Behavioral Sleep Medicine最新文献

{"title":"Relations Among Sleep, Internalizing Symptoms, and Academic Performance in College Students.","authors":"Janine Shuman, Shabeeba S Sheikh, Ivan Vargas, Matthew K Robison","doi":"10.1080/15402002.2026.2628676","DOIUrl":"10.1080/15402002.2026.2628676","url":null,"abstract":"<p><strong>Objectives: </strong>To examine correlations among sleep, internalizing symptoms, and academic performance among undergraduate students.</p><p><strong>Methods: </strong>A sample of undergraduate students (N = 255) at a comprehensive public university in the U.S. wore a Fitbit activity band for three weeks to track their sleep via actigraphy. Average total sleep time, circadian midpoint, and sleep efficiency metrics, as well as intraindividual variability in those metrics, were used. Participants also completed a subjective sleep quality questionnaire and self-assessments of depression and anxiety symptoms. Academic performance (i.e., GPA) was gathered from the university registrar's office.</p><p><strong>Results: </strong>There were mostly near-zero relations among actigraphy sleep metrics, academic performance, and internalizing symptoms in the sample. However, there were significant correlations among subjective sleep quality and internalizing symptoms.</p><p><strong>Conclusion: </strong>Contrary to our hypotheses, students who slept little, poorly, or with night-to-night variability, as measured by wearable actigraphy, did not have elevated symptoms of anxiety and depression, nor poorer academic performance.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"393-405"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196122","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":"The Mediating Role of Pain-Related Disability in the Relationship Between Biological Rhythms and the Severity of Depressive Symptoms in Fibromyalgia.","authors":"Roman Orzechowski, Guilherme Rodriguez Amando, Bárbara Regina França, Betina Franceschini Tocchetto, Luísa Klaus Pilz, Arthur França de Souza, Vania Naomi Hirakata, Felipe Fregni, Maria Paz Hidalgo, Wolnei Caumo","doi":"10.1080/15402002.2026.2648511","DOIUrl":"10.1080/15402002.2026.2648511","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the role of disability mainly in the link between chronobiological factors (sleep, light exposure, and rest/activity patterns) and depressive symptoms in people with fibromyalgia (FM).</p><p><strong>Methods: </strong>A cross-sectional study was conducted on a cohort of 197 women, aged 18-65, diagnosed with FM. Depressive symptoms were measured using the Beck Depression Inventory-II (BDI), while FM-related disability was assessed through the Fibromyalgia Impact Questionnaire (FIQ). Actigraphy data (activity and light exposure) over 10 consecutive days and sleep-related behaviors were assessed. Mediation models were performed to investigate the direct and indirect (through FIQ) effects of chronobiological parameters on depressive symptoms.</p><p><strong>Results: </strong>A negative Direct Effect (DE) was identified between BDI scores and light interdaily stability (DE = -4.89), as well as sleep duration on free days (DE = -0.81). There were also Indirect Effects (IE) through FIQ of both intradaily variability of activity rhythms (IE = 3.02) and sleep duration on workdays (IE = -0.47) on BDI scores.</p><p><strong>Conclusion: </strong>Our findings offer evidence that disability due to fibromyalgia symptoms mediates the relationship between rhythm fragmentation and severity of depressive symptoms, providing insights for improved care and therapeutic interventions in fibromyalgia.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"477-491"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582945","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":"Extrinsic and Intrinsic Family Factors Associated with Sleep Health in Adolescent Athletes.","authors":"Mary Margaret Williamson, Jessica S Wallace, Abigail C Bretzin, Brittany M Ingram, Zachary Yukio Kerr, Heather E Gunn","doi":"10.1080/15402002.2026.2628681","DOIUrl":"10.1080/15402002.2026.2628681","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine the association between subjective social status (SSS) and sleep-related quality of life in Black/African American adolescent athletes.</p><p><strong>Methods: </strong>Using a cross-sectional design, adolescent athletes (<i>n</i> = 215; age: <i>Median</i> = 15, Interquartile Range (IQR) = 15-17 years) were recruited from secondary schools in West Central Alabama. Participants reported SSS was measured using the MacArthur Scale of Subjective Social Status-Youth Version (self and family), while sleep disturbances measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbances Scale. Covariates included self-reported gender, concussion history, and familial social support - measured using the PROMIS Family Relationships Scale Short Form.</p><p><strong>Results: </strong>Results from separate univariate logistic regression models indicated greater odds of better sleep with higher perceived family-SSS (OR: 2.09, 95% CI: 1.16, 3.76), higher perceived familial social support (OR: 1.05, 95% CI: 1.02, 1.07), and being male relative to female (OR: 1.83, 95% CI: 1.03, 3.26). Perceived self-SSS demonstrated no significant associations (<i>χ</i>^<i>2</i> = 0.02, <i>p</i> = .90). Adjusting for gender and perceived family social support, high perceived family-SSS (OR: 1.92, 95% CI: 1.05, 3.52) remained significantly associated with having better sleep.