{"title":"Decoding maternal perceptions: divergent predictors of perceived infant sleep problems and temperament.","authors":"Ilana S Hairston, Jonathan E Handelzalts","doi":"10.5664/jcsm.11880","DOIUrl":"https://doi.org/10.5664/jcsm.11880","url":null,"abstract":"<p><strong>Study objectives: </strong>Maternal reports are a primary source of information regarding infant sleep and temperament, yet these perceptions may be influenced by maternal psychological factors. Prior research suggests complex relationships between maternal mood and perceptions of infant behavior, but longitudinal data remain scarce.</p><p><strong>Methods: </strong>This longitudinal study examined how maternal sleep quality and depressive symptoms relate to perceived infant temperament and sleep difficulties. A community sample of 76 mothers with healthy full-term infants completed questionnaires at approximately 6 and 12 months postpartum. Measures included the Infant Sleep Questionnaire (ISQ), the Infant Behavior Questionnaire (IBQ), the Pittsburgh Sleep Quality Index (PSQI), and the Edinburgh Postnatal Depression Scale (EPDS). Seemingly unrelated regression models and Shapley value decomposition were used to assess predictors of perceived infant sleep and temperament.</p><p><strong>Results: </strong>Perceived sleep difficulties and negative temperament were significantly correlated (at T1: <i>R</i>=0.243, <i>p</i>=.040; at T2: <i>R</i>=0.364, <i>p</i>=.002). However, ISQ scores at 12 months were best predicted by temporally proximal nighttime awakenings, accounting 40.8% of the variance explained by the model, whereas IBQ negative affectivity was predicted by earlier maternal depressive symptoms (24.9%), sleep difficulties (11.3%), and infant awakenings at 6 months (32.4% of explained variance).</p><p><strong>Conclusions: </strong>These findings suggest distinct cognitive bases for maternal perceptions of infant sleep and temperament. While infant sleep behaviors largely drive perceived sleep problems, maternal psychological well-being significantly influences perceptions of temperament. Understanding the differential impact of maternal factors can inform assessment strategies and interventions aimed at promoting infant well-being.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Creuza Macedo Goes Rocha, Heitor Dutra de Medeiros, Alexandra Régia Dantas Brigido, Francisco C Darrieux, Paola Pretti Nunes Ferreira Falcochio, Sílvio Barbosa, Cesar Gruppi, Geraldo Lorenzi-Filho, Luciano F Drager
{"title":"Obstructive sleep apnea and the day-night pattern of paroxysmal atrial fibrillation burden.","authors":"Creuza Macedo Goes Rocha, Heitor Dutra de Medeiros, Alexandra Régia Dantas Brigido, Francisco C Darrieux, Paola Pretti Nunes Ferreira Falcochio, Sílvio Barbosa, Cesar Gruppi, Geraldo Lorenzi-Filho, Luciano F Drager","doi":"10.5664/jcsm.11872","DOIUrl":"https://doi.org/10.5664/jcsm.11872","url":null,"abstract":"<p><strong>Study objectives: </strong>Obstructive sleep apnea (OSA) is a common condition that contributes to atrial fibrillation occurrence, but the evidence on day-night pattern of paroxysmal atrial fibrillation (PAF) is still scanty. The aim of this study was to evaluate whether OSA is associated with a higher occurrence of PAF and especially PAF events during the nighttime and determine the frequency and potential underdiagnoses of OSA in patients with PAF.</p><p><strong>Methods: </strong>We recruited consecutive patients who had undergone a recent 24-hour Holter monitoring and showed at least one episode of PAF. All patients were invited to perform a clinical evaluation. To assess OSA status, we conducted validated portable sleep monitoring. OSA was defined by an apnea-hypopnea index ≥15 events per hour.</p><p><strong>Results: </strong>We studied 102 patients (mean age: 64±9 years, 56% male). Sixty patients (57%) had OSA (none with a previous diagnosis). A total of 339 episodes of PAF (a third of them occurring at night) were available for analysis. We observed a significant association between OSA and nighttime PAF episodes: patients with OSA had a higher chance of nighttime episodes than those without OSA (OR: 1.78, 95% CI: 1.12-2.83; p=0.014). Interestingly, the distribution of PAF episodes over 24 hours showed that patients with OSA had more AF episodes between 10PM and 4AM than patients without OSA (OSA: 10 [7.5-11] vs. No OSA: 2 [3-5.5]; p=0.037), suggesting an abnormal day-night pattern of the PAF occurrence.