Behavioral Sleep Medicine最新文献_第2页

Does Keeping a Sleep Diary Alter the Perception of Sleep Quality? Testing Measurement Reactivity in Healthy Adults. 写睡眠日记会改变人们对睡眠质量的看法吗？健康成人的测试测量反应性。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-15 DOI: 10.1080/15402002.2025.2476689

L Tollånes, S H D Nielsen, C E Parsons

{"title":"Does Keeping a Sleep Diary Alter the Perception of Sleep Quality? Testing Measurement Reactivity in Healthy Adults.","authors":"L Tollånes, S H D Nielsen, C E Parsons","doi":"10.1080/15402002.2025.2476689","DOIUrl":"https://doi.org/10.1080/15402002.2025.2476689","url":null,"abstract":"Measurement reactivity, where the act of measuring a behavior changes that behavior, has been documented across various health outcomes. However, its effects on sleep remain understudied, despite the widespread use of sleep diaries in clinical and research settings. In this randomized experiment, 190 healthy young adults (aged 18-40 years; 63% female) were assigned to complete either a sleep diary (Consensus Sleep Diary) or a physical activity diary (Physical Activity Scale) for seven days. All participants completed the Pittsburgh Sleep Quality Index (PSQI) and the International Physical Activity Questionnaire (IPAQ) before and after the diary period. Daily diary completion rates were high (97.3%). Linear mixed-effects models revealed no significant main effects of time (pre vs. post) or condition (sleep vs. physical activity diary), and no significant interaction between time and condition for either PSQI or IPAQ scores. These results suggest stability in sleep quality and physical activity measures, with no evidence of measurement reactivity. An exploratory analysis comparing \"good\" and \"poor\" sleepers (based on baseline PSQI scores) found a significant effect of sleep quality group and a time × group interaction on PSQI scores. In this adequately powered short-term study of young adults, we found no evidence of measurement reactivity to daily sleep diaries. These findings suggest that in healthy individuals, completing a week of sleep diaries is unlikely to impact PSQI scores substantially. We discuss our results in terms of the direct controllability of sleep quality, which might make it less susceptible to measurement reactivity relative to other health outcomes.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":"23 3","pages":"385-399"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053721","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}

引用次数: 0

"Sleeping My Life Away": Experiences of Living with Idiopathic Hypersomnia. "一觉睡到天亮"：特发性多梦症患者的生活经历。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-07 DOI: 10.1080/15402002.2025.2475913

Kristoffer Bothelius, Nadjela Salimi, Rebecca E M Lehtilä, Tomas Furmark, Christina Nehlin Gordh

{"title":"\"Sleeping My Life Away\": Experiences of Living with Idiopathic Hypersomnia.","authors":"Kristoffer Bothelius, Nadjela Salimi, Rebecca E M Lehtilä, Tomas Furmark, Christina Nehlin Gordh","doi":"10.1080/15402002.2025.2475913","DOIUrl":"10.1080/15402002.2025.2475913","url":null,"abstract":"Objectives: Individuals with idiopathic hypersomnia (IH) report several subjective emotional and cognitive symptoms, as well as impairments in daily functioning. Coping strategies are frequently used, but their effectiveness is perceived to be minimal. The aim of the present study was to delve into the patient perspective on navigating life with IH, emphasizing patients' personal narratives.Method: Utilizing a purposeful sample method, twelve participants diagnosed with IH underwent telephone interviews guided by a semi-structured protocol. The interviews were subjected to thematic analysis to extract relevant themes.Results: Analysis unveiled three primary themes along with subthemes: 1) Being confined, characterized by excessive daytime sleepiness, negative emotional processes and cognitive disturbances, 2) Missing out on life, involving loss of time and adverse social consequences, and 3) Trying to cope, encompassing strategies like napping, adapting, activating oneself and mentally fighting sleepiness, while also embracing acceptance and self-compassion.Conclusions: The identified themes reflected numerous aspects previously reported to be associated with living with IH. Notably, the study brought novel subthemes to light, such as the existential dilemma of \"sleeping one's life away\" and feelings of guilt and shame. Furthermore, the study underscored the significance of acceptance and self-compassion as coping strategies.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"360-368"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588233","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}

引用次数: 0

Effects of Recruitment Messaging on Ethnic/Racial Minority Screening in a RCT for Prenatal Insomnia: An Experimental Approach. 招募信息对产前失眠RCT中少数民族筛查的影响：一种实验方法。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI: 10.1080/15402002.2025.2473346

Carolyn Ponting, Bernadette McClelland, Richelle Mah, John Neuhaus, Rachel Manber, Andrew D Krystal, Patricia Moran, Jennifer N Felder