</p><p><strong>Conclusions: </strong>In conclusion, male adolescent athletes with high perceived family-SSS and support had greater odds of having better sleep-related quality of life. Further investigation into the relationship between family-SSS and sleep disturbances is warranted for female adolescent athletes.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"406-418"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203864","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":"Sleep apnea phenotypes based on multi-night assessment of sleep perception.","authors":"Jasmin Kuhn, Laura R B Schiphorst, Bernice M Wulterkens, Jerryll Asin, Sebastiaan Overeem, Merel M van Gilst, Pedro Fonseca","doi":"10.1080/15402002.2026.2630936","DOIUrl":"10.1080/15402002.2026.2630936","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep time discrepancy is associated with a lower quality of life and is common in individuals with obstructive sleep apnea (OSA) during polysomnography (PSG), but little is known about multi-night sleep perception patterns in the habitual sleeping environment. We conducted multi-night measurements using a validated wrist-worn photoplethysmography sensor and a digital sleep diary, to identify OSA phenotypes based on sleep perception patterns.</p><p><strong>Method: </strong>Sleep time discrepancy was evaluated using the misperception index (MI). K-means clustering was used to identify sleep perception patterns using two features: the median and median absolute deviation of a participant's multi-night MI values. Clusters were compared across clinical and demographic parameters.</p><p><strong>Results: </strong>Based on 1485 recording nights of 120 individuals with OSA we identified four sleep perception clusters: accurate estimation (<i>n</i> = 64), underestimation (<i>n</i> = 33, with more insomnia symptoms and lower self-reported sleep quality), severe underestimation (<i>n</i> = 6, similar to underestimation, with high pre-sleep cognitive arousal) and variable overestimation (<i>n</i> = 17, older age, with higher apnea-hypopnea index and more disrupted sleep).</p><p><strong>Conclusions: </strong>Distinct OSA phenotypes can be identified based on multi-night sleep perception patterns, and they present with diverging clinical characteristics. This highlights the heterogeneity of the OSA population and may facilitate the development of more personalized treatment approaches.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"430-442"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196181","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":"Sleep Disability Questionnaire in Chronic Low Back Pain: A Study Protocol for Development, Validation, and Reliability Testing.","authors":"Mousumi Saha, Manu Goyal","doi":"10.1080/15402002.2026.2630937","DOIUrl":"10.1080/15402002.2026.2630937","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain (CLBP) is a prevalent musculoskeletal disorder, affecting up to 80% of people in their lifetime. Approximately 70% of CLBP patients report significant sleep disruptions, indicating an important but under-recognized element of their condition. Existing evaluation tools rarely account for this population's unique issues in assessing chronic pain and sleep problems.</p><p><strong>Methods: </strong>This study involves two parts. We will design and evaluate the CLBP-specific Sleep Disability Questionnaire (SDQ) in Phase 1. Through expert discussions, patient interviews, and extensive literature analysis, domain identification is achieved. The Delphi technique will ensure content validity, followed by pilot testing to assess questionnaire usefulness and efficacy. Exploratory factor analysis will evaluate construct validity. Phase 2 will assess SDQ reliability and psychometric features, including internal consistency and inter/intra-rater reliability, in 51 CLBP patients with sleep disorder.</p><p><strong>Results: </strong>Psychometric examination will establish content validity using kappa statistics, I-CVI, and S-CVI. Kolmogorov-Smirnov and Shapiro-Wilk tests will determine normality. Regression, Cronbach's alpha, Pearson or Spearman correlations, Bland-Altman plots, and intraclass correlation coefficients are reliability analyses.</p><p><strong>Conclusion: </strong>This work develops and validates a novel, robust SDQ for CLBP patients. The SDQ should help physicians and researchers diagnose and manage sleep disorders in this patient group, improving clinical outcomes and quality of life.