Pub Date : 2025-11-22DOI: 10.1016/j.smrv.2025.102205
Andrea Sanchez-Corzo , Zachary Loschinskey , Miguel Navarrete , Catalina A. Saini Ferron , Pankaj Pandey , Jesyin Lai , Belinda N. Mandrell , Zachary R. Abramson , Valerie McLaughlin Crabtree , Ranganatha Sitaram
Survivors of pediatric cancer are at high risk of long-term cognitive dysfunction. This problem is exacerbated as this population often reports poor sleep quality, which can negatively affect well-being. Sleep-related brain activity is known to influence cognitive development by regulating memory consolidation and cognitive functioning. However, the differences in sleep-related brain activity between healthy controls and pediatric cancer survivors are unclear. This review examines how sleep disturbances and cognitive impairments converge in survivors of childhood cancer, and proposes electrophysiology as a possible mechanistic bridge between these domains. We synthesize what is known from the general population and pediatric samples, highlight the critical need to investigate electrophysiological anomalies in pediatric cancer survivors, and suggest that neuromodulation techniques such as transcranial direct stimulation, transcranial magnetic stimulation, and sensory stimulation may be viable therapeutic interventions to enhance both sleep quality and cognitive function once possible anomalies are characterized in this population. Our review emphasizes the need for additional research to understand the complex relationship between sleep and cognition in pediatric cancer survivors to improve patient care and quality of life.
{"title":"Sleep, cognition, and electrophysiology: Intersecting pathways in childhood cancer","authors":"Andrea Sanchez-Corzo , Zachary Loschinskey , Miguel Navarrete , Catalina A. Saini Ferron , Pankaj Pandey , Jesyin Lai , Belinda N. Mandrell , Zachary R. Abramson , Valerie McLaughlin Crabtree , Ranganatha Sitaram","doi":"10.1016/j.smrv.2025.102205","DOIUrl":"10.1016/j.smrv.2025.102205","url":null,"abstract":"<div><div>Survivors of pediatric cancer are at high risk of long-term cognitive dysfunction. This problem is exacerbated as this population often reports poor sleep quality, which can negatively affect well-being. Sleep-related brain activity is known to influence cognitive development by regulating memory consolidation and cognitive functioning. However, the differences in sleep-related brain activity between healthy controls and pediatric cancer survivors are unclear. This review examines how sleep disturbances and cognitive impairments converge in survivors of childhood cancer, and proposes electrophysiology as a possible mechanistic bridge between these domains. We synthesize what is known from the general population and pediatric samples, highlight the critical need to investigate electrophysiological anomalies in pediatric cancer survivors, and suggest that neuromodulation techniques such as transcranial direct stimulation, transcranial magnetic stimulation, and sensory stimulation may be viable therapeutic interventions to enhance both sleep quality and cognitive function once possible anomalies are characterized in this population. Our review emphasizes the need for additional research to understand the complex relationship between sleep and cognition in pediatric cancer survivors to improve patient care and quality of life.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"85 ","pages":"Article 102205"},"PeriodicalIF":9.7,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-22DOI: 10.1016/j.smrv.2025.102208
Alberto Potenzieri , Andrea Escelsior , Gianluca Serafini , Antonio Uccelli , Antoine Adamantidis , Lino Nobili
{"title":"Response to commentary on “Sleep abnormalities in mouse models of depression: a systematic review”","authors":"Alberto Potenzieri , Andrea Escelsior , Gianluca Serafini , Antonio Uccelli , Antoine Adamantidis , Lino Nobili","doi":"10.1016/j.smrv.2025.102208","DOIUrl":"10.1016/j.smrv.2025.102208","url":null,"abstract":"","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"85 ","pages":"Article 102208"},"PeriodicalIF":9.7,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obstructive sleep apnea is under-diagnosed, under-reported and therefore under-treated in patients after a stroke. The aim of this meta-analysis of Randomized Control Trials (RCTs) was to investigate the effectiveness of positive airway treatment on recurrent vascular events, neurological deficit, functional independence, depression, sleepiness and cognitive function in patients post-stroke.
