Journal of Clinical Sleep Medicine最新文献

{"title":"Sleep quality in pregnant women with lumbopelvic pain: prevalence of clinically significant sleep disturbance and comparison in clinical outcomes between pregnant women with and without clinically significant sleep disturbance.","authors":"Daniela de Araujo Lima, Vitória Araújo de Paiva, Aline Lima de Souza Ribeiro, Camile Ludovico Zamboti","doi":"10.1007/s44470-026-00091-x","DOIUrl":"https://doi.org/10.1007/s44470-026-00091-x","url":null,"abstract":"<p><strong>Objective: </strong>To characterize sleep quality (SQ), determine the prevalence of clinically significant sleep disturbance (CSSD) and poor SQ in pregnant women with lumbopelvic pain (LBPP), compare quality of life (QoL), functionality, anxiety, and depression between those with and without CSSD, and correlate SQ with pain intensity, QoL, disability, anxiety, and depression.</p><p><strong>Methods: </strong>This cross-sectional study included pregnant women with LBPP, ≥ 20 gestational weeks (GW). Participants completed an electronic form with sociodemographic information and questionnaires to assess QoL (SF-36), functionality (Oswestry Disability Index), SQ (Pittsburgh Sleep Quality Index), and anxiety and depression (Hospital Anxiety and Depression Scale). Participants were divided into two groups: CSSD (PSQI ≥ 10) and non-CSSD (PSQI < 10).</p><p><strong>Results: </strong>Fifty-six pregnant women with LBPP were included, presenting a median score of 6 [4.5-6] points on the PSQI (i.e., poor SQ). Thirteen (23%) pregnant women with LBPP were classified in the CSSD group (31 ± 3 years, 28 ± 6 GW) and 43 in the non-CSSD group (27 ± 5 years, 28 ± 6 GW). The CSSD group presented greater disability (p = 0.01), higher anxiety (p = 0.002) and depression (p = 0.0004), and lower functional capacity (p = 0.03), general health status (p = 0.03), vitality (p = 0.01), social (p = 0.0008) and emotional (p = 0.01) aspects, and mental health (p = 0.001) compared to the non-CSSD group. Moderate correlations were observed between SQ and disability, anxiety, and depression.</p><p><strong>Conclusion: </strong>Pregnant women with LBPP exhibited poor SQ, 23% presented CSSD and 71% poor SQ. Those with both LBPP and CSSD showed greater disability, anxiety, and depression, and poorer QoL compared to pregnant women with LBPP but without CSSD.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The promise and peril of data-driven approaches: interpreting the association of insomnia, sleep apnea, and COMISA with mortality in US veterans.","authors":"Ripu D Jindal","doi":"10.1007/s44470-026-00093-9","DOIUrl":"https://doi.org/10.1007/s44470-026-00093-9","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No sleep in the strait: war-related sleep disruption and its musculoskeletal consequences in the Hormuz crisis.","authors":"Mohammad Abdulsalam, Ahmad J Abdulsalam, Ahmed S BaHammam","doi":"10.1007/s44470-026-00083-x","DOIUrl":"https://doi.org/10.1007/s44470-026-00083-x","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13106099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical pathway implications of bilateral hypoglossal nerve stimulation for PAP-intolerant OSA.","authors":"Xiaofan Xu, Shuyun Xiao","doi":"10.1007/s44470-026-00060-4","DOIUrl":"https://doi.org/10.1007/s44470-026-00060-4","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognition and psychomotor vigilance in treated sleep apnea patients with and without daytime sleepiness: the MAGNETO study.","authors":"Barbara Junco, Alberto Ramos, Rene Hernandez-Cardenache, Douglas McKay Wallace, Salim Dib, Adriana P Pérez Negrón, Alexandra Vanderkley, Roger McIntosh","doi":"10.1007/s44470-026-00077-9","DOIUrl":"10.1007/s44470-026-00077-9","url":null,"abstract":"<p><strong>Study objectives: </strong>Residual excessive daytime sleepiness (EDS) persists in some patients with obstructive sleep apnea (OSA) despite adequate positive airway pressure (PAP) therapy and is linked to cognitive deficits. This study examined whether residual EDS in PAP-adherent OSA is associated with poorer cognition.