Behavioral Sleep Medicine最新文献

Development and Preliminary Validation of a Novel Tool to Measure Negative and Positive Affect for Sleep (NAP-AS). 一种测量睡眠消极和积极影响的新工具（NAP-AS）的开发和初步验证。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-21 DOI: 10.1080/15402002.2025.2508768

Caitlin Dow, Samuel Wilson, William R McMahon, Jessica E Manousakis, Caroline J Beatty, Rowan P Ogeil, Clare Anderson

{"title":"Development and Preliminary Validation of a Novel Tool to Measure Negative and Positive Affect for Sleep (NAP-AS).","authors":"Caitlin Dow, Samuel Wilson, William R McMahon, Jessica E Manousakis, Caroline J Beatty, Rowan P Ogeil, Clare Anderson","doi":"10.1080/15402002.2025.2508768","DOIUrl":"https://doi.org/10.1080/15402002.2025.2508768","url":null,"abstract":"Objectives: The PANAS is the most widely used measure to detect changes in mood following sleep loss. Although insufficient sleep is associated with enhanced negativity, negative affect items on the PANAS appear unaffected. We examined whether PANAS items were deemed relevant to sleep and subsequently developed a novel tool reflecting changes in negative and positive affect with sleep (NAP-AS).Methods: Four hundred and forty-nine online respondents (18-79y) indicated the extent to which 100 positive and negative word-items (n = 48 new; n = 52 from any PANAS) were useful in describing the experience of insufficient sleep. Using factor analysis, a new questionnaire to reflect changing mood in relation to insufficient sleep was developed and validated under sleep deprivation conditions (n = 24, 18-34y).Results: Four out of 10 original negative affect (NA) PANAS items (and 0/10 positive affect (PA) items) were deemed irrelevant to sleep by >50% of respondents (\"guilt\", \"afraid\", \"scared\", \"ashamed\"). To address this, we developed the NAP-AS using factor analysis (from 100 word items) resulting in 14 items reflecting NA and PA (71.4% new items for PA and NA equally; final fit model: RMSEA = 0.048, CFI = 0.98). In a validation study, this tool was sensitive to sleep deprivation (p < .001), such that NA significantly increased (p = .017, d > 0.47), while PA decreased (p < .001, d > 0.75), relative to when well-rested.Conclusions: Despite the PANAS being a valid tool assessing changes in affect, several items appear irrelevant to the experience of poor sleep. The NAP-AS was developed to specifically capture changes in positive and negative affect following insufficient sleep. The new tool was sensitive to sleep loss, although further validation for clinical populations is recommended.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683637","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}

引用次数: 0

Translation, Validation, and Cross-Cultural Adaptation of an Arabic Version of the "Sleep Disturbances Scale for Children" (SDSC). 阿拉伯语版“儿童睡眠障碍量表”（SDSC）的翻译、验证和跨文化适应。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-17 DOI: 10.1080/15402002.2025.2529863

Razane El Hajj Chehade, Jad Costa, Mabel Aoun, Muhamad Serhal, Nadine Cheaib, Ghassan Sleilaty, Oliviero Bruni, Jeanine El Helou

