Behavioral Sleep Medicine最新文献

{"title":"Neural Structural Moderation of Sleep Architecture-Pain Relationships in Fibromyalgia and Insomnia: A Pilot Study.","authors":"Ashley F Curtis, Neetu Nair, Kevin McGovney, Melanie A Stearns, Sydney Shoemaker, Hannah DeJonge, Jason Craggs, Christina S McCrae","doi":"10.1080/15402002.2026.2664874","DOIUrl":"https://doi.org/10.1080/15402002.2026.2664874","url":null,"abstract":"<p><strong>Objective: </strong>Chronic pain and insomnia are independently associated with neural structural alterations compared to healthy controls. However, the relationship between their joint association and cortical thickness (CT) in pain processing regions is unknown. This preliminary study explores whether CT in regions of interest (anterior cingulate cortex-ACC; insula) moderates associations between sleep architecture and overnight pain changes.</p><p><strong>Methods: </strong>Thirty adults with fibromyalgia and insomnia (M_age = 57.2, SD = 13.1) completed 1-night of polysomnography, 14 daily diaries documenting evening/morning pain (0:none-100:worst imaginable), and magnetic resonance imaging (MRI). Overnight pain changes were computed as average differences between evening/next morning pain (positive values = lower morning pain, negative values = worse morning pain). CT values (Left/Right rostral/caudal ACC, Left/Right insula) were extracted from MRI data using FreeSurfer 5.1.0. Multiple regressions examined whether CT moderated associations between sleep architecture (N1-N3%, REM%) and overnight pain changes, controlling for age and education.</p><p><strong>Results: </strong>Right rostral ACC (RrACC) CT moderated associations between overnight pain changes and N2%, N3% and REM%. At highest RrACC CT, lower N2% was associated with lower morning vs. previous evening pain; and greater N3% and REM% were associated with lower morning vs. evening pain. Left insula CT moderated associations between N3% and overnight pain changes. Greater N3% was associated with lower morning pain relative to evening pain at highest Left insula CT.</p><p><strong>Discussion: </strong>Greater CT inpain processing regions (RrACC, left insula) moderates associations between greater restorative sleep and overnight pain improvements. Further examination of cortical thickness in research seeking to understand the sleep/pain relationship in fibromyalgia is warranted.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789917","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":"https://doi.org/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":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2026-04-27","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":"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":"https://doi.org/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":"1-18"},"PeriodicalIF":1.6,"publicationDate":"2026-04-23","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":"Bridging the Educational Gap in Behavioral Sleep Medicine: Enhancing Primary Care Management of Sleep Disorders.","authors":"Katharine C Simon, Ivy Y Chen, Annamarie Stehli, Dylan R Barry, Careesa Garcia, Wendy Cant, Kamilah McGuire, Mandana Masoumirad, Shutong Huo, Glen L Xiong, Jane P Gagliardi, Robert M McCarron, Ariel B Neikrug","doi":"10.1080/15402002.2026.2654067","DOIUrl":"https://doi.org/10.1080/15402002.2026.2654067","url":null,"abstract":"<p><strong>Objective: </strong>Primary care providers (PCPs) play a key role in addressing sleep-related issues such as insomnia but often lack training in sleep medicine. The UCI Train New Trainers (TNT) Primary Care Psychiatry Fellowship includes training on sleep disorder assessment and management. We evaluated the programs' ability to enhance PCPs' skills in identifying and managing behavioral sleep disorders.</p><p><strong>Methods: </strong>Case assessments were administered twice to fellows, at the start and end of an educational conference. Fellows selected four of ten listed psychiatric and sleep diagnoses for each case. Fellows also underwent pre-, mid-, and post-fellowship surveys to determine whether training was associated with changes in comfort diagnosing and treating sleep disorders.</p><p><strong>Results: </strong>Fellows showed a significant improvement in sleep disorder identification after training compared to before. They also reported significant improvement in comfort diagnosing insomnia, accuracy identifying circadian rhythm disorders, and comfortability administering CBT-I. Use of structured sleep assessments increased but remained less frequent than mood disorder screening tools.</p><p><strong>Conclusion: </strong>Fellows exhibited increased comfort and competence in managing behavioral sleep medicine, particularly insomnia and circadian rhythm sleep disorders with brief didactic training. Further training in non-pharmacological treatments and greater use of standardized sleep assessments is warranted to optimize patient outcomes in primary care settings.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724728","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":"Optimizing a Transdiagnostic Sleep and Circadian Intervention for Autistic Young Adults: A Qualitative Study Using an Implementation Science Framework.","authors":"Kristina P Lenker, Allison G Harvey, Amanda L Richdale, William A Calo, Julio Fernandez-Mendoza","doi":"10.1080/15402002.2026.2658806","DOIUrl":"https://doi.org/10.1080/15402002.2026.2658806","url":null,"abstract":"<p><strong>Objectives: </strong>Autistic adults frequently report a multitude of pervasive sleep and related circadian problems. Although these sleep and circadian problems have been identified as a critical and unmet public health concern, few sleep interventions have been tailored for and tested in this population. This qualitative study assessed autistic adult, caregiver, and clinician perspectives to inform the adaptation and implementation of an evidence-based transdiagnostic intervention.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 20 autistic young adults, 20 caregivers, and 20 clinicians to guide adaptations of Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for autistic people.