Behavioral Sleep Medicine最新文献

{"title":"Psychological Pathway Linking Poor Sleep to Marital Quality in Middle-Aged and Older African Americans: Evidence for a Compensatory Role of Sense of Control.","authors":"Kandauda A S Wickrama, Penny A Ralston","doi":"10.1080/15402002.2026.2750564","DOIUrl":"https://doi.org/10.1080/15402002.2026.2750564","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined (a) the mediating role of depressive symptoms in the association between sleep quality (sleep latency) and marital quality among middle-aged and older African Americans, and (b) whether this mediation persisted when sense of control was included as an exogenous psychological resource.</p><p><strong>Methods: </strong>Participants were 101 middle-aged and older African American adults enrolled in a larger church-based intervention study aimed at reducing cardiovascular risk. Structural equation modeling (SEM) was used to test the study hypotheses.</p><p><strong>Results: </strong>Sleep latency assessed at the initial assessment was significantly associated with marital quality assessed at the final assessment, and this association operated through depressive symptoms. However, once sense of control was included in the model, the indirect effect of sleep latency on marital quality through depressive symptoms became nonsignificant. Sense of control had direct positive effects on sleep latency, depressive symptoms, and marital quality, suggesting a compensatory process. Psychological distress has been identified as an intervening factor linking poor sleep quality to poor marital quality.</p><p><strong>Conclusions: </strong>Sense of control appears to counteract the negative sleep-induced process by directly influencing sleep latency, depressive symptoms, and marital quality. The role of sense of control as an important psychological resource for resilience has been established in explaining the interrelationships among poor sleep, depressive symptoms, and marital quality.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231242","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":"Parental Anxiety, Depression, and Sleep Quality in Relation to Infant Sleep: A Two-Cohort Longitudinal Study.","authors":"Shih-Chi Chung, Shih-Ming Chu, Wei-Hsuan Jen, Chia-Ying Tsai, Mei-Lin Chen, Yung-Chuan Lee, Chao-Chia Hung","doi":"10.1080/15402002.2026.2750552","DOIUrl":"https://doi.org/10.1080/15402002.2026.2750552","url":null,"abstract":"<p><strong>Objectives: </strong>Parental mental health is linked to infant sleep, but research has focused mainly on mothers and on single distress dimensions. This study examined whether parental anxiety, depression, and sleep quality are associated with infant sleep across the first year, and whether mothers and fathers contribute differently.</p><p><strong>Method: </strong>Two independent cohorts of Taiwanese families (42 and 80 infants; 107 and 270 observations) were followed across the first year, assessed at 1-6 months (Cohort 1) and 1-12 months (Cohort 2). At each assessment, both parents completed the Hospital Anxiety and Depression Scale and the Pittsburgh Sleep Quality Index, and infant sleep was assessed by a sleep diary and the Brief Infant Sleep Questionnaire. Linear mixed-effects models with standardized predictors treated one cohort as discovery and the second as replication.</p><p><strong>Results: </strong>Poorer maternal sleep quality was associated with more parent-perceived night awakenings in both cohorts (b = 0.28 and 0.48), the only association that replicated. In the larger cohort, poorer maternal sleep quality was also associated with shorter nighttime sleep. Parental anxiety, depression, and paternal sleep quality showed no consistent associations.</p><p><strong>Conclusions: </strong>Maternal sleep quality was the most robust parental correlate of infant sleep, most evident for perceived night awakenings. Extending a literature that has centered on maternal mood, these findings point to maternal sleep quality as a distinct correlate; in perinatal care, brief screening of maternal sleep quality may help flag families who could benefit from sleep-focused guidance or referral.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225501","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":"The Serial Mediating Roles of Repetitive Negative Thinking and Future Anxiety Between AI Competence Anxiety and Sleep Disturbance.","authors":"Berkan Can Kara, Fulya Türk, Mehmet Engin Deniz","doi":"10.1080/15402002.2026.2742293","DOIUrl":"https://doi.org/10.1080/15402002.2026.2742293","url":null,"abstract":"<p><strong>Objectives: </strong>Although artificial intelligence technologies are rapidly becoming widespread, the potential psychological risks associated with these technologies have not yet been sufficiently understood. Considering the expanding areas of use of artificial intelligence tools, examining the potential risk factors that may emerge from these technologies is considered important. Accordingly, the present study investigated the serial mediating roles of repetitive negative thinking (RNT) and future anxiety in the relationship between artificial intelligence competence anxiety and sleep disturbance.</p><p><strong>Method: </strong>The study sample consisted of 364 individuals between the ages of 18 and 60 (71.98% female; Mage = 28.43, SD = 8.39). A two-step Structural Equation Modeling (SEM) approach was adopted in the analyses, and indirect effects were tested using the bootstrap method. In addition, gender, age, and frequency of artificial intelligence tool usage were included in the model as control variables.