Behavioral Sleep Medicine最新文献

{"title":"Bidirectional Associations between Daily Symptoms of Perfectionism and Poor Sleep: The Mediating Role of Stress.","authors":"Susie Y Oh, Hailey Meaklim, Christian L Nicholas, David Cunnington, Cameron J Patrick, Maya Schenker, Lisa J Phillips","doi":"10.1080/15402002.2026.2657920","DOIUrl":"10.1080/15402002.2026.2657920","url":null,"abstract":"<p><strong>Objectives: </strong>Perfectionism is a risk factor for poor sleep. Past studies have examined the relationship between perfectionism and sleep using summary statistics that do not account for intra-individual day-to-day variability. Using ecological momentary assessment, this study investigated the bidirectional and temporal relationships between perfectionism and sleep, and the mediating effects of stress.</p><p><strong>Methods: </strong>Sixty-three adults (85.7% female, mean age 30.13 ± 10.96 years) were sampled from the Australian general population. Measures collected over 14 days included the Pittsburgh Sleep Diary, Daily Perfectionism Measures, Daily Stress Inventory, the Concerns over Mistakes and Doubts about Actions subscales from the Frost Multidimensional Perfectionism Scale, and the Socially Prescribed Perfectionism subscale from the Hewitt-Flett Multidimensional Perfectionism Scale.</p><p><strong>Results: </strong>Perfectionism levels were positively associated with sleep onset variability (<i>p</i> ≤ .04). The relationship between perfectionism and poor sleep was significant at the between-person level in both directions (<i>p</i> ≤ .041), with stress mediating the relationship of sleep predicting next-day perfectionism (<i>p</i> ≤ .042). At the within-person level, stress mediated the relationship, with higher perfectionism leading to higher stress, which then related to lower sleep quality (<i>p</i> ≤ .009). Poorer sleep did not predict next-day perfectionism and was not mediated by stress.</p><p><strong>Conclusions: </strong>Perfectionism and sleep appear bidirectionally linked. Individuals with higher perfectionism scores were more likely to experience disrupted sleep and vice versa. Changes in perfectionism did not directly impact the same night's sleep, but this relationship was mediated by stress. Therefore, consider the role of perfectionism and stress management when assessing and treating poor sleep.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"591-604"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700464","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":"Validity and Minimum Clinically Important Difference of the Danish Insomnia Severity Index for People with Persistent Spinal Pain.","authors":"Jacob S Gandløse, Martine Karoline Mo Sandvik, Thorvaldur S Palsson, Steffan Wittrup McPhee Christensen","doi":"10.1080/15402002.2026.2652446","DOIUrl":"10.1080/15402002.2026.2652446","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep difficulties are prevalent in the general population and affect approximately 60-80% of individuals with persistent spinal pain. Valid assessment tools are therefore essential for accurately measuring insomnia symptoms in this population. This study evaluated the validity and minimal clinically important difference (MCID) of the Danish version of the Insomnia Severity Index (ISI-DK) in individuals with persistent spinal pain.</p><p><strong>Methods: </strong>Data were drawn from an ongoing cohort study of patients referred to the Department of Rheumatology, Aalborg University Hospital. Construct validity was assessed using confirmatory factor analysis (CFA), and internal consistency was evaluated with Cronbach's alpha. Convergent validity was examined through correlations between ISI-DK scores and related constructs: pain intensity and pain-related disability (Brief Pain Inventory; BPI), pain interference with sleep (single BPI item), number of pain locations (standardized body chart), symptoms of anxiety (Generalized Anxiety Disorder-2), symptoms of depression (Patient Health Questionnaire-2), health-related quality of life (EuroQol 5-Domain 5-Level and EuroQol Visual Analogue Scale), and Work Ability Score.</p><p><strong>Results: </strong>A modified CFA model demonstrated acceptable fit, and internal consistency was high (Cronbach's alpha = 0.87). Convergent validity was supported by expected positive correlations with pain intensity, sleep interference, number of pain locations, anxiety, and depression, and negative correlations with health-related quality of life and work ability. The MCID was estimated to range from 2.1 to 2.9 points.