Behavioral Sleep MedicinePub Date : 2025-11-01Epub Date: 2025-07-10DOI: 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":"10.1080/15402002.2025.2531415","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"778-794"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922776/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavioral Sleep MedicinePub Date : 2025-11-01Epub Date: 2025-07-17DOI: 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":"10.1080/15402002.2025.2529863","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to translate, validate, and adapt an Arabic version of the \"Sleep Disturbances Scale for Children\" (SDSC).</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"739-751"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","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}
Behavioral Sleep MedicinePub Date : 2025-11-01Epub Date: 2025-07-10DOI: 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":"10.1080/15402002.2025.2529871","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Participants and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>While childhood abuse is associated with worse sleep health, these self-reported results indicate that the adult perception of safe bedroom mitigates that association.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"766-777"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","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}
{"title":"The Impact of Internalized Homophobia on Sleep Quality Among Sexual minority Men: A Moderated Mediation Effect.","authors":"Shuling Huang, Yujun Jing, Xiuxia Li, Binfeng Zhang, Yuxing Liu, Guanghui Nie","doi":"10.1080/15402002.2025.2542287","DOIUrl":"10.1080/15402002.2025.2542287","url":null,"abstract":"<p><strong>Objective: </strong>To examine the mediating role of depressive symptoms in the relationship between internalized homophobia and sleep quality among sexual minority men (SMM), and test whether perceived social support moderates this pathway.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 563 Chinese SMM (age= 29.6 ± 8.1 years) in China. All participants completed measures of internalized homophobia, sleep quality, Depressive Symptoms, Perceived Social Support. Mediation and moderated mediation models were conducted using the SPSS PROCESS v3.5 macro.</p><p><strong>Results: </strong>The research reported SMM with poorer sleep quality had a higher level of internalized homophobia and depressive symptoms. Depressive symptoms mediated the relationship between internalized homophobia and sleep quality. In addition, perceived social support moderated the relationship between depressive symptoms and sleep quality.</p><p><strong>Conclusions: </strong>Understanding the pathways through which internalized homophobia impacts sleep quality is key to improving sleep health of SMM. Targeted interventions should reduce internalized homophobia while strengthening perceived social support to improve sleep health in this population.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"820-833"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790747","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}
Behavioral Sleep MedicinePub Date : 2025-11-01Epub Date: 2025-08-05DOI: 10.1080/15402002.2025.2542297
Spencer A Nielson, Julia T Boyle, Joseph M Dzierzewski
{"title":"Rested and Connected: An Exploration of Sleep Health, Insomnia Symptoms, and Loneliness Across the Adult Lifespan.","authors":"Spencer A Nielson, Julia T Boyle, Joseph M Dzierzewski","doi":"10.1080/15402002.2025.2542297","DOIUrl":"10.1080/15402002.2025.2542297","url":null,"abstract":"<p><strong>Objectives: </strong>The present study evaluated associations among sleep health, insomnia symptoms, and loneliness across the adult lifespan.</p><p><strong>Methods: </strong>Adults ages 19-99 (<i>N</i> = 2297, <i>M<sub>age</sub></i> = 44 years) completed an online RU-SATED sleep health questionnaire, Insomnia Severity Index, and Gierveld Loneliness scale (measuring total, social and emotional loneliness). Direct associations among sleep health, insomnia symptoms, and loneliness were examined. Moderation analyses investigated whether associations between sleep health, insomnia symptoms, and loneliness differed by age.</p><p><strong>Results: </strong>Better sleep health and younger age were associated with lower loneliness total and subscale scores. Greater insomnia symptoms and older age were associated with higher loneliness total and subscale scores (<i>p</i>'s < .05). Age moderated associations between sleep health and total and emotional loneliness (<i>b</i> = 0.01, <i>t</i> = 2.63, <i>p</i> = .009; <i>b</i> = 0.04, <i>t</i> = 3.15, <i>p</i> = .002) and between insomnia symptoms and total and emotional loneliness scores (<i>b</i> = -0.002, <i>t</i> = -2.30, <i>p</i> = .02; <i>b</i> = -0.002, <i>t</i> = -2.88, <i>p</i> = .004), such that the associations were strongest in younger adults compared to other ages.</p><p><strong>Conclusions: </strong>Younger adults may experience more benefits of better sleep health on loneliness compared to older adults. Insomnia symptoms were associated with loneliness across the lifespan but were less pronounced among older adults. It may be worth exploring how promoting sleep health might assist in reducing loneliness across the adult lifespan.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"872-882"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786009","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}
Behavioral Sleep MedicinePub Date : 2025-11-01Epub Date: 2025-08-06DOI: 10.1080/15402002.2025.2542295
Yingqiao Wang, Leyao Han, Zongyan Man, Li Ma, Weiping Li, Jing Su, Mu Yu, Xinman Dou, Xinglei Wang
