Sleep Medicine Reviews最新文献_第2页

Chronotype and substance use disorder: A systematic review with meta-analysis on the impact of circadian misalignment on psychopathology and clinical course 时间型与物质使用障碍：一项关于昼夜节律失调对精神病理和临床病程影响的系统综述和荟萃分析

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-06-16 DOI: 10.1016/j.smrv.2025.102116

Luca Steardo , Martina D'Angelo , Valeria Di Stefano , Annarita Vignapiano , Ernesta Panarello , Francesco Monaco , Michele Fornaro , Luca Steardo

{"title":"Chronotype and substance use disorder: A systematic review with meta-analysis on the impact of circadian misalignment on psychopathology and clinical course","authors":"Luca Steardo , Martina D'Angelo , Valeria Di Stefano , Annarita Vignapiano , Ernesta Panarello , Francesco Monaco , Michele Fornaro , Luca Steardo","doi":"10.1016/j.smrv.2025.102116","DOIUrl":"10.1016/j.smrv.2025.102116","url":null,"abstract":"<div><div>Circadian rhythms regulate essential biological functions such as sleep, hormonal secretion, mood regulation, and reward processing. Individual differences in circadian preference, known as chronotype, may influence the risk of developing psychiatric disorders. Specifically, evening preference has been associated with emotional dysregulation, impulsive behavior, and increased reward sensitivity, which are key factors in the development and maintenance of substance-related disorders. Despite growing evidence, the relationship between chronotype and substance use disorders has not yet been systematically evaluated. This review aimed to synthesize the available clinical literature and quantitatively assess the association between chronotype and substance use disorders. A systematic search identified studies examining the link between chronotype and diagnostic, symptomatic, or prognostic features of substance use disorders in clinical populations. The review found consistent evidence that evening preference is associated with earlier onset, higher symptom severity, and poorer treatment outcomes. Five studies were included in the meta-analysis. The pooled odds ratio showed that individuals with evening preference had a significantly higher likelihood of being diagnosed with a substance use disorder compared to those with morning preference (pooled odds ratio = 1.55, 95 percent confidence interval: 1.20 to 1.95). These findings suggest that circadian preference is a clinically relevant factor in the assessment and treatment of substance use disorders.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102116"},"PeriodicalIF":11.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstructive sleep apnea and airway overlap syndromes in adults 成人阻塞性睡眠呼吸暂停和气道重叠综合征

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-06-11 DOI: 10.1016/j.smrv.2025.102115

Daniel López-Padilla , Raúl Méndez , Carlos Amado , Miguel Ángel Martinez-García

引用次数: 0

The impact of sleep loss on decision making: Opening the cognitive black box 睡眠不足对决策的影响：打开认知黑盒子

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-06-06 DOI: 10.1016/j.smrv.2025.102114

Jeryl Y.L. Lim , William D.S. Killgore , Daniel Bennett , Sean P.A. Drummond

{"title":"The impact of sleep loss on decision making: Opening the cognitive black box","authors":"Jeryl Y.L. Lim , William D.S. Killgore , Daniel Bennett , Sean P.A. Drummond","doi":"10.1016/j.smrv.2025.102114","DOIUrl":"10.1016/j.smrv.2025.102114","url":null,"abstract":"<div><div>The impact of sleep loss on decision-making is well-documented, yet current quantitative methods often obscure the cognitive mechanisms underlying these impairments. This review examines evidence from key studies on how sleep deprivation affects decision-making domains, including risk propensity, effort and delay discounting, Bayesian reasoning, and cognitive flexibility. We critique the prevalent reliance on global behavioural metrics, highlighting three key limitations: 1) sleep-driven cognitive effects may be masked despite non-significant behavioural outcomes, 2) alternative cognitive strategies are often overlooked, and 3) these metrics fail to incorporate advances in cognitive neuroscience. To address these issues, we advocate for integrating computational cognitive models with existing quantitative methods. These models provide precise estimates of latent cognitive processes often missed by conventional analyses. As an exemplar, we reanalyse previously published data, revealing sleep-related deficits in value sensitivity and increased decision noise. These insights highlight the utility of computational cognitive models in supplementing traditional methods to uncover how sleep loss affects specific cognitive processes essential for decision-making. Beyond improving mechanistic insights, computational cognitive models may enhance the accuracy and interpretability of sleep research and inform the development of targeted interventions to mitigate decision-making impairments caused by sleep loss.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102114"},"PeriodicalIF":11.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Insomnia and emotion dysregulation: a meta-analytical perspective integrating regulatory strategies and dispositional difficulties 失眠与情绪失调：整合调节策略与处置困难的元分析视角

