Behavioral Sleep Medicine最新文献

{"title":"The Sleep Acceptance Scale (SAS): Development, psychometric properties, and applications.","authors":"Renatha El Rafihi-Ferreira, Marwin Carmo, Léo Paulos-Guarnieri, Maria Laura Nogueira Pires","doi":"10.1080/15402002.2025.2555864","DOIUrl":"10.1080/15402002.2025.2555864","url":null,"abstract":"<p><strong>Objectives: </strong>We developed and evaluated the psychometric properties of the Sleep Acceptance Scale (SAS), a tool designed to measure sleep acceptance via cognitive and emotional responses to sleep problems.</p><p><strong>Method: </strong>We designed a six-item scale, rated on a 7-point Likert scale, to capture the nuances of sleep acceptance. Data were collected from 1,350 participants, both with and without sleep problems. We employed an Exploratory Graph Analysis (EGA) and a Confirmatory Factor Analysis (CFA) to assess internal consistency, convergent validity, and measurement invariance over time and between groups.</p><p><strong>Results: </strong>The EGA revealed a unidimensional structure for the SAS, which the CFA also confirmed. However, the root mean square error of approximation was marginally above the ideal threshold. The scale demonstrated high internal consistency (<math><mrow><msub><mi>ω</mi><mrow><mi>tot</mi></mrow></msub></mrow></math> = 0.91) and strong correlations with measures of insomnia severity, anxiety, depression, and willingness, supporting its convergent validity. Although the SAS maintained temporal stability over 14 days, it lacked configural invariance between good and bad sleepers, suggesting potential differences in how sleep acceptance manifested across these groups.</p><p><strong>Conclusions: </strong>The SAS effectively measures sleep acceptance, capturing important cognitive and emotional dimensions. It can be used to monitor progress in acceptance and commitment therapy and mindfulness-based interventions.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"84-96"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979688","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":"Impact of Sleep-Disordered Breathing on Outcomes of Ischemic Stroke: A Systematic Review and Meta-Analysis.","authors":"Jiali Gu, Ying Zhou, Hailuo Zhang, Jiahui Huo","doi":"10.1080/15402002.2025.2563552","DOIUrl":"10.1080/15402002.2025.2563552","url":null,"abstract":"<p><strong>Background: </strong>Sleep-disordered breathing (SDB) is common in ischemic stroke patients and may influence recovery and long-term outcomes. This systematic review and meta-analysis aims to evaluate the impact of SDB on clinical outcomes of ischemic stroke including complications, cognitive impairment, hospitalization, recurrent stroke, and mortality.</p><p><strong>Methods: </strong>A systematic search of PubMed, Embase, and Scopus databases was conducted to identify observational studies examining the relationship between SDB and outcomes in ischemic stroke patients. Random-effect models were used to calculate pooled odds ratios (ORs) with 95% confidence intervals (CIs). Heterogeneity was assessed using the I² statistic.</p><p><strong>Results: </strong>A total of 30 observational studies were included. SDB was associated with significantly higher odds of hospitalization (OR: 6.14, 95% CI: 1.35-27.97) and mortality (OR: 3.39, 95% CI: 1.15-9.98). Moderate-to-severe SDB (AHI > 15) was linked to a higher incidence of adverse outcomes (OR: 1.03, 95% CI: 1.01-1.05). However, no significant associations were found for cognitive impairment (OR: 1.05, 95% CI: 0.73-1.51), complications (OR: 1.14, 95% CI: 0.84-1.55), or recurrent stroke (OR: 1.02, 95% CI: 0.19-5.47).</p><p><strong>Conclusions: </strong>SDB significantly increases the risk of hospitalization and mortality in ischemic stroke patients. Early identification and management of SDB could improve clinical outcomes, though further research is needed to explore causal relationships and optimize interventions.<b>Prospero Registration Number</b>: CRD42024612023.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"97-118"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187460","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":"Differences in Infant and Parental Sleep and Sleeping Location in a Multi-National Study.","authors":"Laura Astbury, Seoha Kyung, Jiwun Song, Donna M Pinnington, Sungkyoung Shin, Bei Bei, Sooyeon Suh","doi":"10.1080/15402002.2025.2529869","DOIUrl":"10.1080/15402002.2025.2529869","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated cross-country differences in infant and maternal sleep across Korea, the U.S.A. and Australia.</p><p><strong>Methods: </strong>Participants were 2,005 mother-infant dyads (infant M_age = 13.82 months, SD_age = 6.23 months) from Australia (<i>n</i> = 73), Korea (<i>n</i> = 222), and the U.S.A. (<i>n</i> = 1710). Mothers completed the Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes About Sleep Scale (DBAS), and Brief Infant Sleep Questionnaire (BISQ) and were grouped (6, 12, and 24 months) dependent on infant age. Data were analyzed using multiple regressions.