluated through fasting blood glucose levels, HbA1c measurements and number of admissions to the hospital for hypoglycaemic or hyperglycaemic episodes. Patients were divided into Poor Sleep Quality (PSQ, n = 132) and Adequate Sleep Quality (ASQ, n = 61) groups. The PSQ group exhibited significantly worse sleep outcomes, including longer sleep latency (35 ± 9.2 min vs. 15 ± 6.4 min), shorter sleep duration (5 h 42 min vs. 7 h 18 min) and greater use of sleep medications (72 % vs. 22 %). Glycaemic control, measured by HbA1c, was worse in the PSQ group (8.7 ± 1.9 vs. 7.2 ± 1.2; p &lt; 0.01), which also had more frequent severe hypoglycaemic (35 ± 1.4 vs. 8 ± 2.1; p = 0.02) and ketoacidotic episodes (72 ± 1.0 vs. 5 ± 1.1; p = 0.01). These findings suggest an association between poor sleep quality and poorer glycaemic control, with more frequent diabetes-related complications, highlighting the need for further research to explore potential causal relationships and targeted interventions in this population.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"9 ","pages":"Article 100139"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insomnia, cardiorespiratory function and quality of life in individuals with post-COVID-19 fatigue","authors":"Nathalea Spode de Arruda ,&nbsp;Alessandra Hofstadler Deiques Fleig ,&nbsp;Charles Rech ,&nbsp;Carine Cristina Callegaro","doi":"10.1016/j.sleepx.2024.100135","DOIUrl":"10.1016/j.sleepx.2024.100135","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare the prevalence of insomnia, lung function, inspiratory muscle function, functional capacity, and quality of life in individuals with and without post-COVID-19 fatigue.</div></div><div><h3>Methods</h3><div>Thirty-four post-COVID-19 individuals participated in the study, 20 with fatigue (32 ± 12 years old, 15% male) and 14 without fatigue (31 ± 12 years old, 42.9% male). The Chalder Fatigue Scale (CFS) was employed to categorize the volunteers into two groups: those with fatigue (score ≥4) and those without fatigue (score &lt;4). The Insomnia Severity Index (ISI) and the Epworth Sleepiness Scale (ESS) were used to assess insomnia and excessive daytime sleepiness, respectively. Pulmonary function was evaluated by spirometry, inspiratory muscle strength was assessed by the maximum inspiratory pressure (MIP), and inspiratory endurance was evaluated by maintaining an inspiratory load of 60% of MIP until fatigue. The 6-min walk test (6MWT) was used to evaluated functional capacity, while the WHOQOL-BREF questionnaire assessed quality of life.</div></div><div><h3>Results</h3><div>Individuals with post-COVID-19 fatigue demonstrated a higher prevalence of insomnia (80% vs. 49%) and excessive daytime sleepiness (45% vs. 7%), as well as lower MIP, shorter distance covered in the 6MWT, and lower FEV₁/FVC (forced expired volume in the first second divided by forced vital capacity), and FEV₁/FVC% of predicted. Additionally, they exhibited poorer quality of life in the physical and environmental domains. CFS demonstrated a direct correlation with ISI (r=0.436, p=0.01) and ESS (r=0.593, p=0.001), as well as an inverse correlation with the distance covered in the 6MWT (r=-0.398, p=0.022) and FEV₁ (r=-0.412, p=0.01). ISI was an independent predictor of CFS, with 62% of CFS variance explained by ISI variance.</div></div><div><h3>Conclusion</h3><div>Individuals with symptoms of post-COVID-19 fatigue may have a higher prevalence of insomnia, reduced inspiratory muscle strength, functional capacity, and Tiffeneau index, along with impaired quality of life. ISI is an independent predictor of post-COVID-19 fatigue.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"9 ","pages":"Article 100135"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease","authors":"Holly Breeden ,&nbsp;Elizabeth McDonough ,&nbsp;Amanda Glinky ,&nbsp;Rebecca Wallace ,&nbsp;Robbie Beyl ,&nbsp;Colleen LeBlanc","doi":"10.1016/j.sleepx.2024.100125","DOIUrl":"10.1016/j.sleepx.2024.100125","url":null,"abstract":"<div><h3>Objectives</h3><p>There is a link between inflammatory bowel disease (IBD) and poor sleep quality that is presumed to be multifactorial. The purpose of this study was to identify factors that impact sleep quality in this group including clinical disease activity, depression, anxiety, quality of life, and disordered social media use through questionnaires.