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-06-04 DOI: 10.1016/j.smrv.2025.102111

Fateme Samea , Nasrin Mortazavi , Gerion M. Reimann , Amir Ebneabbasi , Mojtaba Zarei , Habibolah Khazaie , Andrea N. Goldstein-Piekarski , Kai Spiegelhalder , Chiara Baglioni , Amir A. Sepehry , Masoud Tahmasian

{"title":"Insomnia and emotion dysregulation: a meta-analytical perspective integrating regulatory strategies and dispositional difficulties","authors":"Fateme Samea , Nasrin Mortazavi , Gerion M. Reimann , Amir Ebneabbasi , Mojtaba Zarei , Habibolah Khazaie , Andrea N. Goldstein-Piekarski , Kai Spiegelhalder , Chiara Baglioni , Amir A. Sepehry , Masoud Tahmasian","doi":"10.1016/j.smrv.2025.102111","DOIUrl":"10.1016/j.smrv.2025.102111","url":null,"abstract":"<div><div>Insomnia and emotion dysregulation are intricately related, yet their aggregate association across different domains of emotion dysregulation and the effect of moderating factors including health-related status, age, and gender remain unclear. This systematic review and meta-analysis synthesized data from 57 studies, pooling 119 effect sizes from correlational and 55 effect sizes from group comparison studies. By separate analyses, we assessed both the strength of the association and whether clinically significant insomnia symptoms exacerbate difficulty in regulating emotion. Correlational analyses revealed a significant association between insomnia symptoms and emotion dysregulation, primarily in individuals with serious health-related conditions (Fisher Z<sub>no-serious condition</sub> = 0.22, Fisher Z<sub>serious-conditions</sub> = 0.37, p < 0.00001). Group comparison analyses indicated that clinically significant insomnia symptoms present worse emotion dysregulation regardless of health-related status (Hedges’ g = 0.99, p = 0.01). The reliance on maladaptive emotion regulation strategies and difficulties in dispositional domains of emotion regulation, particularly impulsivity, were more strongly associated with insomnia than challenges related to adaptive strategies. Age and gender did not impact these associations in either type of study. These findings underscore a robust link between insomnia and emotion dysregulation, suggesting the potential benefits of integrating emotion regulation skills into insomnia management to improve therapeutic outcomes.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102111"},"PeriodicalIF":11.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shedding light on microsleep episodes for comprehensive sleepiness assessment: a narrative review 为综合睡意评估揭示微睡眠事件：叙述性回顾

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-06-01 DOI: 10.1016/j.smrv.2025.102113

Aurélie Davin , Renaud Tamisier , Lucie Barateau , Laure Peter-Derex , Yves Dauvilliers , Jean-Louis Pépin , Sébastien Baillieul

{"title":"Shedding light on microsleep episodes for comprehensive sleepiness assessment: a narrative review","authors":"Aurélie Davin , Renaud Tamisier , Lucie Barateau , Laure Peter-Derex , Yves Dauvilliers , Jean-Louis Pépin , Sébastien Baillieul","doi":"10.1016/j.smrv.2025.102113","DOIUrl":"10.1016/j.smrv.2025.102113","url":null,"abstract":"<div><div>Excessive daytime sleepiness is a consistent and common symptom in sleep medicine. It represents a major public health problem due to its association with significant impairments in quality of life, work productivity, and driving ability. Objective clinical tests for assessing excessive daytime sleepiness follow the universal American academy of sleep medicine scoring classification, which overlooks short intrusions of sleep during wake states, known as microsleep episodes. This narrative review provides a comprehensive summary of the existing literature concerning microsleep episodes, highlighting their significance and potential additional value in the context of sleepiness assessment. Moreover, due to the related attention lapses they cause, microsleep episodes may have significant implications for cognitive performance and road traffic accidents. These are discussed along with potential effective countermeasures. This review concludes by proposing an innovative framework for enriching excessive daytime sleepiness evaluation by integrating the assessment of microsleep episodes into routine clinical tests. Such an approach promises to provide valuable insights into the dynamics of sleepiness and could significantly enhance excessive daytime sleepiness assessment and management through personalized medicine.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102113"},"PeriodicalIF":11.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association between periodontal disease, dementia, and mild cognitive Impairment: Assessing the contribution of sleep disturbances and sleep disorders 牙周病、痴呆和轻度认知障碍之间的关系：评估睡眠障碍和睡眠障碍的贡献

