Behavioral Sleep Medicine最新文献

{"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":"https://doi.org/10.1080/15402002.2025.2482144","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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, <i>p</i> < .001) and depression (β=-0.04, <i>p</i> < .001) symptoms and lower odds of anxiety (adjusted odds ratio, aOR = 0.92, <i>p</i> = .006) and depression (aOR = 0.93, <i>p</i> = .003) symptoms. Family function significantly moderated the relationship between sleep health and scores of anxiety (β = 0.01, <i>p</i> = .013) and depression (β = 0.01, <i>p</i> < .001) symptoms.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","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}

{"title":"Actigraphy Estimated Night Sleep Duration in Preschool Children: Comparison of an Automated Algorithm and Sleep Diary Against the Sadeh Algorithm.","authors":"Elaine Kh Tham, Bernard Tang, Natarajan Padmapriya, Anu Ss Rema, Jonathan Y Bernard, Peter D Gluckman, Yap-Seng Chong, Fabian Yap, Johan G Eriksson, Falk Müller-Riemenschneider, Shirong Cai","doi":"10.1080/15402002.2025.2481439","DOIUrl":"https://doi.org/10.1080/15402002.2025.2481439","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare amongst preschoolers, night sleep duration derived using the automated van Hees algorithm in GGIR (GGIR_VH) against the reference Sadeh algorithm (Actilife_SD), and subjective caregiver-reported sleep diaries against Actilife_SD.</p><p><strong>Methods: </strong>Participants were 142 preschoolers (52.1% males), age 5.5 years, from the Growing Up in Singapore Toward healthy Outcomes (GUSTO) birth cohort study. Weeklong actigraphy data was collected via the wGT3X-BT accelerometer (worn on the non-dominant wrist) with concurrent caregiver-reported sleep diaries. Analyses were conducted to compare the automated GGIR_VH and sleep diaries against the reference Actilife_SD. Intraclass correlations were calculated to compare the agreement levels. Bland-Altman plots were used to investigate the bias in the mean differences and limits of agreement (LoA). Repeated measures of ANOVAs were used to compare mean differences.</p><p><strong>Results: </strong>For the intraclass correlation between automated GGIR_VH and reference Actilife_SD, there was moderate agreement for the nighttime total sleep duration (<i>r</i> = 0.66) and poor agreement between diary and Actilife_SD (<i>r</i> = 0.04). Bland-Altman plots revealed a positive bias when comparing diaries against Actilife_SD, where diaries reported longer sleep duration. In contrast, there was almost no bias and smaller LoAs for the comparison between GGIR_VH and Actilife_SD. ANOVAs showed that comparisons between diary (<i>M</i> = 9.36, SD = 1.16) and Actilife_SD (<i>M</i> = 6.93, SD = 1.12); and GGIR_VH (<i>M</i> = 6.76, SD = 1.30) and Actilife_SD both yielded significant differences.</p><p><strong>Conclusions: </strong>Overall, the automated GGIR_VH algorithm showed moderate agreement compared to the reference Actilife_SD. In contrast, sleep diaries overestimated sleep duration when compared to Actilife_SD.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694553","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":"Maternal Self-Efficacy as a Moderator in the Relationship between Infant/Toddler Sleep and Maternal Mental Health.","authors":"Amir Ali Mazandarani, Mahdi Zare Bahramadbadi","doi":"10.1080/15402002.2025.2483961","DOIUrl":"https://doi.org/10.1080/15402002.2025.2483961","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the moderating effects of maternal self-efficacy on the association between infant sleep quality and various aspects of maternal mental and emotional health.</p><p><strong>Method: </strong>Five hundred forty-four mothers (M age = 32.27, SD = 4.29) of infants and toddlers aged 0 to 36 months completed a combination of self-report and parent-report measures: the Brief Infant Sleep Questionnaire-Revised (BISQ-R) for infant sleep quality, the Maternal Self-Efficacy Scale (MSES), the Depression Anxiety Stress Scale-21 (DASS-21), the Pittsburgh Sleep Quality Index (PSQI), the Satisfaction with Life Scale (SWLS), and the Subjective Happiness Scale (SHS).</p><p><strong>Results: </strong>Mothers with higher self-efficacy reported better well-being across all domains compared to those with lower self-efficacy. Furthermore, maternal self-efficacy scores were found to moderate the relationship between infant sleep and maternal well-being. While poor infant sleep quality was associated with lower well-being scores across all mothers, the positive association between good infant sleep quality and well-being was more pronounced among mothers with higher self-efficacy scores.</p><p><strong>Conclusions: </strong>Our findings highlight the moderating role of maternal self-efficacy in the relationship between maternal well-being and infant/toddler sleep. These results suggest that interventions for enhancing maternal self-efficacy may offer a promising avenue for improving maternal well-being, potentially in conjunction with behavioral interventions targeting child sleep problems.