Sleep Health最新文献

{"title":"The daily interplay between sleep and emotional dysregulation in emerging adults with heavy alcohol use patterns","authors":"Eunjin Lee Tracy PhD ,&nbsp;Derek Morgan PhD ,&nbsp;Shuo Yan MS ,&nbsp;Pei-Shu Chao MEd ,&nbsp;Shadi Ansari MA ,&nbsp;Eunjung Kim MA ,&nbsp;Timothy J. Trull PhD","doi":"10.1016/j.sleh.2025.06.005","DOIUrl":"10.1016/j.sleh.2025.06.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine within-person, bidirectional associations between sleep disturbances and emotional dysregulation among emerging adults with high alcohol use patterns, with particular attention to within-day fluctuations in emotional dysregulation and the potential moderating role of anxiety symptoms.</div></div><div><h3>Methods</h3><div>Data are from a longitudinal study of heavy drinkers (<em>N</em> = 300, 65.4% women, M<em>age</em> 24.57, range: 21-29) who completed a 14-day ecological momentary assessment burst, documenting sleep patterns and positive and negative emotional states, and completed a prior survey on anxiety symptoms. Multilevel modeling was used to explore within- and between-person associations between sleep (quality and duration) and next-day emotional dysregulation, as well as the effect of emotional dysregulation on same-night sleep. The moderating effect of anxiety was also examined.</div></div><div><h3>Results</h3><div>Within-person analyses showed that participants exhibited better regulation of positive emotion and overall emotion on days following above-average sleep quality, and sleep duration within an optimal range. Between-person analyses revealed that individuals with higher overall sleep quality demonstrated better regulation of negative emotion. In contrast, daily emotional dysregulation did not predict subsequent sleep. Anxiety symptoms moderated the nonlinear (quadratic) association between sleep duration and emotional dysregulation: longer-than-optimal sleep was associated with greater emotional dysregulation, but only among individuals with higher anxiety.</div></div><div><h3>Conclusions</h3><div>These findings suggest a predominantly unidirectional influence of sleep on emotional dysregulation, emphasizing the importance of achieving optimal sleep duration—particularly for individuals with elevated anxiety—and improving sleep quality more broadly to reduce emotional dysregulation.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 655-664"},"PeriodicalIF":3.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709493","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":"High-intensity circuit training improves sleep parameters more than cycling-based high-intensity interval training in sedentary young women: A randomized controlled trial.","authors":"Borui Zhang, Chen Zheng, Jing Liu, Huiqi Song, Yuan Fang, Ming Hu, Andy Choi-Yeung Tse, Sing-Kai Lo, Fenghua Sun","doi":"10.1016/j.sleh.2025.05.012","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.05.012","url":null,"abstract":"<p><strong>Objectives: </strong>This randomized controlled trial evaluated the effects of high-intensity circuit training vs. cycling-based high-intensity interval training on actigraphic sleep parameters, subjective sleep quality, and psychological health in sedentary young women.</p><p><strong>Methods: </strong>Forty-two sedentary women were randomly assigned to high-intensity circuit training (n = 14), high-intensity interval training (n = 14), or control (CON; n = 14). Intervention groups completed three supervised exercise sessions per week for 8 weeks; the CON group maintained usual activities. Actigraphic sleep metrics and the Pittsburgh Sleep Quality Index were assessed pre- and post-intervention. Mood, perceived stress, and quality of life were measured via validated questionnaires.</p><p><strong>Results: </strong>Both high-intensity circuit training and high-intensity interval training improved sleep efficiency, latency, and wake after sleep onset compared with CON (all p < .05). No significant differences emerged between exercise modalities for actigraphic measures. However, high-intensity circuit training yielded greater improvements in Pittsburgh Sleep Quality Index sleep quality (mean ± SD: 1.6 ± 0.9 to 1.1 ± 0.6) than high-intensity interval training (0.9 ± 0.5 to 1.1 ± 0.5; p = .024) and greater enhancement in social relationship quality of life (66.1 ± 14.8 to 74.4 ± 10.6 vs. 70.8 ± 14.5 to 69.0 ± 10.0; p = .037). Only high-intensity circuit training produced significant postintervention increases in self-esteem and reductions in perceived stress.