Behavioral Sleep Medicine最新文献

{"title":"Letter to the editor of \"Behavioral Sleep Medicine\": Towards Standardization in the Reporting of Measures & Outcomes in Insomnia Randomized Controlled Trials.","authors":"Alexandria Muench, Hannah Scott, Janet M Y Cheung, Julia T Boyle, Daniel J Buysse, Michael A Grander, Michael Perlis","doi":"10.1080/15402002.2024.2401472","DOIUrl":"https://doi.org/10.1080/15402002.2024.2401472","url":null,"abstract":"","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301500","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":"A Meta-Regression of psychosocial factors associated with sleep outcomes in mindfulness-based intervention trials.","authors":"Nathaniel R Choukas, Emily C Woodworth, Heena R Manglani, Jonathan Greenberg, Ryan A Mace","doi":"10.1080/15402002.2024.2401457","DOIUrl":"https://doi.org/10.1080/15402002.2024.2401457","url":null,"abstract":"<p><strong>Objectives: </strong>In this meta-regression, we aimed to explore associations between changes in psychosocial factors and changes in sleep disturbance during mindfulness-based interventions (MBIs). We also investigated participant-specific and methodological factors associated with sleep disturbance during MBIs.</p><p><strong>Method: </strong>We utilized data from a published meta-analysis of 40 randomized controlled trials of MBIs (published from inception to 2020) with a sleep disturbance outcome measure in healthy and clinical adult populations. We conducted meta-regressions to test associations between sleep improvements following MBIs and psychosocial factors, as well as demographic and methodological factors.</p><p><strong>Results: </strong>MBIs were associated with significant reductions in sleep disturbance (SMD = -0.523; 95% CI = -0.678 to -0.368) and psychosocial factors (SMD = -0.213 - -0.894). Reductions in sleep disturbance were associated with reductions in stress (<i>r</i> = 0.74, <i>p</i> = .02) and depression (<i>r</i> = 0.90, <i>p</i> < .001).</p><p><strong>Conclusions: </strong>MBIs improve sleep disturbance across a wide range of healthy and clinical populations. Stress and depression may be important psychosocial factors associated with sleep disturbance. Future RCTs should include measures of additional factors and should investigate longitudinal associations between psychosocial, demographic, and methodological factors with changes in sleep disturbance to test mechanisms and to identify \"active ingredients\" of MBIs.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301499","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":"Melatonin Use in School-Aged Children and Adolescents: An Exploration of Caregiver and Pharmacist Perspectives.","authors":"Samantha K M Lee, Kingston W C M Yeung, Yu Sun Bin, Lorraine Smith, Edwin C K Tan, Rose Cairns, Janet M Y Cheung","doi":"10.1080/15402002.2024.2396838","DOIUrl":"https://doi.org/10.1080/15402002.2024.2396838","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the perspectives and experiences of Australian caregivers and community pharmacists about pediatric melatonin use.</p><p><strong>Methods: </strong>A convenience sample of caregivers with children (aged 11-16 years) using melatonin as a sleep aid and community pharmacists (including pharmacist interns) were recruited. Participants first completed an online survey followed by an online semi-structured interview. Interviews were guided by a schedule of questions for the respective participant groups, broadly exploring their beliefs about melatonin, experiences in using/supplying melatonin, and perceived facilitators/barriers for melatonin use. Interviews were digitally recorded, transcribed verbatim, and analyzed using the Framework Approach.</p><p><strong>Results: </strong>Fourteen caregivers of predominantly neurodiverse adolescents and 24 community pharmacists were interviewed. While melatonin was perceived by caregivers of both typically developing and neurodiverse dependants as safer than pharmacological sleep aids, treatment was only initiated after trialling non-pharmacological strategies first. Pharmacists expressed concerns around the ambiguities in practice and the limited scope of existing resources for guiding pediatric melatonin use. Caregivers frequently deferred to the information available online to procure products or self-adjust doses and dosing schedules. Both pharmacists and caregivers emphasized the need for more affordable and age-appropriate proprietary formulations that are readily accessible.