</p><p><strong>Results: </strong>Korean mothers had higher insomnia symptoms compared to Australian and U.S.A. mothers at all timepoints (p's < .002). Mean DBAS scores were higher for Korean compared to U.S.A. and Australian mothers (p's < .007). Compared to U.S.A. infants at all timepoints and to Australian infants at 12- and 24 months, Korean infants had shorter nighttime TST (p's < .040) and longer SOL (p's < .003). Bedsharing was associated with lower insomnia symptoms in Korean mothers at 24 months (<i>p</i> = .043). Co-sleeping was not significantly associated with insomnia and DBAS scores (p's > .164).</p><p><strong>Conclusions: </strong>Korean mothers had higher insomnia and DBAS scores, which did not differ by co-sleeping status; Korean infants had shorter nighttime TST, and longer SOL. Bedsharing in Korea was protective against insomnia symptoms at 24 months. Further exploration into the mechanisms of sleep changes is required to tailor future interventions for diverse backgrounds.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"752-765"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592990","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 and Related Symptom Severity in Women with Breast Cancer and Pain Receiving Treatment in Medically Underserved Areas.","authors":"Hannah M Fisher, Joseph G Winger, Natalie A Chou, Shifa S Banani, Sarah A Kelleher, Kelly A Hyland, Catherine M Majestic, Rebecca A Shelby, Linda M Sutton, Gloria Broadwater, Yueqi Gu, Francis J Keefe, Tamara J Somers","doi":"10.1080/15402002.2025.2542296","DOIUrl":"10.1080/15402002.2025.2542296","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia is common for women with breast cancer, and related to fatigue, depression, and pain. Research exploring these symptoms among breast cancer patients in medically underserved areas is lacking. This study aimed to characterize symptom severity, and examine how fatigue, depression, and pain vary based on categories of insomnia severity.</p><p><strong>Methods: </strong>Women (<i>N</i> = 127) with Stage 0-IV breast cancer receiving care at clinics in mostly rural, medically underserved areas completed self-report measures of insomnia (Insomnia Severity Index), fatigue (PROMIS-Fatigue), depression (Center for Epidemiological Studies Depression Scale), and pain (Brief Pain Inventory). ANOVA or Kruskal-Wallis tests compared differences in fatigue, depression, and pain across insomnia severity categories. Post-hoc tests determined pairwise significant differences. Analyses were conducted using SAS software.</p><p><strong>Results: </strong>Median [IQR] insomnia symptom severity fell within the Subthreshold/Mild range (12.00 [6.00, 16.00]). Thirty-four percent of women endorsed insomnia symptoms in the Moderate range or higher. Median fatigue was moderate (60.80 [55.60, 64.85]), and median depressive symptoms (17.00 [10.50, 23.50]) indicated risk for clinical depression. Mean pain severity (4.59 [1.85]) and median pain interference (4.29 [2.57, 6.46]) were moderate. Women endorsing Subthreshold/Mild and Moderate/Severe insomnia symptoms exhibited significantly worse fatigue, depressive symptoms, and pain.</p><p><strong>Conclusions: </strong>Results highlight a multi-symptom burden for women with breast cancer receiving care at clinics in medically underserved areas with a largely rural population. Behavioral symptom management is critically needed. Intervening on insomnia may, in turn, improve fatigue, depression, and pain. Behavioral interventions targeting insomnia and related symptoms should be adapted for, and tested, in this population.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"834-849"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790746","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":"Impact of Cognitive Behavioral Therapy for Insomnia on Veterans' Willingness to Seek Treatment for Comorbid Health Conditions.","authors":"Mary Beth Miller, Jana D DeMartino, Sydney D Shoemaker, Katie R Moskal, Anna M Porter, Alan A Guandique, Brian Borsari, Christina S McCrae","doi":"10.1080/15402002.2025.2539504","DOIUrl":"10.1080/15402002.2025.2539504","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the extent to which Cognitive Behavioral Therapy for Insomnia (CBT-I) influences participant willingness to seek treatment for behavioral health conditions. We hypothesized that, relative to sleep hygiene control, CBT-I would be associated with increased willingness to seek treatment for alcohol use, depression, anxiety, PTSD, and chronic pain. Since all participants had insomnia, we also tested CBT-I effects on willingness to seek treatment for residual or future episodes of insomnia.</p><p><strong>Method: </strong>Data were derived from a randomized controlled trial comparing the efficacy of CBT-I to sleep hygiene control among heavy-drinking Veterans with insomnia (<i>N</i> = 70; 57 men, 13 women; age <i>M</i> = 37.6, SD = 9.4). Willingness to seek treatment was measured on a scale from 0 (strongly disagree) to 4 (strongly agree).</p><p><strong>Results: </strong>At the end of treatment, across both groups, participants reported most willingness to seek treatment for insomnia (<i>M</i> = 3.08, SD = 1.04), followed by chronic pain (<i>M</i> = 2.82, SD = 1.21), anxiety (<i>M</i> = 2.76, SD = 1.24), depression (<i>M</i> = 2.75, SD = 1.29), PTSD (<i>M</i> = 2.61, SD = 1.27), and alcohol use (<i>M</i> = 2.51, SD = 1.19). Relative to those in sleep hygiene, CBT-I participants reported increased willingness to seek treatment for insomnia [F(1,48) = 10.25, <i>p</i> = .002, d = 0.86] and chronic pain [F(1,48) = 5.76, <i>p</i> = .02, d = 0.60]. No other group-by-time interactions were significant.