Behavioral Sleep MedicinePub Date : 2024-03-03Epub Date: 2023-05-31DOI: 10.1080/15402002.2023.2217969
L C Bidwell, S R Sznitman, R Martin-Willett, L H Hitchcock
{"title":"Daily associations with cannabis use and sleep quality in anxious cannabis users.","authors":"L C Bidwell, S R Sznitman, R Martin-Willett, L H Hitchcock","doi":"10.1080/15402002.2023.2217969","DOIUrl":"10.1080/15402002.2023.2217969","url":null,"abstract":"<p><strong>Introduction: </strong>Cannabis is increasingly used to self-treat anxiety and related sleep problems, without clear evidence of either supporting or refuting its anxiolytic or sleep aid effects. In addition, different forms of cannabis and primary cannabinoids ∆9-tetrahydrocannabinol (THC) and cannabidiol (CBD) have differing pharmacological effects.</p><p><strong>Methods: </strong>Thirty days of daily data on sleep quality and cannabis use were collected in individuals who use cannabis for mild-to-moderate anxiety (<i>n</i> = 347; 36% male, 64% female; mean age = 33 years). Participants self-reported both the form (flower or edible) and the ratio of THC to CBD in the cannabis used during the observation period.</p><p><strong>Results: </strong>Individuals who reported cannabis use on a particular day also reported better sleep quality the following night. Moderation analyses showed that better perceived sleep after cannabis use days was stronger for respondents with higher baseline affective symptoms. Further, respondents who used cannabis edibles with high CBD concentration reported the highest perceived quality of sleep.</p><p><strong>Conclusions: </strong>Among individuals with affective symptoms, naturalistic use of cannabis was associated with better sleep quality, particularly for those using edible and CBD dominant products.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"150-167"},"PeriodicalIF":2.2,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600673","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 : 2024-01-02Epub Date: 2023-02-07DOI: 10.1080/15402002.2023.2177294
Kimberly Whitney, Barbara Felt, Akilah Collins-Anderson, Karen Bonuck
{"title":"The Feasibility of Screening for Sleep Problems in Early Childhood Education Programs.","authors":"Kimberly Whitney, Barbara Felt, Akilah Collins-Anderson, Karen Bonuck","doi":"10.1080/15402002.2023.2177294","DOIUrl":"10.1080/15402002.2023.2177294","url":null,"abstract":"<p><strong>Objectives: </strong>Assess the feasibility and staff experience of screening for behavioral sleep problems (BSP) and sleep disordered breathing (SDB) in early childhood education (ECE) settings; examine BSP/SDB prevalence and caregivers' knowledge/attitudes, perception of child sleep problems, and sleep health engagement in this sample.</p><p><strong>Method: </strong>Eight staff representatives from four ECE sites involved with sleep problem screening procedures within a larger RCT on ECE sleep health, discussed their experiences in a focus group; transcript content reviewed. A random subset of caregiver-child dyads (n = 59) from the four ECE sites completed sleep problem measures (BSP: Children's Sleep Habits Questionnaire, Short form [SF-CSHQ], Tayside Children's Sleep Questionnaire [TCSQ-sleep disturbance and difficulty] and SDB: Pediatric Sleep Questionnaire [PSQ], in addition to RCT measures (Parent Knowledge/Attitude/Self-efficacy/Beliefs survey and sleep health goals). Caregiver sleep health engagement was measured by the sleep health goals set.</p><p><strong>Results: </strong>ECE staff reported sleep problem screening as self-explanatory and doable but sometimes administratively burdensome. BSPs were identified in 44% (SF-CSHQ) to 63% (TCSQ-sleep disturbance) of children; SDBs in 13%. Only 11% of caregivers endorsed their child having a sleep \"difficulty\" (TCSQ). Sleep health goals were set by 85% of caregivers; 63% employed educational materials' language.</p><p><strong>Conclusion: </strong>Sleep problem screening in ECE is feasible, and problems are elicited. While caregivers readily engage in setting healthy sleep goals, few endorse sleep as difficult. ECE education could improve caregiver understanding/recognition of sleep problems.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"28-38"},"PeriodicalIF":2.2,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305226","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 : 2024-01-02Epub Date: 2023-02-21DOI: 10.1080/15402002.2023.2177293
Ashley F Curtis, Amy N Costa, Madison Musich, Anthony Schmiedeler, Sadhika Jagannathan, Maggie Connell, Angela Atkinson, Mary Beth Miller, Christina S McCrae