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"443-450"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214921","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":"Barriers to Implementing Behavioral Sleep Interventions for Infants and Toddlers: A Path Analysis of Parental Cognition and Sleeping Arrangement.","authors":"Seoha Kyung, Sooyeon Suh","doi":"10.1080/15402002.2026.2628682","DOIUrl":"10.1080/15402002.2026.2628682","url":null,"abstract":"<p><strong>Objectives: </strong>Evidence-based behavioral sleep interventions (BSIs) effectively consolidate and improve infant sleep. While BSIs are widely implemented in Western countries, very little is known about the knowledge and use of BSIs in Asian countries where bed-sharing is common. The current study aims to explore environmental (e.g. sleep arrangements) and personal (e.g. parental cognitions) barriers in implementing BSIs among parents in South Korea.</p><p><strong>Method: </strong>A total of 507 parents with children aged 6 to 36 months. Participants completed the Parental Understanding and Misperceptions about Baby's sleep- Questionnaire (PUMBA-Q) and Brief Infant Sleep Questionnaire-Revised (BISQ-R). Path analysis tested a model predicting BSIs implementation and child's sleep.</p><p><strong>Results: </strong>Only 21.9% of parents reported implementing at least one BSIs. Children who received BSIs had significantly longer total sleep (<i>t</i>(505) = -3.422, <i>p</i> < .001). Path analysis indicated a direct effect of parental cognition about child's sleep (PUMBA-Q scores) and bed-sharing on implementations of BSIs, and an indirect effect on child's TST through implementation of BSIs.</p><p><strong>Conclusions: </strong>South Korean parents reported lower BSIs implementation rates than Western parents. This study identifies both sleeping arrangement and parental cognition as barriers to implementing BSIs, which may inform tailored BSIs strategies.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"419-429"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272828","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":"Culturally Adapted Cognitive-Behavioral Therapy for Insomnia in Adults From the Arab World: A Three-Arm Randomized Pilot Study.","authors":"M El Gewely, N Attia, Y Leanza, H Ivers, R Moustafa, C H Bastien, C M Morin","doi":"10.1080/15402002.2026.2690489","DOIUrl":"https://doi.org/10.1080/15402002.2026.2690489","url":null,"abstract":"<p><strong>Introduction: </strong>Suboptimal response to CBTi is common in non-Western populations (e.g. Arabs). Aligning CBTi with culturally shaped beliefs and practices may improve outcomes.</p><p><strong>Objectives: </strong>A single-blind, three-arm randomized controlled trial was conducted to compare the efficacy of two-levels of cultural adaptations of CBTi against a wait-list condition for adults with insomnia disorder.</p><p><strong>Methods: </strong>Fifty-four Arabs with insomnia were randomized to one of three conditions: (1) CBTi with surface-level adaptations (i.e. integration of socio-behavioral characteristics to foster treatment engagement and delivery); (2) CBTi with surface and deep-level adaptations (i.e. targeting sociocultural factors that may modulate perceptions of causes, prognosis and treatment); or (3) wait-list (WL). Cultural adaptations of CBTi were informed by findings from our previous qualitative study. Primary outcome was the Insomnia Severity Index (ISI), measured at four time points. Secondary outcomes included: sleep diaries, beliefs and attitudes about sleep (DBAS), anxiety, depression and fatigue scales (HADS and MFI).</p><p><strong>Results: </strong>Both treatment conditions showed significant pre- to post-treatmentimprovements in insomnia severity compared to the wait-list (SD-CBTi ISI mean change: -9.5 [95% CI, -12.3 to -6.7]; S-CBTi: -10.7 [-13.3 to -8.1] and WL: -0.1 [-2.7 to 2.5]; <i>p</i> < .001). Compared to controls, both treatment conditions demonstrated improvements in sleep parameters, HADS and DBAS. No statistically significant differences were observed between active conditions. Improvements were maintained at three-month follow-up.</p><p><strong>Conclusion: </strong>Findings support the potential efficacy of culturally adapted CBTi compared to controls for Arabs. Future research comparing culturally adapted and standard CBTi is needed to determine the incremental benefit of cultural adaptations.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260711","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":"Addressing Daytime Symptoms of Insomnia with CBT-I: An Overview and Practical Applications.","authors":"Parky H Lau, Natalie Solomon, Norah Simpson","doi":"10.1080/15402002.2026.2683617","DOIUrl":"https://doi.org/10.1080/15402002.2026.2683617","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive Behavioral Therapy for Insomnia (CBT-I) is the gold standard treatment for chronic insomnia. While CBT-I is highly effective at improving sleep, standard CBT-I protocols rarely target daytime symptoms directly. The objective of this overview is to provide clinicians with a practical, evidence-informed strategies to address daytime symptoms of insomnia.</p><p><strong>Methods: </strong>The literature was reviewed to identify evidence-informed strategies that address daytime symptoms of insomnia and can be integrated into CBT-I protocols. Strategies considered were drawn from the fields of sleep and circadian sciences, as well as health psychology.