{"title":"Translation, Validation, and Cross-Cultural Adaptation of an Arabic Version of the \"Sleep Disturbances Scale for Children\" (SDSC).","authors":"Razane El Hajj Chehade, Jad Costa, Mabel Aoun, Muhamad Serhal, Nadine Cheaib, Ghassan Sleilaty, Oliviero Bruni, Jeanine El Helou","doi":"10.1080/15402002.2025.2529863","DOIUrl":"https://doi.org/10.1080/15402002.2025.2529863","url":null,"abstract":"Objective: This study aimed to translate, validate, and adapt an Arabic version of the \"Sleep Disturbances Scale for Children\" (SDSC).Materials and methods: The process involved translation, synthesis, supervision, and back-translation, followed by expert committee review and pretesting. Psychometric testing included an online questionnaire on socio-demographic characteristics, the Arabic and English versions of SDSC, launched online from June to August 2022. Cronbach's alpha coefficient, intraclass correlation coefficient (ICC), and Cohen's Kappa coefficient were measured to evaluate internal consistency, overall questionnaire reliability, and inter-judge reliability of each questionnaire item, respectively. An exploratory factor analysis (EFA) was then conducted to study construct validity.Results: 409 respondents, predominantly mothers, participated in this study. The mean score of the average of the English and Arabic versions was 1.78 ± 0.61 and 1.66 ± 0.51, respectively. The Cronbach's alpha was estimated at 0.92 for the English version and 0.88 for the Arabic version. ICC showed good reliability and agreement between the two tests, which was 0.82. EFA allowed the extraction of 7 underlying factors in the questionnaire.Conclusion: Our Arabic version of the SDSC is a reliable, valid, and adapted tool, allowing the assessment of sleep disorders in children in the Arab world.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661055","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}

引用次数: 0

Evaluating the Effectiveness of Cognitive Behavioral Therapy for Insomnia in School Settings: A Systematic Review and Meta-Analysis. 评估学校环境中失眠症认知行为疗法的有效性：系统回顾和荟萃分析。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-16 DOI: 10.1080/15402002.2025.2529856

Catriona Ewart, Kieren J Egan, Marion Henderson, Stephanie McCrory, Leanne Fleming

{"title":"Evaluating the Effectiveness of Cognitive Behavioral Therapy for Insomnia in School Settings: A Systematic Review and Meta-Analysis.","authors":"Catriona Ewart, Kieren J Egan, Marion Henderson, Stephanie McCrory, Leanne Fleming","doi":"10.1080/15402002.2025.2529856","DOIUrl":"https://doi.org/10.1080/15402002.2025.2529856","url":null,"abstract":"Purpose: Poor sleep among adolescents is a significant public health concern. Delivering Cognitive Behavioral Therapy for insomnia (CBT-I) in schools may be an effective way to reach adolescents with poor sleep. This systematic review and meta-analysis examined the effectiveness of school-based CBT-I for improving sleep quality and/or duration among adolescents with insomnia symptoms or disorder.Methods: A systematic search of studies between 2003 and 2025 was conducted in March 2025. Inclusion criteria were adolescents aged 10-19 years (population) with insomnia symptoms, school-based interventions using evidence-based CBT-I principles (intervention), randomized or non-randomized trials (comparator), and reported sleep quality and/or duration (outcome).Results: Eight studies (n = 323; M age = 15.3 years; 62.57% female) from four countries were included. Meta-analysis of within sleep intervention condition groups (n = 8) found significant subjective improvements post-intervention: total sleep time (TST) increased by 23.87 minutes (p < .001), sleep onset latency (SOL) decreased by 8.34 minutes (p < .01), and sleep quality improved g = 0.376 (p = .001). Objective measures of TST increased by 20.91 minutes (p = 0.100), SOL decreased by 1.35 minutes (p = 0.202), and sleep efficiency rose by 0.50% (p = .792). Anxiety improved significantly g = 0.373 (p < .01), but depression did not g = 0.806 (p = .196).Discussion: While sleep improvements were only observed for subjective sleep outcomes, this review suggests that school-based CBT-I may be an effective avenue to address adolescent insomnia. Given the limited evidence, we identify key methodological and implementation considerations to guide practice.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644215","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}

引用次数: 0

Acceptability and Feasibility of Training to Integrate Digital CBT for Insomnia Into Routine Psychotherapy: A Focus Group Study. 将数字CBT纳入常规心理治疗的可接受性和可行性：一项焦点小组研究。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-10 DOI: 10.1080/15402002.2025.2531415

Nicole B Gumport, Isabelle A Tully, Nicole E Carmona, Shannon Wiltsey Stirman, Rachel Manber

