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Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans 与健康计划受益人睡眠质量变化和睡眠药物使用相关的因素
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2023-03-17 DOI: 10.1016/j.sleepe.2023.100056
Felipe Mendes Delpino, Amanda Reis, Bruno Minami, Natalia Lara, José Cechin
{"title":"Factors associated with changes in sleep quality and use of sleep medications in beneficiaries of health plans","authors":"Felipe Mendes Delpino,&nbsp;Amanda Reis,&nbsp;Bruno Minami,&nbsp;Natalia Lara,&nbsp;José Cechin","doi":"10.1016/j.sleepe.2023.100056","DOIUrl":"10.1016/j.sleepe.2023.100056","url":null,"abstract":"<div><h3>Objective/Background</h3><p>This study aimed to compare the changes in sleep quality and use of sleep medications among beneficiaries of health plans, as well as the associated factors.</p></div><div><h3>Patients/Methods</h3><p>Data from two cross-sectional surveys from the 2013 and 2019 National Health Survey were used. Sleep quality and use of sleep medications were assessed using structured questions. Descriptive analyses were performed using frequency and 95% confidence interval (95% CI). Inferential analyses were performed using Poisson Regression, whose values were reported as Prevalence Ratio (PR) with their respective 95% confidence intervals.</p></div><div><h3>Results</h3><p>From 2013 to 2019, the prevalence of sleep problems increased from 27.1 (95%CI: 25.9-28.3) to 36.7% (95%CI: 35.5-38.0), whereas the use of sleep medications increased from 8.1 (95%CI: 7.4-8.8) to 10.0% (95%CI: 9.3-10.7). In comparation with men, sleep problems were associated with female sex in 2013 (PR: 1.46; 95%CI: 1.33-1.59) and 2019 (PR: 1.35; 95%CI: 1.27-1.44), even when adjusted for confounding factors. Sleep medications were also associated with female sex in 2013 (PR: 2.41; 95%CI: 1.98-2.94) and 2019 (PR: 1.89; 95%CI: 1.63-2.20), as well as in the adjusted model. Smoking was associated with sleep problems and use of sleep medications, however physical activity and alcohol intake no. Both sleep problems and use of sleep medications were also associated with older age and low education.</p></div><div><h3>Conclusions</h3><p>We found an increase in sleep problems in the two weeks before the interview among beneficiaries of health plans, as well as in the use of sleep medications.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100056"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42299551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neighborhood and Household Environment as Contributors to Racial Disparities in Sleep Duration among U.S. Adolescents 邻里和家庭环境对美国青少年睡眠时间种族差异的影响
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2023-09-01 DOI: 10.1016/j.sleepe.2023.100065
Ryan Saelee , Regine Haardörfer , Dayna A. Johnson , Julie A. Gazmararian , Shakira F. Suglia
{"title":"Neighborhood and Household Environment as Contributors to Racial Disparities in Sleep Duration among U.S. Adolescents","authors":"Ryan Saelee ,&nbsp;Regine Haardörfer ,&nbsp;Dayna A. Johnson ,&nbsp;Julie A. Gazmararian ,&nbsp;Shakira F. Suglia","doi":"10.1016/j.sleepe.2023.100065","DOIUrl":"10.1016/j.sleepe.2023.100065","url":null,"abstract":"<div><h3>Objective</h3><p>Racial disparities in adolescent sleep duration have been documented, but pathways driving these disparities are not well understood. This study examined whether neighborhood and household environments explained racial disparities in adolescent sleep duration.</p></div><div><h3>Methods</h3><p>Participants came from Waves I and II of Add Health (n=13,019). Self-reported short sleep duration was defined as less than the recommended amount for age (&lt;9 hours for 6-12 years, &lt;8 hours for 13-18 years, and &lt;7 hours for 18-64 years). Neighborhood factors included neighborhood socioeconomic disadvantage, perceived safety and social cohesion. Household factors included living in a single parent household and household socioeconomic status (HSES). Structural equation modeling was used to assess mediation of the neighborhood and household environment in the association between race/ethnicity and short sleep duration.</p></div><div><h3>Results</h3><p>Only HSES mediated racial disparities, explaining non-Hispanic (NH) African American-NH White (11.6%), NH American Indian-NH White (9.9%), and Latinx-NH White (42.4%) differences. Unexpectedly, higher HSES was positively associated with short sleep duration.</p></div><div><h3>Conclusion</h3><p>Household SES may be an important pathway explaining racial disparities in adolescent sleep duration. Future studies should examine mechanisms linking household SES to sleep and identify buffers for racial/ethnic minority adolescents against the detrimental impacts that living in a higher household SES may have on sleep.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41342258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Short and long sleeper prototypes: Perceptions of sleep duration and personality traits 短睡眠者和长睡眠者原型:睡眠持续时间和人格特征的感知
