Behavioral Sleep Medicine最新文献_第3页

Project Sandman: A Quasi-Experimental Evaluation of a Group-Based Brief Sleep Intervention in Air Force Technical Training. 睡魔项目：对空军技术培训中以小组为基础的简短睡眠干预的准实验评估。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-31 DOI: 10.1080/15402002.2024.2386606

J M Ellis, R A Estevez Burns, I Mallawaarachchi, X-Q Wang, C A Aycock, A E Krunnfusz, J R Jones, J A Blue Star, M A Patience, D G Cassidy, D J Taylor, R C Klesges, G W Talcott

{"title":"Project Sandman: A Quasi-Experimental Evaluation of a Group-Based Brief Sleep Intervention in Air Force Technical Training.","authors":"J M Ellis, R A Estevez Burns, I Mallawaarachchi, X-Q Wang, C A Aycock, A E Krunnfusz, J R Jones, J A Blue Star, M A Patience, D G Cassidy, D J Taylor, R C Klesges, G W Talcott","doi":"10.1080/15402002.2024.2386606","DOIUrl":"https://doi.org/10.1080/15402002.2024.2386606","url":null,"abstract":"Objectives: Approximately 70% of the military personnel experience chronic sleep insufficiency, which negatively impacts military readiness and health. Military sleep health does not appear to be improving despite targeted programs to optimize sleep. The present quasi-experimental study aims to evaluate a single-session sleep intervention in United States Air Force (USAF) Technical Training.Method: A group-based Brief Sleep Intervention (BSI) was developed for the target population. Participants included 321 technical school students (Mean age = 21; 82% male; 67% White) who were assigned to the BSI (n = 203) or a control group (n = 118). Propensity-score-weighted multivariable logistic regression was employed to compare outcomes.Results: At the 2-week follow-up, students in the BSI were significantly more likely to report sleeping 6 or more hours on weekdays (OR = 1.49, p < .001) and \"Good/Very Good\" sleep quality (OR = 1.50, p = .032) than those in the control group. In addition, 69.2% of the students in BSI reported having engaged in the self-selected \"Action Step\" chosen during the intervention.Conclusions: To our knowledge, this is the first study to test a preventative sleep intervention in USAF Technical Training. Results suggest that a single-session group intervention can promote behavioral changes and improve sleep health.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857181","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

Trait-based Anxiety Symptoms are Associated with Higher Incidence of Nightmare Frequency in the Wisconsin Sleep Cohort. 基于特质的焦虑症状与威斯康星睡眠队列中较高的噩梦发生率有关。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-31 DOI: 10.1080/15402002.2024.2386608

Matthew K P Gratton, Nancy Hamilton, Diego R Mazzotti

{"title":"Trait-based Anxiety Symptoms are Associated with Higher Incidence of Nightmare Frequency in the Wisconsin Sleep Cohort.","authors":"Matthew K P Gratton, Nancy Hamilton, Diego R Mazzotti","doi":"10.1080/15402002.2024.2386608","DOIUrl":"https://doi.org/10.1080/15402002.2024.2386608","url":null,"abstract":"Objectives: Nightmares affect up to 12% of the population and are often comorbid with psychiatric disorders like anxiety and depression. Limited research has examined their influence on nightmare frequency. This study investigates the relationship between depression and trait-anxiety symptoms on incident nightmare frequency at follow-up.Method: Cross-sectional and longitudinal analyses were conducted on 758 Wisconsin Sleep Cohort participants. Trait anxiety and depression symptom severity were measured using the State Trait Anxiety Inventory and Zung Depression Scale. Ordinal regression determined nightmare frequency cutoffs based on anxiety and depression severity. Cross-sectional associations were assessed with Spearman and Kruskal-Wallis tests. Longitudinal associations were analyzed using adjusted binomial regression of binary nightmare frequency (low: <4/month, high: >5/month) against clinical cutoffs of trait anxiety and depression.Results: Adjusted models indicated a small correlation between baseline nightmare frequency and trait anxiety (β = 0.01, p = .010) and depression symptoms (β = 0.01, p = .005). High baseline trait-anxiety symptoms were associated with frequent nightmares at follow-up (OR = 3.75, CI95% [1.306,10.793], p < .014), but depression symptoms were not (OR = 1.35, CI95%[0.399, 4.587], p = .627).Conclusions: Our findings suggest that high trait-anxiety symptoms are associated with increased incident nightmare frequency, when adjusted for depression. However, high depression symptoms were not associated with an increase in nightmare frequency when adjusted for trait-anxiety.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861748","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 Longitudinal Effects of Insomnia on Depression and Medication Adherence in People Living with HIV. 研究失眠对艾滋病病毒感染者抑郁和坚持服药的纵向影响。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-27 DOI: 10.1080/15402002.2024.2379340