{"title":"Acceptability and Feasibility of Training to Integrate Digital CBT for Insomnia Into Routine Psychotherapy: A Focus Group Study.","authors":"Nicole B Gumport, Isabelle A Tully, Nicole E Carmona, Shannon Wiltsey Stirman, Rachel Manber","doi":"10.1080/15402002.2025.2531415","DOIUrl":"https://doi.org/10.1080/15402002.2025.2531415","url":null,"abstract":"Objective: Routine psychotherapy for mental health problems does not adequately address insomnia. Integrating cognitive behavior therapy for insomnia (CBTI) into routine psychotherapy could both extend the reach of CBTi and enhance sleep and mental health outcomes. Digital CBTi (dCBTI) is a promising and scalable option for integration that requires little prior training and session time. This study aimed to understand the perspectives of licensed mental health therapists on the acceptability and feasibility of this strategy of integrated dCBTI.Method: Six one-hour focus groups were conducted with 52 licensed therapists (21 PhD/PsyD, 11 LCSW, 10 MFT, 9 LPC, 2 MD). Each group included 6-11 participants. Inductive thematic analysis was used.Results: Therapists identified general advantages of dCBTI, benefits to integration, and concerns about integration. They described the knowledge and resources needed both for training and in session. They expressed that a 4-hour workshop and spending 5-10 minutes in session supporting patient use of dCBTI would be feasible.Conclusion: Data offer preliminary evidence in support of the perceived value, acceptability, and feasibility of integrating dCBTI in routine psychotherapy from a therapist perspective. Therapists are open to receiving training in integrated dCBTI and see its potential value in improving outcomes for their patients.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602321","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}

引用次数: 0

Child Abuse Exposure and Adult Sleep Continuity Disturbance, Sleep Duration, and Bedroom Safety. 儿童虐待暴露与成人睡眠连续性障碍、睡眠持续时间和卧室安全。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-10 DOI: 10.1080/15402002.2025.2529871

Pamela Alfonso-Miller, Jason G Ellis, Celyne H Bastien, Lauren Hale, Charles C Branas, Michael A Perlis, Elizabeth Rasmussen, Suzanne B Gorovoy, Michael A Grandner

{"title":"Child Abuse Exposure and Adult Sleep Continuity Disturbance, Sleep Duration, and Bedroom Safety.","authors":"Pamela Alfonso-Miller, Jason G Ellis, Celyne H Bastien, Lauren Hale, Charles C Branas, Michael A Perlis, Elizabeth Rasmussen, Suzanne B Gorovoy, Michael A Grandner","doi":"10.1080/15402002.2025.2529871","DOIUrl":"https://doi.org/10.1080/15402002.2025.2529871","url":null,"abstract":"Background: While prior research has shown that early life events can impact sleep during adulthood. However, the specific aspects of sleep affected in those who experienced abuse as a child and potential environmental factors that may help ameliorate these difficulties is less understood.Objectives: The present cross-sectional study examined the relationship between abuse as a child and several key dimensions of poor sleep (sleep quality, insomnia symptoms and typical sleep duration). Additionally, perceived bedroom safety was examined as a potential moderator.Participants and methods: A sample of 1,002 individuals completed measures of current sleep problems and perceived levels of safety in the bedroom. Additionally, participants indicated whether they had been exposed to physical or sexual abuse as a child. 204 participants reported being abused during childhood, defined as sexual or physical abuse.Results: A series of linear regressions demonstrated - a) associations between a history of abuse as a child and adult poorer sleep quality, increased insomnia symptomology, and shorter sleep durations and b) these associations, in the main, were moderated by current perceived bedroom safety. Of those who had experienced abuse as a child, perceiving the bedroom as a safe environment was associated with a 52% reduction in perceived poor sleep quality, 19% reduction in insomnia symptoms and 37% increase in sleep duration compared to those who currently slept in an environment they perceived to be unsafe.Conclusions: While childhood abuse is associated with worse sleep health, these self-reported results indicate that the adult perception of safe bedroom mitigates that association.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602322","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}

