Jordan L Fox, Cody J Power, Dean J Miller, Aaron T Scanlan
{"title":"Does Sleep Regularity Impact Other Sleep Variables, Performance and Wellbeing in Athletes? A Scoping Review and Future Research Directions.","authors":"Jordan L Fox, Cody J Power, Dean J Miller, Aaron T Scanlan","doi":"10.1080/15402002.2026.2715423","DOIUrl":"https://doi.org/10.1080/15402002.2026.2715423","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aimed to determine the breadth of research and state of knowledge concerning the impact of sleep regularity on outcomes of interest among athletes, including other sleep variables, performance, and health.</p><p><strong>Methods: </strong>The review was reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews. A systematic search of PubMed, Web of Science, SportDiscus, and Scopus databases was undertaken on May 7, 2025. Studies were included if they reported on the impact of sleep regularity on variables indicative of other sleep aspects, performance, or health in athletes.</p><p><strong>Results: </strong>Ten studies were included. Results were grouped based on the nature of the variables investigated alongside sleep regularity, including other sleep variables (<i>N</i> = 6; 60%), performance (<i>N</i> = 3; 30%), and wellbeing (<i>N</i> = 3; 30%).</p><p><strong>Discussion: </strong>Evidence concerning the impact of sleep regularity on other sleep variables, performance, and wellbeing is scarce and inconsistent. To create a strong evidence base, normative values should be established, allowing regular and irregular sleepers to be better identified. Furthermore, improved understanding of fluctuations in sleep timing relative to scheduling and travel demands is encouraged before further exploring relationships between sleep regularity and other variables.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686882","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}
Marwin Carmo, Charles M Morin, Rosa Hasan, Andrea Toscanini, Renatha El Rafihi-Ferreira
{"title":"The Network of Dysfunctional Beliefs About Sleep: A Structural Re-Analysis of the DBAS-16.","authors":"Marwin Carmo, Charles M Morin, Rosa Hasan, Andrea Toscanini, Renatha El Rafihi-Ferreira","doi":"10.1080/15402002.2026.2711286","DOIUrl":"https://doi.org/10.1080/15402002.2026.2711286","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia is a common problem that affects a significant portion of the population. Dysfunctional beliefs and attitudes about sleep contribute to developing and maintaining insomnia. We developed a Brazilian-Portuguese version of the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-16) and conducted a comprehensive psychometric evaluation using latent variable and psychometric network frameworks.</p><p><strong>Method: </strong>Participants (<i>N</i> = 1,3851,386) were between 18 and 59 years old, with and without insomnia complaints. We used Confirmatory Factor Analysis (CFA) with dynamic fit indices to evaluate the original DBAS-16 structure and tested longitudinal invariance (14 days) and invariance across good and bad sleepers. We applied Unique Variable Analysis (UVA) and Exploratory Graph Analysis (EGA) to a derivation subsample (<i>n</i> = 693), with the remaining half reserved for cross-validation.</p><p><strong>Results: </strong>The original structure was replicated with moderate fit. We found support for longitudinal but not cross-group metric invariance. UVA identified three redundant items for exclusion (1. Need 8 h of sleep, 3. Consequences of insomnia on health, and 15. Medication as a solution). EGA identified two highly stable dimensions, replicated in the cross-validation subsample.</p><p><strong>Conclusion: </strong>The EGA model fit significantly better than the theoretical model, endorsing an alternative DBAS dimensionality. After excluding locally dependent variables, two dimensions may better represent dysfunctional beliefs and attitudes about sleep.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632868","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}
Samantha J Hornsey, Catherine M Hill, Ingrid Muller, B Stuart, Hazel Everitt
{"title":"Parent/Carer Discussions in UK Online Forums About the Management of Behavioral Sleep Problems in Infants and Children: A Qualitative Analysis.","authors":"Samantha J Hornsey, Catherine M Hill, Ingrid Muller, B Stuart, Hazel Everitt","doi":"10.1080/15402002.2026.2708305","DOIUrl":"https://doi.org/10.1080/15402002.2026.2708305","url":null,"abstract":"<p><strong>Objectives: </strong>To explore parent/carer discussions in online forums about managing infant/child sleep problems, specifically; concerns/expectations, perceptions of available resources and perceptions about management within primary healthcare settings.</p><p><strong>Method: </strong>A pragmatic qualitative study of parent/carer posts in two UK-based public online parenting forums. Systematic searches were conducted in the forums. One hundred discussion threads from each were screened and included if users posted about infant's/children's sleep problems. Data were imported into NVivo and analyzed with descriptive qualitative analysis.