</p><p><strong>Conclusions: </strong>Both high-intensity circuit training and high-intensity interval training improved objective sleep parameters compared with no exercise, but high-intensity circuit training was superior for enhancing subjective sleep quality, social relationships in sedentary young women.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709492","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":"Screen use and sleep health in children, adolescents, and adults: National Sleep Foundation consensus considerations and practical suggestions","authors":"Michael A. Grandner PhD, MTR ,&nbsp;Joseph M. Dzierzewski PhD,&nbsp;David Gozal MD,&nbsp;John G. Lopos,&nbsp;Alysa N. Miller PhD,&nbsp;Susan Redline MD, MPH","doi":"10.1016/j.sleh.2025.05.002","DOIUrl":"10.1016/j.sleh.2025.05.002","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 560-561"},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700050","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 codevelopmental trajectory of nighttime sleep duration and depression in middle-aged and older people in China: The predictive role of green space","authors":"Jialin Yu BSc ,&nbsp;Qing Yang PhD","doi":"10.1016/j.sleh.2025.06.003","DOIUrl":"10.1016/j.sleh.2025.06.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to document the codevelopmental trajectories of nighttime sleep duration and depression in Chinese middle-aged and older people and investigate the predictive role of green space in these trajectories.</div></div><div><h3>Methods</h3><div>In a protective cohort study of 7422 middle-aged and elderly Chinese adults with surveys in 2011, 2013, 2015, 2018, and 2020, codevelopmental trajectories class(es) of nighttime sleep duration and depression were identified using parallel process latent class growth models. The relationships between the growth factors of two variables within each class were estimated using parallel process latent growth curve model. Multinomial logistic regression assessed the association of greenspace, measured using the Normalized Difference Vegetation Index, with codevelopmental trajectory class membership.</div></div><div><h3>Results</h3><div>Three codevelopmental trajectories classes were detected: parallel low sleep and high depression (10.9%); divergent decreasing sleep and increasing depression (12.4%); and parallel stable sleep and low depression (76.7%). Parallel process latent growth curve model revealed that the association between nighttime sleep duration and depression (i.e., intercepts and slopes) varies among different trajectories. Multinomial logistic regression analyses revealed that exposure to higher levels of green space would be associated with the trajectory class exhibiting parallel stable sleep and low depression.</div></div><div><h3>Conclusion</h3><div>The codevelopment trajectories of sleep duration and depression exhibit distinct subgroups and the interrelationships vary across different subgroups. This information can inform prevention and intervention strategies, as each trajectory may represent heterogeneity among middle-aged and older adults. Higher green space was associated with lower likelihood of adverse codevelopmental trajectories of sleep and depression.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 624-630"},"PeriodicalIF":3.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650951","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":"Associations between timing of secondhand smoke exposure and sleep disorders: National Chinese Children Study.","authors":"Yu-Ting Guo, Chu Chu, Qi-Zhen Wu, Duo-Hong Chen, Hui-Min Ma, Yun-Ting Zhang, Shuang-Jian Qin, Li-Hao Guo, Zhan-Yu Guo, Zhao-Huan Gui, Li-Zi Lin, Ru-Qing Liu, Li-Wen Hu, Xiao-Wen Zeng, Guang-Hui Dong","doi":"10.1016/j.sleh.2025.05.011","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.05.011","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown that current secondhand smoke exposure increases the risk of sleep disorders. However, evidence of different time windows of secondhand smoke exposure and childhood sleep disorders remains scarce. We aimed to evaluate the time-varying associations between secondhand smoke exposure and childhood sleep disorders in China.</p><p><strong>Methods: </strong>We recruited 188,090 children aged 6 to 18 years from Liaoning, Guangdong, and Xinjiang, China between April 2012 and May 2018. Secondhand smoke exposure and sleep disorders were assessed via parent- or guardian-completed questionnaires, with sleep disorders evaluated through the Sleep Disturbance Scale for Children (SDSC). Generalized linear mixed models were used to evaluate the association between time-varying secondhand smoke exposure and sleep disorders, with false discovery rate correction for multiple comparisons.