</p><p><strong>Methods: </strong>A cross-sectional single site study (N = 65), examining PAP-adherent (mean use ≥ 6 h/night; device reported normalized AHI < 5 per hour) patients with OSA (mean age (SD) = 61 (9.2); 34% female; 72% Hispanic; 6% Black; mean diagnostic AHI = 38.05 (28.4). Objective sleepiness was measured via the Psychomotor Vigilance Task (PVT); > 5 lapses ≥ 500 ms defined PVT derived EDS (N = 30). Cognitive function assessed via NeuroTrax® battery accounting for age and education. General linear models adjusted for sex, time since diagnosis and self-reported sleep duration were used to test associations in this exploratory, hypothesis generating analysis.</p><p><strong>Results: </strong>Greater residual EDS was associated with worse performance in global cognition (β = -4.09, p < .001), memory (β = -3.97, p = .001), executive functioning (β = -3.91, p = .004), attention (β = -2.68, p = .036), and processing speed (β = -4.89, p = .012). In categorical analyses, those with EDS performed approximately .43-.58 of a NeuroTrax® SD worse in global cognition and memory, a magnitude roughly comparable to 1-2 points on the MoCA or MMSE.</p><p><strong>Conclusions: </strong>Residual EDS was associated with poorer cognitive performance. These findings suggest residual EDS represents a cognitive risk phenotype in OSA, independent of PAP adherence. PVT provides a brief, objective tool to detect cognitive deficits and may serve as a valuable measure in OSA related brain health research. Current Knowledge/Study Rationale In obstructive sleep apnea (OSA), residual excessive daytime sleepiness (EDS) can persist despite regular adherence to positive airway pressure (PAP) therapy. EDS is associated with cognitive decline and dementia risk, yet few studies have evaluated objective sleepiness and cognitive outcomes in this population. Study Impact This study shows that residual EDS, objectively measured by the Psychomotor Vigilance Task (PVT), is associated with worse cognition in PAP-adherent people with OSA. These findings highlight a distinct cognitive risk phenotype in treated OSA and support the PVT as a practical tool for detecting cognitive deficits in clinical and research settings.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occult obstructive sleep apnea in survivors of Hodgkin lymphoma following radiation therapy: an atypical and under-recognized phenotype.","authors":"Anita Li, Laura C Petishnok, Sonia F Epstein, Michelle L Walsh, Kimberlee Gauvreau, Elizabeth B Klerman, Andrea K Ng, Ming Hui Chen","doi":"10.1007/s44470-026-00075-x","DOIUrl":"10.1007/s44470-026-00075-x","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combination treatment for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.","authors":"Daniel J Buysse, J Todd Arnedt, Luis Buenaver, Judy L Chang, Julio Fernandez-Mendoza, Salma I Patel, Eric S Zhou, Yngve Falck-Ytter, Suzanne Hyer, Uzma Kazmi, Mandeep Singh, Emerson M Wickwire","doi":"10.1007/s44470-025-00039-7","DOIUrl":"10.1007/s44470-025-00039-7","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combination treatment for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline.","authors":"Daniel J Buysse, J Todd Arnedt, Luis Buenaver, Judy L Chang, Julio Fernandez-Mendoza, Salma I Patel, Eric S Zhou, Yngve Falck-Ytter, Suzanne Hyer, Uzma Kazmi, Mandeep Singh, Emerson M Wickwire","doi":"10.1007/s44470-025-00038-8","DOIUrl":"10.1007/s44470-025-00038-8","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to \"Restless legs syndrome, heart diseases, iron therapy and inflammation: a causal relationship\".","authors":"Celia Garcia-Malo, Diego Garcia-Borreguero, Michael H Silber","doi":"10.1007/s44470-026-00055-1","DOIUrl":"10.1007/s44470-026-00055-1","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's leak got to do with it? Association of mask leak and positive airway pressure adherence from the homepap study.","authors":"Noah D Andrews, Jad El Ahdab, Maeve Pascoe, Lu Wang, James Bena, Dennis Auckley, Ruth Benca, Martha E Billings, Vishesh Kapur, Phyllis C Zee, Susan Redline, Nancy Foldvary-Schaefer","doi":"10.1007/s44470-026-00046-2","DOIUrl":"10.1007/s44470-026-00046-2","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}