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-05-31 DOI: 10.1016/j.smrv.2025.102112

Alberto Herrero Babiloni , Andrée-Ann Baril , Linda Sangalli , Gilles J. Lavigne , Ryma Kabir , Nadia Gargouri , Cibele Dal Fabbro

{"title":"The association between periodontal disease, dementia, and mild cognitive Impairment: Assessing the contribution of sleep disturbances and sleep disorders","authors":"Alberto Herrero Babiloni , Andrée-Ann Baril , Linda Sangalli , Gilles J. Lavigne , Ryma Kabir , Nadia Gargouri , Cibele Dal Fabbro","doi":"10.1016/j.smrv.2025.102112","DOIUrl":"10.1016/j.smrv.2025.102112","url":null,"abstract":"<div><div>This review explores the potential role of sleep disturbances in the interaction between periodontal disease—a microbially driven, inflammatory condition causing bone loss and dentition damage—and the risk of cognitive impairment and dementia. Both periodontal disease and sleep disturbances, rise in parallel with aging, a period marked by cognitive changes. Our aims were to assess the strength and certainty of the proposed association to guide clinicians in addressing this question and advising patients. Sleep disturbances and periodontal disease are age-related, modifiable conditions that impact systemic health, yet their combined effect on cognition and dementia risk remains uncertain due to varying risk factors. Both conditions share inflammatory and oxidative stress pathways, which may contribute to periodontal disease and possibly cognitive decline, though causality remains unproven. Periodontal disease is also linked to other systemic conditions, such as diabetes and cardiovascular disease, through inflammation or bacterial spread. We discuss how chronic sleep disruptions may exacerbate periodontal inflammation and cognitive decline, with systemic inflammation potentially accelerating neurodegenerative processes. Integrating evidence from sleep medicine, neuroinflammation, and dentistry can help identify mechanisms to protect brain health. We emphasize the consideration of periodontal health and sleep assessments in individuals at risk for cognitive decline or dementia.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102112"},"PeriodicalIF":11.2,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Which individually-directed non‐pharmacological interventions are effective at improving sleep outcomes in shift workers? A systematic review of systematic reviews 哪些个人指导的非药物干预措施对改善轮班工人的睡眠结果有效？系统回顾的系统回顾

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-05-26 DOI: 10.1016/j.smrv.2025.102110

Rhiannon E. Hawkes , Thavapriya Sugavanam , Jack S. Benton , Neal Thurley , Simon D. Kyle , David Ray , David P. French

{"title":"Which individually-directed non‐pharmacological interventions are effective at improving sleep outcomes in shift workers? A systematic review of systematic reviews","authors":"Rhiannon E. Hawkes , Thavapriya Sugavanam , Jack S. Benton , Neal Thurley , Simon D. Kyle , David Ray , David P. French","doi":"10.1016/j.smrv.2025.102110","DOIUrl":"10.1016/j.smrv.2025.102110","url":null,"abstract":"<div><div>Shift work can result in sleepiness, increasing risks of accidents, absenteeism and illness. Systematic reviews have examined individually-directed non-pharmacological interventions (e.g., light therapy, napping) for shift workers, but the diversity of interventions, settings and review conclusions make it difficult to determine which interventions work. We conducted a systematic review of systematic reviews to appraise evidence for such interventions to improve sleep or reduce sleepiness in shift workers.</div><div>Six databases were searched and screened with good reliability. Two reviewers independently extracted data from all identified reviews, and a narrative synthesis was conducted.</div><div>Twenty-eight systematic reviews were included, containing 69 primary studies involving 4947 participants. Twenty-three reviews were critically low-quality. The most-investigated interventions were light therapy (n = 8 reviews) and napping (n = 7 reviews). High-quality reviews suggested inconclusive evidence for which interventions improved sleep quality, sleep quantity and subjective sleepiness in shift workers, although lower quality reviews indicated light therapy, napping, physical activity, dietary supplements, mobile health apps and mindfulness may be effective.</div><div>We have identified several promising interventions to improve sleep or reduce sleepiness in shift workers, although none met high-quality thresholds. More rigorous and high-quality trials should focus on these promising interventions.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102110"},"PeriodicalIF":11.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of sleep hygiene education for insomnia: A systematic review and meta-analysis 睡眠卫生教育对失眠的影响：一项系统回顾和荟萃分析

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-05-24 DOI: 10.1016/j.smrv.2025.102109