引用次数: 0

Differences in Infant and Parental Sleep and Sleeping Location in a Multi-National Study. 一项跨国研究中婴儿和父母睡眠和睡眠位置的差异。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-09 DOI: 10.1080/15402002.2025.2529869

Laura Astbury, Seoha Kyung, Jiwun Song, Donna M Pinnington, Sungkyoung Shin, Bei Bei, Sooyeon Suh

{"title":"Differences in Infant and Parental Sleep and Sleeping Location in a Multi-National Study.","authors":"Laura Astbury, Seoha Kyung, Jiwun Song, Donna M Pinnington, Sungkyoung Shin, Bei Bei, Sooyeon Suh","doi":"10.1080/15402002.2025.2529869","DOIUrl":"https://doi.org/10.1080/15402002.2025.2529869","url":null,"abstract":"Objectives: This study investigated cross-country differences in infant and maternal sleep across Korea, the U.S.A. and Australia.Methods: Participants were 2,005 mother-infant dyads (infant Mage = 13.82 months, SDage = 6.23 months) from Australia (n = 73), Korea (n = 222), and the U.S.A. (n = 1710). Mothers completed the Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes About Sleep Scale (DBAS), and Brief Infant Sleep Questionnaire (BISQ) and were grouped (6, 12, and 24 months) dependent on infant age. Data were analyzed using multiple regressions.Results: Korean mothers had higher insomnia symptoms compared to Australian and U.S.A. mothers at all timepoints (p's < .002). Mean DBAS scores were higher for Korean compared to U.S.A. and Australian mothers (p's < .007). Compared to U.S.A. infants at all timepoints and to Australian infants at 12- and 24 months, Korean infants had shorter nighttime TST (p's < .040) and longer SOL (p's < .003). Bedsharing was associated with lower insomnia symptoms in Korean mothers at 24 months (p = .043). Co-sleeping was not significantly associated with insomnia and DBAS scores (p's > .164).Conclusions: Korean mothers had higher insomnia and DBAS scores, which did not differ by co-sleeping status; Korean infants had shorter nighttime TST, and longer SOL. Bedsharing in Korea was protective against insomnia symptoms at 24 months. Further exploration into the mechanisms of sleep changes is required to tailor future interventions for diverse backgrounds.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592990","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}

引用次数: 0

Sleep in Military Submariners: Exploring its Dynamics in Relation to a Submarine Mission and Interaction with Psychological Factors. 军事潜艇艇员的睡眠：探索其与潜艇任务的动态关系及其与心理因素的相互作用。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-01 Epub Date: 2025-05-06 DOI: 10.1080/15402002.2025.2493650

Carina Fernandes, Carolina Maruta, Catarina M Marques-Dias, Cátia Reis

{"title":"Sleep in Military Submariners: Exploring its Dynamics in Relation to a Submarine Mission and Interaction with Psychological Factors.","authors":"Carina Fernandes, Carolina Maruta, Catarina M Marques-Dias, Cátia Reis","doi":"10.1080/15402002.2025.2493650","DOIUrl":"10.1080/15402002.2025.2493650","url":null,"abstract":"Introduction: Operational work contexts promote sleep and circadian disturbances, especially in extreme environments. To identify mitigation factors, this study aimed to explore submariners' sleep changes in relation to a mission and association with different psychological factors.Methods: Thirty military submariners were evaluated in real-life conditions on three consecutive periods: pre-mission/baseline, submarine mission, post-mission/recovery. Sleep duration, quality, and sleepiness were collected continuously via diary and actigraphy. Personality traits, coping strategies, locus of control, fatigue, anxiety, and depressive symptoms were assessed through questionnaires.Results: During the mission, there was a significant decrease in sleep duration and quality and increase in sleepiness compared with baseline, recovering post-mission. Submariners slept a median of 55 minutes less than before the mission and 91 minutes less than after the mission. They also rated their sleep quality 0.45 points lower, while reporting 1.85 points higher sleepiness at the beginning of work shifts. Higher work satisfaction and extraversion trait score correlated with better scores on subjective sleep variables during the mission. Higher neuroticism trait and avoidant coping style had a negative impact on sleep-related parameters in all periods, mediated by anxiety symptoms.Conclusion: Psychological factors are relevant for sleep in extreme occupational settings, especially regarding subjective parameters, and even in highly selected and trained populations, potentially informing intervention opportunities.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"526-539"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042553","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}