</p><p><strong>Results: </strong>Three descriptive themes were developed from 93 threads. \"An uncertain journey concerning children's sleep problems\" including multiple uncertainties about their child's sleep, information seeking, impacts of sleep problems, and management strategies. Parents/carers often used \"non-healthcare resources as primary sources of support\" for emotional/practical support, mainly peers and online. \"Primary and community health care roles: expectation and experience\" highlighted limited or mixed experiences/perceptions of community nurses, and reluctance to consult general practitioners for behavioral sleep problems.</p><p><strong>Conclusions: </strong>Families of infants/young children are impacted by sleep problems, have many concerns but are reluctant to seek support from primary healthcare practitioners. Improved referral/direction to evidence-based resources, awareness of the role of primary/community care, and improved relationships between health professionals and parents could reduce parental uncertainties.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632810","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}
Christina S McCrae, Ashley F Curtis, Melanie A Stearns, Jason Craggs, Jason Wilson, Heather Henderson, Oluwole Popoola, Britani M Holland, Mary Beth Miller
{"title":"Protocol for the impact of CBT-I and tapered withdrawal from opioids on pain and opioid use: A randomized controlled trial.","authors":"Christina S McCrae, Ashley F Curtis, Melanie A Stearns, Jason Craggs, Jason Wilson, Heather Henderson, Oluwole Popoola, Britani M Holland, Mary Beth Miller","doi":"10.1080/15402002.2026.2685151","DOIUrl":"https://doi.org/10.1080/15402002.2026.2685151","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with chronic pain experience comorbid insomnia, heightened arousal, and abnormal pain-related brain activation. Although opioid therapy is commonly prescribed for widespread pain, it offers questionable long-term benefit and is associated with arrhythmias, overdose, and death. The Cognitive Activation Theory of Stress (CATS) suggests poor sleep and arousal lead to critical changes in brain activation that increase pain severity and lead to opioid use. Cognitive Behavioral Therapy for Insomnia (CBT-I) improves sleep and holds promise for improving arousal, abnormal brain activation, and pain in individuals with comorbid chronic pain and insomnia, but does not reduce opioid use. Because CBT-I improves each mediator hypothesized to contribute to opioid use, it warrants evaluation as a neoadjuvant to opioid tapering. This trial tests whether improving sleep and decreasing arousal can normalize brain activation and decrease pain prior to gradual opioid tapering, facilitating reduced opioid use.</p><p><strong>Methods & analysis: </strong>165 adults with comorbid chronic widespread pain and chronic insomnia who use prescription opioids will be recruited from Tampa, Florida, and surrounding areas, and randomized to CBT-I or Sleep Hygiene and Related Education (SHARE). Following intervention, they will undergo gradual opioid tapering. Two booster sessions will be administered after intervention and withdrawal, but before the 6-month follow-up. Compared with SHARE, CBT‑I is expected to improve insomnia severity, reduce physiological and subjective arousal, reduce pain intensity, and normalize pain‑related brain activation (i.e. reduced BOLD responses to painful stimuli in the Right Insula, Left Inferior Frontal Gyrus, and Right Lentiform Nucleus) and altered functional connectivity, at post‑treatment and 6‑ month follow‑up.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609835","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":"Direct Associations Between Demographic and Socioeconomic Indicators and Positive Airway Pressure Therapy in Adults with Obstructive Sleep Apnoea- A Scoping Review.","authors":"M J Hall, S L Winter, C L Donovan, N W Burton","doi":"10.1080/15402002.2026.2700241","DOIUrl":"https://doi.org/10.1080/15402002.2026.2700241","url":null,"abstract":"<p><strong>Objectives: </strong>Obstructive sleep apnea (OSA) is a prevalent sleep disorder with multi-level adverse impacts. Although positive airway pressure (PAP) therapy is the gold standard treatment, sustained patient use remains a challenge. The aim of this study was to synthesize evidence on direct associations between demographic and socioeconomic indicators with PAP therapy in adults with OSA.</p><p><strong>Methods: </strong>A scoping review following PRISMA-ScR protocol was conducted. PubMed, PsycINFO, CINAHL, and Cochrane databases were searched for publications between 1990 and February 2026 with key words associated with OSA, PAP use, and demographic (age, gender), and socioeconomic (education, employment status, occupational prestige, income and neighborhood advantage) indicators. Data were extracted on study design, follow-up, sample characteristics, PAP use definitions and measurement, and direct association results. Findings were summarized graphically and synthesized narratively.