Records identified from Embase Elsevier Database (Embase, Medline/PubMed, Preprints, PubMed-not-Medline) were searched from inception in July 2024, up to September 2024. After screening 72387 records, 21 RCTs were included with 1457 patients with stroke. Out of these 753 patients were in the PAP arm and 704 in the conventional arm.
Metanalysis showed that PAP treatment reduced recurrent vascular events OR 0.45, (95 % Confidence Interval (CI) 0.28 to 0.78; p < 0.01), improved neurological deficit OR -0.30, (95 % CI -0.47 to −0.14; p < 0.01), reduced daytime sleepiness OR: −0.96, (95 % CI -1.47 to −0.45; p < 0.01), improved depression levels; OR: −0.58, (95 % CI -1.05 to −0.11; p = 0.02), improved cognitive function; OR1.10; (95 % CI 0.35 to 1.86; p = 0.02), but did not improve functional independence OR 0.25, (95 % CI -0.11 to 0.60; p = 0.17)
Therefore, positive airway pressure treatment is effective in patients with stroke and can reduce recurrent vascular events and improve recovery of these patients.
阻塞性睡眠呼吸暂停在中风后的患者中诊断、报告不足,因此治疗不足。这项随机对照试验(RCTs)的荟萃分析的目的是研究正气道治疗对卒中后血管事件复发、神经功能缺损、功能独立、抑郁、嗜睡和认知功能的有效性。从Embase爱思唯尔数据库(Embase, Medline/PubMed, Preprints, PubMed-not-Medline)中识别的记录从2024年7月到2024年9月进行检索。在筛选72387份记录后,纳入21项随机对照试验,纳入1457例脑卒中患者。其中753名患者在PAP组,704名患者在常规组。荟萃分析显示PAP治疗减少血管复发事件OR 0.45,(95%可信区间(CI) 0.28 ~ 0.78;p < 0.01),改善神经功能缺损OR -0.30, (95% CI -0.47至- 0.14;p < 0.01),减少白天嗜睡OR: - 0.96, (95% CI -1.47至- 0.45;p < 0.01),改善抑郁水平;OR: - 0.58, (95% CI -1.05 ~ - 0.11; p = 0.02),认知功能改善;OR1.10;(95% CI 0.35 ~ 1.86; p = 0.02),但未改善功能独立性OR 0.25, (95% CI -0.11 ~ 0.60; p = 0.17)因此,气道正压治疗对脑卒中患者有效,可减少血管事件复发,提高患者康复。
{"title":"Post-stroke sleep disordered breathing and the effect of positive airway pressure treatment: An updated systematic review and meta-analysis of randomized control trials","authors":"Fotios Sampsonas , Vasileios Karamouzos , Michael Doulberis , Kyriakos Karkoulias , Dimosthenis Lykouras , Paschalis Steiropoulos , Argyrios Tzouvelekis","doi":"10.1016/j.smrv.2025.102207","DOIUrl":"10.1016/j.smrv.2025.102207","url":null,"abstract":"<div><div>Obstructive sleep apnea is under-diagnosed, under-reported and therefore under-treated in patients after a stroke. The aim of this meta-analysis of Randomized Control Trials (RCTs) was to investigate the effectiveness of positive airway treatment on recurrent vascular events, neurological deficit, functional independence, depression, sleepiness and cognitive function in patients post-stroke.</div><div>Records identified from Embase Elsevier Database (Embase, Medline/PubMed, Preprints, PubMed-not-Medline) were searched from inception in July 2024, up to September 2024. After screening 72387 records, 21 RCTs were included with 1457 patients with stroke. Out of these 753 patients were in the PAP arm and 704 in the conventional arm.</div><div>Metanalysis showed that PAP treatment reduced recurrent vascular events OR 0.45, (95 % Confidence Interval (CI) 0.28 to 0.78; p < 0.01), improved neurological deficit OR -0.30, (95 % CI -0.47 to −0.14; p < 0.01), reduced daytime sleepiness OR: −0.96, (95 % CI -1.47 to −0.45; p < 0.01), improved depression levels; OR: −0.58, (95 % CI -1.05 to −0.11; p = 0.02), improved cognitive function; OR1.10; (95 % CI 0.35 to 1.86; p = 0.02), but did not improve functional independence OR 0.25, (95 % CI -0.11 to 0.60; p = 0.17)</div><div>Therefore, positive airway pressure treatment is effective in patients with stroke and can reduce recurrent vascular events and improve recovery of these patients.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"85 ","pages":"Article 102207"},"PeriodicalIF":9.7,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145584159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-22DOI: 10.1016/j.smrv.2025.102206
Morgan J. Thompson , Alexandra D. Ehrhardt , Ekjyot K. Saini , Emily F. Brigham , Zeynep Su Altinoz , Tiffany Yip , Joseph A. Buckhalt , Mona El-Sheikh
