Behavioral Sleep Medicine最新文献

{"title":"COVID-19 and Sleep Problems: A Perspective from Bibliometric Analysis.","authors":"He-Li Sun, Yue Ying Wang, Yuan Feng, Xiling Cui, Teris Cheung, Zhaohui Su, Yi-Lang Tang, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang","doi":"10.1080/15402002.2023.2301412","DOIUrl":"10.1080/15402002.2023.2301412","url":null,"abstract":"<p><strong>Objectives: </strong>The Coronavirus Disease 2019 (COVID-19) pandemic and the containment measures for COVID-19 have affected sleep quality in the population. This study explored sleep-related research from a bibliometric perspective to provide an overview of the research outputs in this field.</p><p><strong>Methods: </strong>Original and review articles were retrieved from the Web of Science Core Collection (WOSCC) database from December 2019 to 7 Aug 2023. R package \"bibliometrix\" was used to summarize the number of articles of authors, institutions, and countries; count the citations of the articles, and generate a Three-Fields Plot. VOSviewer software was applied to visualize the collaboration network among authors and institutions, and to conduct a co-occurrence analysis of keywords.</p><p><strong>Results: </strong>A total of 4,499 articles on COVID-19 and sleep, and 25,883 articles on non-COVID-19 and sleep were included. Sleep related articles were mainly published by authors from China, the USA, and Italy. For COVID-19 and sleep research, Huazhong University of Science was the most productive institution. The Psychiatry Research was the most influential journal across the different subject categories of this field. \"Mental health\", \"anxiety\", and \"depression\" were the most common keywords, while \"sleep quality\" and \"quality of life\" were the likely topic areas in terms of future research directions.</p><p><strong>Conclusions: </strong>Our findings provide a comprehensive perspective for researchers to understand the wider landscape of both COVID-19 and non-COVID-19 sleep-related research area.</p>","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":"139492390","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":"Reasons for why Medical Students Prefer Specific Sleep Management Strategies.","authors":"Cassian J Duthie, Claire Cameron, Kelby Smith-Han, Lutz Beckert, Shenyll Delpachitra, Sheila N Garland, Bryn Sparks, Erik Wibowo","doi":"10.1080/15402002.2024.2318261","DOIUrl":"10.1080/15402002.2024.2318261","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia symptoms are common among medical students. This study explored the perspectives of medical students about which sleep management strategies to use.</p><p><strong>Methods: </strong>Medical students responded to an online survey on their thoughts about the use of various sleep management strategies.</p><p><strong>Results: </strong>Of the 828 respondents, 568 (69%) provided responses to questions about the most preferred strategies and 450 (54%) provided responses about their least preferred strategies. About 48.5% felt their insomnia symptoms were too mild to see a clinician and 23.9% did not think their symptoms warranted sleep medication. Over 40% of students could not avoid work before sleep, have consistent sleep/wake times, or engage in regular exercise because of their busy and inconsistent schedules. Approximately 40-60% could not improve their sleep environment (e.g. better heating and bed) because of the associated costs. Over 80% reported an inability to change their pre-sleep habits (e.g. using electronics close to bedtime, using bed for activities other than sleep or sex). Half of the students disliked relaxation techniques or felt they would not help. Around 30-50% did not believe that changing caffeine and/or alcohol intake would affect their sleep.</p><p><strong>Conclusions: </strong>Medical students may benefit from additional sleep education. Clinicians may need to discuss which strategies individual students prefer and modify their recommendations accordingly.</p>","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":"139900955","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":"SleepWell24, a Smartphone Application to Promote Adherence to Positive Airway Pressure Therapy: Feasibility and Acceptability in a Randomized Controlled Trial.","authors":"Megan E Petrov, Dana R Epstein, Lois Krahn, Michael Todd, John G Park, Erik K St Louis, Timothy I Morgenthaler, Coles M Hoffmann, Kristina Hasanaj, Kevin Hollingshead, Tsung-Yen Yu, Matthew P Buman","doi":"10.1080/15402002.2023.2289442","DOIUrl":"10.1080/15402002.2023.2289442","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the feasibility and acceptability of <i>SleepWell24</i>, a multicomponent, evidence-based smartphone application, to improve positive airway pressure therapy (PAP) adherence, among patients with obstructive sleep apnea (OSA) naive to PAP.</p><p><strong>Methods: </strong>In a single-blind randomized controlled trial, <i>SleepWell24</i>, with a companion activity monitor was compared to usual care plus the activity monitor and its associated app. <i>SleepWell24</i> provides objective feedback on PAP usage and sleep/physical activity patterns, and chronic disease management. Patients were recruited from two sleep medicine centers and followed over the first 60 days of PAP. Feasibility and acceptability were measured by recruitment/retention rates, app usage, differences in post-trial Treatment Evaluation Questionnaire (TEQ) scores, and patient interviews. Exploratory, intent-to-treat logistic and linear mixed models estimated PAP adherence and clinical outcomes.