{"title":"Sex as a moderator of the sleep and cognition relationship in middle-aged and older adults: A preliminary investigation.","authors":"Ashley F Curtis, Amy N Costa, Madison Musich, Anthony Schmiedeler, Sadhika Jagannathan, Maggie Connell, Angela Atkinson, Mary Beth Miller, Christina S McCrae","doi":"10.1080/15402002.2023.2177293","DOIUrl":"10.1080/15402002.2023.2177293","url":null,"abstract":"<p><strong>Objectives: </strong>Despite known sex differences in the prevalence of sleep disturbance and cognitive impairment, research investigating sex differences in sleep/cognition associations is limited. We examined sex as a moderator of associations between self-reported sleep and objective cognition in middle-aged/older adults.</p><p><strong>Methods: </strong>Adults aged 50+ (32 men/31 women, <i>M<sub>age</sub> </i>= 63.6 ± 7.7) completed the Pittsburgh Sleep Quality Index (PSQI) and cognitive tasks: Stroop (processing speed, inhibition), Posner (spatial attentional orienting) and Sternberg (working memory). Multiple regressions examined whether PSQI metrics (global score, sleep quality ratings, sleep duration, sleep efficiency) were independently or interactively (with sex) associated with cognition, controlling for age and education.</p><p><strong>Results: </strong>Sex interacted with sleep quality ratings in its association with endogenous spatial attentional orienting (∆R<sup>2</sup> = .10, <i>p =</i> .01). Worse ratings of sleep quality were associated with worse orienting in women (<i>B =</i> 22.73, <i>SE =</i> 9.53, <i>p =</i> .02), not men (<i>p</i> = .24). Sex interacted with sleep efficiency in its associations with processing speed (∆R<sup>2</sup> = .06, <i>p = </i>.04). Lower sleep efficiency was associated with slower Stroop control trial performance in women (<i>B = -1</i>5.91, <i>SE = </i>7.57, <i>p = </i>.04), not men (<i>p</i> = .48).</p><p><strong>Conclusions: </strong>Preliminary findings suggest middle-aged/older women are more vulnerable to associations between poor sleep quality and low sleep efficiency on spatial attentional orienting and processing speed, respectively. Future studies in larger samples investigating sex-specific prospective sleep and cognition associations are warranted.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"14-27"},"PeriodicalIF":3.1,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10752224","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 : 2024-01-02Epub Date: 2023-03-29DOI: 10.1080/15402002.2023.2192499
Liyong Yu, Lu Yang, Hao Xu, Guangli Zhao, Zeyang Dou, Yucai Luo, Jie Yang, Qi Zhang, Siyi Yu
{"title":"Inhibitory Deficits of Insomnia Disorder: A Meta-Analysis on Event Related Potentials in Auditory Oddball Task.","authors":"Liyong Yu, Lu Yang, Hao Xu, Guangli Zhao, Zeyang Dou, Yucai Luo, Jie Yang, Qi Zhang, Siyi Yu","doi":"10.1080/15402002.2023.2192499","DOIUrl":"10.1080/15402002.2023.2192499","url":null,"abstract":"<p><strong>Background: </strong>Despite numerous studies on auditory event-related potentials (ERPs) in insomnia disorder (ID), the results are inconsistent across different ERP components (e.g. N1, P2, P3, and N350), types of auditory stimuli (e.g. standard and deviant), and stages of sleep (e.g. wakefulness, NREM sleep, and REM sleep). In light of this variability, we conducted a systematic meta-analysis of previous auditory ERP studies in ID to provide a quantitative review of the existing literature.</p><p><strong>Methods: </strong>Relevant literatures were searched on the Embase, PubMed/MEDLINE, PsycINFO and Cochrane Library. A total of 12 studies comprising 497 participants were finally included in this meta-analysis. The study protocol was registered with PROSPERO under the registration number CRD42022308348.</p><p><strong>Results: </strong>We found that patients with ID have significantly decreased N1 (Hedges' g = 0.34, 95%CI [0.04, 0.65]) and P3 (Hedges'g = -1.21, 95%CI [-2.37, -0.06]) amplitudes during wakefulness. In addition, decreases in P2 (Hedges'g = -0.57, 95%CI [-0.96, -0.17]) amplitude during wakefulness and N350 (Hedges' g = 0.73, 95%CI [0.36, 1.09]) amplitude during NREM.</p><p><strong>Conclusions: </strong>This meta-analysis represents the first systematic investigation of ERP features across different stages of sleep in individuals with ID. Our results suggest that in patients with insomnia, the absence or deficiency of arousal inhibition during the nighttime sleep initiation or maintenance process may interfere with the normal process of sleep.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"100-114"},"PeriodicalIF":3.1,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557515","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 : 2024-01-02Epub Date: 2023-02-06DOI: 10.1080/15402002.2023.2176853
