Behavioral Sleep Medicine最新文献

{"title":"Sleep Duration Associated with Subjective Cognitive Decline: Influence of Age, Sex, Race and Ethnicity.","authors":"Anthony Q Briggs, Marcus Johnson, Sadia B Ghani, Andrew S Tubbs, William D S Killgore, Debbie Chung, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner","doi":"10.1080/15402002.2026.2623103","DOIUrl":"10.1080/15402002.2026.2623103","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the relationship between short and long sleep duration and subjective cognitive decline (SCD) in a diverse cohort of cognitively normal mid- to older-age adults.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of the 2022 Behavioral Risk Factor Surveillance System (BRFSS) data, including 63,948 adults aged 40-70. SCD was assessed using BRFSS survey queries. Multivariable logistic regression models examined the association between sleep duration ( < 7, 7, ≥8 hours) and SCD, adjusting for age, sex, race/ethnicity, education, and history of depression.</p><p><strong>Results: </strong>Both short and long sleep durations were associated with higher odds of SCD. The association between short sleep and SCD was strongest among individuals in their 40s at the start of midlife. Findings were consistent across all ages for non-Hispanic Whites (NHW) and for Hispanics/Latinos in their 50s and 70s. Black/African American (B/AA) adults exhibited a stronger relationship between both short and long sleep duration and SCD as they aged from midlife into their 80s, compared to NHWs.</p><p><strong>Conclusions: </strong>Short sleep duration is more strongly associated with subjective cognitive decline in midlife, particularly among B/AA adults. Addressing sleep disparities may help mitigate the risk of SCD.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"371-384"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115049","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":"Neural Structural Moderation of Sleep Architecture-Pain Relationships in Fibromyalgia and Insomnia: A Pilot Study.","authors":"Ashley F Curtis, Neetu Nair, Kevin McGovney, Melanie A Stearns, Sydney Shoemaker, Hannah DeJonge, Jason Craggs, Christina S McCrae","doi":"10.1080/15402002.2026.2664874","DOIUrl":"10.1080/15402002.2026.2664874","url":null,"abstract":"<p><strong>Objective: </strong>Chronic pain and insomnia are independently associated with neural structural alterations compared to healthy controls. However, the relationship between their joint association and cortical thickness (CT) in pain processing regions is unknown. This preliminary study explores whether CT in regions of interest (anterior cingulate cortex-ACC; insula) moderates associations between sleep architecture and overnight pain changes.</p><p><strong>Methods: </strong>Thirty adults with fibromyalgia and insomnia (M_age = 57.2, SD = 13.1) completed 1-night of polysomnography, 14 daily diaries documenting evening/morning pain (0:none-100:worst imaginable), and magnetic resonance imaging (MRI). Overnight pain changes were computed as average differences between evening/next morning pain (positive values = lower morning pain, negative values = worse morning pain). CT values (Left/Right rostral/caudal ACC, Left/Right insula) were extracted from MRI data using FreeSurfer 5.1.0. Multiple regressions examined whether CT moderated associations between sleep architecture (N1-N3%, REM%) and overnight pain changes, controlling for age and education.</p><p><strong>Results: </strong>Right rostral ACC (RrACC) CT moderated associations between overnight pain changes and N2%, N3% and REM%. At highest RrACC CT, lower N2% was associated with lower morning vs. previous evening pain; and greater N3% and REM% were associated with lower morning vs. evening pain. Left insula CT moderated associations between N3% and overnight pain changes. Greater N3% was associated with lower morning pain relative to evening pain at highest Left insula CT.</p><p><strong>Discussion: </strong>Greater CT inpain processing regions (RrACC, left insula) moderates associations between greater restorative sleep and overnight pain improvements. Further examination of cortical thickness in research seeking to understand the sleep/pain relationship in fibromyalgia is warranted.