</p><p><strong>Results: </strong>Of 103 eligible participants, 87 were enrolled (<i>SleepWell24 n</i> = 40, control <i>n</i> = 47; mean 57.6y [SD = 12.3], 44.8% female). Retention was ≥95% across arms. There were no significant differences in TEQ scores. <i>SleepWell24</i> participants engaged with the app on 62.9% of trial days. PAP use was high across both arms (<i>SleepWell24</i> vs. Control: mean hours 5.98 vs. 5.86). There were no differences in PAP adherence or clinical outcomes.</p><p><strong>Conclusions: </strong><i>SleepWell24</i> was feasible and acceptable among PAP-naive patients with OSA.</p><p><strong>Clinical trial registration: </strong>NCT03156283https://www.clinicaltrials.gov/study/NCT03156283.</p>","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Birthplace for Sleep Duration, Sleep Quality, and Sleep Disorder Symptoms, at the US-Mexico Border.","authors":"Sadia B Ghani, Karla Granados, Chloe C A Wills, Pamela Alfonso-Miller, Orfeu M Buxton, John M Ruiz, Sairam Parthasarathy, Sanjay R Patel, Patty Molina, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner","doi":"10.1080/15402002.2023.2279308","DOIUrl":"10.1080/15402002.2023.2279308","url":null,"abstract":"<p><strong>Objectives: </strong>The present study investigated the roles birthplace and acculturation play in sleep estimates among Hispanic/Latino population at the US-Mexico border.</p><p><strong>Measures: </strong>Data were collected in 2016, from <i>N</i> = 100 adults of Mexican descent from the city of Nogales, AZ, at the US-Mexico border. Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index categorized as none, mild, moderate, and severe, and Multivariable Apnea Prediction Index (MAP) categorized as never, infrequently, and frequently. Acculturation was measured with the Acculturation Rating Scale for Mexican-Americans II (ARSMA-II).</p><p><strong>Results: </strong>The sample consisted of majority Mexican-born (66%, vs. born in the USA 38.2%). Being born in the USA was associated with 55 fewer minutes of nighttime sleep (<i>p</i> = .011), and 1.65 greater PSQI score (<i>p</i> = .031). Compared to no symptoms, being born in the USA was associated with greater likelihood of severe difficulty falling asleep (OR = 8.3, <i>p</i> = .030) and severe difficulty staying asleep (OR = 11.2, <i>p</i> = .050), as well as decreased likelihood of breathing pauses during sleep (OR = 0.18, <i>P</i> = .020). These relationships remained significant after Mexican acculturation was entered in these models. However, greater Anglo acculturation appears to mediate one fewer hour of sleep per night, poorer sleep quality, and reporting of severe difficulty falling asleep and staying asleep.</p><p><strong>Conclusions: </strong>Among individuals of Mexican descent, being born in the USA (vs Mexico) is associated with about 1 hour less sleep per night, worse sleep quality, more insomnia symptoms, and less mild sleep apnea symptoms. These relationships are influenced by acculturation, primarily the degree of Anglo rather than the degree of Mexican acculturation.</p>","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11093882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptual overlap of negative thought processes in insomnia: A focus on catastrophizing, worry, and rumination in a student sample.","authors":"Markus Jansson-Fröjmark, Rikard Sunnhed, Colleen E Carney, Ingvar Rosendahl","doi":"10.1080/15402002.2024.2374264","DOIUrl":"https://doi.org/10.1080/15402002.2024.2374264","url":null,"abstract":"<p><strong>Objectives: </strong>The association and overlap between different forms of negative thought processes in insomnia is largely unknown. The purpose of the current investigation was to examine conceptual overlap between three insomnia-specific negative thought processes; catastrophizing, worry, and rumination, identify the underlying factors, and explore their associations with insomnia symptoms.</p><p><strong>Methods: </strong>A total of 360 students completed three insomnia-related negative thought process scales (Catastrophic Thoughts about Insomnia Scale, Anxiety and Preoccupation about Sleep Questionnaire, Daytime Insomnia Symptom Response Scale) and two insomnia symptoms measures (the Insomnia Severity Index and Sleep Condition Indicator).</p><p><strong>Results: </strong>The three scales and their subscales displayed acceptable reliabilities. Further, confirmatory factor analysis was supportive of the notion of catastrophizing, worry, and rumination measures as distinct. The catastrophizing and worry constructs were significantly associated with insomnia symptoms, but the rumination factor was not.</p><p><strong>Conclusions: </strong>The findings indicate that catastrophizing, worry, and rumination might be viewed as distinct constructs. Although more research is warranted on the topic of conceptual overlap, the current results might have implications for the development of models of insomnia, clinical research, and practice.