Behavioral Sleep MedicinePub Date : 2025-07-01Epub Date: 2025-04-29DOI: 10.1080/15402002.2025.2498364
Mariacarolina Vacca, Andrea Zagaria, Valeria Fiori, Caterina Lombardo, Andrea Ballesio
{"title":"Are you Lonesome Tonight? Ecological Momentary Assessment of Evening Loneliness, Worry, and Actigraphic Sleep in Adolescents.","authors":"Mariacarolina Vacca, Andrea Zagaria, Valeria Fiori, Caterina Lombardo, Andrea Ballesio","doi":"10.1080/15402002.2025.2498364","DOIUrl":"10.1080/15402002.2025.2498364","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate the association between ecological assessment experience of loneliness and nocturnal sleep in a sample of healthy adolescents and to investigate the potential mediating role of pre-sleep worry in this relationship.</p><p><strong>Methods: </strong>Each evening, participants completed an electronic diary including items assessing loneliness and worry. The time of diary administration was set on an individual basis to capture the actual pre-bed experience. Sleep parameters were assessed using actigraphy.</p><p><strong>Results: </strong>Analyses were conducted on 72 participants (53.9% boys; M<sub>age</sub> = 15.65; SD = 1.32) and 535 nights. Multilevel structural equation modeling indicated that within person loneliness fluctuations over the assessment period predicted shorter sleep duration through the mediation of high pre-sleep worry (B = -1.634, <i>p</i> = .027); More specifically, at the within level, loneliness was significantly and positively related to worry (B = .131, <i>p</i> = .001), which in turn was negatively related to sleep duration (B = -12.502, <i>p</i> = .028).One step increase in loneliness-associated pre-sleep worry predicted a decrease of 12 minutes in sleep duration. The mediation path was not influenced by anxiety and gender differences in the adjusted analysis. Results on other sleep parameters were not significant.</p><p><strong>Conclusions: </strong>Findings suggest that adolescents' loneliness experienced at bedtime may influence sleep duration through worry. Sleep-promoting interventions in adolescents may benefit from targeting loneliness and pre-sleep cognitions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"552-564"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041307","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 : 2025-07-01Epub Date: 2025-04-29DOI: 10.1080/15402002.2025.2499136
Yiqin Zhu, Kristi E Pruiksma, Daniel J Taylor, Lauren R Khazem, Justin C Baker, Johnnie Young, Craig J Bryan, Joshua Wiley, Lily A Brown
{"title":"Rates of Sleep Disorders Based on a Structured Clinical Interview in US Active-Duty Military Personnel with Acute Suicide Risk.","authors":"Yiqin Zhu, Kristi E Pruiksma, Daniel J Taylor, Lauren R Khazem, Justin C Baker, Johnnie Young, Craig J Bryan, Joshua Wiley, Lily A Brown","doi":"10.1080/15402002.2025.2499136","DOIUrl":"10.1080/15402002.2025.2499136","url":null,"abstract":"<p><strong>Objectives: </strong>Individuals who are at higher risk for suicide commonly report sleep disorder symptoms. There is a need for increased precision in understanding which sleep disorder symptoms are most reported in at-risk populations, as well as variability in sleep disorder symptoms. The current study comprehensively evaluates sleep problems in US Active-Duty Military Personnel with acute suicide risk.</p><p><strong>Methods: </strong>Active-duty treatment-seeking US Marines (<i>N</i> = 40) were recruited based on suicide ideation with intent/plan/suicide attempt in the past month. Marines completed a structured clinical interview for sleep disorders and self-report questionnaires.</p><p><strong>Results: </strong>Almost all (97.5%) of the participants met criteria for at least one sleep disorder, including insomnia (75.0%), nightmare disorder (50.0%), circadian rhythm sleep-wake disorders (27.5%), and possible obstructive sleep apnea-hypopnea syndrome (25.0%). There was not able variability in total sleep duration (5.45-7.01 hr per night) and bedtimes (19:30-1:00 workdays; 19:30-5:30 weekends), and poor average sleep efficiency (63.28% on weekdays and 69.43% on weekends).</p><p><strong>Conclusions: </strong>These results underscore our hypothesis that sleep problems are prevalent among military personnel at high risk for suicide. There is a need for a more precise assessment of sleep disorder symptoms among service members who are at high risk for suicide, as well as expanded intervention opportunities in this group.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"579-591"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059040","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 : 2025-07-01Epub Date: 2025-04-17DOI: 10.1080/15402002.2025.2493651
Eunjin Lee Tracy, H Matthew Lehrer, Pei-Shu Chao, Christine J So, Brant P Hasler, Jill A Kanaley, Camila Manrique-Acevedo, Eunjung Kim, Brian Chin, Daniel J Buysse