</p><p><strong>Results: </strong>The results indicated significant indirect associations between artificial intelligence competence anxiety and sleep disturbance through RNT and future anxiety.</p><p><strong>Conclusions: </strong>Considering these variables together contributes to a more comprehensive understanding of the psychological mechanisms underlying the relationship between artificial intelligence competence anxiety and sleep disturbance. In this context, the findings contribute to the development of intervention and prevention programs aimed at reducing sleep disturbance and provide a guiding framework for practitioners.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118831","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":"COMISA as an Independent Correlate of White Matter Hyperintensities in OSA Patients: A Cross-Sectional Study and Nomogram Construction.","authors":"Mingming Zhao, Yian Lu, Huichang Huang, Qingqing Zhong, Wenqiu Wei, Binyun Tang, Wenhong Chen, Xiaohua Xie","doi":"10.1080/15402002.2026.2708303","DOIUrl":"https://doi.org/10.1080/15402002.2026.2708303","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) is a recognized risk factor for white matter hyperintensities (WMH) in cerebral small vessel disease. Identifying risk factors for WMH in OSA patients is important for disease management.</p><p><strong>Methods: </strong>This cross-sectional study (2021-2023) enrolled OSA patients and collected PSG, MMSE, and brain MRI data. WMH was diagnosed using STRIVE‑2 criteria. Patients were divided into WMH and non‑WMH groups. Risk factors were identified by between‑group comparisons and multivariate logistic regression; a nomogram was constructed and evaluated by ROC and calibration curves.</p><p><strong>Results: </strong>Our findings suggest that COMISA may be the strongest independent correlate of WMH among the factors examined. Higher BMI and increased REM apnea‑hypopnea index were independently associated with higher WMH odds, whereas higher total protein and MMSE scores were associated with lower odds. The nomogram showed potential utility for early screening, though external validation is needed.</p><p><strong>Conclusion: </strong>In this study, we identified COMISA as an independent risk factor for WMH in patients with OSA. To our knowledge, this is among the first studies to highlight COMISA as a potentially valuable predictor in this context. These findings may offer a basis for further mechanistic investigations and for identifying individuals at higher risk of WMH, potentially informing early intervention strategies.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118848","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":"Associations Between Obstructive Sleep Apnea and Cotinine: A Cross-Sectional Study Based on 2015-2020 NHANES.","authors":"Qian Xue, Hongju Chen","doi":"10.1080/15402002.2026.2738946","DOIUrl":"https://doi.org/10.1080/15402002.2026.2738946","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the associations between tobacco exposure biomarkers (serum/urinary cotinine) and questionnaire-defined obstructive sleep apnea (OSA) using nationally representative data.</p><p><strong>Background: </strong>Tobacco exposure may be associated with higher odds of OSA through airway inflammation and oxidative stress, but population-level evidence linking cotinine, a nicotine metabolite, to OSA remains limited.</p><p><strong>Methods: </strong>We used the National Health and Nutrition Examination Survey (NHANES) Sleep Questionnaire to identify participants with OSA.Participants were classified into four groups-nonsmokers, secondhand smoke (SHS) exposed, smokers, and heavy smokers - based on serum cotinine levels. Multivariable logistic regression, subgroup analyses, and sensitivity analyses were conducted to examine associations between cotinine levels and questionnaire-defined OSA.</p><p><strong>Results: </strong>We analyzed NHANES data collected from 2015 to March 2020. Among 11,039 participants, 1,700 (15.4%) were identified with OSA. Logistic regression showed a significant positive association between serum cotinine levels and OSA (OR: 1.04, 95% CI: 1.02-1.05, <i>p</i> < .001). Compared with nonsmokers, participants exposed to SHS, smokers, and heavy smokers had 1.28-, 1.37-, and 1.53-fold higher odds of questionnaire-defined OSA, respectively. Urinary cotinine levels were also significantly linked to OSA (OR: 1.04, 95% CI: 1.01-1.08, <i>p</i> = .02).</p><p><strong>Conclusions: </strong>Both active smoking and SHS exposure are positively associated with higher odds of questionnaire-defined OSA.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070669","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":"Psychometric Properties of the Nightmare Distress Questionnaire in Veterans with Posttraumatic Nightmares.","authors":"Gina Fisher, Amber B Cohen, Emina Prguda, Madeline Romaniuk","doi":"10.1080/15402002.2026.2729031","DOIUrl":"https://doi.org/10.1080/15402002.2026.2729031","url":null,"abstract":"<p><strong>Objectives: </strong>The study examined the psychometric properties of the Nightmare Distress Questionnaire (NDQ) in veterans with a provisional posttraumatic stress disorder (PTSD) diagnosis and trauma-related nightmares.