</p><p><strong>Conclusion: </strong>These findings support the ISI-DK as a valid and reliable instrument for assessing insomnia in individuals with persistent spinal pain, suitable for detecting clinically meaningful changes in both clinical practice and research settings.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"513-528"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582995","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 Attitudes Are Associated with Adolescent Sleep Hygiene and Sleep Health.","authors":"Giovanni Alvarado, Cara A Palmer","doi":"10.1080/15402002.2026.2653700","DOIUrl":"10.1080/15402002.2026.2653700","url":null,"abstract":"<p><strong>Objectives: </strong>Most U.S. adolescents do not obtain enough sleep, despite its importance for everyday functioning. Preliminary research in adults shows attitudes toward sleep (i.e. viewing it as beneficial and worth prioritizing) predict sleep health. However, little is known about these attitudes in adolescents. This study examines adolescents' attitudes about the benefits and importance of prioritizing sleep and how these attitudes relate to sleep health.</p><p><strong>Methods: </strong>A nationwide sample of 649 adolescents (ages 13-18; 79.7% female; 45.2% white) from the United States completed surveys assessing sociodemographics, sleep health, and sleep attitudes.</p><p><strong>Results: </strong>Adolescents reported positive attitudes toward benefits of sleep, but did not report positive attitudes toward prioritizing time for sleep. Adjusting for sociodemographics, more positive sleep attitudes predicted longer sleep duration, better sleep quality, shorter sleep latency, earlier sleep timing (earlier bedtimes and earlier midsleep), and better sleep hygiene but not social jetlag. Gender moderated the association between sleep attitudes and sleep quality; positive sleep attitudes predicted better sleep quality for girls, but not for boys. The association between positive sleep attitudes and earlier weekend bedtimes was stronger for Hispanic than non-Hispanic youth.</p><p><strong>Conclusions: </strong>This is among the first studies to examine adolescent sleep attitudes. Findings suggest that attitudes are a possible modifiable target to improve teen sleep health.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"529-540"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610714","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 Associations Between Sleep Environment Factors and Sleep Health in Individuals Living with Neurological Conditions.","authors":"Mitchell Turner, Manja Laws, Madeline Griffiths, Travis Cruickshank","doi":"10.1080/15402002.2026.2651205","DOIUrl":"10.1080/15402002.2026.2651205","url":null,"abstract":"<p><strong>Objectives: </strong>To explore associations between air temperature and light in the sleeping environment and sleep health in individuals with neurological conditions.</p><p><strong>Methods: </strong>The sleep health of 46 individuals with neurological conditions (mean age 51.37 ± 14.24 years; 20 males, 26 females) was measured using the Sleep Health Index (SHI). Air temperature and light data were captured across seven days using a light/temperature data logger positioned next to the participant's bed. Data recorded during the participants' sleeping periods (determined using a sleep diary) were analyzed. Linear regression models were used to assess the associations between air temperature and light and sleep health (including domains).</p><p><strong>Results: </strong>This study showed that for every additional minute of low (10 to 50 lux) light exposure during sleep periods, sleep quality decreased by 9%.</p><p><strong>Conclusions: </strong>Our findings suggest that low light exposure during sleep periods may be detrimental to the sleep quality of individuals with neurological conditions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"505-512"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789855","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":"Predictors of Cognitive Behavioral Therapy for Insomnia in Older Adults.","authors":"Abbas Tabatabaei, Eryen Nelson, Allison Glaser, Rebecca Ludwig, Julia Russell, Milind A Phadnis, Michelle Drerup, Jared Bruce, Jeffrey M Burns, Catherine F Siengsukon","doi":"10.1080/15402002.2026.2657913","DOIUrl":"10.1080/15402002.2026.2657913","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive Behavioral Therapy for Insomnia (CBT-I) is the recommended non-pharmacological treatment for insomnia in adults; however, it remains unclear which older adults are most likely to benefit from CBT-I.