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789917","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":"Experiential Avoidance is Associated with Insomnia Symptoms and Related Consequences Among Veterans with Posttraumatic Stress Disorder.","authors":"Gwendolyn C Carlson, Alaina I Gold, Alexander J Erickson, Monica R Kelly, Michael N Mitchell, Karen R Josephson, Katie J Carlson, Sarah Kate McGowan, Chase H G MacCabe, Michelle R Zeidler, Constance H Fung, Cathy A Alessi, Elizabeth M Yano, Thomas C Neylan, Jennifer L Martin","doi":"10.1080/15402002.2026.2658812","DOIUrl":"10.1080/15402002.2026.2658812","url":null,"abstract":"<p><strong>Objectives: </strong>Experiential avoidance is the unwillingness to come into contact with aversive internal experiences. Trauma exposure is associated with greater experiential avoidance and insomnia symptoms. Experiential avoidance may perpetuate insomnia symptoms in patients with posttraumatic stress disorder (PTSD). We examined the relationship between experiential avoidance and insomnia symptoms among veterans with PTSD (based on the Clinician-Administered PTSD Scale for DSM-5).</p><p><strong>Method: </strong>The sample included 93 veterans (<i>M</i> = 54.7 years; 86.0% male) who attributed their sleep disturbance onset to experiences of trauma on the CAPS-5. Experiential avoidance, insomnia, sleep disturbance, daytime sleepiness, and daytime consequences were measured with the Brief Experiential Avoidance Questionnaire (BEAQ), Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and International Classification of Sleep Disorders (ICSD) items. We conducted multiple linear regressions with age, sex, and BEAQ as the independent variables and sleep variables as the dependent variables.</p><p><strong>Results: </strong>There were significant positive associations between the BEAQ and the ISI, PSQI daily disturbance factor, ESS, and ICSD daytime consequences.</p><p><strong>Conclusions: </strong>Greater experiential avoidance was associated with worse insomnia symptoms and consequences, particularly daytime dysfunction. Experiential avoidance may be an overlooked, but relevant treatment target for patients with comorbid insomnia and PTSD.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693535","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":"Parental Perceptions of Environmental Factors on Preschoolers' Sleep Duration Among 23 Low-, Middle-, and High-Income Countries.","authors":"Claudia I Maddren, Gursimran Dhamrait, Mounir Ghogho, Kar Hau Chong, Alejandra Jáuregui, Sanne L C Veldman, Fotini Venetsanou, Asmaa El Hamdouchi, Najmeh Hamzavi Zarghani, Ankhmaa Byambaa, Tawonga Mwase-Vuma, Piyawat Katewongsa, Narayan Subedi, Chalchisa Abdeta, Michael Chia, Elina Engberg, Himangi Lubree, Kuston Sultoni, Pragya Singh, Edin Užičanin, Marites M Tiongco, Mohamed-Souhaiel Chelly, Ali Turab, Oluwayomi Abolade Aoko, Anna Kontsevaya, Jackline Jema Nusurupia, Anthony D Okely","doi":"10.1080/15402002.2025.2576917","DOIUrl":"10.1080/15402002.2025.2576917","url":null,"abstract":"<p><strong>Objective: </strong>To examine the associations between parent perceived environmental factors, nighttime sleep duration and 24-h sleep duration among an international sample of preschool-aged children.</p><p><strong>Methods: </strong>Secondary analyses of cross-sectional data from preschoolers across 23 countries (19 LMICs), collected during the third pilot phase (January 2021-August 2024) of the SUNRISE Study. Parents completed a questionnaire which asked about their child's sleep patterns and environmental factors that impacted their child's sleep in the previous 3 days.</p><p><strong>Results: </strong>Data from 2,219 children were analyzed. A significant difference was observed between nighttime sleep (F = 14.27, <i>p</i> = <0.0001) and nap duration (F = 9.10, <i>p</i> = 0.0004) across country income level. Environmental factors such as heat (-12.87, 95% CI: -11.54, -0.61) and cold (-17.70, 95% CI: -34.53, -0.85) were negatively associated with nighttime sleep duration.</p><p><strong>Conclusions: </strong>Public health researchers and professionals should prioritize context-specific strategies to minimize the impact of weather conditions on sleep to promote healthy levels of sleep among preschoolers from diverse settings.