Children and adolescents from racial and ethnic minority and socioeconomically disadvantaged backgrounds are at greater risk for health disparities. This meta-analysis examined the association between sleep and mental health, with attention to variations by: (a) race, ethnicity, and socioeconomic status, and (b) individual sleep parameters and mental health domains. The review included 104 studies (66 independent samples, 326,478 participants). Less optimal sleep was associated with worse mental health (r = −.20, 95% CI [–.23, −.16]). Subjective sleep quality was a stronger correlate of mental health relative to all other sleep parameters (bs ranged from .11 to .19, ps < .001). Sleep schedule was a stronger correlate than objective sleep duration and quality (bs = .08 and .07, respectively, ps < .01). Sleep consistency was also a stronger correlate than objective sleep duration (b = .05, p = .03). Socioeconomic status moderated two associations. Objective sleep quality was more strongly linked to mental health among middle- relative to mixed-SES samples (b = .11, p = .01). Sleep consistency was more strongly associated with mental health among low- compared to mixed-SES samples (b = .05, p = .002). Findings are discussed in the context of methodological challenges in studying health disparities.
来自种族和族裔少数群体和社会经济不利背景的儿童和青少年面临更大的健康差异风险。这项荟萃分析考察了睡眠和心理健康之间的关系,并注意到:(a)种族、民族和社会经济地位的差异,以及(b)个体睡眠参数和心理健康领域的差异。该综述包括104项研究(66个独立样本,326,478名参与者)。较差的最佳睡眠与较差的心理健康相关(r = -)。20, 95% ci[-]。23日,−16])。相对于所有其他睡眠参数,主观睡眠质量与心理健康的相关性更强。11 . to…19, ps < .001)。睡眠计划与客观睡眠时间和质量的相关性更强(bs = .08和。分别为(p < .01)。睡眠一致性也比客观睡眠时间更强(b = 0.05, p = 0.03)。社会经济地位调节了这两种关联。目的:相对于混合ses样本,中等ses样本的睡眠质量与心理健康的关系更强(b = .11, p = .01)。与混合ses相比,低ses样本的睡眠一致性与心理健康的关系更强(b = 0.05, p = 0.002)。在研究健康差异的方法挑战的背景下讨论了研究结果。
{"title":"Unpacking sleep and mental health disparities across childhood and adolescence: A meta-analytic and systematic review","authors":"Morgan J. Thompson , Alexandra D. Ehrhardt , Ekjyot K. Saini , Emily F. Brigham , Zeynep Su Altinoz , Tiffany Yip , Joseph A. Buckhalt , Mona El-Sheikh","doi":"10.1016/j.smrv.2025.102206","DOIUrl":"10.1016/j.smrv.2025.102206","url":null,"abstract":"<div><div>Children and adolescents from racial and ethnic minority and socioeconomically disadvantaged backgrounds are at greater risk for health disparities. This meta-analysis examined the association between sleep and mental health, with attention to variations by: (a) race, ethnicity, and socioeconomic status, and (b) individual sleep parameters and mental health domains. The review included 104 studies (66 independent samples, 326,478 participants). Less optimal sleep was associated with worse mental health (<em>r</em> = −.20, 95% CI [–.23, −.16]). Subjective sleep quality was a stronger correlate of mental health relative to all other sleep parameters (<em>b</em>s ranged from .11 to .19, <em>p</em>s < .001). Sleep schedule was a stronger correlate than objective sleep duration and quality (<em>b</em>s = .08 and .07, respectively, <em>p</em>s < .01). Sleep consistency was also a stronger correlate than objective sleep duration (<em>b</em> = .05, <em>p</em> = .03). Socioeconomic status moderated two associations. Objective sleep quality was more strongly linked to mental health among middle- relative to mixed-SES samples (<em>b</em> = .11, <em>p</em> = .01). Sleep consistency was more strongly associated with mental health among low- compared to mixed-SES samples (<em>b</em> = .05, <em>p</em> = .002). Findings are discussed in the context of methodological challenges in studying health disparities.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"85 ","pages":"Article 102206"},"PeriodicalIF":9.7,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beyond sleep duration and efficiency, the day-to-day regularity of bed- and wake-times is increasingly recognized as a distinct dimension of sleep health. Whether irregular schedules independently predict adverse health outcomes remains unclear.