</p><p><strong>Methods: </strong>Data from a Randomized Controlled Trial (RCT) examining the effect of CBT-I on cognitive performance in older adults were used for this study. Ninety-six older adults with insomnia received six weeks of CBT-I and were assessed at baseline, immediately following treatment, and at the 12-month follow-up. Ten baseline variables, including demographic, psychological, and sleep-related characteristics, were included in linear regression to examine their association with CBT-I success, defined as the Insomnia Severity Index (ISI) scores after six weeks of CBT-I and at the one-year follow-up.</p><p><strong>Results: </strong>ISI significantly decreased following six weeks of CBT-I (Z = 8.3, <i>p</i> < .001) and remained significantly improved at the 12-month follow-up (Z = 8, <i>p</i> < .001). Higherbaseline sleep self-efficacy (β = -0.03, <i>p</i> < .02) and lower depression severity (β = 0.06, <i>p</i> = .04) were significantly associated with lower ISI scores immediately after CBT-I. Higherbaselinesleep self-efficacy was significantly associated (β = -0.03, <i>p</i> < .01) with lower ISI scores at the 12-month follow-up.</p><p><strong>Conclusion: </strong>Six weeks of CBT-I resulted in significant and sustained reductions in insomnia severity in older adults. Baseline sleep self-efficacy and depression severity significantly predicted lower insomnia severity following CBT-I, whereas only sleep self-efficacy predicted the long-term maintenance of treatment gains. These findings underscore the importance of baseline sleep self-efficacy as key predictor for optimizing treatment planning and long-term outcomes.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"563-572"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700505","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":"Qinghao Biejia Decoction Combined with Auricular Acupoint Seed Embedding in Improving TCM Syndromes and Sleep Parameters in Perimenopausal Insomnia Patients.","authors":"Ying Wu, Wei Hu, Lili Yao, Min Cui","doi":"10.1080/15402002.2026.2657918","DOIUrl":"10.1080/15402002.2026.2657918","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and safety of QinghaoBiejia Decoction (QBD) combined with auricular acupoint seed embedding (AASE) in improving Traditional Chinese Medicine (TCM) syndromes and sleep parameters in perimenopausal insomnia patients.</p><p><strong>Methods: </strong>This singlecenter, randomized, parallel-group controlled trial enrolled 160 perimenopausal women aged 45-55 years with insomnia. Participants were randomly allocated (1:1:1:1) to four groups: (1) QBD plus AASE, (2) QBD alone, (3) AASE alone, or (4) sleep hygiene education control. The intervention period was 8 weeks with 12-week follow-up. Primary outcome was Pittsburgh Sleep Quality Index (PSQI) change from baseline. Secondary outcomes included polysomnography parameters, TCM syndrome scores, Insomnia Severity Index (ISI), Menopause Rating Scale (MRS), hormone levels, and heart rate variability.</p><p><strong>Results: </strong>The combination group showed significantly greater PSQI reduction (-5.82 ± 2.14) compared to QBD alone (-3.76 ± 1.98), AASE alone (-3.21 ± 2.05), and control (-1.43 ± 1.76) groups (all <i>p</i> < .001). Objective sleep parameters including total sleep time (TST), sleep efficiency (SE), and wake after sleep onset (WASO) improved significantly in the combination group. TCM syndrome scores decreased by 68.4% in the combination group versus 45.2%, 41.8%, and 18.6% in other groups respectively. The clinical effective rate was 90.0% for combination therapy. Adverse events were minimal (3.3%) and mild.</p><p><strong>Conclusion: </strong>QBD combined with AASE demonstrates superior efficacy compared to monotherapy in treating perimenopausal insomnia, significantly improving both subjective and objective sleep parameters while ameliorating TCM syndromes. This integrative approach offers a safe and effective treatment option for perimenopausal women with insomnia.