</p><p><strong>Method: </strong>Participants were 659 Australian Defence Force veterans who completed online questionnaires for a larger study investigating military-civilian transition. Analyses included exploratory factor analysis, and evaluation of internal consistency and convergent and divergent validity in a subsample of 191 veterans meeting provisional PTSD diagnostic criteria and endorsing trauma-related nightmares. An independent samples <i>t</i>-test assessed discriminant validity, comparing NDQ scores between participants with (<i>n</i> = 280) and without (<i>n</i> = 379) a provisional PTSD diagnosis.</p><p><strong>Results: </strong>Principal-axis factoring suggested a one-factor solution comprising 10 items that explained 51.46% of the variance in nightmare distress. The NDQ demonstrated strong internal consistency, and correlations with validated measures supported convergent and divergent validity. NDQ scores were significantly higher for veterans with a provisional PTSD diagnosis.</p><p><strong>Conclusions: </strong>Findings offer initial evidence of the NDQ's validity and reliability to assess trauma-related nightmare distress among veterans. We provide novel insights into the NDQ's utility for researchers and clinicians working with veteran populations, including its ability to differentiate veterans based on PTSD symptomatology.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956852","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":"Feasibility and Acceptability of a Trauma-Informed Behavioral Sleep Intervention for Young Children Placed in and Adopted from Foster Care.","authors":"Candice A Alfano, Megan E Rech, Carter Baker, Annika M Myers","doi":"10.1080/15402002.2026.2731091","DOIUrl":"https://doi.org/10.1080/15402002.2026.2731091","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the feasibility and acceptability of Sleep and Adjustment in Foster Environments for Toddlers and Preschoolers (SAFE-T), a brief trauma-informed behavioral sleep intervention for young children in and adopted from foster care. Specific aims were to 1) determine the feasibility of recruiting, enrolling, and retaining foster/adoptive caregivers/parents in a pilot randomized controlled trial of SAFE-T delivered via telehealth; 2) examine treatment credibility, expectancy, satisfaction, and adherence; and 3) obtain feedback from caregivers/parents regarding what they liked, disliked, and would recommend be changed.</p><p><strong>Method: </strong><i>N</i> = 45 caregivers/parents of children aged 2-5 years were randomized to the SAFE-T intervention (<i>n</i> = 22) or an education control condition (<i>n</i> = 23). Caregivers/parents completed assessments at pre-treatment, post-treatment, and 3-month follow-up.</p><p><strong>Results: </strong>Of 78 screened caregivers/parents, 67 were eligible and 45 were enrolled. In the SAFE-T group, 21/22 caregivers/parents completed all intervention sessions and the post-treatment assessment; in the control group, 20/23 completed the post-treatment assessment. Caregivers/parents who received SAFE-T reported higher post-treatment satisfaction than those in the control group, (<i>p</i> = .005, Hedges' g = 0.92). Caregivers'/parents' feedback regarding SAFE-T intervention content was favorable overall.</p><p><strong>Conclusions: </strong>Findings support SAFE-T delivered via telehealth as a feasible, acceptable, and satisfactory intervention among caregivers/parents of young children in and adopted from foster care. Future implementation studies in real-world settings (e.g. behavioral health clinics, foster care agencies) are warranted.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946220","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":"Bridging the Educational Gap in Behavioral Sleep Medicine: Enhancing Primary Care Management of Sleep Disorders.","authors":"Katharine C Simon, Ivy Y Chen, Annamarie Stehli, Dylan R Barry, Careesa Garcia, Wendy Cant, Kamilah McGuire, Mandana Masoumirad, Shutong Huo, Glen L Xiong, Jane P Gagliardi, Robert M McCarron, Ariel B Neikrug","doi":"10.1080/15402002.2026.2654067","DOIUrl":"10.1080/15402002.2026.2654067","url":null,"abstract":"<p><strong>Objective: </strong>Primary care providers (PCPs) play a key role in addressing sleep-related issues such as insomnia but often lack training in sleep medicine. The UCI Train New Trainers (TNT) Primary Care Psychiatry Fellowship includes training on sleep disorder assessment and management. We evaluated the programs' ability to enhance PCPs' skills in identifying and managing behavioral sleep disorders.</p><p><strong>Methods: </strong>Case assessments were administered twice to fellows, at the start and end of an educational conference. Fellows selected four of ten listed psychiatric and sleep diagnoses for each case. Fellows also underwent pre-, mid-, and post-fellowship surveys to determine whether training was associated with changes in comfort diagnosing and treating sleep disorders.</p><p><strong>Results: </strong>Fellows showed a significant improvement in sleep disorder identification after training compared to before. They also reported significant improvement in comfort diagnosing insomnia, accuracy identifying circadian rhythm disorders, and comfortability administering CBT-I. Use of structured sleep assessments increased but remained less frequent than mood disorder screening tools.