Objective
To synthesize evidence on the association between objectively or diary-quantified sleep regularity and mental, cardiometabolic, inflammatory, cognitive, lifestyle, sleep-disorder, and mortality outcomes in adults.
Methods
A protocol registered with PROSPERO (CRD420251101936) guided the review. MEDLINE (PubMed), Cochrane Library, PsycINFO, and Google Scholar were searched from inception to July 1, 2025 using a comprehensive strategy incorporating validated regularity metrics (Sleep Regularity Index, interdaily stability, composite phase deviation, social jetlag, night-to-night standard deviations). After duplicate removal, 3140 unique records underwent title/abstract screening; 147 full texts were reviewed. Risk of bias was appraised with the Newcastle–Ottawa Scale. Heterogeneity of metrics and outcomes precluded meta-analysis; evidence was synthesized narratively following SWiM guidelines and graded with van Tulder's best-evidence taxonomy.
Results
Fifty-nine primary studies met all criteria. Consistent, moderate-certainty evidence linked greater sleep-timing irregularity to higher depressive and anxiety symptoms, elevated body mass index, insulin resistance, hypertension, and incident cardiovascular events. Limited but directionally uniform evidence indicated higher inflammatory markers and poorer lifestyle indices in irregular sleepers. Prospective biobank data associated low Sleep Regularity Index with smaller hippocampal volume and a 26–53 % increase in dementia risk. Five low-bias cohorts showed 20–88 % higher all-cause mortality for the least regular sleepers, independent of sleep duration and quality. Mechanistic pathways implicated circadian misalignment, autonomic imbalance, and systemic inflammation.
Conclusions
Across diverse populations and measurement approaches, unstable sleep timing consistently portends poorer mental, metabolic, vascular, cognitive, and survival outcomes. Because sleep regularity is modifiable and objectively trackable with wearables, schedule stabilization merits elevation to a core public-health recommendation and a priority target for randomized intervention trials.
{"title":"Sleep regularity as an important component of sleep hygiene: a systematic review","authors":"Alexandros Kalkanis , Dierik Lenkens , Paschalis Steiropoulos , Dries Testelmans","doi":"10.1016/j.smrv.2025.102203","DOIUrl":"10.1016/j.smrv.2025.102203","url":null,"abstract":"<div><h3>Background</h3><div>Beyond sleep duration and efficiency, the day-to-day regularity of bed- and wake-times is increasingly recognized as a distinct dimension of sleep health. Whether irregular schedules independently predict adverse health outcomes remains unclear.</div></div><div><h3>Objective</h3><div>To synthesize evidence on the association between objectively or diary-quantified sleep regularity and mental, cardiometabolic, inflammatory, cognitive, lifestyle, sleep-disorder, and mortality outcomes in adults.</div></div><div><h3>Methods</h3><div>A protocol registered with PROSPERO (CRD420251101936) guided the review. MEDLINE (PubMed), Cochrane Library, PsycINFO, and Google Scholar were searched from inception to July 1, 2025 using a comprehensive strategy incorporating validated regularity metrics (Sleep Regularity Index, interdaily stability, composite phase deviation, social jetlag, night-to-night standard deviations). After duplicate removal, 3140 unique records underwent title/abstract screening; 147 full texts were reviewed. Risk of bias was appraised with the Newcastle–Ottawa Scale. Heterogeneity of metrics and outcomes precluded meta-analysis; evidence was synthesized narratively following SWiM guidelines and graded with van Tulder's best-evidence taxonomy.