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"573-590"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789864","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":"Efficacy of the 'Quarter-of-an-Hour-Rule' Single Instruction Derived from Stimulus Control Therapy for Insomnia: A Pragmatic Open-Label, Randomized Controlled Trial.","authors":"Colin A Espie, Katrina Y K Tse, Marina Malaffo","doi":"10.1080/15402002.2026.2724278","DOIUrl":"https://doi.org/10.1080/15402002.2026.2724278","url":null,"abstract":"<p><strong>Study objectives: </strong>This study explored the preliminary effects of the quarter-of-an-hour-rule (QHR), a single instructional element of stimulus control therapy (SCT) for insomnia.</p><p><strong>Methods: </strong>A total of 44 adults (<i>n</i> = 30, 68% female; mean age 47.4 ± 13.3 years), recruited in primary care and meeting diagnostic criteria for chronic insomnia, were randomized to QHR implemented either out of bed [QHR(Out)], in bed [QHR(In)], or to a self-monitoring control group (SMC). Intervention was delivered by a single in-person session, with telephone support (total time c.60 minutes). Sleep pattern was assessed throughout the study by sleep diary and 2 nights of home-based polysomnography (PSG) at pre- and post-treatment. Sleep quality was appraised using the Pittsburgh Sleep Quality Index (PSQI). Treatment adherence (self-reported and actigraphy-estimated) and treatment credibility data were collected.</p><p><strong>Results: </strong>Significant group-time interaction effects confirmed that QHR(Out) and QHR(In) were associated with reductions in self-reported sleep-onset latency (SOL) and wake-time after sleep-onset (WASO), and improvements in sleep efficiency (SE), relative to no change in SMC. PSG-defined sleep outcomes did not improve. However, subjective-objective sleep discrepancy (SOSD) in the index measure, SE, reduced following both interventions. The interventions were regarded as credible, and overall, SE improvement was c.14% following treatment. Subjective adherence was higher than objectively estimated, although the differential was smaller in the QHR(In) group.</p><p><strong>Conclusions: </strong>The QHR, a simple and brief derivative of SCT, appears efficacious for insomnia on pre-post analysis. Longer-term clinical effectiveness studies on the QHR(Out) and QHR(In) protocols appear warranted. Experimental investigation of how the QHR addresses the fundamentals of sleep-related stimulus control would be valuable.</p><p><strong>Trial registration: </strong>NCT00170391, https://clinicaltrials.gov/study/NCT00170391.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857840","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":"\"Why don't They Seek Help?\" A Qualitative Study of Barriers and Motivators to Insomnia Treatment Among Youth.","authors":"Hao Fong Sit, Ran Wang, Julia Ming Yee Or, Forrest Tin Wai Cheung, Ngan Yin Chan, Joey Wing Yan Chan, Jihui Zhang, Albert Martin Li, Colin A Espie, Yun Kwok Wing, Shirley Xin Li","doi":"10.1080/15402002.2026.2724272","DOIUrl":"10.1080/15402002.2026.2724272","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia is common in youth, yet they often do not seek help or treatment for their sleep problem. Limited research has explored the barriers and facilitators to seeking care for insomnia in this population. This qualitative study aimed to explore youths' experiences of seeking help for sleep problems.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted in 38 youths (15-20 years) with insomnia disorder who had sought help for an intervention program for insomnia. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Factors hindering the motivation to seek professional care for insomnia included concerns about the side effects of medication, culture, low perceived need, and structural barriers such as cost, accessibility to care, and competing priorities. Motivations for joining the intervention program included the expectations of benefits, treatment characteristics, self-awareness of the symptoms, and structural/contextual factors, such as time availability, free and convenient access, and the presence of tangible incentives.</p><p><strong>Conclusions: </strong>It is recommended that psychoeducation and promotion of sleep health are needed to enhance awareness and understanding of insomnia in youths and their parents. School-based programs or low-cost interventions focusing on sleep problems may help address structural barriers to seeking help for insomnia in youths.