Juan A Esquivel-Mendoza, Satyanand Satyanarayana, Steven Safren, Brooke G Rogers

{"title":"Examining the Longitudinal Effects of Insomnia on Depression and Medication Adherence in People Living with HIV.","authors":"Juan A Esquivel-Mendoza, Satyanand Satyanarayana, Steven Safren, Brooke G Rogers","doi":"10.1080/15402002.2024.2379340","DOIUrl":"https://doi.org/10.1080/15402002.2024.2379340","url":null,"abstract":"Objective: The management of HIV has shifted from a focus solely on the disease to a broader perspective encompassing co-occurring medical conditions and quality of life. Mental health concerns such as depression and sleep disturbances, particularly insomnia, are often overlooked in HIV care. The aim of the study was to investigate the longitudinal impact of insomnia on depression and medication adherence among (PLWH).Methods: This study, conducted in an urban HIV clinic, involved active patients and assessed depression, insomnia, and medication adherence at baseline, 3-month, and 6-month intervals. Hierarchical linear models were employed to analyze the fixed and random effects of time, within-person and between-person insomnia on depression, as well as the effects of time, within-person and between-person depression on ART adherence.Results: Within-person effects revealed that each one unit increase in the Insomnia Severity Index (ISI) was associated with a b = 0.267-point rise in Patient Health Questionnaire-9 (PHQ-9) scores (p < .001). Between-person effects revealed that each one-point increase in an individual's average ISI score was associated with a 0.476-point elevation in their PHQ-9 scores (p < .001). The between-person effects of depression on medication adherence indicated significance, with each point increase in an individual's average PHQ-9 score being linked to a 0.36% decrease in adherence (p = .012).Conclusion: The study underscores the potential impact of insomnia on mental health and treatment adherence in people living with HIV (PLWH). This study emphasizes the necessity of comprehensive care models considering the interplay between sleep quality, mental health, and medication adherence for PLWH.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768032","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

Behavioral interventions and behavior change techniques used to improve sleep outcomes in athlete populations: A scoping review. 用于改善运动员睡眠质量的行为干预和行为改变技术：范围综述。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-04 DOI: 10.1080/15402002.2024.2374257

Sandy M B Wilson, Katherine V Sparks, Alice Cline, Stephen B Draper, Martin I Jones, John K Parker

{"title":"Behavioral interventions and behavior change techniques used to improve sleep outcomes in athlete populations: A scoping review.","authors":"Sandy M B Wilson, Katherine V Sparks, Alice Cline, Stephen B Draper, Martin I Jones, John K Parker","doi":"10.1080/15402002.2024.2374257","DOIUrl":"https://doi.org/10.1080/15402002.2024.2374257","url":null,"abstract":"Background: Athletes display a high prevalence of undesired sleep characteristics that may affect both performance and wellbeing.Objectives: This scoping review aimed to identify and map the existing evidence of behavioral sleep interventions and their effects on sleep outcomes in athletes, and retrospectively code the behavior change techniques (BCTs) implemented using the Behavior Change Technique Taxonomy (BCTTv1).Methods: Conducted following the JBI methodology for scoping reviews, four online databases were used to identify prospective interventions with at least one behavioral component in competitive athletes, and reporting a sleep outcome pre- and post-intervention.Results: Thirty-three studies met the inclusion criteria, encompassing 892 participants with a median age of 23. Five intervention categories were identified (education, mind-body practices, direct, multi-component, and other), with each demonstrating mixed efficacy but the potential to improve sleep outcomes. The BCTs varied in type and frequency between each category, with only 18 unique BCTs identified across all studies.Conclusions: The varied efficacy of previous studies at improving sleep outcomes may be attributed to the lack of behavior change theory applied during intervention development. Designing interventions following a targeted specification of the behavioral problem, and the integration of corresponding BCTs should be considered in future research.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536068","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

Habitual Sleep Duration and Health-Related Quality of Life in Family Caregivers: Findings from the Behavioral Risk Factor Surveillance System. 家庭照顾者的习惯性睡眠时间和与健康相关的生活质量：行为风险因素监测系统的研究结果。