</div></div><div><h3>Results</h3><div>Fifty-nine primary studies met all criteria. Consistent, moderate-certainty evidence linked greater sleep-timing irregularity to higher depressive and anxiety symptoms, elevated body mass index, insulin resistance, hypertension, and incident cardiovascular events. Limited but directionally uniform evidence indicated higher inflammatory markers and poorer lifestyle indices in irregular sleepers. Prospective biobank data associated low Sleep Regularity Index with smaller hippocampal volume and a 26–53 % increase in dementia risk. Five low-bias cohorts showed 20–88 % higher all-cause mortality for the least regular sleepers, independent of sleep duration and quality. Mechanistic pathways implicated circadian misalignment, autonomic imbalance, and systemic inflammation.</div></div><div><h3>Conclusions</h3><div>Across diverse populations and measurement approaches, unstable sleep timing consistently portends poorer mental, metabolic, vascular, cognitive, and survival outcomes. Because sleep regularity is modifiable and objectively trackable with wearables, schedule stabilization merits elevation to a core public-health recommendation and a priority target for randomized intervention trials.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102203"},"PeriodicalIF":9.7,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to clarify the clinically meaningful outcomes and treatment adherence across different delivery methods of cognitive behavioral therapy for insomnia (CBT-I). CBT-I was defined as incorporating both sleep restriction and stimulus control techniques. This study included individual, group, fully automated Internet-based, and supported Internet-based formats. Remission from insomnia increased significantly across all delivery methods compared with the control group (individual: k = 36, n = 1696, odds ratio [OR] = 8.36; group: k = 22, n = 2356, OR = 4.65; fully automated Internet-based: k = 50, n = 15590, OR = 3.87; supported Internet-based: k = 19, n = 1759, OR = 8.35). After adjusting for comorbidities and types of control group, meta-regression analysis showed that the individual and supported Internet-based formats were significantly associated with higher odds of remission from insomnia compared with the fully automated Internet-based format. The completion rate for all sessions was significantly higher in the individual format (k = 8, 83.8%) than in the Internet-based formats (supported Internet-based: k = 15, 70.7%; fully automated Internet-based: k = 26, 58.4%). CBT-I is robustly effective in managing insomnia, although relatively lower treatment adherence continues to be a major challenge for Internet-based CBT-I.
本研究旨在阐明不同认知行为疗法治疗失眠症(CBT-I)的临床意义结果和治疗依从性。CBT-I被定义为结合睡眠限制和刺激控制技术。这项研究包括个人、团体、全自动基于互联网和支持的基于互联网的格式。与对照组相比,所有给药方式的失眠缓解均显著增加(个体:k = 36, n = 1696,优势比[OR] = 8.36;组:k = 22, n = 2356, OR = 4.65;全自动互联网:k = 50, n = 15590, OR = 3.87;支持互联网:k = 19, n = 1759, OR = 8.35)。在调整了合并症和对照组的类型后,meta回归分析显示,与全自动网络治疗相比,个人和支持的网络治疗与更高的失眠缓解几率显著相关。个人模式下所有课程的完成率(k = 8,83.8%)明显高于基于互联网的模式(支持的基于互联网的模式:k = 15,70.7%;完全自动化的基于互联网的模式:k = 26,58.4%)。CBT-I在治疗失眠方面非常有效,尽管相对较低的治疗依从性仍然是基于互联网的CBT-I的主要挑战。
{"title":"Remission, treatment response, and treatment adherence across the delivery methods of cognitive behavioral therapy for insomnia: A systematic review and meta-analysis of randomized controlled trials","authors":"Yuta Takano , Isa Okajima , Masumi Osao , Rui Ibata , Naho Machida , Koyo Higami , Shunsuke Takagi , Yuichi Inoue","doi":"10.1016/j.smrv.2025.102204","DOIUrl":"10.1016/j.smrv.2025.102204","url":null,"abstract":"<div><div>This study aimed to clarify the clinically meaningful outcomes and treatment adherence across different delivery methods of cognitive behavioral therapy for insomnia (CBT-I). CBT-I was defined as incorporating both sleep restriction and stimulus control techniques. This study included individual, group, fully automated Internet-based, and supported Internet-based formats. Remission from insomnia increased significantly across all delivery methods compared with the control group (individual: <em>k</em> = 36, <em>n</em> = 1696, odds ratio [OR] = 8.36; group: <em>k</em> = 22, <em>n</em> = 2356, OR = 4.65; fully automated Internet-based: <em>k</em> = 50, <em>n</em> = 15590, OR = 3.87; supported Internet-based: <em>k</em> = 19, <em>n</em> = 1759, OR = 8.35). After adjusting for comorbidities and types of control group, meta-regression analysis showed that the individual and supported Internet-based formats were significantly associated with higher odds of remission from insomnia compared with the fully automated Internet-based format. The completion rate for all sessions was significantly higher in the individual format (<em>k</em> = 8, 83.8%) than in the Internet-based formats (supported Internet-based: <em>k</em> = 15, 70.7%; fully automated Internet-based: <em>k</em> = 26, 58.4%). CBT-I is robustly effective in managing insomnia, although relatively lower treatment adherence continues to be a major challenge for Internet-based CBT-I.