</p></div><div><h3>Methods</h3><p>This prospective study analyzed sleep quality in adolescent patients ages 13 to 18 with a diagnosis of IBD using objective data from wrist actigraphy and subjective report from the Pittsburgh Sleep Quality Index (PSQI). Additional screeners including the Short Pediatric Crohn's Disease Activity Index or Pediatric Ulcerative Colitis Activity Index, Pediatric Quality of Life Inventory Gastrointestinal Symptoms Module, Generalized Anxiety Disorder 7-item screener, Patient Health Questionnaire depression screener, and Social Media Disorder scale were also collected.</p></div><div><h3>Results</h3><p>Twenty-three subjects enrolled and 16 completed questionnaires. 62.5 % of participants were in clinical remission and the remaining 37.5 % had mild to severe clinical IBD activity. Poor subjective sleep quality was associated with a shorter duration of sleep time and an increased clinical disease activity score. Patients in clinical remission slept for a longer duration than those with mild IBD activity.</p></div><div><h3>Conclusions</h3><p>This study did not identify a significant relationship between sleep quality and psychosocial factors in the adolescent population with IBD, though their influence cannot be discounted. There was a connection between the presence of disease activity and shorter sleep duration. Similarly, PSQI scores correlated with sleep time but not sleep quality.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"8 ","pages":"Article 100125"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590142724000235/pdfft?md5=8932590a994a63029c74287f14eabf12&pid=1-s2.0-S2590142724000235-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of switching from a previous-generation to a new-generation mask for positive airway pressure therapy of sleep apnea using remote care","authors":"Xueling Zhu ,&nbsp;Adam Benjafield ,&nbsp;Ross Deas ,&nbsp;Leslee Willes ,&nbsp;Jeff Armitstead","doi":"10.1016/j.sleepx.2024.100128","DOIUrl":"10.1016/j.sleepx.2024.100128","url":null,"abstract":"<div><h3>Purpose</h3><div>Mask selection could affect an individual's experience with positive airway pressure (PAP) treatment for obstructive sleep apnea, but there is very limited data on the impact of switching to a different mask once established on PAP therapy. This study investigated the patient's experience when switching from a previous-generation PAP mask to a new-generation mask via remote care.</div></div><div><h3>Methods</h3><div>A new-generation mask (AirFit F30i or AirFit N30i) was successfully fitted to 215 participants during video conferencing sessions. Participants completed online questionnaires on day 1, day 3, day 7, day 30 and day 90 after mask switch to collect subjective feedback and quality of life data; objective PAP device data were also downloaded.</div></div><div><h3>Results</h3><div>Residual apnea-hypopnea index showed statistically significant difference from baseline at day 30 (+0.2 ± 0.9/h [p = 0.026]) and day 90 (+0.2 ± 0.8/h [p = 0.006]), however unlikely to be clinically relevant. Average daily usage was significantly increased from baseline at day 30 (+0.2 ± 1.2 h/day [p = 0.010]) but not day 90 (+0.1 ± 1.0 h/day [p = 0.126]). Functional Outcomes of Sleep Questionnaire (FOSQ-10) score was significantly higher at day 90 (change from baseline to day 90: +0.48 ± 2.29 [p = 0.015]). Subjective ratings for comfort, seal, and usability of the new-generation mask were significantly better than the predefined acceptability level. Rates of PAP-related side effects were generally acceptable.</div></div><div><h3>Conclusion</h3><div>Remote management of mask change was associated with good outcomes in terms of objective device data and patient acceptability. This approach could be used to improve the overall therapy experience for individuals requiring a PAP therapy mask change for any reason.</div></div><div><h3>Clinical trial registration</h3><div><span><span>http://clinicaltrials.gov</span><svg><path></path></svg></span> (NCT05262439).</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"8 ","pages":"Article 100128"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poor sleep quality among bedtime smartphone user medical students in Ethiopia, 2024","authors":"Dereje Esubalew ,&nbsp;Amare Mebrat Delie ,&nbsp;Liknaw Workie Limenh ,&nbsp;Nigus Kassie Worku ,&nbsp;Eneyew Talie Fenta ,&nbsp;Mickiale Hailu ,&nbsp;Alemwork Abie ,&nbsp;Molla Getie Mehari ,&nbsp;Tenagnework Eseyneh Dagnaw ,&nbsp;Mihret Melese","doi":"10.1016/j.sleepx.2024.100134","DOIUrl":"10.1016/j.sleepx.2024.100134","url":null,"abstract":"<div><h3>Background</h3><div>Smartphone use has become widespread and continues to grow rapidly. Medical students, already highly susceptible to sleep deprivation, may experience exacerbated issues due to smartphone usage, particularly at bedtime. Therefore, understanding the potential negative impacts of this behavior is crucial. This study aims to assess the prevalence and risk factors of sleep quality among medical students bed time smart phone users in Ethiopia.