</p><p><strong>Results: </strong>The majority of evidence suggested no direct association of PAP therapy use with age, gender, or education. There was limited evidence available for other SES indicators.</p><p><strong>Conclusions: </strong>Findings suggest that demographic characteristics alone may not be key determinants of PAP use. Future studies could further explore SES associations with PAP therapy use or move beyond examining direct associations to consider other types of associations e.g. moderating or interactive effects.</p><p><strong>Protocol registration: </strong>Open Science Framework (DOI 10.17605/OSF.IO/B9RT5).</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431559","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}
Sueyeon Lee, Linda Janusek, Cara Joyce, Jennifer Vasquez Gonzalez, Lamise Shawahin, Jacquelyn Y Taylor, Karen Saban
{"title":"Sleep Mediates the Relationship Between Stress and Blood Pressure in Older African American Women: A Cross-Sectional RiSE Study.","authors":"Sueyeon Lee, Linda Janusek, Cara Joyce, Jennifer Vasquez Gonzalez, Lamise Shawahin, Jacquelyn Y Taylor, Karen Saban","doi":"10.1080/15402002.2026.2695068","DOIUrl":"10.1080/15402002.2026.2695068","url":null,"abstract":"<p><strong>Objectives: </strong>To examine whether sleep quality mediates the relationship between perceived stress and blood pressure among older African American women (AAW).</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using baseline data from older AAW (aged 50-75) enrolled in the Resilience, Stress, and Ethnicity (RiSE) study. Perceived stress was assessed using the 10-item Perceived Stress Scale, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Blood pressure was measured three times and averaged to calculate mean systolic and diastolic blood pressure. Structural equation modeling was used to test mediation, adjusting for age, body mass index, and antihypertensive medication use.</p><p><strong>Results: </strong>Among 158 women (mean age 63.0 ± 6.7 years), 57.6% were taking antihypertensive medications, mean systolic blood pressure was 129.5 ± 15.4 mmHg, and mean PSQI score was 7.6 ± 3.5, indicating poor sleep quality. Perceived stress was associated with poorer sleep quality (b = 0.21, <i>p</i> < .001), and poorer sleep quality was related to higher systolic blood pressure (b = 0.81, <i>p</i> = .037). Sleep quality significantly mediated the effect of stress on systolic blood pressure (b = 0.17, <i>p</i> = .049), with no direct effect observed (b = 0.10, <i>p</i> = .594).</p><p><strong>Conclusion: </strong>Sleep quality mediated the relationship between perceived stress and systolic blood pressure in older AAW. These findings support the role of sleep as a behavioral mechanism linking stress to cardiometabolic risk and suggest the importance of developing culturally tailored sleep interventions to mitigate the adverse cardiometabolic effects of stress in this high-risk population.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378178","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 : 2026-07-01Epub Date: 2026-03-23DOI: 10.1080/15402002.2026.2648512
Carl Rushworth, Stuart Johnstone, Tayla Degan
{"title":"The Effects of Sleep Quality and Age on Executive Function in Typically Developing Children.","authors":"Carl Rushworth, Stuart Johnstone, Tayla Degan","doi":"10.1080/15402002.2026.2648512","DOIUrl":"10.1080/15402002.2026.2648512","url":null,"abstract":"<p><strong>Objective: </strong>Sleep is essential for children's cognitive development, with evidence linking poor quality to impairments in executive functions (EFs) such as working memory, inhibitory control, and cognitive flexibility. While sleep can be measured using objective methods like polysomnography and actigraphy, these techniques lack the subjective perspective that is provided by self-report tools. This study investigated the effects of self-reported sleep quality and age on EFs in typically developing children aged 7 to 12 years.</p><p><strong>Methods: </strong>One hundred and seventy children completed working memory (WM), inhibitory control (IC), and cognitive flexibility (CF) tasks to measure EF performance. Sleep quality was assessed via the Children's Report of Sleep Patterns, which captured sleep duration and subjective experiences.</p><p><strong>Results: </strong>Significant associations between age and EF across most EF components, reflected developmental trends. Sleep quality was significantly associated with IC-Performance and CF Shape Errors, meaning that as sleep quality improved, so did EF performance. Sleep was not associated with WM.</p><p><strong>Conclusion: </strong>The findings highlight age-related developmental improvements in EF. These findings suggest that self-reported sleep quality may impact EF tasks requiring attentional control and flexibility. Sleep quality impacts children's cognitive functioning, therefore improvements in sleep may enhance developmental outcomes.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"492-503"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500890","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 : 2026-07-01Epub Date: 2026-03-26DOI: 10.1080/15402002.2026.2648510