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841768","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":"Insomnia Symptoms are Common Among Community Dwelling African Americans Who Report Poor Sleep.","authors":"Paul Peyrel, Matthew Viverito, Danielle Eliser, Isabella Griffith, MaKayla Tanksley, Frank L Greenway, Owen T Carmichael, Robert L Newton, Robbie A Beyl, Kelly G Baron, Prachi Singh","doi":"10.1080/15402002.2026.2715443","DOIUrl":"10.1080/15402002.2026.2715443","url":null,"abstract":"<p><strong>Objectives: </strong>African Americans experience health disparities and notably report poorer sleep than their non-Hispanic White counterparts. This study aimed to identify behavioral and physiological contributors of self-reported poor sleep among African Americans.</p><p><strong>Method: </strong>Eighty African Americans (50.1 ± 16.1 years [mean ± SD], 69 women) who reported poor sleep (<7 hr sleep/night, difficulty falling asleep or staying asleep, unrefreshing sleep, etc.) were enrolled. Sleep patterns were determined by 7-day accelerometry. Pittsburgh Sleep Quality Index (PSQI), Sleep Hygiene Index, Epworth Sleepiness Scale, and the Insomnia Severity Index (ISI) assessed sleep habits and disorders. Multidimensional Fatigue Inventory, Perceived Stress Scale, and Beck's Depression Inventory were also administered.</p><p><strong>Results: </strong>Participants self-reported poor sleep quality (PSQI, 9.63 ± 3.89) and insomnia symptoms (ISI, 14.4 ± 5.9); 45% of participants had clinically significant insomnia symptoms (ISI score > 15). Short sleep duration was common, with 72.5% of participants sleeping less than 6.5 hours/night. Sleep continuity was lacking (wake after sleep onset: 54.1 ± 30.4 minutes; sleep fragmentation index 29.0 ± 9.9%). High ISI scores were correlated with larger body mass index and worse scores for sleep quality, sleep hygiene, stress, daytime sleepiness, fatigue, and depression (<i>r</i> range: 0.25-0.60).</p><p><strong>Conclusions: </strong>Insomnia symptoms were common among our cohort of African Americans. Considering the relationships observed with ISI, treatment of insomnia may be targeted to reduce health disparities.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restless-Leg Syndrome Among Adolescents: Impact on Sleep Quality, Mood, and Academic Performance.","authors":"Moutrisha M Roy, Ruchi Singh, Anzar Bashir Alvi, Sunil Chouhan, Rekha Jiwane, Nirendra Kumar Rai","doi":"10.1080/15402002.2026.2718249","DOIUrl":"https://doi.org/10.1080/15402002.2026.2718249","url":null,"abstract":"<p><strong>Objective: </strong>Restless legs syndrome (RLS) is a prevalent but frequently underrecognized neurological sleep disorder. It presents as an irresistible urge to move legs, often accompanied by unpleasant sensations. More than 25% of those affected report onset of symptoms between 10-20 years of age. This cross-sectional study examined the prevalence of RLS among adolescents and its association with sleep quality, daytime sleepiness, mood, and academic performance.</p><p><strong>Methods: </strong>The study was conducted among school-going adolescents aged 10-19 years after obtaining approvals from school authorities, informed assent, and parental consent. They were assessed for sleep quality, daytime sleepiness, symptoms of RLS, and mood fluctuations using validated tools.</p><p><strong>Result: </strong>Among 2,289 adolescents with a mean age of 13.85 ± 1.92 years; (50.19% female), 29.18% (668) experienced restless leg sensations at night or during evening relaxation. Students with RLS reported poorer sleep quality (5.52 ± 2.70), increased daytime sleepiness (15.44 ± 5.31; <i>p</i> < .001), and a higher risk of depression (OR = 1.678; <i>p</i> < .001), anxiety (OR = 1.514; <i>p</i> < .001), and stress (OR = 1.706; <i>p</i> < .001). Mood derangements were significantly higher in both young (≤14 yrs) and old adolescents (>14 yrs) with RLS. Academically, students with RLS had lower scores in science (<i>p</i> = .033) in Grades 6-10 and in English (<i>p</i> = .018), mathematics (<i>p</i> = .035), economics (<i>p</i> = .026), and overall scores (<i>p</i> = .013) among commerce stream students of higher secondary school.</p><p><strong>Conclusion: </strong>RLS-related sleep difficulties and circadian issues combine with age-based circadian changes, leading to varied outcomes across the adolescent developmental spectrum.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762841","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}