</div></div><div><h3>Subject and methods</h3><div>An institutional-based cross-sectional study design was employed, involving 354 undergraduate medical students selected through simple random sampling from Debre Marko's University, the University of Gondar, and Debre Berhan University. Data were collected using the Pittsburgh Sleep Quality Index and structured interviews. Variables with a p-value of ≤0.2 in bivariable regression were included in multivariable logistic regression. Crude odds ratios and adjusted odds ratios were calculated, while chi-square tests were used to assess assumptions. In multivariable regression, variables with a p-value of ≤0.05 were deemed significant predictors at the 95 % confidence interval.</div></div><div><h3>Result</h3><div>The results showed that among bedtime smartphone users, 67.52 % had a poor sleep quality index greater than 5. Poor sleep quality was significantly linked to factors such as sex, regular coffee consumption, the purpose of smartphone use, phone position during use, the duration of smartphone use, and a history of disease. Social media usage was the most common activity, accounting for 41.60 % of smartphone use, followed by watching videos (21.65 %).</div></div><div><h3>Conclusion</h3><div>This study highlights the detrimental effects of bedtime smartphone use on sleep quality, which subsequently impacts mental. Given these findings, it is strongly recommended that medical students reduce their smartphone use before bedtime to improve their sleep quality.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"8 ","pages":"Article 100134"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of sleep disturbance across two waves of the COVID-19 pandemic among nursing staffs","authors":"Pei-Jhen Wu ,&nbsp;Wen Chun Wang ,&nbsp;Chin-Lien Liu ,&nbsp;Guei-Ging Lin ,&nbsp;Ying-Ying Lo ,&nbsp;Frank Huang-Chih Chou","doi":"10.1016/j.sleepx.2024.100120","DOIUrl":"10.1016/j.sleepx.2024.100120","url":null,"abstract":"<div><h3>Objectives</h3><p>COVID-19 has impacted human lifestyles, including sleep quality. For nursing staff, sleep disorders not only impact their health and daily lives but also have implications for patient safety. The objective of this study is to explore the impact of the COVID-19 pandemic on the psychological and social aspects of nursing staff and the factors influencing their sleep quality through a two-wave survey.</p></div><div><h3>Methods</h3><p>Nursing staff from a psychiatric hospital in southern Taiwan were recruited in two waves during the COVID-19 epidemic. The level of sleep disturbance and related variables, such as Lo's Healthy and Happy Lifestyle Scale (LHHLS) and Societal Influences Survey Questionnaire (SISQ), were collected through self-report questionnaires. Factors related to the level of sleep disturbance were examined using univariate linear regression and multilevel linear regression.</p></div><div><h3>Results</h3><p>508 nursing staff members were included in the study, with 254 members in each wave. A significant difference was found between the two waves in the positive thinking of LHHLS and all subscales of SISQ. During the second wave, sleep disturbances were mainly related to self-efficacy, positive thinking, social anxiety, and social desirability. At the fourth wave, sleep disturbances were mainly related to self-efficacy, positive thinking, and social anxiety. However, these effects change when the trend of the epidemic shifts, and other factors are taken into account.</p></div><div><h3>Conclusions</h3><p>This study analyzed the factors related to the sleep quality of nursing staff during the COVID-19 pandemic. We preliminarily explored the impact of the COVID-19 pandemic on the sleep quality of nursing staff. However, determining whether the end of the epidemic has reduced the impact on nursing staff requires further research.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"8 ","pages":"Article 100120"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590142724000181/pdfft?md5=ac556863c1da9713255093ad2742403e&pid=1-s2.0-S2590142724000181-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}