</p><p><strong>Results: </strong>Prenatal, postnatal, or current exposure to secondhand smoke was associated with greater total t-sleep scores and a higher likelihood of sleep disorders after false discovery rate correction, especially among children exposed from the prenatal period through childhood. These children had higher total t-sleep scores (β = 4.48; 95% CI, 4.32, 4.65) and higher odds of sleep disorders (OR = 2.28; 95% CI, 2.12, 2.45). Additionally, each 5-unit increase in cigarette exposure was associated with a 0.97-point (β = 0.97; 95% CI: 0.91, 1.02) increase in total sleep t-score.</p><p><strong>Conclusions: </strong>Secondhand smoke exposure at different time windows, especially exposure from prenatal to childhood, and higher family smoking frequency, was associated with an increased risk of sleep disorders in children. These findings highlight the need for a smoke-free home environment to support sleep healthy in children.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650920","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":"Association of sleep patterns with microvascular complications in individuals with type 2 diabetes: A prospective cohort study","authors":"Zhi-Hao Xiao MD ,&nbsp;Xianwei Zhang MD ,&nbsp;Lianfu Ji MD ,&nbsp;Guoxi Li MB ,&nbsp;Guangfeng Long PhD ,&nbsp;Min Yao MD ,&nbsp;Yanli Shi MD ,&nbsp;Cheng Xu PhD","doi":"10.1016/j.sleh.2025.05.010","DOIUrl":"10.1016/j.sleh.2025.05.010","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to explore the association between sleep patterns and the risk of microvascular complications<span> in patients with type 2 diabetes.</span></div></div><div><h3>Methods and results</h3><div><span><span><span>Using UK Biobank<span> data, we included the findings for 19,996 patients with type 2 diabetes who were free of diabetic microvascular complications at baseline. The sleep-pattern score was calculated as the sum of the scores for six low-risk sleep-pattern behaviors encompassing </span></span>sleep duration, chronotype, </span>daytime sleepiness, snoring, insomnia, and daytime napping. Each point increase in sleep-pattern scores is associated with 7%, 15%, and 5% decreased risk of diabetic microvascular complications, nerve, and kidney complications, respectively. Over a median follow-up period of 13.2</span> <span>years, 5635 participants developed diabetic microvascular complications. The hazard ratio (HR; 99% confidence interval [CI]) for diabetic microvascular complications was 1.13 (1.02, 1.25) in participants with &gt;8 hours of sleep vs. those with 7-8 hours of sleep and 1.13 (1.02, 1.24) in participants who usually showed insomnia behaviors vs. those who never or rarely showed insomnia behaviors. The HR (99% CI) for diabetic neuropathy<span> was 1.52 (1.19, 1.85) in participants who usually showed insomnia behaviors vs. those who never or rarely showed insomnia behaviors. The HR (99% CI) for diabetic microvascular complications and diabetic kidney disease was 1.20 (1.06, 1.33) and 1.24 (1.07, 1.42), respectively, in participants who usually showed daytime napping behaviors vs. those who never or rarely showed these behaviors.</span></span></div></div><div><h3>Conclusions</h3><div>Several sleep behaviors were associated with higher risks of diabetic microvascular complications in patients with type 2 diabetes.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 683-690"},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620913","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":"Late-life sleep medication use associated with increased falls risk in the Atherosclerosis Risk in Communities (ARIC) study","authors":"Kelsie M. Full PhD, MPH ,&nbsp;Snigdha S. Pusalavidyasagar MD, FAASM ,&nbsp;Priya Palta PhD ,&nbsp;Caitlin W. Hicks MD, MS ,&nbsp;Adam P. Spira PhD ,&nbsp;Beverly Gwen Windham MD, MHS ,&nbsp;Stephen P. Juraschek MD, PhD ,&nbsp;Matthew P. Pase PhD ,&nbsp;Jayandra J. Himali PhD ,&nbsp;Pamela L. Lutsey PhD","doi":"10.1016/j.sleh.2025.05.009","DOIUrl":"10.1016/j.sleh.2025.05.009","url":null,"abstract":"<div><h3>Objective</h3><div>Accidental falls are the leading cause of injury for older adults in the United States. Identifying risk factors for falls is a public health priority. Poor sleep is prevalent among aging adults and has been linked to falls risk. We examined late-life sleep medication use and falls risk in a cohort of older adults.