</p><p><strong>Conclusions: </strong>OSA is common, underdiagnosed, and associated with a higher nighttime occurrence of PAF episodes than patients without OSA.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pitolisant may lessen not only sleepiness but improve hyperphagia and behavior problems in Prader-Willi Syndrome.","authors":"Madeleine Grigg-Damberger","doi":"10.5664/jcsm.11886","DOIUrl":"https://doi.org/10.5664/jcsm.11886","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Age over apnea? Rethinking the role of OSA in youth-onset type 2 diabetes.","authors":"Sowjanya Naha, Kushal Naha","doi":"10.5664/jcsm.11892","DOIUrl":"https://doi.org/10.5664/jcsm.11892","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bilateral hypoglossal nerve stimulation for OSA: a cautious step forward on a promising path.","authors":"Robson Capasso, Christopher Gouveia","doi":"10.5664/jcsm.11888","DOIUrl":"https://doi.org/10.5664/jcsm.11888","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypnotics during CPAP initiation for obstructive sleep apnea: one step forward, some more left.","authors":"Pedro R Genta, Robert Stansbury","doi":"10.5664/jcsm.11890","DOIUrl":"https://doi.org/10.5664/jcsm.11890","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Respiratory center response to hypoxia and hypercapnia: two pieces of a puzzle.","authors":"Isabel Martinez-Gonzalez Posada, Ramón Fernández Álvarez, Gemma Rubinos Cuadrado","doi":"10.5664/jcsm.11882","DOIUrl":"https://doi.org/10.5664/jcsm.11882","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Classifying the types of therapeutic sleep studies and the need for additional parameters.","authors":"Mahadevappa Hunasikatti","doi":"10.5664/jcsm.11876","DOIUrl":"https://doi.org/10.5664/jcsm.11876","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faizul Hasan, Era Catur Prasetya, Christopher James Gordon, Debby Syahru Romadlon, Kai-Mei Chang, Delwyn J Bartlett, Chia-Jou Lin, Made Satya Nugraha Gautama, Nur Izzati, Hsiao-Yean Chiu
{"title":"Effects of nurse-led, web-based brief behavioral therapy on insomnia severity in patients in the chronic stage of stroke recovery: a preliminary randomized controlled trial.","authors":"Faizul Hasan, Era Catur Prasetya, Christopher James Gordon, Debby Syahru Romadlon, Kai-Mei Chang, Delwyn J Bartlett, Chia-Jou Lin, Made Satya Nugraha Gautama, Nur Izzati, Hsiao-Yean Chiu","doi":"10.5664/jcsm.11856","DOIUrl":"https://doi.org/10.5664/jcsm.11856","url":null,"abstract":"<p><strong>Study objectives: </strong>Insomnia is prevalent among stroke survivors in the chronic stage of stroke. However, effective interventions remain limited. This study examined the effects of nurse-led, face-to-face, and web-based brief behavioral therapy for insomnia (BBTI) compared with sleep hygiene education (SHE) on sleep outcomes in stroke survivors.</p><p><strong>Methods: </strong>A total of 45 stroke survivors were recruited from an outpatient clinic in Java, Indonesia, and randomly assigned (1:1:1) to either a face-to-face BBTI, web-based BBTI, or SHE group. Both BBTI interventions followed a standardized 4-week protocol delivered in person or through an online platform. The primary outcome was insomnia severity, measured using the Indonesian Insomnia Severity Index (ISI-INA). Secondary outcomes included sleep onset latency, wake after sleep onset, sleep efficiency, excessive daytime sleepiness, anxiety, depression, and fatigue. Data were analyzed using generalized estimating equations.</p><p><strong>Results: </strong>The ISI-INA scores were significantly lower in the BBTI groups than in the SHE group. After 1 month, insomnia remission (ISI-INA score < 8) was achieved in 93.3% of the web-based BBTI group and 86.7% of the face-to-face BBTI group. These values were significantly higher than the 33.3% remission rate observed in the SHE group (<i>P</i> < .001). Improvements were observed in sleep onset latency, wake after sleep onset, and sleep efficiency. The BBTI groups reported reduced daytime sleepiness, although no significant changes in depression, anxiety, or fatigue were observed.</p><p><strong>Conclusions: </strong>Nurse-led BBTI, whether in the face-to-face or web-based format, effectively reduces insomnia severity and improves sleep outcomes in stroke survivors, highlighting nurses' essential role in delivering sleep interventions.</p><p><strong>Clinical trial registration: </strong>Registry: ClinicalTrials.gov; Identifier: NCT05310136.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}