IF 3.1 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2024-02-09 DOI: 10.1080/15402002.2024.2314284

Everlyne G Ogugu, Maura R Reilly, Kougang T Anne Mbe, Janice F Bell

{"title":"Habitual Sleep Duration and Health-Related Quality of Life in Family Caregivers: Findings from the Behavioral Risk Factor Surveillance System.","authors":"Everlyne G Ogugu, Maura R Reilly, Kougang T Anne Mbe, Janice F Bell","doi":"10.1080/15402002.2024.2314284","DOIUrl":"10.1080/15402002.2024.2314284","url":null,"abstract":"Background: Insufficient sleep duration is associated with poor health-related quality of life (HRQoL). However, this relationship has not been studied in family caregivers, a group at high risk of insufficient sleep duration and poor HRQoL.Objective: To examine the associations between habitual sleep duration and HRQoL measures in family caregivers.Methods: This cross-sectional study used data from 23,321 caregivers in the 2016 Behavioral Risk Factor Surveillance System. The HRQoL measures were health status and poor mental and physical health days. A multivariable logistic regression model was used to assess the association between sleep duration (<7, 7-9, >9 hours) and health status (fair or poor versus good to excellent). Zero-inflated negative binomial models were used to analyze the association of sleep duration with poor mental and physical health days.Results: Fair or poor health status was significantly higher in caregivers with short (odds ratio [OR], 1.40; 95% CI: 1.12, 1.74) and long (OR, 2.07; 95% CI: 1.34, 3.21) sleep duration. Short sleep duration was associated with a higher number of poor mental health days (IRR [incident rate ratio], 1.17; 95% CI: 1.04, 1.31) and poor physical health days (IRR, 1.26; 95% CI: 1.10, 1.45). Long sleep duration was associated with more poor mental health days (IRR, 1.31; 95% CI: 1.08, 1.60).Conclusion: Extremes in sleep duration were associated with lower HRQoL. These findings point to the need for interventions that promote adequate sleep and address factors underlying extremes in sleep duration in the context of family caregiving.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708564","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

A prospective study of nightmare disorder among Chinese adults in Hong Kong: Persistence and mental health outcomes. 香港华裔成年人梦魇症前瞻性研究：持续性和心理健康结果。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2024-02-18 DOI: 10.1080/15402002.2024.2318264

Stanley Kam Ki Lam, Cherry Tin Yan Cheung, Edward K S Wang, Albe Sin Ying Ng, Hong Wang Fung

{"title":"A prospective study of nightmare disorder among Chinese adults in Hong Kong: Persistence and mental health outcomes.","authors":"Stanley Kam Ki Lam, Cherry Tin Yan Cheung, Edward K S Wang, Albe Sin Ying Ng, Hong Wang Fung","doi":"10.1080/15402002.2024.2318264","DOIUrl":"10.1080/15402002.2024.2318264","url":null,"abstract":"Objectives: Previous studies showed that nightmares are prevalent and are associated with negative health outcomes. However, no empirical data is available demonstrating the extent to which nightmare disorder persists over time. Current literature provides a limited understanding of the trajectory and wider mental health outcomes of nightmare disorder. This longitudinal study examined the persistence and mental health outcomes of nightmare disorder.Methods: A total of 230 Hong Kong Chinese adults completed standardized assessments twice with an interval of about 6 months.Results: Over half (66.7%) of the participants with probable nightmare disorder at baseline remained to meet the DSM-5 criteria for the disorder at follow-up. Participants with probable nightmare disorder at baseline were significantly more likely to screen positive for PTSD (82.1% vs 18.3%) (p < .001) (p < .001), and they reported higher rates of mental health service usage at both timepoints (p = .001 to .003). Baseline nightmare disorder severity was negatively associated with subsequent self-rated mental health (β = -.151, p = .010) and self-esteem (β = -.141, p = .009) and it also predicted subsequent PTSD symptoms (β = .122, p = .012).Conclusions: This study provides first empirical data showing that nightmare disorder could be persistent over time. Nightmare disorder symptoms are associated not only with PTSD symptoms but also with a broader range of mental health issues. This study points to the public health importance of identifying and managing nightmare disorder symptoms in the community. Additionally, the presence of nightmare disorder symptoms may be a helpful indicator for identifying post-traumatic stress.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900954","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

Nighttime Texting on Social Media, Sleep Parameters, and Adolescent Sadness: A Mediation Analysis. 社交媒体上的夜间短信、睡眠参数和青少年的悲伤情绪：中介分析