</p><p><strong>Conclusions: </strong>CBT-I does increase willingness for future treatment, but only targeting insomnia and chronic pain. Continued research on how to engage Veterans in evidence-based treatment for common mental health concerns (e.g. alcohol use, depression, anxiety, and PTSD) is needed.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"795-806"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12935282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735538","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 Quest for \"Good Sleepers\": A Scientific and Societal Challenge.","authors":"Daniel Ruivo Marques","doi":"10.1080/15402002.2025.2523952","DOIUrl":"10.1080/15402002.2025.2523952","url":null,"abstract":"","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"715-718"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369551","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 Interaction of Chronotype and Sleep Duration in the Association Between Smartphone Usage Time and Problematic Smartphone Use in Early Adolescents.","authors":"Jaejin Kang, Boram Kwon, Il-Hyun Lee, Gyungjoo Lee","doi":"10.1080/15402002.2025.2544969","DOIUrl":"10.1080/15402002.2025.2544969","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined whether the interaction between chronotype and sleep duration moderates the relationship between smartphone usage time and problematic smartphone use (PSU) among early adolescents.</p><p><strong>Methods: </strong>A cross-sectional secondary analysis was conducted using nationally representative data from the 2018 Korean Children and Youth Panel Survey (<i>N</i> = 3,919; 4th and 7th graders). Chronotype, sleep duration, smartphone use, and PSU were assessed. Moderation and moderated moderation analyses were conducted using PROCESS Macro models, controlling for personal, familial, school, and community covariates.</p><p><strong>Results: </strong>This study demonstrated that chronotype and sleep duration interacted to moderate the association between smartphone use and problematic smartphone use (PSU) in early adolescents. Short sleep duration strengthened the positive association between smartphone use and PSU in both advanced and delayed chronotypes. By contrast, with longer sleep duration, this association shifted to a negative correlation, particularly in advanced chronotypes.</p><p><strong>Conclusions: </strong>These findings suggest that both sleep duration and chronotype may play important roles in the association between smartphone use and PSU in early adolescence. Parental and school-based programs that encourage healthy sleep and smartphone use habits could be promising avenues for intervention. Longitudinal research is needed to further investigate the directionality and mechanisms of these associations.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"893-905"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979649","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":"Evaluating the Effectiveness of Cognitive Behavioral Therapy for Insomnia in School Settings: A Systematic Review and Meta-Analysis.","authors":"Catriona Ewart, Kieren J Egan, Marion Henderson, Stephanie McCrory, Leanne Fleming","doi":"10.1080/15402002.2025.2529856","DOIUrl":"10.1080/15402002.2025.2529856","url":null,"abstract":"<p><strong>Purpose: </strong>Poor sleep among adolescents is a significant public health concern. Delivering Cognitive Behavioral Therapy for insomnia (CBT-I) in schools may be an effective way to reach adolescents with poor sleep. This systematic review and meta-analysis examined the effectiveness of school-based CBT-I for improving sleep quality and/or duration among adolescents with insomnia symptoms or disorder.</p><p><strong>Methods: </strong>A systematic search of studies between 2003 and 2025 was conducted in March 2025. Inclusion criteria were adolescents aged 10-19 years (population) with insomnia symptoms, school-based interventions using evidence-based CBT-I principles (intervention), randomized or non-randomized trials (comparator), and reported sleep quality and/or duration (outcome).</p><p><strong>Results: </strong>Eight studies (<i>n</i> = 323; <i>M</i> age = 15.3 years; 62.57% female) from four countries were included. Meta-analysis of within sleep intervention condition groups (<i>n</i> = 8) found significant subjective improvements post-intervention: total sleep time (TST) increased by 23.87 minutes (<i>p</i> < .001), sleep onset latency (SOL) decreased by 8.34 minutes (<i>p</i> < .01), and sleep quality improved <i>g</i> = 0.376 (<i>p</i> = .001). Objective measures of TST increased by 20.91 minutes (<i>p =</i> 0.100), SOL decreased by 1.35 minutes (<i>p =</i> 0.202), and sleep efficiency rose by 0.50% (<i>p</i> = .792). Anxiety improved significantly <i>g</i> = 0.373 (<i>p</i> < .01), but depression did not <i>g</i> = 0.806 (<i>p</i> = .196).</p><p><strong>Discussion: </strong>While sleep improvements were only observed for subjective sleep outcomes, this review suggests that school-based CBT-I may be an effective avenue to address adolescent insomnia. Given the limited evidence, we identify key methodological and implementation considerations to guide practice.