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694555","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":"Systematic bibliometric and visualized analysis of research hotspots and trends in obstructive sleep apnea neuroimaging.","authors":"Bing Wen, Haijun Li, Xiang Liu, Yongqiang Shu, Dan Shen, Xinyi Bu, Dechang Peng, Yuting Liu, Lifeng Li","doi":"10.1080/15402002.2025.2479795","DOIUrl":"10.1080/15402002.2025.2479795","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) patients exhibit neurological symptoms, driving research in sleep medicine and clinical neurology. Neurologists and radiologists explore detection methods to identify unique neural features associated with OSA in the atypical nervous system. Neuroimaging research in OSA encompasses studying the structural, functional connectivity (FC), and neurometabolic aspects of the brain. Limited resources and OSA's heterogeneity pose challenges to effective neuroimaging research. This study aims to conduct a bibliometric analysis of OSA neuroimaging research to identify key trends and emerging themes.</p><p><strong>Methods: </strong>This research utilizes various techniques, including functional MRI, structural MRI, diffusion tensor imaging, magnetic resonance spectroscopy, and electroencephalography, among others. Publications from 1993 to 2023 were retrieved from Web of Science on neuroimaging. Analysis tools included Bibliometric.com, CiteSpace, VOSviewer, and R4.3.2.</p><p><strong>Results: </strong>A total of 714 papers were published in 47 countries, with 651 articles, 55 reviews, and 8 meeting abstracts. The USA led in publications, with the University of California System contributing most, primarily in \"Sleep\" journal. The study identified 2916 authors, with Macey PM having the highest publication count. Recent years highlighted burst keywords such as network, classification, sleep staging, FC, and brain activity. Analysis of keyword clusters revealed \"electroencephalography\" with the longest temporal duration.</p><p><strong>Conclusions: </strong>Neuroimaging in OSA research has gained increased attention. Incorporating behavioral sleep medicine insights could enhance understanding of OSA's impact on brain function and behavior. This study aims to assist researchers in identifying potential collaborators, institutions, and key themes, providing a comprehensive perspective on OSA neuroimaging research and related sleep disorders.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-22"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675032","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 Effect of Meditation-Based Mind-Body Interventions on Older Adults with Poor Sleep Quality: A Meta-Analysis of Randomized Controlled Trials.","authors":"Yue Li, Jiaxing Tang, Gaopeng Chen","doi":"10.1080/15402002.2025.2475911","DOIUrl":"https://doi.org/10.1080/15402002.2025.2475911","url":null,"abstract":"<p><strong>Aims and objective: </strong>This study aims to evaluate the effect of meditation-based mind-body interventions (MBIs) (Mindfulness, Tai Chi, Yoga, and Qigong) for older adults with poor sleep quality.</p><p><strong>Background: </strong>Poor sleep quality exerts negative impact on life quality of old adults. The meditation-based mind-body interventions, with merits of simplicity, practicality, accessibility, and widespread dissemination, have been widely used to improve sleep in the older adults. However, the effects of MBIs on sleep quality of old adults are largely unknown.</p><p><strong>Method: </strong>A comprehensive systematic review and meta-analysis were carried out following the PRISMA-P guidelines. Embase, PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science, and CNKI databases were searched to gather randomized controlled trials (RCTs) on the effects of MBIs on older adults with poor sleep quality. Study quality was evaluated by the Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>This study included 11 randomized controlled trials (with 1,052 participants) published between 2008 and 2023. Compared to the control group, there was a significant improvement in sleep quality (SMD= -0.66, 95%CI [-0.894, -0.426], P<0.00001), depression (SMD=-1.60, 95% CI [-1.89, 0.23], P=0.005), and anxiety (SMD= -1.46, 95% CI [-3.67, 0.75], P=0.026) for older adults with poor sleep quality. However, there was no statistically significant difference in the treatment effect for stress (SMD= -4.45, 95% CI [-10.24, 1.35], P=0.196).</p><p><strong>Conclusion: </strong>Meditation-based mind-body interventions significantly improved the sleep quality of older adults with poor sleep quality. Nevertheless, more evidence is needed to support this.</p><p><strong>Registration: </strong>The protocol for this study was registered with PROSPERO (CRD42023445082). https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082.</p><p><strong>Prospero registration number: </strong>CRD42023445082.