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"219-231"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402851","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":"The Effect of Pre-Sleep Arousal on Bedtime Procrastination: A Longitudinal study.","authors":"Shion Miyagawa, Shunta Maeda","doi":"10.1080/15402002.2025.2576902","DOIUrl":"10.1080/15402002.2025.2576902","url":null,"abstract":"<p><strong>Objective: </strong>Bedtime procrastination describes going to bed later than intended, leading to insufficient sleep. Although difficulty falling asleep and pre-sleep arousal are assumed to cause bedtime procrastination, the relationship has not been directly examined. In this study, we examined whether difficulty falling asleep and pre-sleep arousal lead to bedtime procrastination.</p><p><strong>Methods: </strong>We conducted a longitudinal survey, administered three times at 1-month intervals, among participants aged 18-65 years; 1,102 participants were included in the final analysis. Participants were asked to complete questionnaires that included bedtime procrastination, difficulty falling asleep, and pre-sleep arousal (cognitive and somatic) measures. The random intercept cross-lagged panel model was used to test the hypothesis that difficulty falling asleep and pre-sleep arousal increased bedtime procrastination.</p><p><strong>Results: </strong>No significant cross-lagged path was observed from difficulty falling asleep or pre-sleep cognitive arousal to bedtime procrastination. A significant positive path was observed from pre-sleep somatic arousal to bedtime procrastination between Times 2 and 3, but not Times 1 and 2.</p><p><strong>Conclusion: </strong>Although difficulty falling asleep did not lead to bedtime procrastination, pre-sleep somatic arousal partially led to bedtime procrastination. These findings suggest that individuals with higher pre-sleep somatic arousal might develop more bedtime procrastination.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"189-199"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402959","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":"A Case Series of Group Videoconference-Delivered Cognitive-Behavioral Therapy with Morning Light Therapy in Adolescents with Delayed Sleep Timing.","authors":"Emily J Ricketts, Ariel J Rissman, Valerie S Swisher, Daniel S Joyce, Christopher S Colwell, Helen J Burgess","doi":"10.1080/15402002.2025.2569376","DOIUrl":"10.1080/15402002.2025.2569376","url":null,"abstract":"<p><strong>Objectives: </strong>This case series examined the feasibility and preliminary effects of group-based, videoconference-delivered cognitive-behavioral therapy (CBT) combined with morning light therapy (LT) in adolescents with delayed sleep timing.</p><p><strong>Method: </strong>Five females aged 14-16 years (<i>M</i> = 15.0, <i>SD</i> = 0.7) completed clinician-administered screening interviews, and baseline and post-treatment assessments, including circadian phase measurement, and validated measures of chronotype, bedtime procrastination, pre-sleep arousal, daytime sleepiness, anxiety, depression, and quality of life. Actigraphy was used for the duration of the study. The intervention included six weekly CBT sessions and short-wavelength wearable LT assigned for 1 hr daily following an advancing wake time schedule.</p><p><strong>Results: </strong>One participant showed a 94-min circadian phase advance; others showed minimal phase advance, no change, or phase delays (<i>n</i> = 2). All participants reported earlier chronotype by post-treatment. Three advanced either sleep onset or wake time, with one showing both. Two showed increased total sleep time, primarily due to delayed wake time. Other objective sleep outcomes are presented. Bedtime procrastination, pre-sleep arousal, daytime sleepiness, depression, and quality of life improved, with modest reductions in anxiety. Challenges included napping, ADHD and anxiety comorbidity, scheduling barriers (homework, extracurricular activities, screen use), and resistance to earlier bedtimes.</p><p><strong>Conclusions: </strong>Results suggest heterogeneous circadian and sleep responses but consistent behavioral improvements. Extended LT duration, motivational enhancement, executive function or time management strategies, and behavioral economics-informed interventions may improve engagement and treatment efficacy.