Journal of Clinical Sleep Medicine最新文献

{"title":"Location, location, location: wide geographic and racial/ethnic variations in pediatric polysomnography in US Medicaid children.","authors":"Madeleine Grigg-Damberger","doi":"10.1007/s44470-026-00170-z","DOIUrl":"10.1007/s44470-026-00170-z","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129161","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":"Deprescribing benzodiazepine hypnotics and Z-drugs: are DORAs the answer?","authors":"Bhanu Prakash Kolla, Meghna P Mansukhani","doi":"10.1007/s44470-026-00186-5","DOIUrl":"10.1007/s44470-026-00186-5","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129155","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":"Effects of lemborexant vs placebo on total daytime sleep in shift workers: a randomized controlled trial.","authors":"Aric A Prather, Danielle Mitgang, Traci Coggins Plaut, Tashia Ovais, Andrew D Krystal","doi":"10.1007/s44470-026-00199-0","DOIUrl":"10.1007/s44470-026-00199-0","url":null,"abstract":"<p><strong>Purpose: </strong>Sleep difficulties are common among shift workers, likely due to a misalignment of one's sleep preference and endogenous circadian rhythm. Treatments to improve daytime sleep in shift workers have been limited; however, the development of dual orexin receptor antagonists (DORAs) that block the hypocretin/orexin receptors that mediate wakefulness promoted by the biological clock holds promise. The present small randomized controlled trial tested the efficacy of the DORA, lemborexant, in improving daytime sleep in night shift workers compared with placebo.</p><p><strong>Methods: </strong>This double-blind, placebo-controlled randomized clinical trial tested the effects of lemborexant on daytime sleep duration in a sample of night shift workers. Participants (n = 29; mean age = 37.2 years; 28 female) underwent a 2-week baseline period followed by randomization and a 1-week titration period where participants received either 5 mg of lemborexant or placebo. This was followed by a 2-week period at either 5 mg (n = 8) or 10 mg (n = 7) lemborexant or placebo. Sleep diaries and wrist actigraphy were collected to quantify daytime sleep duration, sleep efficiency, and subjective sleep quality.</p><p><strong>Results: </strong>Linear mixed models failed to reveal any significant differences in daytime sleep duration between the lemborexant group (n = 15) and the placebo group (n = 14) using either diary or wrist actigraphy. Similarly, the lemborexant group did not differentially improve in other sleep outcomes, including sleep efficiency, subjective sleep quality, or insomnia severity. Exploratory analyses revealed a statistically significant benefit to diary-based sleep duration among participants who titrated up to the 10 mg dose compared to 5 mg; however, this was not statistically different than the placebo condition. No serious adverse events were reported in the lemborexant group.</p><p><strong>Conclusions: </strong>This pilot randomized controlled trial of lemborexant, a dual orexin receptor antagonist, failed to demonstrate improvements in daytime sleep duration in shift workers compared to a placebo condition; however, exploratory analyses suggested potential benefits at the 10 mg dose. Future studies with larger samples that ensure participants receive an adequate dose are needed.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT05344443.</p><p><strong>Current knowledge/study rationale: </strong>Sleep difficulties are common among shift workers, likely due to a misalignment of one's sleep preference and endogenous circadian rhythm. Treatments to improve daytime sleep in shift workers have been limited, though initial evidence suggests that dual orexin receptor antagonists may be efficacious. This study aimed to test the effect of lemborexant on daytime sleep in shift workers.</p><p><strong>Study impact: </strong>Treatments to improve daytime sleep in shift workers are urgently needed. While th","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129178","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":"Values expressed by women veterans initiating treatment for sleep apnea.","authors":"Gwendolyn C Carlson, Giselle Gomez, Katie J Carlson, Chase H G MacCabe, Alaina I Gold, Alexander J Erickson, Kathryn Saldaña, Monica R Kelly, Yeonsu Song, Michelle R Zeidler, Constance H Fung, Cathy A Alessi, Donna L Washington, Elizabeth M Yano, Jennifer L Martin","doi":"10.1007/s44470-026-00179-4","DOIUrl":"10.1007/s44470-026-00179-4","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129192","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":"Why we should