</p><p><strong>Conclusion: </strong>Melatonin is administered predominantly by caregivers of neurodiverse adolescents to address their sleep disturbances. The findings underscore the need for reliable, evidence-based information to guide safe and appropriate use of melatonin in pediatric populations. Patient education is also warranted to address maladaptive medication-administration practices. Lastly, there is a need for stronger regulatory oversight of melatonin products to ensure their quality and safety of use.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301501","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":"Effect of cognitive behavioral therapy for insomnia on sleep quality among college students: the role of hyperarousal and dysfunctional beliefs","authors":"Kaixu Zhu, Shengping Xue","doi":"10.1080/15402002.2024.2401473","DOIUrl":"https://doi.org/10.1080/15402002.2024.2401473","url":null,"abstract":"Although cognitive-behavioral therapy for insomnia (CBT-I) is an effective treatment for sleep disorders, little is known about the role of hyperarousal (especially trait arousal) in CBT-I interven...","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253142","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":"Daily Associations Between Sleep Parameters and Depressive Symptoms in Individuals with Insomnia: Investigating Emotional Reactivity and Regulation as Mediators.","authors":"Helen Tsz Ching Tsui,Wai Sze Chan","doi":"10.1080/15402002.2024.2399620","DOIUrl":"https://doi.org/10.1080/15402002.2024.2399620","url":null,"abstract":"OBJECTIVESPrevious research suggests that insomnia and depressive symptoms might be causally related. Emotional reactivity and regulation have been proposed to explain the potential causal relationship between insomnia and depression. However, longitudinal evaluations of their mediating effects are limited. Hence, the current study aimed to examine the mediating effects of emotional reactivity and regulation on the longitudinal associations between daily sleep parameters and depressive symptoms over 14 days in individuals with insomnia.METHODSParticipants were sixty adults aged 18-65 who had clinically significant insomnia. They filled out a survey each morning and evening and wore actigraphy watches for 14 consecutive days. The five sleep parameters were measured by sleep diary in the morning survey (subjective total sleep time, subjective sleep efficiency, and sleep quality) and actigraphy watches (objective total sleep time and objective sleep efficiency). Emotional reactivity and emotion regulation strategy use during the day were assessed in the evening survey using the International Positive and Negative Affect Schedule Short Form, Emotion Regulation Questionnaire, and Cognitive Emotion Regulation Questionnaire. Depressive symptoms of the day were evaluated in the evening survey with the Center for Epidemiologic Studies Depression Scale.RESULTSResults showed that sleep quality and depressive symptoms, as well as actigraphy-measured sleep efficiency and depressive symptoms, predicted each other in individuals with insomnia, mediated by negative reactivity but not emotion regulation.CONCLUSIONSThe present findings support the mediating role of negative emotional reactivity in the bidirectional, daily relationship between sleep parameters and depression in individuals with insomnia.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142208204","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 impact of sleep problems during late childhood on internalizing problems in early-mid adolescence.","authors":"João Paulo Lima Santos, Amelia Versace, Cecile D Ladouceur, Adriane M Soehner","doi":"10.1080/15402002.2024.2401471","DOIUrl":"10.1080/15402002.2024.2401471","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep and internalizing problems escalate during adolescence and can negatively impact long-term health. However, the directionality of this risk-relationship remains poorly understood within a developmental context. The current study aimed to determine the directionality of this relationship in adolescents with no history of psychiatric disorder and whether sex at birth played a role in this relationship.</p><p><strong>Methods: </strong>We used data from the Adolescent Brain Cognitive Development, an ongoing multisite longitudinal US study, that covered four waves (W1:9-11 years; W2:10-12 years; W3:11-13 years; W4:12-14 years). Analyses included 3,128 youth (50.99%girls) with no past or current psychiatric disorders at W1. The Sleep Disturbance Scale for Children and the Child Behavior Checklist were used to measure sleep and internalizing problems. Cross-lagged panel models were used to evaluate the cross-lagged relationships across waves.