</div></div><div><h3>Methods</h3><div>The Atherosclerosis Risk in Communities (ARIC) study is an ongoing community-based cohort study. ARIC participants taking any barbiturates, benzodiazepines, antidepressants, non-benzodiazepine receptor agonists, or other hypnotics in the past 4 weeks (2011-2013) were categorized as taking a medication that affects sleep, regardless of indication. Participant hospital discharge records were reviewed through 2019 for ICD codes indicating incident falls. Propensity score matching was used to match participants who used sleep medications with those who did not (1:2). Cox proportional hazards regression models were used to assess the association of sleep medication use with falls with adjustment for demographics, lifestyle, and health characteristics.</div></div><div><h3>Results</h3><div>In the matched sample (N = 4794; 70% female; mean age 75.5 ± 5 years), 1200 documented falls occurred over 6.5 years of follow-up. In fully adjusted models, sleep medication use was associated with a 33% greater risk of falls compared to nonuse (HR: 1.33; 95% CI: 1.18-1.51). Results did not differ by age, sex, depressive symptoms, baseline cognitive status, or physical functioning status (interaction <em>p</em>-values &gt;.05).</div></div><div><h3>Conclusions</h3><div>Late-life sleep medication use is associated with a higher risk of falls. Further research is needed to clarify the mechanisms linking sleep medications to falls risk.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 746-753"},"PeriodicalIF":3.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576717","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":"Perceptions of sleep and sleep research among African American adults","authors":"Paul Peyrel PhD ,&nbsp;Matthew Viverito BA ,&nbsp;Danielle Eliser MA ,&nbsp;MaKayla Tanksley BSc ,&nbsp;Robert L. Newton Jr PhD ,&nbsp;Owen T. Carmichael PhD ,&nbsp;Kelly G. Baron PhD ,&nbsp;Prachi Singh PhD","doi":"10.1016/j.sleh.2025.05.007","DOIUrl":"10.1016/j.sleh.2025.05.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Understanding contributors to poor sleep and effective interventions to improve sleep among African Americans remain lacking due to their under-representation in sleep research. This study aimed to examine this population’s sleep-related perceptions, as well as facilitators, barriers, and willingness to participate in sleep research.</div></div><div><h3>Methods</h3><div>African American men and women (n = 36, 53.4 ± 14.4 years [mean ± SD]) from the Greater Baton Rouge area were recruited and assigned to a focus group. Five 60- to 90-minute focus group sessions were conducted using a semistructured interview guide. Prompts were related to sleep and sleep research. Each session was recorded, transcribed, and coded for content analysis to capture themes in the discussions.</div></div><div><h3>Results</h3><div>Thirty participants reported a total sleep time<span> less than or equal to 6 hours most nights of the week. Participants were aware of the importance of sleep for physical and mental health<span> and were interested in improving their sleep. Most participants indicated a willingness to participate in sleep research. Perceived benefits included increased knowledge on how to improve sleep, identification of personal triggers that may contribute to poor sleep, and improvement in quality of life and health. Barriers to sleep research participation included lack of trust, time commitment, study procedures, and inability to change their habits. Conversely, building trust and community presence were seen as facilitators to sleep research studies.</span></span></div></div><div><h3>Conclusions</h3><div>African Americans displayed knowledge related to importance of sleep and its relationship with health outcomes. Despite a long history of mistrust of medical researchers among African Americans, there is an interest in sleep research participation.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 724-730"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555382","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":"Data-driven approach to understand associations between dietary patterns, sleep problems, and mental health in adolescents","authors":"Yihong Zhao PhD ,&nbsp;Xuewei Han MS ,&nbsp;Sarah W. Feldstein Ewing PhD ,&nbsp;Marie-Pierre St-Onge PhD ,&nbsp;Martin P. Paulus MD","doi":"10.1016/j.sleh.2025.05.001","DOIUrl":"10.1016/j.sleh.2025.05.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Emerging evidence suggests a role of diet in sleep disturbances and mental health including internalizing (e.g., anxiety, depression) and externalizing (e.g., aggression, impulsivity) problems.