{"title":"Impact of Sleep Disorders on Cognitive Function in Stroke: A Systematic Review and Meta-analysis.","authors":"Yingqiao Wang, Leyao Han, Zongyan Man, Li Ma, Weiping Li, Jing Su, Mu Yu, Xinman Dou, Xinglei Wang","doi":"10.1080/15402002.2025.2542295","DOIUrl":"10.1080/15402002.2025.2542295","url":null,"abstract":"<p><strong>Background: </strong>Stroke sleep disorders have negative effects on physiological function, readmission rate and mortality. However, the effects on cognitive function were inconsistent. This study aims to identify the impact of sleep disorders on cognitive functions in stroke, and the relationship between types of sleep disorders and cognitive disorders.</p><p><strong>Methods: </strong>This systematic review and meta-analysis searched PubMed, the Cochrane Library, Web of Science, Embase, Chinese Biomedical Database (CBM), CNKI, Wanfang and VIP Database from inception until October 13, 2024. Using Revman 5.3 software to combine the odds ratios (ORs) and standardized mean differences (SMDs) reported in the study separately. Quality assessment, heterogeneity, and sensitivity analyses were also involved.</p><p><strong>Results: </strong>There were 6 longitudinal studies and 10 cross-sectional studies involving 5,779 patients. Longitudinal studies showed that stroke patients with sleep disorders were more likely to have cognitive impairment [OR = 2.35, 95% CI (1.67, 3.31), I<sup>2</sup> = 0%, <i>p</i> > .1]. Cross-sectional studies showed the same results [OR = 2.45, 95% CI (1.77, 3.40), I<sup>2</sup> = 65%, <i>p</i> < .1], and the results did not change much [OR = 2.62, 95% CI (2.15, 3.20), I<sup>2</sup> = 0%, <i>p</i> > .1] after the deletion of the literature that caused high heterogeneity. Age has a significant effect on cognition in stroke patients with sleep disorders (<i>p</i> < .1). Egger's test showed no significant publication bias (<i>p</i> > .1).</p><p><strong>Conclusions: </strong>Sleep disorders are associated factors affecting cognitive impairment in stroke patients, and the older the age, the greater the negative effect.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"850-871"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790745","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}
Behavioral Sleep MedicinePub Date : 2025-09-01Epub Date: 2025-05-19DOI: 10.1080/15402002.2025.2506446
Andrea L Fidler, Tori R Van Dyk, Danielle M Simmons, Kristina Decker, Kelly C Byars
{"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":"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":"622-632"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353923/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavioral Sleep MedicinePub Date : 2025-09-01Epub Date: 2025-06-19DOI: 10.1080/15402002.2025.2522682
Jordan Fox, Matthew McGrail, Yu Jin Cha, Daisy Cho, Raymond Weimeng Lu, Roy Yi, Priya Martin
{"title":"A Mixed-methods Systematic Review of Sleep Duration and Quality in Healthcare Workers: Impacts on Patient Safety and Quality of Care.","authors":"Jordan Fox, Matthew McGrail, Yu Jin Cha, Daisy Cho, Raymond Weimeng Lu, Roy Yi, Priya Martin","doi":"10.1080/15402002.2025.2522682","DOIUrl":"10.1080/15402002.2025.2522682","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this systematic review was to synthesize evidence on the impacts of sleep duration and quality in healthcare workers on patient safety and quality of care. A secondary aim was to understand the impact of shiftwork and workload characteristics alongside sleep duration and quality.</p><p><strong>Methods: </strong>A systematic search of Scopus, PubMed, Embase, APA PsycINFO, and CINAHL databases was completed in May 2023 and updated in December 2024. Only studies published in English from 2013 onwards were considered for inclusion in the review. Quality appraisal of included studies was conducted via the McMaster tools for quantitative and qualitative studies, respectively, and results were synthesized and presented as a narrative summary.</p><p><strong>Results: </strong>Database searching revealed 7,422 results, with 30 studies eventually included in the review. Studies consistently showed that short sleep duration in healthcare workers was associated with worse patient safety (increased errors and poorer cognitive functioning). There was also a clear link between shiftwork and long shifts with reduced patient safety.</p><p><strong>Conclusions: </strong>The majority of included studies revealed that patient safety and quality of care are worse where HCWs experience short duration and/or low-quality sleep or are working long and/or irregular shifts.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"698-714"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327838","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}
Behavioral Sleep MedicinePub Date : 2025-09-01Epub Date: 2025-07-21DOI: 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":"10.1080/15402002.2025.2508768","url":null,"abstract":"<p><strong>Objectives: </strong>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).</p><p><strong>Methods: </strong>Four hundred and forty-nine online respondents (18-79y) indicated the extent to which 100 positive and negative word-items (<i>n</i> = 48 new; <i>n</i> = 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 (<i>n</i> = 24, 18-34y).</p><p><strong>Results: </strong>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 (<i>p</i> < .001), such that NA significantly increased (<i>p</i> = .017, d > 0.47), while PA decreased (<i>p</i> < .001, d > 0.75), relative to when well-rested.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"633-647"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","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}
Behavioral Sleep MedicinePub Date : 2025-09-01Epub Date: 2025-05-22DOI: 10.1080/15402002.2025.2508770
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
{"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":"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<sub>age</sub>36.7) 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":"648-660"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353922/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}