IF 3.1 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1080/15402002.2024.2314281

Clara Sancho-Domingo, Pernilla Garmy, Annika Norell

{"title":"Nighttime Texting on Social Media, Sleep Parameters, and Adolescent Sadness: A Mediation Analysis.","authors":"Clara Sancho-Domingo, Pernilla Garmy, Annika Norell","doi":"10.1080/15402002.2024.2314281","DOIUrl":"10.1080/15402002.2024.2314281","url":null,"abstract":"Objectives: The use of social media during bedtime has increased in the past years among adolescents, contributing to disturbed sleep quality, which could potentially be related to emotional problems. This study aimed to analyze the mediation effects of sleep parameters on the relationship between NightTime Texting (NTT) on social media and adolescent sadness.Methods: We used a cross-sectional study and evaluated a total of 1464 Swedish students aged 15-17 (55.7% girls) to examine their frequency of NTT on social media, sleep parameters, and adolescent sadness. Bivariate and mediation analyses were performed.Results: Approximately 60% (n = 882) of adolescents engaged in nighttime instant messaging, with 37% (n = 330) reporting texting every night. Higher frequency of NTT was significantly associated with later bedtimes (η2 > 0.12), extended weekend wake-up times (η2 = 0.07), increased social jetlag (η2 = 0.07), and reduced sleep duration on schooldays (η2 = 0.10). Multicategorical parallel mediation analyses revealed that sleep duration on schooldays had an indirect effect on the relationship between both Occasional NTT (a11b1 = 0.05, p < .05) and Daily NTT (a21b1 = 0.12, p < .05) with sadness. Mediation effects were not moderated by gender (p > .05), however, the association between Occasional NTT and higher sadness was significantly linked to boys (t = 2.72; p = .007).Conclusions: Findings showed a large percentage of adolescents engaging in nighttime social media use with worse quality of sleep, and underlined sleep duration on schooldays as a mediator associated with emotional problems in adolescents. These insights can aid in developing strategies for healthier habits to address the misuse of social media and prevent related health problems.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086316","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-specific outcomes attributable to digitally delivered cognitive behavioral therapy for insomnia in adults with insomnia and depressive symptoms. 数字化交付的认知行为疗法对患有失眠和抑郁症状的成年人失眠的睡眠特异性结果

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2023-11-28 DOI: 10.1080/15402002.2023.2285799

Philip J Batterham, Frances P Thorndike, Robert Gerwien, Jeffrey Botbyl, Lee M Ritterband, Yuri Maricich, Helen Christensen

{"title":"Sleep-specific outcomes attributable to digitally delivered cognitive behavioral therapy for insomnia in adults with insomnia and depressive symptoms.","authors":"Philip J Batterham, Frances P Thorndike, Robert Gerwien, Jeffrey Botbyl, Lee M Ritterband, Yuri Maricich, Helen Christensen","doi":"10.1080/15402002.2023.2285799","DOIUrl":"10.1080/15402002.2023.2285799","url":null,"abstract":"Objective: Randomized controlled trials (RCTs) of digitally delivered Cognitive Behavioral Therapy for insomnia (CBT-I) have demonstrated reductions in insomnia severity, depression symptoms, anxiety symptoms, and suicidal ideation. The present study aimed to evaluate the effectiveness of self-guided, digital CBT-I to improve sleep-specific outcomes.Method: An RCT of Australian adults with insomnia and depressive symptoms (N = 1149) compared SHUTi, a digital CBT-I intervention, with HealthWatch, an attention-matched control internet program, at baseline, posttest (9 weeks) and at 6-, 12-, and 18-month follow-ups. Online sleep diaries were used to derive measures of sleep-onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), number of awakenings, sleep quality, and total sleep time (TST).Results: Participants in the SHUTi condition had greater improvements at posttest compared with control for: SOL, WASO, SE, number of awakenings, and sleep quality. These improvements were sustained at every follow-up (p < .02 for all outcomes except TST, in which statistically significant increases were observed only at 12- and 18-months).Conclusions: Digitally delivered CBT-I produced lasting improvements in sleep outcomes among adults with insomnia and depressive symptoms. Findings provide further evidence of long-term improvements associated with a digital therapeutic for insomnia, compared to an attention-control condition.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453139","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