</p><p><strong>Results: </strong>The sleep-internalizing cross-lagged relationship was unidirectional, with medium-large effect sizes: greater total sleep problems were associated with more severe internalizing problems at later waves (W2➔W3, coefficient = 0.052, <i>p</i> = .021; W3➔W4, coefficient = 0.091, <i>p</i> < .001), with problems in initiating and maintaining sleep predicting internalizing problems early on. Girls showed greater sleep-internalizing risk than boys.</p><p><strong>Conclusions: </strong>Sleep-internalizing relationships change across adolescence, becoming significant and more specific from early to mid-adolescence. Sleep interventions delivered in early adolescence, to girls in particular, may have a positive short and long-term impact on internalizing outcomes.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156713","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":"Improving Sleep in People with HIV and Chronic Pain: A Pilot Study of Brief Behavioral Treatment for Insomnia.","authors":"Shameka L Cody, Daniel A Kusko, Cesar E Gonzalez, Michael A Owens, Joanna M Hobson, Shannon R Gilstrap, Stephen J Thomas, Burel R Goodin","doi":"10.1080/15402002.2024.2396820","DOIUrl":"10.1080/15402002.2024.2396820","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia and chronic pain are common symptoms in people with HIV. Poor sleep has been associated with chronic pain. While cognitive behavioral therapy for insomnia improves insomnia in clinical populations, there are barriers to people with HIV accessing treatment including the lack of trained providers and lengthy sessions. Only one study has examined the efficacy of brief behavioral treatment for insomnia (BBTI) in people with HIV. This study examined BBTI effects on sleep and pain in people with HIV.</p><p><strong>Methods: </strong>Ten adults with HIV and chronic pain completed a 4-week, telephone-delivered BBTI treatment. A control group (n = 10) completed a brief mindfulness training (BMT). The Insomnia Severity Index and Brief Pain Inventory were used to assess insomnia severity and pain outcomes, respectively.</p><p><strong>Results: </strong>There was a significant interaction between intervention and time on insomnia severity, F (2,14) = 5.7, <i>p</i> = .02, partial η² = 0.45). The BBTI group demonstrated significant improvements in insomnia severity from pre- to post-intervention (<i>p</i> < .001) and from pre-intervention to one-month post-intervention (<i>p</i> = .001) compared to the BMT group. There was a significant interaction between intervention and time on pain interference, F (1,18) = 4.9, <i>p</i> = .02, partial η² = 0.27). The BBTI group demonstrated a significant decrease in pain interference from pre- to post-intervention (<i>p</i> < .001) compared to the BMT group.</p><p><strong>Conclusions: </strong>This pilot study demonstrated that BBTI improved insomnia in people with HIV for up to one-month post-treatment. Novel preliminary evidence suggests that BBTI may also improve pain outcomes in people with HIV.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156712","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 Evaluation of the Insomnia Severity Index in Nurses.","authors":"Samantha M Nagy, Sarah E Emert, Jacqueline J Leete, Daniel J Taylor, Jessica R Dietch, Danica C Slavish, Camilo J Ruggero, Kimberly Kelly","doi":"10.1080/15402002.2024.2362370","DOIUrl":"10.1080/15402002.2024.2362370","url":null,"abstract":"<p><strong>Objectives: </strong>Examine psychometric properties of the Insomnia Severity Index (ISI) in a sample of nurses.</p><p><strong>Method: </strong>In a sample of day shift nurses (<i>N</i> = 289), a confirmatory factor analysis (CFA), convergent and discriminant validity analyses, and a test-retest reliability analysis were performed.</p><p><strong>Results: </strong>CFA showed that a two-factor model provided the best fit. The ISI had moderate to poor convergent validity with sleep diary parameters, and moderate convergent validity with the Sleep Condition Indicator (<i>r</i> = -.66), Pittsburgh Sleep Quality Index (<i>r</i> = .66), and PROMIS Sleep-Related Impairment measure (<i>r</i> = .67). The ISI demonstrated good discriminant validity with the measures Composite Scale of Morningness (<i>r</i> = -.27), Nightmares Disorder Index (<i>r</i> = .25), PTSD Checklist for DSM-5 (sleep items removed; <i>r</i> = .32), and Perceived Stress Scale (<i>r</i> = .43). The ISI had weaker discriminant validity with the PHQ-9 (<i>r</i> = .69) and Generalized Anxiety Disorder Screener (<i>r</i> = .51). The ISI demonstrated a good test-retest reliability (ICCs = .74-.88).