</div></div><div><h3>Methods</h3><div>This study employed a data-driven approach to construct a Sleep-Mental Health-Eating Index and assessed its mediating roles in the relationships between difficulties initiating and maintaining sleep and mental health problems in 11,000 youth aged 9-10<!--> <!-->years. Difficulties initiating and maintaining sleep and mental health problems were assessed annually from baseline to Year2, and diet at Year1. The Shapley Additive Explanations analysis was used to derive the eating index.</div></div><div><h3>Results</h3><div><span>Six dietary categories emerged as important predictors of our outcomes, with whole grains, green vegetables, and berries linked to lower difficulties initiating and maintaining sleep scores, while sweet </span>pastries<span><span>, fast food, and butter </span>cream<span> linked to higher difficulties initiating and maintaining sleep. Dietary factors explained 2.24% of difficulties initiating and maintaining sleep variation, surpassing demographics (1.21%). For internalizing behaviors, dietary and demographic contributions were similar (1.86% vs. 1.98%). Demographics were the strongest predictors of externalizing symptoms (3.84%). Higher baseline difficulties initiating and maintaining sleep (beta = −0.026, 95% CI: −0.038, −0.015) and internalizing scores (beta = −0.027, 95% CI: −0.035, −0.019) were associated with worse eating index at Year1. Additionally, the eating index mediated relationships between baseline difficulties initiating and maintaining sleep/internalizing problems and Year2 outcomes. Overall, indirect effects range from 3.2% to 7.0%.</span></span></div></div><div><h3>Conclusions</h3><div>These findings highlight diet’s role in predicting and mediating sleep and mental health outcomes. Healthy foods were associated with fewer sleep difficulties and internalizing problems, while unhealthy foods worsen sleep and behavior problems. Targeting diet may improve interventions addressing adolescent sleep and mental health challenges.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 579-589"},"PeriodicalIF":3.4,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369437","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":"“No rest for me tonight”: A social-ecological exploration of insomnia in rural Appalachian women","authors":"Mairead E. Moloney PhD ,&nbsp;Daniela C. Moga PhD ,&nbsp;Michael Grandner PhD ,&nbsp;Nancy Schoenberg PhD","doi":"10.1016/j.sleh.2025.04.009","DOIUrl":"10.1016/j.sleh.2025.04.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Insomnia disproportionally affects women and is prevalent among rural Appalachian adults at higher rates than in the general US population. Given the strong, bi-directional relationship between sleep and health, a better understanding of insomnia in this health-disparate population is critical. The present study focused on the sex (females), gender (women), and age group (45+) at highest insomnia risk and explores the social determinants of sleep that contributed to insomnia.</div></div><div><h3>Methods</h3><div>Semistructured telephone interviews were conducted to understand factors associated with insomnia among rural Appalachian women who self-reported insomnia symptoms ≥3 nights per week for ≥3<!--> <!-->months. Interviews were recorded with permission and transcribed. We used a multistage, inductive and deductive coding process aided by NVIVO 12.0 software.</div></div><div><h3>Results</h3><div>Participants were 46 cisgender women in rural Appalachia who met the criteria for insomnia. The social-ecological model was our interpretative framework. Findings illuminate individual (e.g., rumination, menopause, pain, depression), social (e.g., family roles, grief, caregiving, financial concerns), and societal (e.g., gender norms, technology use) factors that likely contribute to insomnia among middle-aged rural Appalachian women.</div></div><div><h3>Conclusions</h3><div>Across levels of the social-ecological model, factors of female sex (e.g., menopause) and gendered behaviors, roles, and norms (e.g., caregiving close and extended kin) played a central role in the precipitation and perpetuation of insomnia in this population. Attending to the regional cultural norms of heightened self-sufficiency, domestic work, and inter-generational familial care may aid healthcare providers and policy makers aiming to address insomnia among rural Appalachian women as well as other rural populations.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 717-723"},"PeriodicalIF":3.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340498","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}