Sleep Health最新文献

{"title":"The impact of political violence on population sleep health in the United States: Representative population research from National Sleep Foundation","authors":"Joseph M. Dzierzewski PhD,&nbsp;Natalie D. Dautovich PhD,&nbsp;Alexander J. Erickson PhD,&nbsp;Spencer A. Nielson MS","doi":"10.1016/j.sleh.2026.04.006","DOIUrl":"10.1016/j.sleh.2026.04.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Far-reaching health, economic, cultural, and societal events, including political violence, can impact sleep health. The present study examined the impact of political violence on sleep in the United States.</div></div><div><h3>Methods</h3><div>A random, nationally representative survey of 1448 American adults, fielded between September 17 and October 5, 2025 in English or Spanish, including: (1) demographics, (2) the Sleep Health Index, and (3) an item asking, “Has political violence in the United States had a negative impact on your sleep?”</div></div><div><h3>Results</h3><div>More than 36% of adults reported political violence negatively impacted their sleep, with significantly more women (χ^<em>2</em> = 8.41) and college educated individuals (χ^<em>2</em> = 15.96), and less married adults (χ^<em>2</em> = 8.76) reporting a negative impact of political violence on their sleep. Adults reporting a negative impact to their sleep from political violence exhibited significantly poorer global sleep health, sleep quality, and sleep disorder scores, but not sleep duration, on the Sleep Health Index.</div></div><div><h3>Conclusions</h3><div>Major sociopolitical events can adversely affect sleep health, highlighting a need for future research and identification of strategies to mitigate their impact on sleep health. Future research is needed to clarify the widespread consequences of large-scale societal events and to identify strategies for mitigating impact on sleep health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 4","pages":"Pages 656-659"},"PeriodicalIF":4.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018280","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":"Modest first night effect on sleep in healthy school-age children using home-based polysomnography","authors":"Jia Xu Toby Seah B.Soc.Sci,&nbsp;Nicole A. Nazareth MA,&nbsp;Tiffany B. Koa MSc,&nbsp;Ju Lynn Ong PhD,&nbsp;June Chi-Yan Lo PhD","doi":"10.1016/j.sleh.2026.05.002","DOIUrl":"10.1016/j.sleh.2026.05.002","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to quantify the first night effect in healthy school-age children by comparing sleep macro- and microstructure between 2 non-consecutive nights of home-based polysomnography.</div></div><div><h3>Methods</h3><div>The sample consisted of 41 Singaporean children (mean age ± SD = 9.77 ± 1.29 years; 22 males) with data from 2 unattended home polysomnography recordings separated by at least 1 week. During the PSG nights, they were instructed to follow their habitual school-night sleep-wake timing. Within-subject differences in sleep macro- and microarchitecture were assessed using paired-sample <em>t</em> tests.</div></div><div><h3>Results</h3><div>In the first night, children spent 15.97 minutes longer in bed (<em>dz</em> = 0.33, <em>P</em> = .04), with no difference in total sleep time (<em>P</em> = .87). Also, the first PSG night involved longer wake after sleep onset (10.63 ± 7.47 minutes, <em>dz</em> = 0.37, <em>P</em> = .02) and lower sleep efficiency (−2.28 ± 3.37%, <em>dz</em>: 0.38, <em>P</em> = .02). Rapid eye movement (REM) sleep latency was also delayed by 19.39 minutes in the first night (<em>dz</em> = 0.36, <em>P</em> = .03). Durations of sleep stages, N2 and N3 latencies, and mean and total power across delta to beta frequency bands did not differ between nights (<em>ps</em> &gt; 0.11).</div></div><div><h3>Conclusions</h3><div>In healthy school-age children sleeping at home, the first night effect appears modest, with small increases in nocturnal awakenings and delays in REM sleep onset, while sleep microstructure seems unaltered. These findings suggest that a single night of at-home PSG may provide relatively reliable sleep estimates for this age group.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 4","pages":"Pages 695-701"},"PeriodicalIF":4.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond “yes or no” napping: From binary nap definitions to multidimensional phenotyping of daytime sleep","authors":"Marta Garaulet PhD,&nbsp;María Rodríguez-Martín MSc","doi":"10.1016/j.sleh.2026.06.002","DOIUrl":"10.1016/j.sleh.2026.06.002","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 4","pages":"Pages 550-554"},"PeriodicalIF":4.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425148","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":"The Sleep Health Times","authors":"","doi":"10.1016/S2352-7218(26)00098-7","DOIUrl":"10.1016/S2352-7218(26)00098-7","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Page 548"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146706","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":"Exercise and sleep in sedentary young women: Methodological insights from the HICT vs. HIIT trial","authors":"Qing Liu,&nbsp;Xiaohong Xie MD","doi":"10.1016/j.sleh.2026.01.006","DOIUrl":"10.1016/j.sleh.2026.01.006","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Pages 545-546"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of recovery from work and work-life spillover in the association between chronotype and mental health problems: A population-based study","authors":"Ilona Merikanto PhD ,&nbsp;Timo Partonen MD ,&nbsp;Päivi Vanttola PhD ,&nbsp;Marianna Virtanen PhD","doi":"10.1016/j.sleh.2026.03.001","DOIUrl":"10.1016/j.sleh.2026.03.001","url":null,"abstract":"<div><h3>Objective</h3><div>We examined the moderating and mediating role of work-life balance issues on mental health among circadian types using 2266 working participants of the population-based Healthy Finland Study (mean age = 44 years, 57% women).