{"title":"Multidimensional Sleep and Self-Rated Physical Health and Depressive Symptoms Among Retired Older Adults: A Sex-Stratified Analysis.","authors":"Eunjin Lee Tracy, H Matthew Lehrer, Pei-Shu Chao, Christine J So, Brant P Hasler, Jill A Kanaley, Camila Manrique-Acevedo, Eunjung Kim, Brian Chin, Daniel J Buysse","doi":"10.1080/15402002.2025.2493651","DOIUrl":"10.1080/15402002.2025.2493651","url":null,"abstract":"<p><strong>Objectives: </strong>Individual sleep characteristics have been shown to independently influence physical and mental health in older adults, but these characteristics are often interdependent. However, few studies have explored multidimensional sleep health in relation to self-rated health outcomes among retired older adults, particularly with regard to sex differences. This study examined the associations between multidimensional sleep health, and self-rated physical and mental (i.e. depressive symptoms) health in retired older adults (M years of retirement = 6.59), stratified by sex.</p><p><strong>Methods: </strong>Participants (<i>n</i> = 154; Mage = 68.4, 55.2% female) reported physical health (RAND-12) and depressive symptoms (CES-D). Multidimensional sleep health was measured using wrist actigraphy to assess sleep efficiency, timing, duration, and regularity, and sleep diaries to evaluate daytime alertness and sleep satisfaction. Each component was dichotomized and summed for a composite score (0-6). Hierarchical linear regressions examined the relationships between multidimensional sleep health and health outcomes.</p><p><strong>Results: </strong>Women had poorer multidimensional sleep health compared to men. In the full sample, poorer multidimensional sleep health was associated with worse self-rated physical health and depressive symptoms. Sex-stratified analyses revealed significant associations only in women.</p><p><strong>Conclusion: </strong>Multidimensional sleep health is associated with self-rated physical health and depressive symptoms in older retired women. Future research should explore why sleep health may be more salient for self-rated physical health and depressive symptoms in women vs. men and their links to health outcomes, providing insights for tailored interventions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"540-551"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065228","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 : 2025-07-01Epub Date: 2025-04-06DOI: 10.1080/15402002.2025.2483366
John A Groeger, Rusi Jaspal
{"title":"Sleep in Gay, Lesbian and Bisexual Individuals: The Roles of Minority Stressors and Identity Positivity.","authors":"John A Groeger, Rusi Jaspal","doi":"10.1080/15402002.2025.2483366","DOIUrl":"10.1080/15402002.2025.2483366","url":null,"abstract":"<p><strong>Objectives: </strong>Although there are increasing reports suggesting that sexual minorities sleep badly, very few empirical studies have used standard sleep measures. Moreover previous studies have not considered the ways in which different identities and identity processes may interact with sleep.</p><p><strong>Methods: </strong>We addressed this in an on-line sample of almost 300 self-identified lesbian women (<i>N</i> = 40), gay men (<i>N</i> = 55) and bisexual men (<i>N</i> = 87)and bisexual women (<i>N</i> = 118). We assessed sleep using the Pittsburgh Sleep Quality Index, Insomnia Severity Index and Epworth Sleepiness Scale, among others; wellbeing using measures of life satisfaction, anxiety and depression, and lesbian, gay and bisexual (LGB) identification, social support, discrimination, identity resilience and minority stressors.</p><p><strong>Results: </strong>All sleep measures suggested that sexual minorities sleep poorly, and experience identity challenges, minority stressors, high levels of anxiety and depression and reduced life satisfaction. The latter wellbeing variables and BMI account for substantial amounts of variance in scores on standard sleep measures, as do identity and minority stressors. These variables mediate each other such that a confident sexual identity is associated with reduced effects of minority stressors on sleep, and enhanced wellbeing and sleep. There were no differences between LGB subgroups in these effects, except for insomnia, which was worse in bisexuals than in lesbian and gay individuals.</p><p><strong>Conclusions: </strong>Standard self-report measures of sleep confirm that sexual minorities sleep poorly, and identification with or stresses due to minority status exascerbates this.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"502-514"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796386","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":"Self-reported sleep disturbances among people living with HIV in China: A Systematic Review and Meta-Analysis.","authors":"Jia-Jia Li, Lin-Shan Liu, He-Ping Zhao, Chan Yan, Shi-Yun Lv, Hai-Dan Zhong, Ling-Hua Li, Cong Liu","doi":"10.1080/15402002.2025.2498367","DOIUrl":"10.1080/15402002.2025.2498367","url":null,"abstract":"<p><strong>Objective: </strong>People living with HIV (PLWH) commonly face a range of health issues, among which sleep disturbances are common and are related to adverse health outcomes. This review aims to assess the pooled prevalence of sleep disturbances among PLWH in China through a comprehensive and quantitative meta-analysis.</p><p><strong>Methods: </strong>We conducted comprehensive searches of Chinese databases and international databases from their inception to December 23, 2023. The random effects model was used to calculate the pooled prevalence estimates with a 95% confidence interval.