Ebrahim Norouzi, Leeba Rezaie, Amy M Bender, Habibolah Khazaie
{"title":"Mindfulness plus physical activity reduces emotion dysregulation and insomnia severity among people with major depression.","authors":"Ebrahim Norouzi, Leeba Rezaie, Amy M Bender, Habibolah Khazaie","doi":"10.1080/15402002.2023.2176853","DOIUrl":"10.1080/15402002.2023.2176853","url":null,"abstract":"<p><strong>Background: </strong>As the disorder progresses, patients with depression suffer from decreased emotional stability, cognitive control and motivation. In the present study, we examined the effectiveness of three interventions on emotion dysregulation and insomnia severity: 1) mindfulness; 2) physical activity, and 3) mindfulness plus physical activity.</p><p><strong>Method: </strong>A total of 50 participants (mean age 33.21 ± 5.72 SD, 59% females) with major depression were randomly assigned to one of the three study conditions. Emotional dysregulation and insomnia severity were assessed at baseline, eight weeks later at study completion, and 4 weeks after that at follow-up.</p><p><strong>Results: </strong>Emotion regulation and sleep quality improved over time from baseline to study completion and to follow-up. Compared to the mindfulness and physical activity alone conditions, the mindfulness plus physical activity condition led to higher emotion regulation and sleep quality.</p><p><strong>Conclusion: </strong>The combination of physical activity and mindfulness seems to have a beneficial effect on sleep quality and emotion regulation in those with major depression disorder and could be a valuable treatment strategy.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":3.1,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10663722","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 in young people: What works now and where to? A meta-review of behavioural and cognitive interventions and lifestyle factors.","authors":"Michelle Olaithe, Cele Richardson, Melissa Ree, Kasey Hartung, Tricia Wylde, Romola Bucks","doi":"10.1080/15402002.2023.2182305","DOIUrl":"10.1080/15402002.2023.2182305","url":null,"abstract":"<p><strong>Objectives: </strong>1) Systematically review meta-analyses and systematic reviews that (a) explored health/lifestyle factors affecting sleep, and/or (b) investigated behavioral/psychological sleep interventions in young people (10-25-years); 2) Evaluate the quality of published literature, and, if an intervention; 3) Examine method and effectiveness of mode of delivery, to inform current clinical practice and research direction.</p><p><strong>Method: </strong>A systematic search of Embase (<i>n</i> = 45), MEDLINE (<i>n</i> = 67), Web of Science (<i>n</i> = 375), Google Scholar (<i>n</i> = 138), and hand-searching was conducted. After full review, 12 papers were selected, 2 systematic reviews without, and 10 with, meta-analyses. Six examined associations between sleep and lifestyle/health, and six examined cognitive-behavioral (<i>n</i> = 4), or school education (<i>n</i> = 2), programs.</p><p><strong>Results: </strong>Electronic media use, type of day (week/end), sex, age, culture/geographical location, substance use, family environment, and evening light exposure were negatively associated with sleep, in young people. Only cognitive and/or behavioral interventions of at least 2 × 1-hr sessions improved sleep.</p><p><strong>Conclusion: </strong>This paper informs sleep recommendations for young people and advises that ≥ 2 × 1-hr sessions of cognitive behavioral or behavioral therapy is the minimum to improve sleep in young people. School-based sleep interventions do not produce long-term change.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"58-75"},"PeriodicalIF":3.1,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10813974","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 : 2024-01-02Epub Date: 2023-04-04DOI: 10.1080/15402002.2023.2197600
Giada Benasi, Amber Malik, Bin Cheng, Brooke Aggarwal, Ari Shechter, Marie-Pierre St-Onge
