Behavioral Sleep Medicine最新文献

{"title":"Mental Health, Substance Use, and Related Factors Associated with Recent Use of Cannabis for Sleep: A Co-Twin Control Study.","authors":"Zoë Panchal, Joseph Sakai, Andrea N Goldstein-Piekarski, Jarrod M Ellingson, William Iacono, Robin P Corley, Scott Vrieze, Christian J Hopfer, John K Hewitt, Matt K McGue, J Megan Ross","doi":"10.1080/15402002.2025.2508770","DOIUrl":"https://doi.org/10.1080/15402002.2025.2508770","url":null,"abstract":"<p><strong>Objectives: </strong>To examine: 1) cross-sectional associations between past-month use of cannabis for sleep with mental health, substance use, and related factors in adults and 2) the role of genetic and early environmental factors shared by twins (familial confounds) in explaining significant associations.</p><p><strong>Methods: </strong>In a population-based sample of adult twins (<i>n</i> = 3,165, M_age36.7) we ran regression (phenotypic) and multilevel (co-twin control) models examining associations between past-month use of cannabis for sleep without comes of interest. We controlled for cannabis frequency and sleep quality except when each was the outcome of interest.</p><p><strong>Results: </strong>Recent use of cannabis for sleep was associated with multiple mental health, substance use, and related factors in phenotypic models. In co-twincontrol models, within-family effects were significant between using cannabis for sleep with more problems from cannabis use, higher cannabis frequency, worse sleep quality, and more frequent use of alcohol and medication for sleep.</p><p><strong>Conclusions: </strong>Familial confounds may explain many, but not all, associations between recent use of cannabis for sleep and mental health, substance use, and related factors. Longitudinal work is needed to clarify the directionality of associations not explained by familial confounds, and whether they are risks of using cannabis for sleep.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121528","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":"Cognitive Behavioral Therapy for Perinatal Insomnia: Exploring Adherence, Perceived Usefulness of Intervention Components, and their Associations with Sleep Outcomes.","authors":"Orly Atzmon, Meagan E Crowther, Nina Quin, Laura Cassera, Cornelia Wellecke, Donna M Pinnington, Bei Bei","doi":"10.1080/15402002.2025.2501704","DOIUrl":"https://doi.org/10.1080/15402002.2025.2501704","url":null,"abstract":"<p><strong>Objective: </strong>To explore the adherence and perceived usefulness of Cognitive Behavioral Therapy for Insomnia (CBT-I) components in the perinatal period and their association with sleep outcomes.</p><p><strong>Methods: </strong>Seventy-six nulliparous individuals (age <i>M</i> = 33.07 <i>SD</i> ±3.10) from two randomized control trials who received CBT-I at three time points: late pregnancy (35 weeks' gestation), 1.5-3 months postpartum, and 6 months postpartum were analyzed. At each time point, participants self-reported perceived usefulness and adherence for each of the six CBT-I components, and completed the Insomnia Severity Index (ISI), PROMIS Sleep-Related Impairment (PROMIS-SRI), and Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16).</p><p><strong>Results: </strong>All components were perceived as useful by most (74.3-97.1%) participants; adherence varied between components and across time. Cross-sectional multiple regression analyses showed that for \"sleep hygiene\", higher adherence was associated with lower DBAS-16 at 35 weeks' gestation (small effect). Higher adherence and usefulness to \"managing sleep deprivation, sleepiness and fatigue\" was associated with lower ISI at 6 months postpartum (small and medium effect size, respectively); higher perceived usefulness was associated with lower PROMIS-SRI at 6 months (small effect; all <i>p</i>-values < .05). There were no significant associations among adherence/usefulness and sleep at 2 months postpartum.</p><p><strong>Conclusions: </strong>The overall high perceived usefulness of CBT-I components suggests a strong interest in engaging with perinatal sleep health information. Pregnancy may be a crucial time for delivering sleep strategies before facing caregiving duties and heightened postpartum sleep disruptions. These findings provide insights into how CBT-I components are perceived and applied during the perinatal period.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112468","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 Hygiene Among Adolescents Clinically Referred to Behavioral Sleep Medicine: Comparisons to the Validation Sample and Associations with Sleep Problems.","authors":"Andrea L Fidler, Tori R Van Dyk, Danielle M Simmons, Kristina Decker, Kelly C Byars","doi":"10.1080/15402002.2025.2506446","DOIUrl":"https://doi.org/10.1080/15402002.2025.2506446","url":null,"abstract":"<p><strong>Objectives: </strong>1) Compare the sleep hygiene of our clinical sample to the community-based validation sample and established clinical thresholds and 2) clarify the relationship between sleep hygiene and sleep problems in adolescents referred for Behavioral Sleep Medicine (BSM) treatment.