引用次数: 0

Association Between Maternal Sleep Health and Mental Health: Moderating Role of Family Function. 母亲睡眠健康与心理健康的关系：家庭功能的调节作用

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-01 Epub Date: 2025-03-24 DOI: 10.1080/15402002.2025.2482144

Sha Li, Xingchen Shang, Jiayin Ruan, Yanzhe Wang, Yuting Ren, Bingqing Xia, Rui Kong

{"title":"Association Between Maternal Sleep Health and Mental Health: Moderating Role of Family Function.","authors":"Sha Li, Xingchen Shang, Jiayin Ruan, Yanzhe Wang, Yuting Ren, Bingqing Xia, Rui Kong","doi":"10.1080/15402002.2025.2482144","DOIUrl":"10.1080/15402002.2025.2482144","url":null,"abstract":"Objective: Pregnancy, as a complex physiological process, significantly alters maternal sleep patterns, which are closely associated with various maternal health outcomes. This study explored the association between maternal sleep health and anxiety/depression symptoms and whether this association differed by family function.Methods: A cross-sectional survey was conducted among pregnant women attending obstetrics departments at two hospitals in Nanjing, China. The Sleep Health Index, Family APGAR, and Patient Health Questionnaire-4 were administered to evaluate sleep health, family function, and anxiety and depression symptoms of pregnant women in late pregnancy, respectively. Multiple linear and logistic regressions were applied, with the moderation effect of the family function being assessed by adding interaction terms in the models.Results: A total of 199 pregnant women in late pregnancy completed the survey. The average age and gestational age were 30.95 years (SD = 3.38, Range: 19-42) and 36.39 weeks (SD = 2.52, Range: 28-40), respectively. The scores of sleep health, anxiety, depression, and family function were 84.37 ± 10.61, 0.00 (0.00, 2.00), 0.00 (0.00, 1.00), and 8.79 ± 1.82, respectively. Results showed that better sleep health was associated with lower scores of anxiety (β=-0.03, p < .001) and depression (β=-0.04, p < .001) symptoms and lower odds of anxiety (adjusted odds ratio, aOR = 0.92, p = .006) and depression (aOR = 0.93, p = .003) symptoms. Family function significantly moderated the relationship between sleep health and scores of anxiety (β = 0.01, p = .013) and depression (β = 0.01, p < .001) symptoms.Conclusion: Good sleep health in late pregnancy is associated with reduced anxiety and depression symptoms, with a stronger association found in pregnant women with weaker family function.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"488-501"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694554","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}

引用次数: 0

Are you Lonesome Tonight? Ecological Momentary Assessment of Evening Loneliness, Worry, and Actigraphic Sleep in Adolescents. 今晚你寂寞吗？青少年夜间孤独、忧虑和活动睡眠的生态瞬时评估。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1080/15402002.2025.2498364

Mariacarolina Vacca, Andrea Zagaria, Valeria Fiori, Caterina Lombardo, Andrea Ballesio