</p><p><strong>Results: </strong>This meta-analysis included 20 studies involving 12,256 Chinese PLWH, 5,542 PLWH of whom experienced sleep disturbances. The pooled prevalence was 46% (95% CI: 42-51%). Subgroup analysis revealed that the prevalence of sleep disturbances was influenced by the mental status of depression (Q = 4.21, <i>p</i> < .001) and anxiety (Q = 4.76, <i>p</i> < .001), receiving support from family and friends (Q = 6.63, <i>p</i> < .001), treatment with Efavirenz (Q = 37.53, <i>p</i> = .007), studies using different instruments (Q = 42.69, <i>p</i> < .001) and those using different cutoff values of PSQI (Q = 48.29, <i>p</i> < .001). Meta-regression analysis revealed that the covariates, including mean age, female proportion, publication year, and quality score, were not significant moderators of heterogeneity (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>Chinese PLWH experience a significant burden of sleep disturbances. Early screening and comprehensive interventions targeting sleep disturbances in this population should be prioritized to improve their overall well-being and quality of life.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"565-578"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052856","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 : 2025-07-01Epub Date: 2025-03-24DOI: 10.1080/15402002.2025.2483961
Amir Ali Mazandarani, Mahdi Zare Bahramadbadi
{"title":"Maternal Self-Efficacy as a Moderator in the Relationship between Infant/Toddler Sleep and Maternal Mental Health.","authors":"Amir Ali Mazandarani, Mahdi Zare Bahramadbadi","doi":"10.1080/15402002.2025.2483961","DOIUrl":"10.1080/15402002.2025.2483961","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the moderating effects of maternal self-efficacy on the association between infant sleep quality and various aspects of maternal mental and emotional health.</p><p><strong>Method: </strong>Five hundred forty-four mothers (M age = 32.27, SD = 4.29) of infants and toddlers aged 0 to 36 months completed a combination of self-report and parent-report measures: the Brief Infant Sleep Questionnaire-Revised (BISQ-R) for infant sleep quality, the Maternal Self-Efficacy Scale (MSES), the Depression Anxiety Stress Scale-21 (DASS-21), the Pittsburgh Sleep Quality Index (PSQI), the Satisfaction with Life Scale (SWLS), and the Subjective Happiness Scale (SHS).</p><p><strong>Results: </strong>Mothers with higher self-efficacy reported better well-being across all domains compared to those with lower self-efficacy. Furthermore, maternal self-efficacy scores were found to moderate the relationship between infant sleep and maternal well-being. While poor infant sleep quality was associated with lower well-being scores across all mothers, the positive association between good infant sleep quality and well-being was more pronounced among mothers with higher self-efficacy scores.</p><p><strong>Conclusions: </strong>Our findings highlight the moderating role of maternal self-efficacy in the relationship between maternal well-being and infant/toddler sleep. These results suggest that interventions for enhancing maternal self-efficacy may offer a promising avenue for improving maternal well-being, potentially in conjunction with behavioral interventions targeting child sleep problems.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"515-525"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie Griggs, Quiana Howard, Bethany L Armentrout, Grant A Pignatiello, Kingman P Strohl, Sybil L Crawford, Chiang-Shan R Li, Mary Leuchtag, Ronald L Hickman
{"title":"A Randomized Pilot Cognitive Behavioral Sleep Health Trial for Young Adults with Type 1 Diabetes.","authors":"Stephanie Griggs, Quiana Howard, Bethany L Armentrout, Grant A Pignatiello, Kingman P Strohl, Sybil L Crawford, Chiang-Shan R Li, Mary Leuchtag, Ronald L Hickman","doi":"10.1080/15402002.2025.2522680","DOIUrl":"10.1080/15402002.2025.2522680","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this randomized controlled trial was to determine whether a cognitive-behavioral sleep health self-management intervention (CB-Sleep Health) would be more effective than a time-balanced attention control (AC) condition in improving multiple dimensions of sleep health (self-reported and objectively derived).</p><p><strong>Methods: </strong>Young adults with T1D (ages 18-26 years) were randomly assigned to a 12-week CB-Sleep Health (<i>n</i> = 21) or AC condition (<i>n</i> = 18). They wore concurrent continuous glucose monitors and actigraphy devices and completed daily sleep surveys for 14 days at baseline, post-intervention, and 3-month follow-up.</p><p><strong>Results: </strong>Of the randomized participants, 31 (79.5%) completed the post-intervention, while 33 (84.6%) completed the 3-month follow-up. The CB-Sleep Health intervention had a significant effect on alertness and duration compared to the control group. The changes from baseline were -3.21 s vs. +0.71, <i>p</i> = .005 and +18 min vs. -25.8 min, <i>p</i> = .01, respectively. These effects were sustained at the 3-month follow-up.</p><p><strong>Conclusions: </strong>Longer sleep duration, higher daytime alertness, and sustained sleep efficiency are possible with this CB-Sleep Health intervention in young adults managing a complex condition.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509546","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}
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":"https://doi.org/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":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","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}