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659950","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":"Examining the Feasibility of an App-based Sleep Intervention for Shiftworkers Using the RE-AIM Framework.","authors":"Hannah Thorne, Rochelle M Sophocleous, Madeline Sprajcer, Alexandra E Shriane, Mitch J Duncan, Sally A Ferguson, Corneel Vandelanotte, Tracy Kolbe-Alexander, Charlotte C Gupta, Gabrielle Rigney, Matthew Thomas, Cassie J Hilditch, Benjamin Peterson, Grace E Vincent","doi":"10.1080/15402002.2025.2476687","DOIUrl":"https://doi.org/10.1080/15402002.2025.2476687","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed the feasibility of Sleepfit, an app-based sleep intervention for shiftworkers, to evaluate participant reach, engagement, and interaction.</p><p><strong>Methods: </strong>The RE-AIM framework guided the feasibility assessment. Participants from various shiftwork industries (e.g. healthcare, mining) completed a 14-day trial of the Sleepfit app, alongside baseline and post-intervention surveys. Descriptive statistics were used to evaluate participant enjoyment and engagement, including daily app usage and the number of activities completed.</p><p><strong>Results: </strong>Among the 110 enrolled shiftworkers, 53 (48%) completed post-intervention assessments, and 34 (30.9%) adhered to the full study protocol. Of those who completed baseline surveys, 85.4% downloaded and used Sleepfit, engaging with an average of 17.3% of available activities, with shiftwork-specific modules like \"Coping with Shiftwork\" showing the highest engagement. Participants cited lack of time, inconvenience, and losing interest as reasons for discontinuing app use.</p><p><strong>Conclusions: </strong>This study indicates the potential feasibility of app-based interventions like Sleepfit to improve shiftworkers' sleep health through tailored, relevant content. Future studies should consider longer durations and larger samples, incorporating wearable technology to enhance data accuracy and assess sustained effects across varied shift schedules.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652013","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":"Sleep Duration, Midpoint, Variability, Irregularity and Metabolic Dysfunction-Associated Steatotic Liver Disease.","authors":"Qingcui Wu, Fuman Song, Huijie Huang, Siting Wang, Naijian Zhang, Zhilin Li, Yuanyuan Liu, Jiageng Chen, Jun Ma","doi":"10.1080/15402002.2025.2478169","DOIUrl":"https://doi.org/10.1080/15402002.2025.2478169","url":null,"abstract":"<p><strong>Objectives: </strong>The relationship between actigraphy-derived sleep parameters, day-to-day deviations in sleep parameters, and metabolic dysfunction-associated steatotic liver disease (MASLD), a new definition of nonalcoholic fatty liver disease (NAFLD), remains unclear. We aimed to explore the associations of sleep duration, midpoint, variability and irregularity with MASLD risk.</p><p><strong>Methods: </strong>We used data from the National Health and Nutrition Examination Survey (NHANES) 2011-2014. Sleep duration and midpoint were estimated from 4 to 7 days of 24-hour actigraphy measurements. Sleep duration and midpoint standard deviation were used as indicators of sleep variability and irregularity, respectively. MASLD was diagnosed according to the multi-society Delphi consensus. Hepatic steatosis was defined as fatty liver index ≥ 60. Multivariable weighted logistic regression models were used to explore correlations and perform subgroup analyses.</p><p><strong>Results: </strong>A total of 5,316 participants were included, of whom 2,339 had MASLD. After adjusting for socio-demographic characteristics, lifestyle factors, and depression, compared to sleep variability < 60 minutes, the odds ratio (OR) [95% confidence interval (CI)] was 1.13 (0.96-1.34) for 60-90 minutes, and 1.17 (1.00-1.38) for > 90 minutes (P for trend = .034). After further adjustment for other sleep variables, short sleep duration (<7 hours) was associated with a 24% higher risk of MASLD (OR: 1.24, 95% CI: 1.01-1.53); compared to sleep irregularity < 38 minutes, OR (95% CI) was 1.27 (1.02-1.59) for 38-61 minutes and 1.43 (1.24-1.65) for > 61 minutes (P for trend = .003).</p><p><strong>Conclusion: </strong>In addition to sleep duration, sleep irregularity may need to be considered in the prevention of MASLD.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627012","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":"\"Sleeping My Life Away\": Experiences of Living with Idiopathic Hypersomnia.","authors":"Kristoffer Bothelius, Nadjela Salimi, Rebecca E M Lehtilä, Tomas Furmark, Christina Nehlin Gordh","doi":"10.1080/15402002.2025.2475913","DOIUrl":"https://doi.org/10.1080/15402002.2025.2475913","url":null,"abstract":"<p><strong>Objectives: </strong>Individuals with idiopathic hypersomnia (IH) report several subjective emotional and cognitive symptoms, as well as impairments in daily functioning. Coping strategies are frequently used, but their effectiveness is perceived to be minimal. The aim of the present study was to delve into the patient perspective on navigating life with IH, emphasizing patients' personal narratives.</p><p><strong>Method: </strong>Utilizing a purposeful sample method, twelve participants diagnosed with IH underwent telephone interviews guided by a semi-structured protocol. The interviews were subjected to thematic analysis to extract relevant themes.