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"719-738"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644215","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":"Deriving Subtypes From the Insomnia Severity Index: A Latent Class Analysis and Comparison of Features.","authors":"Matteo Carpi, Daniel Ruivo Marques, Claudio Liguori","doi":"10.1080/15402002.2025.2539961","DOIUrl":"10.1080/15402002.2025.2539961","url":null,"abstract":"<p><strong>Background: </strong>Insomnia and its association with mental health problems are prevalent in young populations. While person-centered statistical methods have identified insomnia phenotypes using a wide range of variables, the potential of common screening tools like the Insomnia Severity Index (ISI) for subtyping insomnia is underexplored. This study aimed to investigate insomnia subtypes in university students using ISI items.</p><p><strong>Methods: </strong>In a cross-sectional online survey, 1,234 Italian university students (mean age: 23.3 ± 2.4 years) completed the ISI, the Pittsburgh Sleep Quality Index, the Depression Anxiety Stress Scale, and the Short Form-12 health survey. Latent class analysis (LCA) was performed using ISI items as indicators, and class differences in sleep quality, psychological distress, and health-related quality of life were assessed.</p><p><strong>Results: </strong>A four-class solution was identified: \"no insomnia\" (NI; 31.4%) with no significant sleep complaints; \"high insomnia risk\" (HI; 17.7%) showing severe nighttime and daytime symptoms; \"subthreshold insomnia\" (SI; 37.0%) characterized by moderate nighttime symptoms and sleep dissatisfaction; and \"predominant daytime symptoms\" (DS; 13.9%) featuring pronounced daytime dysfunction without major nighttime issues. The HI group exhibited the worst sleep quality and highest psychological distress. NI had the best overall outcomes, with SI and DS in intermediate positions. DS had worse mental well-being, higher daytime dysfunction, and more psychological distress compared to SI.</p><p><strong>Conclusion: </strong>LCA identified four insomnia subtypes based on ISI scores, delineating a continuum from no insomnia to high risk, with one subtype marked primarily by daytime impairments. These findings could guide tailored interventions for different clinical presentations.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"807-819"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746052","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 Health Barriers and Facilitators Among African American Family Caregivers.","authors":"Elliane Irani, Heba Aldossary, Uva Sri V Dasari, Glenna S Brewster, J Daryl Thornton, Carolyn Harmon Still, David B Miller, Ronald L Hickman, Stephanie Griggs","doi":"10.1080/15402002.2025.2544178","DOIUrl":"10.1080/15402002.2025.2544178","url":null,"abstract":"<p><strong>Objective: </strong>The cultural and historical experiences of African American family caregivers increase their risk for poor sleep health. Limited research representation hinders the development of effective sleep interventions for their unique needs. The purpose of this study is to explore the barriers and facilitators to sleep health in African American family caregivers and describe participants' preferences and recommendations for sleep health interventions.</p><p><strong>Method: </strong>Using a qualitative descriptive approach, African American family caregivers of community-dwelling adults with chronic or disabling conditions were recruited via community-based methods. Twenty-four caregivers participated in semi-structured in-person, telephone, or videoconference interviews. Transcribed interviews were analyzed using conventional content analysis.</p><p><strong>Results: </strong>Participants were on average 58 years old, mostly female (87.5%), and caring for a parent (79.2%). Caregivers reported significant sleep health barriers due to caregiving responsibilities, various sources of stress, and personal health problems such as anxiety or sleep apnea. Caregiving responsibilities disrupted sleep due to irregular sleep timing, night time interruptions from care recipients' needs, and hypervigilance to ensure care recipient safety. Sleep facilitators included accessing caregiving resources such as self-initiated proactive strategies to address care recipient needs and caregiving support from other family members. Caregivers also described how daytime activities, relaxation strategies, and natural or prescribed sleep aids helped improve their sleep. Lastly, caregivers suggested topics for intervention sessions and shared their preferences for intervention delivery.</p><p><strong>Conclusion: </strong>Our findings inform the cultural adaptation of sleep health interventions for African American family caregivers to address stress reduction, caregiving support, and sleep apnea risk and treatment.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"883-892"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12859754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818364","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}