{"title":"Are you Lonesome Tonight? Ecological Momentary Assessment of Evening Loneliness, Worry, and Actigraphic Sleep in Adolescents.","authors":"Mariacarolina Vacca, Andrea Zagaria, Valeria Fiori, Caterina Lombardo, Andrea Ballesio","doi":"10.1080/15402002.2025.2498364","DOIUrl":"10.1080/15402002.2025.2498364","url":null,"abstract":"Objectives: This study aims to evaluate the association between ecological assessment experience of loneliness and nocturnal sleep in a sample of healthy adolescents and to investigate the potential mediating role of pre-sleep worry in this relationship.Methods: Each evening, participants completed an electronic diary including items assessing loneliness and worry. The time of diary administration was set on an individual basis to capture the actual pre-bed experience. Sleep parameters were assessed using actigraphy.Results: Analyses were conducted on 72 participants (53.9% boys; Mage = 15.65; SD = 1.32) and 535 nights. Multilevel structural equation modeling indicated that within person loneliness fluctuations over the assessment period predicted shorter sleep duration through the mediation of high pre-sleep worry (B = -1.634, p = .027); More specifically, at the within level, loneliness was significantly and positively related to worry (B = .131, p = .001), which in turn was negatively related to sleep duration (B = -12.502, p = .028).One step increase in loneliness-associated pre-sleep worry predicted a decrease of 12 minutes in sleep duration. The mediation path was not influenced by anxiety and gender differences in the adjusted analysis. Results on other sleep parameters were not significant.Conclusions: Findings suggest that adolescents' loneliness experienced at bedtime may influence sleep duration through worry. Sleep-promoting interventions in adolescents may benefit from targeting loneliness and pre-sleep cognitions.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"552-564"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041307","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}

引用次数: 0

Rates of Sleep Disorders Based on a Structured Clinical Interview in US Active-Duty Military Personnel with Acute Suicide Risk. 基于结构化临床访谈的美国现役军人急性自杀风险睡眠障碍率

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1080/15402002.2025.2499136

Yiqin Zhu, Kristi E Pruiksma, Daniel J Taylor, Lauren R Khazem, Justin C Baker, Johnnie Young, Craig J Bryan, Joshua Wiley, Lily A Brown

{"title":"Rates of Sleep Disorders Based on a Structured Clinical Interview in US Active-Duty Military Personnel with Acute Suicide Risk.","authors":"Yiqin Zhu, Kristi E Pruiksma, Daniel J Taylor, Lauren R Khazem, Justin C Baker, Johnnie Young, Craig J Bryan, Joshua Wiley, Lily A Brown","doi":"10.1080/15402002.2025.2499136","DOIUrl":"10.1080/15402002.2025.2499136","url":null,"abstract":"Objectives: Individuals who are at higher risk for suicide commonly report sleep disorder symptoms. There is a need for increased precision in understanding which sleep disorder symptoms are most reported in at-risk populations, as well as variability in sleep disorder symptoms. The current study comprehensively evaluates sleep problems in US Active-Duty Military Personnel with acute suicide risk.Methods: Active-duty treatment-seeking US Marines (N = 40) were recruited based on suicide ideation with intent/plan/suicide attempt in the past month. Marines completed a structured clinical interview for sleep disorders and self-report questionnaires.Results: Almost all (97.5%) of the participants met criteria for at least one sleep disorder, including insomnia (75.0%), nightmare disorder (50.0%), circadian rhythm sleep-wake disorders (27.5%), and possible obstructive sleep apnea-hypopnea syndrome (25.0%). There was not able variability in total sleep duration (5.45-7.01 hr per night) and bedtimes (19:30-1:00 workdays; 19:30-5:30 weekends), and poor average sleep efficiency (63.28% on weekdays and 69.43% on weekends).Conclusions: These results underscore our hypothesis that sleep problems are prevalent among military personnel at high risk for suicide. There is a need for a more precise assessment of sleep disorder symptoms among service members who are at high risk for suicide, as well as expanded intervention opportunities in this group.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"579-591"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059040","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}

引用次数: 0