</p>","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":"141472843","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":"Predicting the Persistence of Insomnia Symptoms during the COVID-19 Pandemic.","authors":"Zachary Ta, Allyson A Gilles, Nasim Parsinejad, Marlene J Egger, Kelly Glazer Baron","doi":"10.1080/15402002.2023.2298377","DOIUrl":"10.1080/15402002.2023.2298377","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this study is to evaluate the factors associated with vulnerability and course of insomnia longitudinally in the COVID-19 pandemic and examine differences between: (a) those who never demonstrated clinical insomnia symptoms, (b) those who demonstrated clinically elevated insomnia symptoms at 1 or 2 time points, and (c) those who demonstrated clinically elevated insomnia symptoms at all 3 time points.</p><p><strong>Methods: </strong>Participants (≥18 years old) completed measures of insomnia (ISI), depression (PHQ-8), anxiety (GAD-7), and pre-sleep arousal (PSAS) at 3 time points (baseline, 1 month, and 3 months). Data were analyzed using univariable odds ratios and multivariable multicategory logistic regression to determine demographic, psychological, and behavioral predictors of insomnia persistence.</p><p><strong>Results: </strong>A total of 129 participants completed all 3 assessments (70 female, age <i>M</i> = 44 years, SD = 16). We found that 40% (<i>N</i> = 51) never had insomnia symptoms, 33% (<i>N</i> = 42) reported transient insomnia symptoms (1 or 2 time points), and 28% (<i>N</i> = 36) reported persistent insomnia symptoms (all 3 time points). From the multivariable multicategory logistic analyses, pre-sleep arousal, gender, and income were significant predictors of insomnia persistence.</p><p><strong>Conclusions: </strong>Findings indicate elevated insomnia symptoms were persistent in a substantial number of individuals throughout the pandemic. Results suggest additional insomnia and psychological interventions are needed to improve sleep and mental health.</p>","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":"139040966","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":"Factor Analysis and Validation of the Disturbing Dream and Nightmare Severity Index in an Inpatient Sample.","authors":"Katrina A Rufino, Courtney J Bolstad, Courtney B Worley, Michelle A Patriquin, Michael R Nadorff","doi":"10.1080/15402002.2024.2319835","DOIUrl":"10.1080/15402002.2024.2319835","url":null,"abstract":"<p><strong>Study objectives: </strong>The Disturbing Dream and Nightmare Severity Index (DDNSI) has been used widely in research and clinical practice without psychometric evidence supporting its use in clinical samples. The present study aimed to explore and confirm the factor structure of the DDNSI in an inpatient sample. We also sought to test the measure's construct validity.</p><p><strong>Methods: </strong>Two samples of U.S. inpatients including adult (<i>N</i> = 937) and adolescent (<i>N</i> = 274) participants provided data on nightmares (i.e. DDNSI), sleep quality (i.e. the Pittsburgh Sleep Quality Index) and related psychopathology symptoms (e.g. depression, posttraumatic stress disorder, anxiety).</p><p><strong>Results: </strong>Exploratory and confirmatory factor analyses found the six original items of the DDNSI to load onto a single latent factor.</p><p><strong>Conclusions: </strong>The DDNSI was found to be a valid measure of nightmare frequency and distress, as it was significantly correlated with the items related to disturbing dreams, and the DDNSI was able to differentiate between nightmares and psychopathology symptoms. Though this research comes nearly two decades after the initial creation and use of the DDNSI, it provides a foundation for the scientific rigor of previous and future studies on nightmares using the DDNSI.</p>","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":"139974738","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":"Cognitive behavior therapy for insomnia in university students delivered via videoconferencing groups: A pilot study.","authors":"Michelle Tadros, Sophie Li, Britt Corkish, Emily Upton, Jill Newby, Aliza Werner-Seidler","doi":"10.1080/15402002.2024.2374258","DOIUrl":"https://doi.org/10.1080/15402002.2024.2374258","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep difficulties are common amongst university students and are associated with mental illness and reduced wellbeing. This paper reports a pilot study of Cognitive Behavior Therapy for Insomnia (CBT-I) tailored specifically for university students. It was hypothesized that the intervention would be feasible, acceptable, and improve sleep, anxiety, depression, and wellbeing.</p><p><strong>Method: </strong>Students aged 18-25 participated via videoconferencing small group sessions of CBT-I. Feasibility was assessed through sign-up, consent rates, and study attrition, while acceptability was assessed using intervention adherence and a measure of intervention acceptability. Outcome measures included sleep quality, insomnia, suicidal ideation, symptoms of depression, anxiety, and wellbeing, and were assessed at baseline and post-intervention.