</p><p><strong>Results: </strong>Analysis unveiled three primary themes along with subthemes: 1) Being confined, characterized by excessive daytime sleepiness, negative emotional processes and cognitive disturbances, 2) Missing out on life, involving loss of time and adverse social consequences, and 3) Trying to cope, encompassing strategies like napping, adapting, activating oneself and mentally fighting sleepiness, while also embracing acceptance and self-compassion.</p><p><strong>Conclusions: </strong>The identified themes reflected numerous aspects previously reported to be associated with living with IH. Notably, the study brought novel subthemes to light, such as the existential dilemma of \"sleeping one's life away\" and feelings of guilt and shame. Furthermore, the study underscored the significance of acceptance and self-compassion as coping strategies.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588233","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":"Effects of Recruitment Messaging on Ethnic/Racial Minority Screening in a RCT for Prenatal Insomnia: An Experimental Approach.","authors":"Carolyn Ponting, Bernadette McClelland, Richelle Mah, John Neuhaus, Rachel Manber, Andrew D Krystal, Patricia Moran, Jennifer N Felder","doi":"10.1080/15402002.2025.2473346","DOIUrl":"https://doi.org/10.1080/15402002.2025.2473346","url":null,"abstract":"<p><strong>Objective: </strong>Using data from a nationwide recruitment campaign for an RCT evaluating digital cognitive behavioral therapy for prenatal insomnia, we tested whether a recruitment message that identified a racial/ethnic disparity in sleep quality (sleep disparities message) would increase the proportion of participants who engaged in study screening compared to a recruitment message without identified ethnic/racial disparities (standard message). We also tested whether the magnitude of the association of message type with completed eligibility screening varied by race/ethnicity.</p><p><strong>Method: </strong>Pregnant people (<i>n</i> = 203,664) were randomly assigned to receive a sleep disparities or standard recruitment e-mail. A total of 1,782 pregnant people opened the recruitment e-mails. We used chi-square tests to compare the proportions of e-mails that led to study screening outcomes between the two e-mail message conditions.</p><p><strong>Results: </strong>The chi-square tests revealed that a smaller proportion of prospective participants who received a sleep disparities message visited the screening website <i>X</i>² = 8.83, <i>p</i> = .003 and completed a study screener <i>X</i>² = 4.92, <i>p</i> = .026 compared to those who received a standard message. Results of a logistic regression detected no statistically significant interactions between race/ethnicity and message type on the probability of a completing a study screener.</p><p><strong>Conclusion: </strong>Manipulating and measuring the effects of recruitment messages can identify effective strategies for diversifying the participant pools in CBT-I trials.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558400","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":"No Earlier Than 9:45 A.M. A Qualitative Study of Adolescents' Experiences of Later School Start Times in Aotearoa New Zealand.","authors":"Hazel Smith, Charmaine Barber, Rachael Taylor, T Leigh Signal, Sarah Hetrick, Mohamed Alansari, Jacinta Oldehaver, Barbara Galland","doi":"10.1080/15402002.2025.2473351","DOIUrl":"https://doi.org/10.1080/15402002.2025.2473351","url":null,"abstract":"<p><strong>Objectives: </strong>Many teenagers suffer chronic sleep loss, which could potentially be mitigated by later school start times to accommodate the natural shift in their circadian timekeeping system favoring later bedtimes. This study explored experiences of senior students from a school in Aotearoa New Zealand with later school start times.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 14 students, purposively sampled for equivalent numbers starting later every day (9:45 A.M.), or on just one weekday (10:00 A.M.). Transcripts were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes were identified that addressed the impact of later starts on sleep struggles, daily functioning, student autonomy, and routines and scheduling. Most perceived later starts as positively influencing their sleep quality, concentration, productivity, and personal well-being. The importance of autonomy over their learning, and impact of different start times on students' schedules was also emphasized. Major disadvantages were lack of free classes and potentially later finish times.</p><p><strong>Conclusions: </strong>The experiences of later school start times for these adolescents were largely positive across a variety of life domains. Findings support the need for sleep health to be considered within school's health education and policy to address the unmet health concerns of chronic sleep loss in teens.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544597","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}