</p><p><strong>Conclusion: </strong>Fellows exhibited increased comfort and competence in managing behavioral sleep medicine, particularly insomnia and circadian rhythm sleep disorders with brief didactic training. Further training in non-pharmacological treatments and greater use of standardized sleep assessments is warranted to optimize patient outcomes in primary care settings.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"541-550"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724728","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":"Optimizing a Transdiagnostic Sleep and Circadian Intervention for Autistic Young Adults: A Qualitative Study Using an Implementation Science Framework.","authors":"Kristina P Lenker, Allison G Harvey, Amanda L Richdale, William A Calo, Julio Fernandez-Mendoza","doi":"10.1080/15402002.2026.2658806","DOIUrl":"10.1080/15402002.2026.2658806","url":null,"abstract":"<p><strong>Objectives: </strong>Autistic adults frequently report a multitude of pervasive sleep and related circadian problems. Although these sleep and circadian problems have been identified as a critical and unmet public health concern, few sleep interventions have been tailored for and tested in this population. This qualitative study assessed autistic adult, caregiver, and clinician perspectives to inform the adaptation and implementation of an evidence-based transdiagnostic intervention.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 20 autistic young adults, 20 caregivers, and 20 clinicians to guide adaptations of Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for autistic people.</p><p><strong>Results: </strong>Qualitative reports first supported the need to treat sleep and circadian problems in a transdiagnostic manner, given the multidimensional nature of their reported sleep problems. Patterns of convergence and divergence in stakeholder perspectives emerged across themes, with several barriers and facilitators to intervention delivery and adherence. These barriers and facilitators directly informed the development of potential adaptations to TranS-C: (1) adapting content (memory-enhancement strategies, routines, involving others' support, treatment \"spreading,\" and simplifying handouts), and (2) enhancing delivery (check-ins between sessions, telehealth, enhanced provider training in autism, and electronic sleep diaries).</p><p><strong>Conclusions: </strong>Sleep and circadian problems experienced by autistic adults are multidimensional and require transdiagnostic approaches to address the broader range of issues, including regularity, satisfaction, irregularity, dissatisfaction, alertness, continuity, efficiency, and timing. Adaptations to TranS-C format and delivery may serve to promote intervention adherence and adequately respond to unique features of autism across the lifespan.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"605-621"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719087","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":"Association of Parent-Adolescent Involvement and Sleep Problems among Youth Presenting with Clinical Sleep Concerns.","authors":"Tina Halabian, Nuria Morales, Erica Mazzone, Marla Lopez, Tori Van Dyk","doi":"10.1080/15402002.2026.2657904","DOIUrl":"10.1080/15402002.2026.2657904","url":null,"abstract":"<p><strong>Objectives: </strong>Poor adolescent sleep is associated with negative outcomes in physical health, mood, behavior, academic performance, attention, and other domains. Parental involvement, including parent-adolescent communication and parental monitoring, is associated with positive sleep outcomes in non-clinical adolescent populations. However, there is a paucity of research examining the impact of parental involvement on sleep quality and hygiene among adolescent clinical sleep samples. This study analyzed the associations between parent involvement and adolescent sleep in a sample of adolescent patients with clinical sleep disturbances.</p><p><strong>Method: </strong>Adolescents ages 12-18 (<i>N</i> = 139; 52.5% male, 67% Hispanic/Latinx) completed questionnaires measuring parent-adolescent communication, insomnia, sleep quality, and sleep hygiene, while their caregivers completed measures of parent monitoring (i.e. oversight of their child's activities) and parent-adolescent communication. Multiple linear regression analyses examined associations between aspects of parental involvement and adolescent sleep.</p><p><strong>Results: </strong>Better parent-adolescent communication, as reported by adolescents, was associated with fewer behavioral sleep problems (i.e. better sleep hygiene and sleep quality; <i>p</i>s<i> < .05)</i>. Unexpectedly, greater parent monitoring was associated with worse physiological and cognitive and emotional aspects of sleep hygiene.</p><p><strong>Conclusions: </strong>Findings indicate that in youth presenting with sleep disturbances, more open communication with caregivers as reported by adolescents is associated with better sleep outcomes, while parental monitoring showed inverse associations with specific aspects of sleep. As these findings emerged in a sample experiencing clinical sleep problems, family communication and monitoring should continue to be explored in clinical samples to determine their relevance in clinical interventions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"551-562"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678712","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}