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2022-12-09 DOI: 10.1016/j.sleepe.2022.100051
Elizabeth J. Pantesco , Irene P. Kan
{"title":"Short and long sleeper prototypes: Perceptions of sleep duration and personality traits","authors":"Elizabeth J. Pantesco ,&nbsp;Irene P. Kan","doi":"10.1016/j.sleepe.2022.100051","DOIUrl":"10.1016/j.sleepe.2022.100051","url":null,"abstract":"<div><p>Few studies have examined how short and long sleepers are perceived. Using the prototype willingness model as a conceptual framework, we assessed estimates of sleep duration and perceptions of personality characteristics associated with short and long sleepers. Participants (<em>N</em> = 977) in an online study of sleep-related beliefs and habits were randomly assigned to either a short or long sleeper prototype condition. Participants provided estimates of sleep duration, ratings of Big Five personality traits, and qualitative descriptors for the typical short (or long) sleeper. Sociodemographic factors and self-reported sleep duration were also assessed. Sleep duration estimates differed for the short (<em>M</em> = 6.2, SD = 1.35 hours) versus long sleeper prototype (<em>M</em> = 7.62, SD = 1.33 hours), <em>t</em>(941) = -16.24, <em>p</em> &lt; .001, <em>g =</em> 1.06, and were moderated by participant age, gender, social status, and self-reported sleep duration. Short sleepers were perceived as less conscientious, open-minded, extraverted, and agreeable, and as higher on negative emotionality, than long sleepers. Several of the differences in personality ratings of short versus long sleepers were moderated by social status or self-reported sleep duration. These data suggest that individuals hold distinct images of short and long sleepers which encompass different personality traits. Learning more about how sleeper prototypes are formed, and how they relate to sleep health behaviors, may be useful for sleep measurement, education, and intervention efforts.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100051"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44983152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A cross-sectional study of the association between sleep quality and anxiety in postsecondary students in Ontario 安大略省中学生睡眠质量与焦虑关系的横断面研究
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2023-07-20 DOI: 10.1016/j.sleepe.2023.100062
Magdalena Albrecht-Bisset , Dan Wang , Krystle Martin , Pierre Côté , Efrosini A. Papaconstantinou
{"title":"A cross-sectional study of the association between sleep quality and anxiety in postsecondary students in Ontario","authors":"Magdalena Albrecht-Bisset ,&nbsp;Dan Wang ,&nbsp;Krystle Martin ,&nbsp;Pierre Côté ,&nbsp;Efrosini A. Papaconstantinou","doi":"10.1016/j.sleepe.2023.100062","DOIUrl":"https://doi.org/10.1016/j.sleepe.2023.100062","url":null,"abstract":"<div><p>Postsecondary students frequently report high rates of anxiety and poor sleep quality. The association between poor sleep quality and anxiety is poorly understood in this population. We conducted a cross-sectional study of students enrolled in two faculties at Ontario Tech University (OTU) - Faculty of Health Sciences (FHS) and Faculty of Education (FEd), and students attending the Canadian Memorial Chiropractic College (CMCC) during the fall of 2017 to determine the prevalence of poor sleep quality and moderate to extremely severe anxiety, as well as the association between them. Participants completed self-report questionnaires to measure sleep quality (Pittsburgh Sleep Quality Index [PSQI]), anxiety (Depression, Anxiety, and Stress Scale – 21 Items [DASS-21]), socio-demographic, lifestyle and health-related variables. Multivariable logistic regression was used to measure the association between poor sleep quality and moderate to extremely severe anxiety, as well as to control for covariates. A significant correlation between PSQI scores and DASS-21 anxiety scores was found in both populations: students who reported poor sleep quality were more likely to report moderate to extremely severe anxiety. This association decreased but still remained high even after controlling for important covariates (i.e., biological sex, stress, and depression).</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The prevalence of insomnia in Spain: A stepwise addition of ICSD-3 diagnostic criteria and notes 西班牙失眠的患病率:逐步增加ICSD-3诊断标准和注意事项。
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2022-12-09 DOI: 10.1016/j.sleepe.2022.100053
Manuel de Entrambasaguas , Odile Romero , José Aurelio Cordero Guevara , Ainhoa Álvarez Ruiz de Larrinaga , Francesca Cañellas , Jesús Pujol Salud , Hernando Pérez Díaz