</p><p><strong>Methods: </strong>Clinical participants included BSM patients aged 11-18 years (<i>n</i> = 354) with insomnia. Adolescents completed the Adolescent Sleep Hygiene Scale (ASHS) and the Pediatric Insomnia Severity Index. Caregivers completed the Sleep Disorders Inventory for Students. Independent samples t-tests compared sleep hygiene between our clinical sample and the community-based ASHS validation sample (572 American adolescents). We report which sleep hygiene subscales fell below thresholds indicating clinically significant problems. Multiple linear regressions determined whether demographics and sleep hygiene subscales predicted sleep problems.</p><p><strong>Results: </strong>Adolescents referred to our BSM clinic had better overall sleep hygiene than the community-based validation sample, <i>p</i> < .001. They had inadequate sleep hygiene practices related to sleep stability, behavioral arousal, and cognitive/emotional arousal. Demographics and sleep hygiene factors significantly predicted both adolescent-reported insomnia severity and caregiver-reported sleep disturbance, ps < 0.001.</p><p><strong>Conclusion: </strong>Poor sleep hygiene may result from maladaptive coping and can compound existing sleep problems. It is important to have consistent definitions of sleep hygiene that limit overlap with other key intervention targets.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096032","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":"6th Annual Society of Behavioral Sleep Medicine (SBSM) Scientific Conference Catalog of Oral Poster Presentations.","authors":"Christina S McCrae, Melanie A Stearns, Valerie Crabtree, Ariel Neikrug, Kenneth Lichstein, Judith Owens","doi":"10.1080/15402002.2025.2479789","DOIUrl":"https://doi.org/10.1080/15402002.2025.2479789","url":null,"abstract":"","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-41"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082234","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 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":"https://doi.org/10.1080/15402002.2025.2493650","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-05-06","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}

{"title":"Prevention of Pain Interference in Insomnia Patients via Digital Cognitive-Behavioral Therapy for Insomnia.","authors":"Matthew B Jennings, David A Kalmbach, Anthony N Reffi, Christopher B Miller, Timothy Roehrs, Christopher L Drake, Philip Cheng","doi":"10.1080/15402002.2025.2500519","DOIUrl":"10.1080/15402002.2025.2500519","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia disorder is co-morbid with and predictive of developing pain conditions and a key factor in pain interference (PI) - the extent to which pain impedes daily living. Emerging literature suggests treating insomnia with cognitive-behavioral therapy for insomnia reduces co-occurring PI. This secondary data analysis tested the extent to which digital CBT-I (dCBT-I) vs. sleep education reduces and prevents significant PI by treating insomnia.</p><p><strong>Methods: </strong>Insomnia disorder participants were randomized into dCBT-I (<i>n</i> = 697) and sleep education (<i>n</i> = 623) and reported pre- and post-treatment insomnia and PI. Logistic regressions evaluated intervention effects: 1) reduction of insomnia severity changes in PI and 2) prevention of treatment condition on PI.</p><p><strong>Results: </strong>The reduction model showed that dCBT-I participants with moderate-to-severe pre-treatment PI experienced 17% odds increase in reduced PI for each one-point reduction in insomnia severity compared to control, OR = 1.17, 95% CI [1.01, 1.35]. In the prevention model, dCBT-I participants with little-to-no pre-treatment PI exhibited a 32% odds reduction of post-treatment progression to moderate-to-severe PI compared to control, OR = 0.68, 95% CI [0.51, 0.90].</p><p><strong>Conclusion: </strong>dCBT-I demonstrated significant and clinically meaningful reduction and prevention effects against PI in a large sample. dCBT-I may help providers address sleep issues to restore pain-related impairments to daytime function, quality of life, and overall sleep.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053720","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":"414-435"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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":"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":"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":"400-413"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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":"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":"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":"436-446"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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":"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":"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":"341-359"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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}