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"160-176"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253978","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":"An Extended Assessment of Bedtime Procrastination in Chinese College Students: Prevalence, Influencing Factors, and Outcomes.","authors":"Yifan Zhang, Huilin Chen, Brendan Ross, Zhijun Yu, Xuan Wang, Xiangting Zhang, Huolian Li, Min Li, Meijiao Huang, Dongfang Wang, Fang Fan","doi":"10.1080/15402002.2025.2583954","DOIUrl":"10.1080/15402002.2025.2583954","url":null,"abstract":"<p><strong>Objective: </strong>Research on the prevalence of bedtime procrastination (BtP) is currently focused on the breadth of BtP presentations, with limited insights into the severity of BtP in terms of its frequency, duration, and dysfunctional impacts. This study aimed to explore the BtP severity and its prevalence among Chinese college students. Moreover, correlates and outcomes of BtP were also examined.</p><p><strong>Methods: </strong>A total of 20704 college students participated in a cross-sectional survey. BtP was measured by combining the bedtime procrastination scale with items related to BtP frequency, duration per episode, and dysfunctional impacts. Sociodemographics, lifestyles, trait- and state-like factors, and indicators of sleep and mental health were also evaluated.</p><p><strong>Results: </strong>The prevalence of severe BtP was 10.5%. Poor family socioeconomic status, physical inactivity, alcohol use, pre-sleep media use, and perceived stress were identified as risk factors for severe BtP, while older age, self-control, and an earlier chronotype were protective factors. Moreover, severe BtP was associated with shorter sleep duration, greater social jetlag, and increased risks of daytime sleepiness and depressive symptoms.</p><p><strong>Conclusions: </strong>The findings provided valuable insights for BtP screening. The associations between BtP and adverse outcomes underscore the importance of screening for severe BtP and offering appropriate interventions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"232-244"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454044","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":"Associations of Prenatal and Postpartum Dietary Inflammatory Potential with Postpartum Sleep Quality and Duration Among Pregnant Women with Overweight/Obesity.","authors":"Nowrin Tamanna, Michael D Wirth, Robert R Moran, Gabrielle M Turner-McGrievy, James R Hébert, Jihong Liu","doi":"10.1080/15402002.2025.2576898","DOIUrl":"10.1080/15402002.2025.2576898","url":null,"abstract":"<p><strong>Objective: </strong>Research indicates a strong relationship between dietary inflammation and sleep; however, such research is limited among women postpartum. We studied whether prenatal and postnatal pro-inflammatory diets were associated with postpartum sleep quality and duration.</p><p><strong>Methods: </strong>A secondary data analysis was conducted among 219 women from the Health in Pregnancy and Postpartum randomized controlled trial promoting healthy lifestyles in pregnant women with pre-pregnancy overweight and obesity. Data from ≤16 and 32 weeks gestation, and 6 and 12 months postpartum were used. Sleep was measured using BodyMedia's SenseWear® armband. Energy-adjusted Dietary Inflammatory Index (E-DII^TM) scores were calculated using micro and macronutrients intake collected from 24-hour dietary recalls. Linear mixed-effects models estimated the impact of the E-DII score on postpartum sleep parameters.</p><p><strong>Results: </strong>Women consuming pro-inflammatory diets, compared to anti-inflammatory diets were more likely to have a later bedtime (<i>p</i> = .04) and a later waketime (<i>p</i> = .03). For every one-unit increase in the prenatal E-DII score, 6-months postpartum sleep latency increased by 0.57 minute (<i>p</i> = .03). Among those receiving the intervention, changes in E-DII scores led to a 7.3-minute earlier bedtime (<i>p</i> = .01), 5.2-minute longer sleep duration (<i>p</i> = .03) and additional 5.7-minute longer time-in-bed (<i>p</i> = .05) compared to controls.</p><p><strong>Conclusions: </strong>Results suggest anti-inflammatory diets during pregnancy and postpartum may be beneficial for better sleep.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"177-188"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338325","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":"Poor Sleep Quality, Mobile Phone Addiction, and Depressive Symptoms Among College Students: A Three-Wave Longitudinal Study.","authors":"Tongyan Deng, Weiqiang Yu, Yu Liu, Shuqin Li, JingYi Xu, Yifan Wang, Rui Wang, Xianbing Song, Tian Xing, Yuhui Wan","doi":"10.1080/15402002.2025.2569375","DOIUrl":"10.1080/15402002.2025.2569375","url":null,"abstract":"<p><strong>Background: </strong>This study employed a multilevel autoregressive mediation model to clarify the longitudinal role of poor sleep quality in the association between mobile-phone addiction and depressive symptoms among Chinese college students.