</p><p><strong>Results: </strong>Daytime strategies that were identified included specific cognitive, behavioral, and acceptance-based approaches to manage fatigue, sleepiness, and daytime impairment and distress. Specific interventions and recommendations for how these skills can be applied to daytime symptoms were presented and discussed using a case formulation approach.</p><p><strong>Conclusions: </strong>Insomnia is a 24-hour disorder, and it is important for clinicians to address both nighttime and daytime symptoms. Evidence-informed strategies to address daytime symptoms can be integrated within a CBT-I framework. These strategies carry implications for quality of life as well as overall treatment efficacy. Future research should assess the direct impact of intentional inclusion of these strategies on treatment outcomes.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240784","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":"Insomnia disorder and occupational demand in commercial freight driving: A qualitative analysis of symptoms and attributions.","authors":"Iuliana Hartescu, Aron P Sherry, Elizabeth Stamp, Anastasia Christoforou, Stacy A Clemes, Ian M Taylor, Kevin Morgan","doi":"10.1080/15402002.2026.2682402","DOIUrl":"https://doi.org/10.1080/15402002.2026.2682402","url":null,"abstract":"<p><strong>Background: </strong>Inadequate sleep prior to driving professionally is internationally recognized as a preventable crash risk. Nevertheless, insomnia in commercial drivers remains underrecognized both as a driving hazard and as a public health issue. To identify unmet sleep-health needs within this workforce, we explored the correspondence between driver sleep experiences and DSM-5 symptoms of insomnia disorder.</p><p><strong>Materials and methods: </strong>Semistructured interviews addressing the nature, causes, and consequences of impaired driver sleep quality were conducted with commercial freight drivers (<i>n</i> = 20, 19 male) and industry stakeholders (<i>n</i> = 11; 9 male) occupying managerial and executive roles. Interviews were transcribed verbatim and thematically analyzed.</p><p><strong>Results: </strong>\"Sleep symptoms and causal attributions\" emerged as a dominant theme among drivers, with most describing insomnia symptoms linked to driving stress/anxiety, shift patterns and work schedules, and sleeping in vehicles. There was consensus in associating stress/anxiety with sleep onset problems, shift patterns/work schedules with disturbed sleep habits and uncertain bedtimes, and sleeping in vehicles with disturbed sleep habits and poor sleep hygiene. Although prioritizing driver wellbeing and alertness, most stakeholders were less likely to associate driver sleepiness with sleep quality prior to driving, emphasizing instead boredom, monotony, and stress.</p><p><strong>Conclusion: </strong>Driver narratives indicate high levels of untreated insomnia symptoms that align with factors known to precipitate and perpetuate insomnia disorder (e.g. cognitive arousal, degraded sleep routines, and poor sleep hygiene). These behavioral factors are amenable to digital (app-based) cognitive-behavioral sleep improvement programs. With appropriately informed management support, such programs could address an important and safety critical unmet need in this workforce.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221025","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":"Measuring What Matters in Sleep: Development and Validation of the Sleep Health Dimensions Questionnaire.","authors":"Debora Meneo, Sara Curati, Silvia Cerolini, Elisabetta Baldi, Chiara Baglioni","doi":"10.1080/15402002.2026.2681080","DOIUrl":"https://doi.org/10.1080/15402002.2026.2681080","url":null,"abstract":"<p><strong>Objective: </strong>Sleep health is a multifaceted concept encompassing six core dimensions: satisfaction, alertness, timing, regularity, efficiency, and duration. Individual and age-related differences in sleep health are associated with both mental and physical health. Comprehensive measures are needed to evaluate these differences and tailor treatment and preventive approaches.</p><p><strong>Methods: </strong>The present study developed and validated the Sleep Health Dimensions Questionnaire (SHDQ), a multidimensional measure of sleep health inadults. 1273 college students filled out the SHDQ and measures of insomnia, depression, anxiety, emotion regulation, and health-related quality of life. We evaluated the reliability, validity and factor structure of the questionnaire.</p><p><strong>Results: </strong>The SHDQ demonstrated strong psychometric properties, including internal consistency (Cronbach's α = 0.80), item-to-total correlations (<i>r</i> > 0.30), and convergent and divergent validity. The SHDQ effectively discriminated clinically relevant insomnia cases. The SEM model showed a good fit, indicating that the dimensions of sleep health are effective indicators of a main latent variable (multi-dimensional sleep health).</p><p><strong>Conclusions: </strong>The SHDQ comprehensively evaluates sleep health dimensions. As a research tool, it is useful for exploring the relationship between sleep health and mental and physical health across various adult populations.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207078","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}