</p><p><strong>Conclusions: </strong>The ISI is a psychometrically strong measure for the assessment of insomnia severity in day shift nurses. Overlap with psychological symptoms, primarily anxiety and depression, suggests caution while interpreting these constructs.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319006","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 Characteristics and Treatment Efficacy for Co-Morbid Insomnia and Sleep Apnea (COMISA): Evidence from Qualitative and Quantitative Analysis.","authors":"Jie Liu, Chenyang Zang, Minhan Yi, Yuan Zhang","doi":"10.1080/15402002.2024.2324361","DOIUrl":"10.1080/15402002.2024.2324361","url":null,"abstract":"<p><strong>Objectives: </strong>A multitude of physical and mental challenges are being faced in the population with Co-morbid Insomnia and Sleep Apnea (COMISA). Unfortunately, research about clinical characteristics and management of COMISA based on quantitative evidence is lacking.</p><p><strong>Method: </strong>Standard procedures for literature retrieval, selection and quality assessment, data extraction, analysis, and interpretation were conducted step by step. For studying the sleep characteristics, common complications and widely recognized treatment options for COMISA, Weighted Mean Difference (WMD) and Odds Ratio (OR) were applied to assess the mean and risk differences between compared groups. Outcomes included sleep health parameters and secondary impairments in physical and mental well-being.</p><p><strong>Results: </strong>COMISA showed worse sleep quality than OSA only by PSQI (WMD = 3.38 point) and heavier sleep fragmentation (WMD = 11.46 min) than insomnia only. Besides, COMISA patients showed a higher risk for depression (OR [95%CI] = 5.03[2.31, 10.93]) and PTSD (OR [95%CI] = 3.96[1.85, 8.46]) in comparison with OSA alone. Compared to insomnia alone, COMISA patients suffered from more than two times higher risk of cardiovascular diseases, hypertension, and diabetes. In treating COMISA patients, combining CBTI with PAP treatment can enhance the improvement of insomnia severity (ISI, WMD [95%CI] =-3.26[-4.51, -2.00] point) and sleep efficiency (WMD [95%CI] = 6.39[1.97, 10.81] %) compared to PAP alone.</p><p><strong>Conclusions: </strong>Impaired sleep domains in COMISA cover sleep quality and sleep structure. Also, COMISA has a higher risk for cardiometabolic diseases and mental disorders. Combining CBTI with PAP can be a recommended treatment to relieve sleep impairments for COMISA.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190443","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":"Integration of Sensor-Based and Self-Reported Metrics in a Sleep Diary: A Pilot Exploration.","authors":"Sarah Conklin, Jessica R Dietch, Golshan Kargosha, Faith Luyster, Molly Atwood, Matthew S Tenan, Gary Zammit, Nilanjan Banerjee, Justin Brooks","doi":"10.1080/15402002.2024.2359413","DOIUrl":"10.1080/15402002.2024.2359413","url":null,"abstract":"<p><strong>Objectives: </strong>Discrepancies between sleep diaries and sensor-based sleep parameters are widely recognized. This study examined the effect of showing sensor-based sleep parameters while completing a daily diary. The provision of sensor-based data was expected to reduce variance but not change the mean of self-reported sleep parameters, which would in turn align better with sensor-based data compared to a control diary.</p><p><strong>Method: </strong>In a crossover study, 24 volunteers completed week-long periods of control diary (digital sleep diary without sensor-based data feedback) or integrated diary (diary with device feedback), washout, and then the other diary condition.</p><p><strong>Results: </strong>The integrated diary reduced self-reported total sleep time (TST) by <10 minutes and reduced variance in TST. The integrated diary did not impact mean sleep onset latency (SOL) and, unexpectedly, the variance in SOL increased. The integrated diary improved both bias and limits of agreement for SOL and TST.</p><p><strong>Conclusions: </strong>Integration of wearable, sensor-based device data in a sleep diary has little impact on means, mixed evidence for less variance, and better agreement with sensor-based data than a traditional diary. How the diary impacts reporting and sensor-based sleep measurements should be explored.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312360","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}