{"title":"Effects of Recruitment Messaging on Ethnic/Racial Minority Screening in a RCT for Prenatal Insomnia: An Experimental Approach.","authors":"Carolyn Ponting, Bernadette McClelland, Richelle Mah, John Neuhaus, Rachel Manber, Andrew D Krystal, Patricia Moran, Jennifer N Felder","doi":"10.1080/15402002.2025.2473346","DOIUrl":"10.1080/15402002.2025.2473346","url":null,"abstract":"Objective: Using data from a nationwide recruitment campaign for an RCT evaluating digital cognitive behavioral therapy for prenatal insomnia, we tested whether a recruitment message that identified a racial/ethnic disparity in sleep quality (sleep disparities message) would increase the proportion of participants who engaged in study screening compared to a recruitment message without identified ethnic/racial disparities (standard message). We also tested whether the magnitude of the association of message type with completed eligibility screening varied by race/ethnicity.Method: Pregnant people (n = 203,664) were randomly assigned to receive a sleep disparities or standard recruitment e-mail. A total of 1,782 pregnant people opened the recruitment e-mails. We used chi-square tests to compare the proportions of e-mails that led to study screening outcomes between the two e-mail message conditions.Results: The chi-square tests revealed that a smaller proportion of prospective participants who received a sleep disparities message visited the screening website X2 = 8.83, p = .003 and completed a study screener X2 = 4.92, p = .026 compared to those who received a standard message. Results of a logistic regression detected no statistically significant interactions between race/ethnicity and message type on the probability of a completing a study screener.Conclusion: Manipulating and measuring the effects of recruitment messages can identify effective strategies for diversifying the participant pools in CBT-I trials.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"319-328"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558400","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}

引用次数: 0

No Earlier Than 9:45 A.M. A Qualitative Study of Adolescents' Experiences of Later School Start Times in Aotearoa New Zealand. 新西兰奥特亚罗瓦青少年对推迟开学时间的体验定性研究》（No Earlier Than 9:45 A.M. A Qualitative Study of Adolescents' Experiences of Later School Start Time in Aotearoa New Zealand）。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-04 DOI: 10.1080/15402002.2025.2473351

Hazel Smith, Charmaine Barber, Rachael Taylor, T Leigh Signal, Sarah Hetrick, Mohamed Alansari, Jacinta Oldehaver, Barbara Galland

{"title":"No Earlier Than 9:45 A.M. A Qualitative Study of Adolescents' Experiences of Later School Start Times in Aotearoa New Zealand.","authors":"Hazel Smith, Charmaine Barber, Rachael Taylor, T Leigh Signal, Sarah Hetrick, Mohamed Alansari, Jacinta Oldehaver, Barbara Galland","doi":"10.1080/15402002.2025.2473351","DOIUrl":"10.1080/15402002.2025.2473351","url":null,"abstract":"Objectives: Many teenagers suffer chronic sleep loss, which could potentially be mitigated by later school start times to accommodate the natural shift in their circadian timekeeping system favoring later bedtimes. This study explored experiences of senior students from a school in Aotearoa New Zealand with later school start times.Method: Semi-structured interviews were conducted with 14 students, purposively sampled for equivalent numbers starting later every day (9:45 A.M.), or on just one weekday (10:00 A.M.). Transcripts were analyzed using reflexive thematic analysis.Results: Four themes were identified that addressed the impact of later starts on sleep struggles, daily functioning, student autonomy, and routines and scheduling. Most perceived later starts as positively influencing their sleep quality, concentration, productivity, and personal well-being. The importance of autonomy over their learning, and impact of different start times on students' schedules was also emphasized. Major disadvantages were lack of free classes and potentially later finish times.Conclusions: The experiences of later school start times for these adolescents were largely positive across a variety of life domains. Findings support the need for sleep health to be considered within school's health education and policy to address the unmet health concerns of chronic sleep loss in teens.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"329-340"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544597","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}

引用次数: 0

Examining the Feasibility of an App-based Sleep Intervention for Shiftworkers Using the RE-AIM Framework. 利用RE-AIM框架研究基于app的倒班工人睡眠干预的可行性

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-05-01 Epub Date: 2025-03-17 DOI: 10.1080/15402002.2025.2476687

Hannah Thorne, Rochelle M Sophocleous, Madeline Sprajcer, Alexandra E Shriane, Mitch J Duncan, Sally A Ferguson, Corneel Vandelanotte, Tracy Kolbe-Alexander, Charlotte C Gupta, Gabrielle Rigney, Matthew Thomas, Cassie J Hilditch, Benjamin Peterson, Grace E Vincent