</div></div><div><h3>Methods</h3><div>Mental health was assessed with validated questionnaires: Mental Health Inventory (MHI-5), General Anxiety Scale (GAD-7), and Patient Health Questionnaire depression module (PHQ-9), a separate item for suicidal thoughts, and as actualized healthcare visits. Circadian type was assessed by the widely used single item from the Morningness/Eveningness Questionnaire (MEQ_i19). Work-life balance was measured by questions on work spillover to personal life and recovery from work. Generalized linear models were controlled for sex, age, sleep insufficiency, insufficient physical activity, and risky alcohol consumption.</div></div><div><h3>Results</h3><div>Evening-types had more work-life balance issues and symptoms of mental disorders. Evening-type was also associated with health behaviors but the associations with work-life balance problems and poor mental health remained even after adjustment for these. Work spillover to personal life and poor recovery from work had moderating roles in mental disorders, especially among moderate circadian types and definite Evening-types. Recovery from work partly mediated the association between Evening-type and anxiety disorders.</div></div><div><h3>Conclusion</h3><div>Work-life balance issues have an important contributing role in poor mental health associated with the Evening chronotype.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Pages 488-495"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of self-control in adolescent sleep: Evidence from ecological momentary assessment data","authors":"Fernanda C. Andrade PhD ,&nbsp;Rachel S. Charoenthammanon PhD ,&nbsp;Jinyoung Park MA ,&nbsp;Rick H. Hoyle PhD","doi":"10.1016/j.sleh.2026.02.005","DOIUrl":"10.1016/j.sleh.2026.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Adolescence is characterized by age-related biological and psychological changes that increase preference for later wake times and bedtimes. However, wake times are constrained by early school start times, meaning that adolescents must act against pressures for delayed bedtimes if they are to obtain sufficient sleep. This context presents a significant self-control challenge. Yet, few studies have examined the dynamic, and possibly reciprocal, association between daily levels of self-control and sleep during this period.</div></div><div><h3>Methods</h3><div>Leveraging 2 weeks of intensive longitudinal data from 159 North Carolina public school students (<em>M</em>_age = 12.20, <em>SD</em> = 1.07; 47% female), this study used dynamic structural equation modeling to examine cross-lagged associations between self-reported self-control (perceived capacity, failures) and sleep (bedtime, duration, quality) while accounting for the carryover effect of previous-day’s levels and covariates of self-control and adolescent sleep.</div></div><div><h3>Results</h3><div>Perceived capacity for self-control and failures to accomplish necessary activities were fairly stable and impervious to previous day’s sleep duration, bedtime, and sleep quality. Self-control (higher capacity, fewer failures) was associated with better sleep quality, and fewer failures, on average, were associated with more stable bedtimes. However, participants slept later on days when they reported higher-than-average capacity and fewer-than-average failures of self-control.</div></div><div><h3>Conclusion</h3><div>Self-control and sleep were generally stable over time, but bedtime and sleep duration were vulnerable to deviations from usual daily capacity and failures of self-control. Findings suggest a broader role of daily levels of self-control in behavior regulation and call for further investigation of the dynamic between self-control and sleep in the context of adolescence<em>.</em></div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Pages 407-414"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533530","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":"Use and interest in cannabis as a sleep aid: Results from a National Sleep Foundation population survey","authors":"Joseph M. Dzierzewski PhD ,&nbsp;Alysa N. Miller PhD, MPH ,&nbsp;Alexander J. Erickson PhD ,&nbsp;Spencer A. Nielson MS ,&nbsp;Natalie D. Dautovich PhD","doi":"10.1016/j.sleh.2026.04.002","DOIUrl":"10.1016/j.sleh.2026.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Most adults are dissatisfied with their sleep, and some may see commercially available cannabis-based products as a solution. This study aimed to provide current population-based estimates of behaviors and attitudes related to cannabis use for sleep.</div></div><div><h3>Methods</h3><div>Data from a national survey utilizing a probability-based, random sample of 1367 U.S. adults were analyzed. Cannabis use rates and sleep differences in adults using cannabis were tested.</div></div><div><h3>Results</h3><div>Current and past cannabis use for sleep were reported at 8.6% and 9.9%, respectively. Eleven percent of adults who do not use cannabis endorsed likely future use of cannabis products for sleep. Adults using cannabis (current, past, likely future) tended to report worse sleep quality than those who do not use cannabis (<em>p</em> &lt; .05 for all comparisons).