{"title":"The prevalence of insomnia in Spain: A stepwise addition of ICSD-3 diagnostic criteria and notes","authors":"Manuel de Entrambasaguas ,&nbsp;Odile Romero ,&nbsp;José Aurelio Cordero Guevara ,&nbsp;Ainhoa Álvarez Ruiz de Larrinaga ,&nbsp;Francesca Cañellas ,&nbsp;Jesús Pujol Salud ,&nbsp;Hernando Pérez Díaz","doi":"10.1016/j.sleepe.2022.100053","DOIUrl":"10.1016/j.sleepe.2022.100053","url":null,"abstract":"<div><p>Studies on the prevalence of chronic insomnia disorder often show disparate results. Although a consensus now exists among the three main classification systems for diagnostic criteria, most prevalence studies are only based on clinical criteria defining insomnia syndrome (night and daytime symptoms) with time criteria (weekly frequency and duration). The aim of this descriptive study was to thoroughly assess the inclusion and exclusion criteria, notes and differential diagnosis for chronic insomnia disorder according to the International Classification of Sleep Disorders, 3rd edition (ICSD-3), and ascertain its current prevalence in the Spanish general adult population. The prevalence of insomnia symptoms was 43.4%, chronic insomnia syndrome was 13.7%, and chronic insomnia disorder was 14.0% (women 14.6%, men 13.4%; 18-34 y.o. 11.1%, 35-54 y.o. 11.5%, 55+ y.o. 17.9%). The latter two definitions showed close prevalence results because figures from inclusion and exclusion criteria and notes practically matched and cancelled each other out. A thorough assessment of the prevalence of chronic insomnia disorder would require that, in addition to clinical and time criteria, inclusion and exclusion criteria and modifiers be considered. These elements differ according to sex and age, and strongly influence the results. They included opportunity for sleep, associated sleep disorders, physical problems such as chronic pain, and, notably, asymptomatic patients dependent on prescription drugs for sleep. Current data suggest that the prevalence of chronic insomnia disorder in Spain has more than doubled in 20 years, with an increase of almost 47%.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100053"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42965369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Unmet need for a holistic approach to insomnia diagnosis – a review of current tools in practice 对失眠诊断的整体方法的迫切需要——对当前实践工具的回顾
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2022-12-09 DOI: 10.1016/j.sleepe.2022.100055
Kamalesh Chakravarty , Sucharita Ray , Garima Shukla
{"title":"Unmet need for a holistic approach to insomnia diagnosis – a review of current tools in practice","authors":"Kamalesh Chakravarty ,&nbsp;Sucharita Ray ,&nbsp;Garima Shukla","doi":"10.1016/j.sleepe.2022.100055","DOIUrl":"10.1016/j.sleepe.2022.100055","url":null,"abstract":"<div><h3>Background</h3><p>Insomnia is a very common and yet challenging condition encountered in clinical practice. Clinical evaluation, often with the help of questionnaires is used to diagnose and quantify this condition. However, the questionnaires are highly heterogeneous in their scope and outlook and give varying information on different aspects of insomnia. Research questionnaires on insomnia abound in clinical literature but are not useful in the clinical setting to help in therapeutic decision-making. This paper is a review of the scope and limitations of some of the commonly used questionnaires in the diagnosis and evaluation of insomnia in the clinical setting.</p></div><div><h3>Methods</h3><p>A thorough literature search of studies evaluating diagnosis and evaluation of insomnia were included. The studies were selected on basis of their utility in clinical settings and the quality of the research reporting the results of their use. The usefulness and scope of the questionnaire and voids in their utility were discussed. Out of a total of 3872 articles, a final of 11 studies were taken up for final study as per the guidelines of reporting of systematic reviews PRISMA statement, 2020.</p></div><div><h3>Results</h3><p>The included articles showed great heterogeneity in their scope as well as outcome measures. The older studies were of low methodological quality and limited clinical utility. Administration in a clinical setting was difficult for many while scoring questionnaires was complex and cumbersome.</p></div><div><h3>Conclusion</h3><p>There is an unmet need for a holistic and easily administrable assessment measure of insomnia remains.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100055"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49599374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parasomnia patients and risk of injury, a 16-years clinical study 寄生虫病患者与损伤风险的16年临床研究