</p><p><strong>Methods: </strong>3,662 freshmen (976 Male/2,686 Female) from two Anhui colleges were assessed at T₁ (November 2019, <i>N</i> = 4,211), T₂ (May 2020, <i>N</i> = 4,193) and T₃ (November 2020, <i>N</i> = 3,662) for sleep quality, mobile-phone addiction and depressive symptoms.</p><p><strong>Results: </strong>Correlation analysis revealed significant associations between smartphone addiction (<i>β</i> = 0.493, 0.391, <i>p</i> <0.001), sleep problems (<i>β</i> = 0.336, 0.318, <i>p</i> <0.001), and depressive symptoms (<i>β</i> = 0.488, 0.431, <i>p</i> <0.001) across T1, T2 and T3 . Positive associations were observed between smartphone addiction and both sleep problems and depressive symptoms (<i>β</i> = 0.343, 0.329 at T1; <i>β</i> = 0.381, 0.402 at T2; <i>β</i> = 0.315, 0.261 at T3; all <i>p</i> < 0.001). A simple mediation model revealed that poor sleep quality partially mediated the association between mobile phone addiction and depressive symptoms among college students (indirect effect <i>β</i> = 0.0505, <i>p</i> < 0.001; total effect <i>β</i> = 0.237, <i>p</i> < 0.001). The multilevel autoregressive mediation model further confirmed that poor sleep quality partially mediated this association (indirect effect <i>β</i> = 0.002, <i>p</i> < 0.05; total effect <i>β</i> = 0.047, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>This study underscores poor sleep quality as a critical mediating factor in the long-term relationship between mobile phone addiction and depressive symptoms among Chinese college students.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"147-159"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338335","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":"A Qualitative Exploration of Barriers and Facilitators to Implementing Sleep and Cognitive Behavioral Therapy for Insomnia Knowledge Into Graduate Psychology Students' Practice.","authors":"Hailey Meaklim, James Farrough, Katelin Staben, Ana Victoria Morillo Aguirre, Melinda L Jackson, Lisa J Meltzer, Moira F Junge, Gerard A Kennedy, Romola S Bucks, Alexander Sweetman, Lisa J Phillips, David C Cunnington, Kayley M Lyons, Marnie Graco, Imogen C Rehm","doi":"10.1080/15402002.2025.2576909","DOIUrl":"10.1080/15402002.2025.2576909","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia is highly comorbid with mental health conditions, yet graduate psychology students receive limited training in sleep and insomnia management. An online introductory sleep workshop focused on insomnia management with Cognitive Behavioral Therapy for Insomnia (CBT-I) was developed for Australian graduate psychology students to address this training gap. However, some students reported difficulties applying CBT-I knowledge to clinical practice. This study explored the barriers and facilitators to implementing CBT-I knowledge into graduate psychology students' practice post-workshop.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 15 graduate psychology students who attended an online introductory sleep and CBT-I workshop. Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Facilitators of CBT-I implementation included: (1) Helpful workshop resources; (2) Increased awareness of the importance of sleep's role in mental health; (3) Enhanced self-efficacy with introductory sleep skills (e.g. sleep history taking); and (4) Knowing where to access further training. Barriers included: (1) Limited ongoing training and clinical supervision; (2) Accessibility challenges; (3) Clinical implementation challenges; and (4) Constraints of being a graduate student.</p><p><strong>Conclusion: </strong>The introductory workshop facilitated the development of introductory CBT-I skills among graduate psychology students, but ongoing training and supervision are needed to enhance implementation and expand Australia's CBT-I workforce.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"200-218"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402857","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}