Factors Influencing Adherence to Insomnia and Obstructive Sleep Apnea Treatments among Veterans with Mild Traumatic Brain Injury. 影响轻度脑外伤退伍军人坚持失眠和阻塞性睡眠呼吸暂停治疗的因素。

IF 2.2 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2024-02-29 DOI: 10.1080/15402002.2024.2322517

Adam R Kinney, Lisa A Brenner, Morgan Nance, Joseph Mignogna, Audrey D Cobb, Jeri E Forster, Christi S Ulmer, Risa Nakase-Richardson, Nazanin H Bahraini

{"title":"Factors Influencing Adherence to Insomnia and Obstructive Sleep Apnea Treatments among Veterans with Mild Traumatic Brain Injury.","authors":"Adam R Kinney, Lisa A Brenner, Morgan Nance, Joseph Mignogna, Audrey D Cobb, Jeri E Forster, Christi S Ulmer, Risa Nakase-Richardson, Nazanin H Bahraini","doi":"10.1080/15402002.2024.2322517","DOIUrl":"10.1080/15402002.2024.2322517","url":null,"abstract":"Objective: To understand factors influencing adherence to recommended treatment for insomnia and obstructive sleep apnea (OSA) among Veterans with mild traumatic brain injury (mTBI).Method: Semi-structured interviews (n = 49) with 29 clinical stakeholders and 20 Veterans were conducted. Clinical stakeholders included Veterans Health Administration providers and policymakers involved in the management of mTBI and/or sleep disorders. Veterans included those with a clinician-confirmed mTBI with a recent history of insomnia disorder and/or OSA treatment. Themes were identified using a Descriptive and Interpretive approach.Results: Barriers to sleep disorder treatment adherence included factors associated with the patient (e.g., negative appraisal of treatment benefit), intervention (e.g., side effects), health conditions (e.g., cognitive challenges), health care system (e.g., limited availability of care), and socioeconomic status (e.g., economic instability). Similarly, facilitators of adherence included patient- (e.g., positive appraisal of treatment benefit), intervention- (e.g., flexible delivery format), condition- (e.g., accommodating cognitive impairments), health care system- (e.g., access to adherence support), and socioeconomic-related factors (e.g., social support).Conclusions: Interviews revealed the multi-faceted nature of factors influencing adherence to sleep disorder treatment among Veterans with mTBI. Findings can inform the development of novel interventions and care delivery models that meet the complex needs of this population.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991891","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 Health among Children Adopted from Foster Care: The Moderating Effect of Parent-Child Sleep Interactions. 寄养儿童的睡眠健康：父母与子女睡眠互动的调节作用。

IF 3.1 3区医学

Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2024-01-23 DOI: 10.1080/15402002.2024.2303467

Anthony B Cifre, Christopher J Budnick, Johanna Bick, Eleanor L McGlinchey, Carol H Ripple, Amy R Wolfson, Candice A Alfano

{"title":"Sleep Health among Children Adopted from Foster Care: The Moderating Effect of Parent-Child Sleep Interactions.","authors":"Anthony B Cifre, Christopher J Budnick, Johanna Bick, Eleanor L McGlinchey, Carol H Ripple, Amy R Wolfson, Candice A Alfano","doi":"10.1080/15402002.2024.2303467","DOIUrl":"10.1080/15402002.2024.2303467","url":null,"abstract":"Objectives: Sleep disruption is prevalent among children placed in foster care, elevating risk for a range of deleterious outcomes. Theoretically, achieving permanency via adoption may have a positive influence on children's sleep via the presence of various factors, but little is known about the sleep health of children adopted from foster care, including predictors and moderators of sleep health.Method: The current study included 226 parents who adopted a child from foster care in the U.S. (aged 4-11 years) within the past two years and a propensity score matched sample of 379 caregivers of children currently in foster care. Both samples completed online questionnaires about their child's sleep, physical, and mental health.Results: Comparatively, children in foster care experienced more nightmares, night terrors, moving to someone else's' bed during the night, and worse overall sleep quality, whereas adopted children were reported to experience significantly more nighttime awakenings. In the adopted sample, a greater number of prior foster placements unexpectedly predicted lower total sleep disturbance scores, but this relationship was moderated by parent-child interactions around sleep. In general, greater parental involvement in children's sleep was associated with lower levels of child sleep disturbance.Conclusions: Findings suggest that while specific sleep problems might remit after children in foster care achieve permanence, nighttime sleep fragmentation often persists. Parent-child interactions surrounding sleep may be pivotal in improving sleep health in this population.","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542463","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