Christopher E Kline, Molly B Conroy, Maria M Brooks, Andrea M Kriska, Emma J Barinas-Mitchell
{"title":"Sleep Duration and Quality as Predictors of Weight Loss and Adherence During a Behavioral Weight Loss Intervention.","authors":"Christopher E Kline, Molly B Conroy, Maria M Brooks, Andrea M Kriska, Emma J Barinas-Mitchell","doi":"10.1080/15402002.2026.2648510","DOIUrl":"10.1080/15402002.2026.2648510","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the independent and combined associations between sleep duration and quality with weight loss and adherence in a behavioral weight loss intervention.</p><p><strong>Method: </strong>Adults with overweight/obesity (N = 296) participated in a 12-month intervention. Weight and sleep (Pittsburgh Sleep Quality Index) were assessed at baseline, 6 and 12 months. Analyses examined associations between baseline sleep and sleep changes with 6- and 12-month weight loss and intervention adherence (attendance, physical activity, caloric intake).</p><p><strong>Results: </strong>From a baseline weight of 97.0 ± 1.0 kg, participants lost 6.6 ± 1.1 kg (6.8%) at 6 months and 6.7 ± 1.2 kg (6.9%) at 12 months. The prevalence of short sleep duration (<6 h) or poor sleep quality did not change (<i>p</i> ≥ .45). By 12 months, those with baseline short sleep duration lost 4.5 ± 1.3% less weight than normal-duration sleepers (<i>p</i> < .001) and those with poor sleep quality lost 2.2 ± 1.2% less weight than good-quality sleepers (<i>p</i> = .04); those with both short sleep and poor sleep quality lost ≥ 5.0% less weight than all other groups (<i>p</i> < .001). Baseline short sleep was associated with lower attendance (-2.0 ± 0.8 sessions; <i>p</i> < .01); short sleep and poor quality were each associated with smaller increases in physical activity (-5.6 ± 2.4 and -7.8 ± 2.2 MET-h/wk, respectively; <i>p</i> < .02).</p><p><strong>Conclusion: </strong>Baseline short sleep duration and poor sleep quality independently and jointly predicted poorer weight loss and lower adherence in a behavioral weight loss intervention. Screening for sleep disturbance may identify individuals who could benefit from additional support to improve adherence and outcomes.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"463-476"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522816","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 : 2026-07-01Epub Date: 2026-02-24DOI: 10.1080/15402002.2026.2635121
Jun Ha Chang, Xinyu Sun, Su Chen, Ying Zhang, Daniel L Murman, Vaishali Phatak, Jennifer Merickel, Elizabeth Vlock, Matthew Rizzo
{"title":"Counting Zs: Determining the Monitoring Days Needed to Obtain Reliable Sleep Metrics in Older Adults with Mild Cognitive Impairment.","authors":"Jun Ha Chang, Xinyu Sun, Su Chen, Ying Zhang, Daniel L Murman, Vaishali Phatak, Jennifer Merickel, Elizabeth Vlock, Matthew Rizzo","doi":"10.1080/15402002.2026.2635121","DOIUrl":"10.1080/15402002.2026.2635121","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the minimum number of days required to obtain reliable actigraphy-measured sleep metrics in older adults with Mild Cognitive Impairment (MCI).</p><p><strong>Methods: </strong>One hundred and fourteen older adults (61 with MCI, 53 cognitively unimpaired) wore wrist-worn actigraphy devices for at least 60 days. Total sleep time (TST), sleep efficiency (SE), and wake after sleep onset (WASO) were calculated over cumulative windows (2 - 59) and compared to 60-day reference values using linear mixed-effect regression models. Sensitivity analyses were conducted using 30- and 45-day references.</p><p><strong>Results: </strong>Across all participants, reliable estimates required a minimum of 8 days for TST and 6 days for SE and WASO. Participants with MCI required more days than controls (9 vs. 2 days for TST, 7 vs. 4 days for SE, and 6 vs. 2 days for WASO). Sensitivity analyses showed that shorter monitoring periods (30 and 45 days) could still provide reliable metrics.</p><p><strong>Conclusions: </strong>To obtain reliable sleep metrics, at least 9 days of actigraphy data are needed for older adults with MCI, compared to 4 days for controls, suggesting the need for extended monitoring in cognitively impaired individuals.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"451-462"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13390599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286040","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}