</p><p><strong>Results: </strong>Participants were 44 students (<i>M</i> = 21.8 years). Feasibility was confirmed by sign-up and consent rates (80% of the students who expressed interest agreed to participate); overall study attrition was 48%, comprised largely of participants not commencing treatment (27%). Participants perceived the program as effective and logical and made use of the skills suggested. In terms of adherence, 82% of the participants who engaged with treatment attended two or more sessions and 63% attended all four sessions; and 92% were either very satisfied or mostly satisfied. Sleep quality, insomnia, depression, anxiety, and wellbeing all significantly improved from pre- to post-intervention.</p><p><strong>Discussion: </strong>There was evidence that the CBT-I intervention tailored for university students was acceptable to participants and could be feasible to deliver. Sleep quality, depression, anxiety, and wellbeing improved significantly. These findings suggest that the intervention is suitable for evaluation in a fully powered randomized controlled trial.</p>","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":"141472842","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":"Validation of the Korean version of the Sleep Hygiene Practice Scale in a Non-Clinical Population.","authors":"Dongyeop Kim, Ji Young Yun, Hye Ah Lee, Pamela Song, Heeyoung Ahn, Chien-Ming Yang, Jee Hyun Kim","doi":"10.1080/15402002.2024.2367461","DOIUrl":"https://doi.org/10.1080/15402002.2024.2367461","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to validate the Korean version of the sleep hygiene practice scale (SHPS-K) and determine its effectiveness in screening poor sleepers with insomnia.</p><p><strong>Methods: </strong>Online survey was conducted using translated SHPS in Korean, the Korean versions of the Pittsburgh Sleep Quality Index (PSQI-K), Insomnia Severity Index (ISI-K), and Epworth Sleepiness Scale (KESS) in a non-clinical population. The internal consistency and test-retest reliability of the SHPS-K were assessed using Cronbach's alpha and intraclass correlation coefficients (ICC), respectively. Construct validity was evaluated using correlation analyses with other questionnaires and confirmatory factor analysis. We determined the cutoff values that could identify poor sleepers with insomnia symptoms (PSQI-K > 5 and ISI-K ≥ 15) using receiver operating characteristic analysis.</p><p><strong>Results: </strong>A total of 484 participants (242 women, mean age of 43.8 years) were enrolled. The average SHPS-K score was 71.2, with no significant sex differences. Women had poorer sleep scheduling and timing behaviors, and men had poorer eating and drinking behaviors. Good internal consistency (Cronbach's alpha = 0.88) and test-retest reliability (ICC = 0.80) were observed. The SHPS-K was positively correlated with the PSQI-K (<i>r</i> = 0.55), ISI-K (<i>r</i> = 0.54), and KESS (<i>r</i> = 0.42). A cutoff value of 73 identified poor sleepers with insomnia (area under the curve = 0.828).</p><p><strong>Conclusions: </strong>The SHPS-K is a reliable instrument for evaluating sleep hygiene in non-clinical Korean populations.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421997","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":"Quality of Sleep and Its Determinants Among People with Diabetes Mellitus in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.","authors":"Setegn Fentahun, Techilo Tinsae, Gidey Rtbey, Fantahun Andualem, Mulualem Kelebie, Getasew Kibralew, Girum Nakie, Samuel Teferi, Asnake Tadesse, Mamaru Melkam, Gebresilassie Tadesse","doi":"10.1080/15402002.2024.2367469","DOIUrl":"10.1080/15402002.2024.2367469","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep quality is a serious concern among diabetes mellitus patients, adversely affecting glycemic management and the prognosis of diabetic patients. Therefore, the main aim of this study was to estimate the overall pooled prevalence of poor sleep quality and its associated factors among diabetic patients in Sub-Saharan Africa.</p><p><strong>Methods: </strong>Several search databases were employed to retrieve the eligible studies. A standardized data extraction format was used to extract the data, and the analysis was conducted using STATA version 14. To determine heterogeneity, the I² test was conducted, and both the funnel plot and Egger's regression test were used to assess the publication bias. A random effects model meta-analysis was performed to estimate the overall prevalence and associated factors of poor sleep quality.</p><p><strong>Results: </strong>In the current meta-analysis, a total of 11 studies with 3,766 study participants were included. The overall pooled prevalence of poor sleep quality among diabetic patients was 53.22% (95% CI: 36.26, 70.19). Poor sleep quality was significantly associated with longer duration of diabetes (OR = 2.94, 95% CI: 1.85, 4.67), poor glycemic control (OR = 2.24, 95% CI: 1.51, 3.32), depression (OR = 4.09, 95% CI: 2.07, 8.05) and comorbidity (OR = 1.94, 95% CI: 1.31, 2.88).</p><p><strong>Conclusion: </strong>In this study, more than half of diabetic patients in Sub-Saharan Africa had poor sleep quality. Therefore, healthcare providers should give more attention to sleep disorders when screening diabetic patients to improve their poor sleep quality.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321972","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}