</p><p><strong>Results: </strong>Qualitative reports first supported the need to treat sleep and circadian problems in a transdiagnostic manner, given the multidimensional nature of their reported sleep problems. Patterns of convergence and divergence in stakeholder perspectives emerged across themes, with several barriers and facilitators to intervention delivery and adherence. These barriers and facilitators directly informed the development of potential adaptations to TranS-C: (1) adapting content (memory-enhancement strategies, routines, involving others' support, treatment \"spreading,\" and simplifying handouts), and (2) enhancing delivery (check-ins between sessions, telehealth, enhanced provider training in autism, and electronic sleep diaries).</p><p><strong>Conclusions: </strong>Sleep and circadian problems experienced by autistic adults are multidimensional and require transdiagnostic approaches to address the broader range of issues, including regularity, satisfaction, irregularity, dissatisfaction, alertness, continuity, efficiency, and timing. Adaptations to TranS-C format and delivery may serve to promote intervention adherence and adequately respond to unique features of autism across the lifespan.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.6,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719087","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":"https://doi.org/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":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-04-17","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":"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":"https://doi.org/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":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-04-16","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":"Experiential Avoidance is Associated with Insomnia Symptoms and Related Consequences Among Veterans with Posttraumatic Stress Disorder.","authors":"Gwendolyn C Carlson, Alaina I Gold, Alexander J Erickson, Monica R Kelly, Michael N Mitchell, Karen R Josephson, Katie J Carlson, Sarah Kate McGowan, Chase H G MacCabe, Michelle R Zeidler, Constance H Fung, Cathy A Alessi, Elizabeth M Yano, Thomas C Neylan, Jennifer L Martin","doi":"10.1080/15402002.2026.2658812","DOIUrl":"10.1080/15402002.2026.2658812","url":null,"abstract":"<p><strong>Objectives: </strong>Experiential avoidance is the unwillingness to come into contact with aversive internal experiences. Trauma exposure is associated with greater experiential avoidance and insomnia symptoms. Experiential avoidance may perpetuate insomnia symptoms in patients with posttraumatic stress disorder (PTSD). We examined the relationship between experiential avoidance and insomnia symptoms among veterans with PTSD (based on the Clinician-Administered PTSD Scale for DSM-5).</p><p><strong>Method: </strong>The sample included 93 veterans (<i>M</i> = 54.7 years; 86.0% male) who attributed their sleep disturbance onset to experiences of trauma on the CAPS-5. Experiential avoidance, insomnia, sleep disturbance, daytime sleepiness, and daytime consequences were measured with the Brief Experiential Avoidance Questionnaire (BEAQ), Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and International Classification of Sleep Disorders (ICSD) items. We conducted multiple linear regressions with age, sex, and BEAQ as the independent variables and sleep variables as the dependent variables.</p><p><strong>Results: </strong>There were significant positive associations between the BEAQ and the ISI, PSQI daily disturbance factor, ESS, and ICSD daytime consequences.</p><p><strong>Conclusions: </strong>Greater experiential avoidance was associated with worse insomnia symptoms and consequences, particularly daytime dysfunction. Experiential avoidance may be an overlooked, but relevant treatment target for patients with comorbid insomnia and PTSD.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693535","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":"Association of Parent-Adolescent Involvement and Sleep Problems among Youth Presenting with Clinical Sleep Concerns.","authors":"Tina Halabian, Nuria Morales, Erica Mazzone, Marla Lopez, Tori Van Dyk","doi":"10.1080/15402002.2026.2657904","DOIUrl":"https://doi.org/10.1080/15402002.2026.2657904","url":null,"abstract":"<p><strong>Objectives: </strong>Poor adolescent sleep is associated with negative outcomes in physical health, mood, behavior, academic performance, attention, and other domains. Parental involvement, including parent-adolescent communication and parental monitoring, is associated with positive sleep outcomes in non-clinical adolescent populations. However, there is a paucity of research examining the impact of parental involvement on sleep quality and hygiene among adolescent clinical sleep samples. This study analyzed the associations between parent involvement and adolescent sleep in a sample of adolescent patients with clinical sleep disturbances.</p><p><strong>Method: </strong>Adolescents ages 12-18 (<i>N</i> = 139; 52.5% male, 67% Hispanic/Latinx) completed questionnaires measuring parent-adolescent communication, insomnia, sleep quality, and sleep hygiene, while their caregivers completed measures of parent monitoring (i.e. oversight of their child's activities) and parent-adolescent communication. Multiple linear regression analyses examined associations between aspects of parental involvement and adolescent sleep.</p><p><strong>Results: </strong>Better parent-adolescent communication, as reported by adolescents, was associated with fewer behavioral sleep problems (i.e. better sleep hygiene and sleep quality; <i>p</i>s<i> < .05)</i>. Unexpectedly, greater parent monitoring was associated with worse physiological and cognitive and emotional aspects of sleep hygiene.</p><p><strong>Conclusions: </strong>Findings indicate that in youth presenting with sleep disturbances, more open communication with caregivers as reported by adolescents is associated with better sleep outcomes, while parental monitoring showed inverse associations with specific aspects of sleep. As these findings emerged in a sample experiencing clinical sleep problems, family communication and monitoring should continue to be explored in clinical samples to determine their relevance in clinical interventions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678712","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":"https://doi.org/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":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-04-03","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}