still ACT in CBT-I.","authors":"Andrea Ballesio","doi":"10.1007/s44470-026-00206-4","DOIUrl":"10.1007/s44470-026-00206-4","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129173","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":"Correction: A systematic review of the frequency of sleep evaluations, sleep disorders, and treatments among individuals with muscular dystrophy.","authors":"Nedra Whitehead, Joyce T Alese, Christine Hill, Mike Enger, Jamie Zimmerman, Amy Moore, Julie Royer, Swamy Venkatash, Shiny Thomas, Barbara Do, James F Howard","doi":"10.1007/s44470-026-00212-6","DOIUrl":"10.1007/s44470-026-00212-6","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129147","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":"Time-varying RLS and perinatal depression: concerns regarding model specification and causal inference.","authors":"Bin Huang, Yuqian Shen","doi":"10.1007/s44470-026-00198-1","DOIUrl":"10.1007/s44470-026-00198-1","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117875","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":"An examination of chronotype associations with symptoms of depression, PTSD, and sleep disturbances in US military veterans.","authors":"Christi S Ulmer, Sarah C Wilson, Dominic Ysidron, Stephanie Ferguson","doi":"10.1007/s44470-026-00165-w","DOIUrl":"10.1007/s44470-026-00165-w","url":null,"abstract":"<p><strong>Purpose: </strong>Chronotype is associated with depression and PTSD, which are common mental health conditions among military veterans. Few studies have examined chronotype in this population, which is known to also have more severe sleep difficulties than non-veteran community-residing adults.</p><p><strong>Methods: </strong>In the current study, self-reported sleep and mental health symptoms were examined by chronotype using data collected from US military veterans (N = 144) participating in a multi-site post-deployment health repository. Analysis of covariance was used to assess symptom measure differences by chronotype after adjusting for age and sex.</p><p><strong>Results: </strong>Consistent with prior research, evening types endorsed greater symptomology across measures of depression and PTSD as compared to morning types. Evening types also endorsed more severe insomnia symptoms and poorer sleep quality, and these relationships were not mediated by sleep duration. Chronotype was not associated with trauma-associated sleep disturbance.</p><p><strong>Conclusions: </strong>Consideration of chronotype may be important for case conceptualization in military veterans and those with elevated depression, suicidality, and/or trauma. Assessing chronotype may be important for identifying phenotypes at increased risk of greater psychiatric symptom burden, in addition to understanding treatment response to interventions targeting sleep timing, such as cognitive behavioral therapy for insomnia.</p><p><strong>Current knowledge/study rationale: </strong>Few studies have examined chronotype in military veterans, a population known to have more severe sleep difficulties than non-veteran community-residing adults. In this study, a registry of US military veterans serving since 911 was leveraged to examine chronotype relationship to mental health symptoms.</p><p><strong>Study impact: </strong>Evening types endorsed greater symptomology across self-report measures of insomnia severity, sleep quality, PTSD, and depression. Consideration of chronotype may be important for case conceptualization among military veterans and for identifying phenotypes at increased risk of greater psychiatric burden. Assessment of chronotype may also be important for understanding response to interventions targeting sleep timing, such as cognitive behavioral therapy for insomnia (CBTi).</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117904","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":"A smart watch crosses the threshold into clinical practice-or not quite yet?","authors":"Rami N Khayat, Matthew S Floyd","doi":"10.1007/s44470-026-00195-4","DOIUrl":"10.1007/s44470-026-00195-4","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117811","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":"Correction to \"Steam-assisted respiratory muscle training may improve sleep quality in mild-to-moderate obstructive sleep apnea: a pilot polysomnography study\".","authors":"Usame Al-Rammahi, T Soukka, V Rimpilä, J Malinen, R P Happonen, A Sovijärvi, U Anttalainen","doi":"10.1007/s44470-026-00182-9","DOIUrl":"10.1007/s44470-026-00182-9","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117881","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}