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2023-05-26 DOI: 10.1016/j.sleepe.2023.100057
Vivian M. Correa , Giseli C. Arruda , Anna Szűcs
{"title":"Parasomnia patients and risk of injury, a 16-years clinical study","authors":"Vivian M. Correa ,&nbsp;Giseli C. Arruda ,&nbsp;Anna Szűcs","doi":"10.1016/j.sleepe.2023.100057","DOIUrl":"https://doi.org/10.1016/j.sleepe.2023.100057","url":null,"abstract":"<div><h3>Purpose</h3><p>We aimed to analyze the risk of injury in different age and gender groups experiencing parasomnias.</p></div><div><h3>Methods</h3><p>We collected clinical data of adult parasomnia patients seen between 2007 and 2023, from the database of the Institute of Behavioral Sciences Semmelweis University in Budapest. We classified them by age (19–39 and ≥40 years) and biological sex groups. Binary logistic regression was calculated to find the association between alcohol and tobacco use and dangerous activities, using odds ratios (ORs) at 95% CIs.</p></div><div><h3>Results</h3><p>Out of 45 parasomnia patients (64.5% female, and 73.4% in the 19–39 years age group), 69% experienced somnambulism and 20% had nightmare disorder. Dangerous behaviors and injuries related to sleepwalking included shoulder dislocation (6.3%), injury from breaking objects (25%), and sex without consent (12.5%). In our results, alcohol use was associated with parasomnia events 21-fold in males compared to females (<em>p</em>&lt;0.05). Dangerous behavior was significantly higher in males and younger, than in older adults (OR: 4.91 and 4.61, <em>p</em>&lt;0.05).</p></div><div><h3>Conclusion</h3><p>Parasomnias require particular care due to the risk of injury. The remarkably high odds of dangerous sleepwalking activities in males and young adults require further attention and explanation.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100057"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of adults newly diagnosed with idiopathic hypersomnia in the United States 美国新诊断为特发性嗜睡的成年人的特征
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2023-07-18 DOI: 10.1016/j.sleepe.2023.100059
Ragy Saad , Patricia Prince , Benjamin Taylor , Rami H. Ben-Joseph
{"title":"Characteristics of adults newly diagnosed with idiopathic hypersomnia in the United States","authors":"Ragy Saad ,&nbsp;Patricia Prince ,&nbsp;Benjamin Taylor ,&nbsp;Rami H. Ben-Joseph","doi":"10.1016/j.sleepe.2023.100059","DOIUrl":"10.1016/j.sleepe.2023.100059","url":null,"abstract":"<div><h3>Background</h3><p>Idiopathic hypersomnia is a debilitating sleep disorder; however, little is known about the clinical presentation of patients receiving this diagnosis.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of IBM® MarketScan® claims (January 2014 to September 2019) was conducted. Analysis cohorts included adults ≥18 years of age from the MarketScan population and a subset newly diagnosed with idiopathic hypersomnia. Diagnosis required ≥2 idiopathic hypersomnia claims separated by ≥1 and ≤180 days, and continuous enrollment ≥12 months before the diagnosis date. Descriptive statistics were reported for diagnosing medical specialties, objective sleep laboratory testing utilization, and comorbidities in the 12 months prior to diagnosis.</p></div><div><h3>Results</h3><p>From the general MarketScan cohort (<em>N</em> = 32,948,986), 4980 patients (0.015%) were newly diagnosed with idiopathic hypersomnia (mean age, 42.7 years; 66.9% female). The most common diagnosing medical specialties were pulmonary medicine (23.3%), neurology (14.4%), and internal medicine (11.4%). Only 44.4% of patients received objective sleep laboratory testing during the 12 months prior to diagnosis. The most common comorbidities were sleep apnea (49.5%), mood disorders (32.1%), depressive and anxiety disorders (31.0%, 30.7%, respectively), hyperlipidemia (30.1%), headache/migraine (23.9%), diabetes or use of diabetes/obesity medication (19.8%), hypertension (15.0%), and history of cardiovascular disease (14.3%).</p></div><div><h3>Conclusions</h3><p>These results suggest that idiopathic hypersomnia is diagnosed by multiple medical specialists, and less than half of clinicians utilize proximate sleep laboratory testing prior to patient diagnosis in real-world settings. Furthermore, patients commonly have cardiovascular, metabolic, and psychiatric comorbidities. Healthcare providers should consider these comorbidities and cardiometabolic risks when evaluating treatment options for idiopathic hypersomnia.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100059"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42343275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Study of the sleep in Egyptian children with Juvenile SLE and it's effect on their scholastic achievement 埃及青少年SLE患儿睡眠状况及其对学习成绩影响的研究
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2023-08-27 DOI: 10.1016/j.sleepe.2023.100064