{"title":"Well-being therapy and sleep hygiene in a non-clinical population of adults reporting poor sleep quality and distress: A remote pilot randomized controlled study.","authors":"Giada Benasi, Amber Malik, Bin Cheng, Brooke Aggarwal, Ari Shechter, Marie-Pierre St-Onge","doi":"10.1080/15402002.2023.2197600","DOIUrl":"10.1080/15402002.2023.2197600","url":null,"abstract":"<p><strong>Objectives: </strong>This pilot randomized controlled study evaluates the feasibility and preliminary efficacy of a 7-week remote intervention combining well-being therapy and sleep hygiene to improve sleep and psychological outcomes among adults reporting poor sleep and distress.</p><p><strong>Methods: </strong>Thirty-one participants (81% women, 40.2 ± 13.0 y, 48% racial/ethnic minority) were recruited from the community during the COVID-19 pandemic through online and local advertisement, and randomized to well-being therapy+sleep hygiene or sleep hygiene-only. Study outcomes were evaluated by self-reported questionnaires administered at baseline and post-intervention and a daily sleep diary.</p><p><strong>Results: </strong>Compared to sleep hygiene-only, well-being therapy+sleep hygiene led to greater improvements in wake after sleep onset (time-by-group interaction: 3.6 ± 1.5 min, <i>p</i> = .017), personal growth (β -3.0, 95%CI -5.2, -0.8, <i>p</i> = .01), and purpose in life (β -3.5, 95%CI -6.1, -0.9, <i>p</i> = .009). Anxiety, perceived stress, sleep quality, and insomnia symptoms improved similarly in both groups (between-group differences, <i>p</i> > .05). Improvements in sleep quality, insomnia, and sleep duration were associated with reductions in multiple measures of psychological distress (all <i>p</i> < .05).</p><p><strong>Conclusions: </strong>These findings suggest that, in a non-clinical setting of individuals suffering from combined poor sleep and psychological distress, the addition of well-being therapy to sleep hygiene may provide additional benefits for sleep by promoting sleep continuity and well-being.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"115-128"},"PeriodicalIF":2.2,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9247704","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 : 2024-01-02Epub Date: 2023-04-12DOI: 10.1080/15402002.2023.2189723
Lauren C Daniel, Polina Poliakova, Madison Stein, Lauren Dunmyer, Stephanie Weaver-Rogers, Wanda Garcia, Gloria Bonilla-Santiago, Ariel A Williamson
{"title":"Maternal Perceptions of Evidence-Based Early Childhood Sleep Health Promotion Recommendations: An Explanatory Sequential Study.","authors":"Lauren C Daniel, Polina Poliakova, Madison Stein, Lauren Dunmyer, Stephanie Weaver-Rogers, Wanda Garcia, Gloria Bonilla-Santiago, Ariel A Williamson","doi":"10.1080/15402002.2023.2189723","DOIUrl":"10.1080/15402002.2023.2189723","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this explanatory sequential design study was to better understand caregivers' perceptions about and interest in evidence-based early childhood sleep health promotion recommendations.</p><p><strong>Method: </strong>A purposeful sample of mothers of 20 1-5-year-old children (10 children exhibiting optimal sleep and 10 children exhibiting insufficient/fragmented sleep) attending a preschool serving a low socio-economic (SES) status metropolitan community were invited to participate in qualitative interviews. Data were coded according to a grounded theory approach and themes were identified within the optimal and suboptimal sleeper groups.</p><p><strong>Results: </strong>Mothers reported different approaches to managing electronics by optimal/suboptimal sleeper group, with mothers of optimal sleepers limiting access to electronics more than mothers in the suboptimal sleep group. Other themes of sleep health practices did not differ meaningfully between groups.</p><p><strong>Conclusions: </strong>Maternal perspectives about early childhood sleep health were similar across optimal and suboptimal sleepers on most elements of child sleep health. Managing child sleep was contextually influenced and these results highlight the complexities of how families living in lower SES environments perceive common sleep recommendations. Thus, sleep health education efforts should be tailored to the needs and values of specific families and communities.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"87-99"},"PeriodicalIF":2.2,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10567985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283356","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 : 2024-01-02Epub Date: 2023-02-26DOI: 10.1080/15402002.2023.2184369
Anna J Yeo, Anna Cohenuram, Shira Dunsiger, Julie Boergers, Sheryl J Kopel, Daphne Koinis-Mitchell