Jia Yin Ruan , Qi Liu , Ka Fai Chung , Ka Yan Ho , Wing Fai Yeung

{"title":"Effects of sleep hygiene education for insomnia: A systematic review and meta-analysis","authors":"Jia Yin Ruan , Qi Liu , Ka Fai Chung , Ka Yan Ho , Wing Fai Yeung","doi":"10.1016/j.smrv.2025.102109","DOIUrl":"10.1016/j.smrv.2025.102109","url":null,"abstract":"<div><div>Sleep hygiene education (SHE) as a single therapy for insomnia still lacks sufficient evidence. This study aimed to quantify the effects of SHE on insomnia treatment. A literature search was conducted on seven databases from inception up to 30 September 2024 to retrieve randomized controlled trials. Meta-analyses were performed to estimate the mean difference (MD) of Insomnia Severity Index (ISI) (primary outcome) using a random-effects model. Risk of Bias 2 tool was applied to measure methodological quality. Forty-two RCTs encompassing 4245 adults (65.5 % female) were included. The pooled results showed significant pretreatment-to-posttreatment improvement in ISI score (MD = 3.4, 95 % confidence interval (CI) [2.08, 4.64]). However, SHE was inferior as a cognitive behavioral therapy for insomnia (CBT-I) (MD = 3.8, 95 % CI [2.92, 4.76]), partial CBT-I (MD = 4.5, 95 % CI [3.33, 5.60]), exercises (MD = 2.9, 95 % CI [0.81, 5.04]), and acupressure (MD = 1.9, 95 % CI [0.82, 3.00]) regarding the ISI score. The majority of included trials (85.71 %) had a high overall risk of bias, and the remaining had “some concerns.” Future work is encouraged to generate robust evidence through the development of well-designed SHE as an examined intervention for insomnia that involves process evaluation and treatment fidelity.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"82 ","pages":"Article 102109"},"PeriodicalIF":11.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic accuracy of machine learning algorithms in electrocardiogram-based sleep apnea detection: A systematic review and meta-analysis 机器学习算法在基于心电图的睡眠呼吸暂停检测中的诊断准确性：系统回顾和荟萃分析

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-05-07 DOI: 10.1016/j.smrv.2025.102097

Mustafa Eray Kilic , Mehmet Emin Arayici , Oguzhan Ekrem Turan , Yigit Resit Yilancioglu , Emin Evren Ozcan , Mehmet Birhan Yilmaz

{"title":"Diagnostic accuracy of machine learning algorithms in electrocardiogram-based sleep apnea detection: A systematic review and meta-analysis","authors":"Mustafa Eray Kilic , Mehmet Emin Arayici , Oguzhan Ekrem Turan , Yigit Resit Yilancioglu , Emin Evren Ozcan , Mehmet Birhan Yilmaz","doi":"10.1016/j.smrv.2025.102097","DOIUrl":"10.1016/j.smrv.2025.102097","url":null,"abstract":"<div><div>Sleep apnea is a prevalent disorder affecting 10 % of middle-aged individuals, yet it remains underdiagnosed due to the limitations of polysomnography (PSG), the current diagnostic gold standard. Single-lead electrocardiography (ECG) has been proposed as a potential alternative diagnostic tool, but interpretation challenges remain. Recent advances in machine learning and deep learning technologies offer promising approaches for enhancing the detection of sleep apnea through automated analysis of ECG signals. This meta-analysis aims to evaluate the diagnostic accuracy of machine learning (ML) and deep learning (DL) algorithms in detecting sleep apnea patterns from single-lead ECG data. A comprehensive literature search across multiple databases was conducted through November 2023, adhering to PRISMA-DTA guidelines. Studies that included sensitivity and specificity data for ECG-based sleep apnea detection using (machine learning/deep learning) ML/DL were selected. The analysis included 84 studies, demonstrating high diagnostic accuracy for ML/DL algorithms, with pooled sensitivity and specificity of over 90 % in per-segment analysis and close to 97 % in per-record analysis. Despite strong diagnostic performance, variations in algorithm effectiveness and methodological biases were noted. This meta-analysis highlights the potential of ML and DL in improving sleep apnea diagnosis and outlines areas for future research to address current limitations.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"81 ","pages":"Article 102097"},"PeriodicalIF":11.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Connecting mechanistic evidence for depression, anxiety, and insomnia with neuroimaging 将抑郁、焦虑和失眠的机制证据与神经影像学联系起来

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2025-05-05 DOI: 10.1016/j.smrv.2025.102099

Daniel Felsky , Mohamed Abdelhack

引用次数: 0