</div></div><div><h3>Conclusions</h3><div>Evident public use and interest in cannabis for sleep was found. Consumer caution is warranted as the short and long-term effects of cannabis products on sleep are poorly characterized in the real world.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Pages 526-530"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822362","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":"Real-time text message intervention to mitigate workplace fatigue in emergency medical services: A cluster-randomized trial","authors":"Paul Daniel Patterson PhD ,&nbsp;Sarah E. Martin MPH ,&nbsp;Matthew D. Weaver PhD ,&nbsp;Charity G. Patterson PhD ,&nbsp;Clair N. Smith MS ,&nbsp;Bambang Parmanto PhD ,&nbsp;I. Wayan Pulantara PhD ,&nbsp;Leonard S. Weiss MD ,&nbsp;Rickquel P. Tripp MD ,&nbsp;Francis X. Guyette MD ,&nbsp;Daniel J. Buysse MD","doi":"10.1016/j.sleh.2026.02.011","DOIUrl":"10.1016/j.sleh.2026.02.011","url":null,"abstract":"<div><h3>Objectives</h3><div>To test the effectiveness of a mobile phone text message-based intervention to mitigate fatigue and improve indicators of sleep health in a nationally representative sample of emergency medical services clinician shift workers.</div></div><div><h3>Methods</h3><div>We conducted a cluster-randomized trial of emergency medical services agencies in the United States. Agencies (clusters) were randomized to intervention or the attention control group. Individual emergency medical services clinician shift workers used a mobile app to complete monthly surveys for 6 months and answered text message queries 1 out of every 4 weeks. Intervention text messages promoted adoption of fatigue mitigation behaviors. All attention control group text messages focused on teamwork improvement.</div></div><div><h3>Results</h3><div>In total, 108 emergency medical services agencies and 708 emergency medical services shift workers were enrolled. Participants responded to &gt;77% of monthly surveys and text message queries. The proportion of emergency medical services shift workers reporting severe fatigue declined over the study period; however, differences by intervention and attention control group status were not statistically significant. The proportion of participants with a clinically meaningful reduction in daytime sleepiness at 6 months was greater in the intervention group vs. the attention control group (<em>p</em> = .04).</div></div><div><h3>Conclusions</h3><div>Mobile phone text message-based assessments followed by immediate intervention are engaging, scalable on a nationwide level, and effective for addressing some indicators of sleep health like daytime sleepiness. Interventions combining behavioral sleep recommendations with fatigue mitigation strategies could result in larger effects on sleep health and fatigue.</div></div><div><h3>Trial registration number</h3><div>ClinicalTrials.gov ID# NCT04456764 registered on June 29, 2020. First enrollment/consent on December 8, 2020.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Pages 479-487"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515754","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":"Identifying major life events associated with insomnia disorder: Stressors that disrupt safety, stability, and identity","authors":"Matthew B. Jennings PhD ,&nbsp;David A. Kalmbach PhD ,&nbsp;Philip Cheng PhD ,&nbsp;Anthony N. Reffi PhD ,&nbsp;Thomas Roth PhD ,&nbsp;Christopher L. Drake PhD","doi":"10.1016/j.sleh.2026.02.010","DOIUrl":"10.1016/j.sleh.2026.02.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Major life stress is a well-established precipitating factor for insomnia disorder. However, not all stressors are equally harmful, and determining which events pose the greatest risk to sleep is not well-understood. Identifying high-impact stressors on insomnia will deepen our understanding of how this disorder develops, particularly among those most vulnerable to insomnia. The present study explored a wide range of major life events to identify which stressors were associated with incident insomnia disorder.</div></div><div><h3>Methods</h3><div>This study assessed a large cohort (<em>N</em> = 2887) of U.S. adults across three timepoints: baseline, 1-year follow-up, and 2-year follow-up. Mixed-effects logistic regression was used to explore the association of major life events (Social Readjustment Rating Scale) with DSM-IV-TR insomnia disorder classification, controlling for sociodemographic factors. Differences by sleep reactivity (Ford Insomnia Response to Stress Test) were examined post hoc.</div></div><div><h3>Results</h3><div>Fifteen major life stressors significantly predicted incident insomnia disorder. Key triggers included interpersonal stressors (e.g., infidelity, exposure to violence), work stressors (e.g., job loss, losing health benefits), home stressors (e.g., financial difficulties), and major injury/illness to oneself or close family member. The highest rates of insomnia onset were reported by highly reactive sleepers faced with major life stress (≥19%), whereas the lowest rates of insomnia were reported by low-reactive sleepers unexposed to major stress (≈5%).</div></div><div><h3>Conclusions</h3><div>Major stressors were most harmful when they threatened an individual’s stability, safety, and core identity. Highly reactive sleepers may experience high levels of sustained hyperarousal when exposed to these high-impact stressors, thereby increasing the risk of insomnia disorder.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"12 3","pages":"Pages 450-457"},"PeriodicalIF":3.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647157","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}