{"title":"The Sleep Environment, Napping, and Sleep Outcomes among Urban Children With and Without Asthma.","authors":"Anna J Yeo, Anna Cohenuram, Shira Dunsiger, Julie Boergers, Sheryl J Kopel, Daphne Koinis-Mitchell","doi":"10.1080/15402002.2023.2184369","DOIUrl":"10.1080/15402002.2023.2184369","url":null,"abstract":"<p><strong>Objectives: </strong>Children with asthma living in U.S. urban neighborhoods experience increased risk for asthma morbidity and poor sleep outcomes. In addition to asthma, environmental factors (e.g. noise, uncomfortable temperature, light exposure) related to urban poverty may disturb children's sleep. This study examined the association between environmental factors and sleep outcomes among urban children with and without asthma, and whether napping underlies the environment-sleep link. Additionally, the study tested whether these associations differed by health status (i.e. asthma) or race/ethnicity.</p><p><strong>Method: </strong>Participants included urban children aged 7-9 years with (<i>N</i> = 251) and without (<i>N</i> = 130) asthma from Latino, Black, or non-Latino White (NLW) background. Caregivers reported sleep environmental factors and naps. Sleep duration, efficiency, and nightly awakenings were assessed via actigraphy.</p><p><strong>Results: </strong>Regardless of health status, frequent exposure to noise and light was associated with poorer sleep outcomes only among Latino children. In the full sample with and without asthma, noise exposure during nighttime sleep was related to more frequent daytime naps, which were linked to shorter nighttime sleep duration.</p><p><strong>Conclusions: </strong>Exposure to noise and light may play a particularly influential role in shaping urban children's sleep outcomes. Racial/ethnic differences and the potential mediating role of napping in this environment-sleep association may inform tailored interventions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"76-86"},"PeriodicalIF":2.2,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10095636","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 : 2024-01-02Epub Date: 2023-02-20DOI: 10.1080/15402002.2023.2180005
Camila de Castro Corrêa, Agnes Andrade Martins, Karinna Veríssimo Meira Taveira, Willian Santos da Silva, Joice Carrilho Fernandes, Fernanda Souza Lobo, José Stechman-Neto, Maria Renata José, Cristiano Miranda de Araujo
{"title":"Impact of the COVID-19 pandemic on the sleep quality of students: A meta-analysis and meta-regression.","authors":"Camila de Castro Corrêa, Agnes Andrade Martins, Karinna Veríssimo Meira Taveira, Willian Santos da Silva, Joice Carrilho Fernandes, Fernanda Souza Lobo, José Stechman-Neto, Maria Renata José, Cristiano Miranda de Araujo","doi":"10.1080/15402002.2023.2180005","DOIUrl":"10.1080/15402002.2023.2180005","url":null,"abstract":"<p><strong>Objective: </strong>The present systematic review aims to assess the impact of the COVID19 pandemic on the sleep quality of students.</p><p><strong>Methods: </strong>An electronic search was performed in the databases and in gray literature for articles published up to January 2022. The results included observational studies that assessed sleep quality through validated questionnaires, comparing moments pre and postCOVID19 pandemic. The risk of bias was assessed using the Joanna Briggs Institute Critical Assessment Checklist. The Grading of Assessment, Development and Evaluation (GRADE) was used to assess the certainty of scientific evidence. Estimates of interest were calculated using random effects meta-analyses and possible confounding factors were meta-regressed.</p><p><strong>Results: </strong>Eighteen studies were considered for qualitative synthesis and thirteen were considered for meta-analysis. Considering the comparison of means obtained by the Pittsburgh Sleep Quality Index, there was an increase in the scores obtained during the pandemic period [MD = -0.39; 95% CI = -0.72 - -0.07; I<sup>2</sup> = 88.31%], thus evidencing a slight worsening in the sleep quality of these individuals. Risk of bias was considered low in nine studies, moderate in eight studies, and high in one study. The unemployment rate (%) in the country of origin of each included study partially explained the heterogeneity of analysis. GRADE analysis showed a very low certainty of scientific evidence.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic may have a slight negative impact on the sleep quality of high school and college students, but the evidence is still uncertain. The socioeconomic reality must be considered when evaluating this outcome.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"39-57"},"PeriodicalIF":3.1,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10757874","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}