{"title":"Examining the Feasibility of an App-based Sleep Intervention for Shiftworkers Using the RE-AIM Framework.","authors":"Hannah Thorne, Rochelle M Sophocleous, Madeline Sprajcer, Alexandra E Shriane, Mitch J Duncan, Sally A Ferguson, Corneel Vandelanotte, Tracy Kolbe-Alexander, Charlotte C Gupta, Gabrielle Rigney, Matthew Thomas, Cassie J Hilditch, Benjamin Peterson, Grace E Vincent","doi":"10.1080/15402002.2025.2476687","DOIUrl":"10.1080/15402002.2025.2476687","url":null,"abstract":"Objectives: This study assessed the feasibility of Sleepfit, an app-based sleep intervention for shiftworkers, to evaluate participant reach, engagement, and interaction.Methods: The RE-AIM framework guided the feasibility assessment. Participants from various shiftwork industries (e.g. healthcare, mining) completed a 14-day trial of the Sleepfit app, alongside baseline and post-intervention surveys. Descriptive statistics were used to evaluate participant enjoyment and engagement, including daily app usage and the number of activities completed.Results: Among the 110 enrolled shiftworkers, 53 (48%) completed post-intervention assessments, and 34 (30.9%) adhered to the full study protocol. Of those who completed baseline surveys, 85.4% downloaded and used Sleepfit, engaging with an average of 17.3% of available activities, with shiftwork-specific modules like \"Coping with Shiftwork\" showing the highest engagement. Participants cited lack of time, inconvenience, and losing interest as reasons for discontinuing app use.Conclusions: This study indicates the potential feasibility of app-based interventions like Sleepfit to improve shiftworkers' sleep health through tailored, relevant content. Future studies should consider longer durations and larger samples, incorporating wearable technology to enhance data accuracy and assess sustained effects across varied shift schedules.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"369-384"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652013","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}

引用次数: 0

Are you Lonesome Tonight? Ecological Momentary Assessment of Evening Loneliness, Worry, and Actigraphic Sleep in Adolescents. 今晚你寂寞吗？青少年夜间孤独、忧虑和活动睡眠的生态瞬时评估。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-04-29 DOI: 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":"https://doi.org/10.1080/15402002.2025.2498364","url":null,"abstract":"Objectives: 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.Methods: 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.Results: Analyses were conducted on 72 participants (53.9% boys; Mage = 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, p = .027); More specifically, at the within level, loneliness was significantly and positively related to worry (B = .131, p = .001), which in turn was negatively related to sleep duration (B = -12.502, p = .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.Conclusions: 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.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","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}

引用次数: 0

Rates of Sleep Disorders Based on a Structured Clinical Interview in US Active-Duty Military Personnel with Acute Suicide Risk. 基于结构化临床访谈的美国现役军人急性自杀风险睡眠障碍率

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-04-29 DOI: 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":"https://doi.org/10.1080/15402002.2025.2499136","url":null,"abstract":"Objectives: 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.Methods: Active-duty treatment-seeking US Marines (N = 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.Results: 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).Conclusions: 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.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-reported sleep disturbances among people living with HIV in China: A Systematic Review and Meta-Analysis. 中国HIV感染者自我报告的睡眠障碍：一项系统回顾和荟萃分析。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-04-27 DOI: 10.1080/15402002.2025.2498367

Jia-Jia Li, Lin-Shan Liu, He-Ping Zhao, Chan Yan, Shi-Yun Lv, Hai-Dan Zhong, Ling-Hua Li, Cong Liu

{"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":"https://doi.org/10.1080/15402002.2025.2498367","url":null,"abstract":"Objective: 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.Methods: 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.Results: 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, p < .001) and anxiety (Q = 4.76, p < .001), receiving support from family and friends (Q = 6.63, p < .001), treatment with Efavirenz (Q = 37.53, p = .007), studies using different instruments (Q = 42.69, p < .001) and those using different cutoff values of PSQI (Q = 48.29, p < .001). Meta-regression analysis revealed that the covariates, including mean age, female proportion, publication year, and quality score, were not significant moderators of heterogeneity (p > .05).Conclusions: 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.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-04-27","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}

引用次数: 0

Multidimensional Sleep and Self-Rated Physical Health and Depressive Symptoms Among Retired Older Adults: A Sex-Stratified Analysis. 多维睡眠与退休老年人自评身体健康和抑郁症状：性别分层分析

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-04-17 DOI: 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":"https://doi.org/10.1080/15402002.2025.2493651","url":null,"abstract":"Objectives: 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.Methods: Participants (n = 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.Results: 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.Conclusion: 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.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep in Gay, Lesbian and Bisexual Individuals: The Roles of Minority Stressors and Identity Positivity. 男同性恋、女同性恋和双性恋个体的睡眠：少数压力源和身份积极度的作用。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2025-04-06 DOI: 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":"https://doi.org/10.1080/15402002.2025.2483366","url":null,"abstract":"Objectives: 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.Methods: We addressed this in an on-line sample of almost 300 self-identified lesbian women (N = 40), gay men (N = 55) and bisexual men (N = 87)and bisexual women (N = 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.Results: 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.Conclusions: Standard self-report measures of sleep confirm that sexual minorities sleep poorly, and identification with or stresses due to minority status exascerbates this.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-04-06","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}

引用次数: 0