JF Mekky , MA Thabet , SA Elnwam , Hayam M Abdelghany , HM Fathy
{"title":"Study of the sleep in Egyptian children with Juvenile SLE and it's effect on their scholastic achievement","authors":"JF Mekky ,&nbsp;MA Thabet ,&nbsp;SA Elnwam ,&nbsp;Hayam M Abdelghany ,&nbsp;HM Fathy","doi":"10.1016/j.sleepe.2023.100064","DOIUrl":"10.1016/j.sleepe.2023.100064","url":null,"abstract":"<div><p>The clinical spectrum of neuropsychiatric manifestations of juvenile systemic lupus erythematosus (JSLE) can be quite variable and sleep problems have been reported as being one of the under-recognized needs of SLE patients.</p><p><strong>Aim</strong> Determination of sleep abnormalities among lupus children and their effects on children's scholastic achievements.</p><p><strong>Subjects</strong> This study was carried out on 38 children with systemic lupus erythematosus and thirty healthy children, whom their guardians agreed to volunteer in the study .</p><p><strong>Methods</strong> In the current cross sectional study all children were subjected to full clinical examination, MRI brain of the patients, sleep history, Epworth sleepiness scale and the Sleep disturbances scale for children</p><p><strong>Results</strong> 52.6% of the studied children had different sleep patterns, as follows:13.2% disorders of initiating and maintaining sleep (DIMS), 2.6% with Sleep breathing disorders (SBD), 10.5% with disorders of arousal (DA), 5.3% with sleep-wake transition disorders (SWTD), 2.6% with disorders of excessive somnolence (DOES), 7.9% with Sleep Hyperhidrosis (SHY), 7.9% with pathological total sleep disturbances score.</p><p>5.3% of children had excessive daytime sleepiness and 21% had moderate daytime sleepiness and 73.7% had normal daytime sleepiness.</p><p>Children with positive findings in brain MRI had different sleep disorders demonstrated as follows, 33.3% had disorders of initiating and maintaining sleep (DIMS). 16.7% had Sleep Hyperhidrosis (SHY).16.7% had pathological total sleep disturbances score.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100064"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46586379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and Predictors of Sleep and Trauma Symptoms in Wildfire Survivors 野火幸存者睡眠和创伤症状的患病率和预测因素
Sleep epidemiology Pub Date : 2023-12-01 Epub Date: 2022-12-08 DOI: 10.1016/j.sleepe.2022.100052
Fadia Isaac , Samia R. Toukhsati , Britt Klein , Mirella DiBenedetto , Gerard A. Kennedy
{"title":"Prevalence and Predictors of Sleep and Trauma Symptoms in Wildfire Survivors","authors":"Fadia Isaac ,&nbsp;Samia R. Toukhsati ,&nbsp;Britt Klein ,&nbsp;Mirella DiBenedetto ,&nbsp;Gerard A. Kennedy","doi":"10.1016/j.sleepe.2022.100052","DOIUrl":"10.1016/j.sleepe.2022.100052","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to establish the prevalence and to identify predictors of insomnia, nightmares and post-traumatic stress disorder (PTSD) in wildfire survivors.</p></div><div><h3>Method</h3><p>A total of 126 (23 males, 102 females, and 1 nonbinary individual, <em>M</em>age = 52 years, <em>SD</em> = 14.4) wildfire survivors from Australia, Canada and the USA took part in an online survey. Participants completed a demographic questionnaire and self-report measures including: The Insomnia Severity Index (ISI), PTSD Checklist for DSM-5 (PCL-5), and Disturbing Dream and Nightmare Severity Index (DDNSI).</p></div><div><h3>Results</h3><p>Results showed that 49.2% of the sample reported clinical insomnia on the ISI, 28.7% reported nightmares on the DDNSI, and 77.88% reported PTSD symptoms on the PCL-5. Fear for life of others (<em>Pearson's r</em> = .40, .21, .31), and the impact of smoke (<em>Pearson's r</em>, .47, .25,.41) significantly correlated with insomnia, nightmares and PTSD symptoms, respectively. Hierarchical regression showed that smoke was a significant predictor of insomnia (<em>β</em> = .17, <em>p</em> &lt;.05, <em>95% CI</em>, 0.15 – 1.49), and insomnia predicted both of PTSD (<em>β</em> = .27, <em>p</em> &lt;.05, <em>95% CI</em>, 0.26 – 1.05), and nightmares (<em>β</em> = .19, <em>p</em> = .04, <em>95% CI</em>, 1.01 – 1.45) scores.</p></div><div><h3>Conclusion</h3><p>Insomnia, nightmares and PTSD are highly prevalent in wildfire survivors. Smoke, one of the trauma-related factors, was found to be as a significant predictor of insomnia; and insomnia was a significant predictor of both PTSD and nightmares. Future longitudinal studies are needed to establish which disorder emerges first as a result of smoke.</p></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"3 ","pages":"Article 100052"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48866843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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