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102204"},"PeriodicalIF":9.7,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-11DOI: 10.1016/j.smrv.2025.102202
Ludovica Pasca , Helene Vitali , Sara Uccella , Carlo Alberto Quaranta , Lia Macina , Lynn K. Paul , Valentina De Giorgis , Valentina Franco , Renato Borgatti , Romina Romaniello
Agenesis of the corpus callosum is a brain malformation that can lead to intellectual, behavioural, social and emotional impairments, with outcomes varying based on severity. Sleep disturbances are common in children with this disorder, and some studies have evidenced the role of corpus callosum in interhemispheric synchronisation that may influence sleep patterns. This narrative review attempted to intercept available information on sleep in patients with isolated Agenesis of the corpus callosum, partial and complete, across different ages. Since literature about this issue is underdeveloped, knowledge on callostomized individuals has been included. Corpus callosum disruption is linked to sleep disturbances, especially in early life, though the corpus callosum specific contribution remains unclear. Studies on callostomized individuals suggest that the corpus callosum plays a role in slow-wave transmission across hemispheres, which may affect sleep architecture and plasticity. The impaired transfer of brain activity between the hemispheres also seems to influence their dream experiences. The discussion pointed out that sleep problems in patients with Agenesis of the corpus callosum should be systematically assessed, as they may impact neurodevelopment and overall well-being, highlighting the need for further research and sleep interventions.
{"title":"Corpus callosum agenesis: does sleep matter?","authors":"Ludovica Pasca , Helene Vitali , Sara Uccella , Carlo Alberto Quaranta , Lia Macina , Lynn K. Paul , Valentina De Giorgis , Valentina Franco , Renato Borgatti , Romina Romaniello","doi":"10.1016/j.smrv.2025.102202","DOIUrl":"10.1016/j.smrv.2025.102202","url":null,"abstract":"<div><div>Agenesis of the corpus callosum is a brain malformation that can lead to intellectual, behavioural, social and emotional impairments, with outcomes varying based on severity. Sleep disturbances are common in children with this disorder, and some studies have evidenced the role of corpus callosum in interhemispheric synchronisation that may influence sleep patterns. This narrative review attempted to intercept available information on sleep in patients with isolated Agenesis of the corpus callosum, partial and complete, across different ages. Since literature about this issue is underdeveloped, knowledge on callostomized individuals has been included. Corpus callosum disruption is linked to sleep disturbances, especially in early life, though the corpus callosum specific contribution remains unclear. Studies on callostomized individuals suggest that the corpus callosum plays a role in slow-wave transmission across hemispheres, which may affect sleep architecture and plasticity. The impaired transfer of brain activity between the hemispheres also seems to influence their dream experiences. The discussion pointed out that sleep problems in patients with Agenesis of the corpus callosum should be systematically assessed, as they may impact neurodevelopment and overall well-being, highlighting the need for further research and sleep interventions.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102202"},"PeriodicalIF":9.7,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-11DOI: 10.1016/j.smrv.2025.102201
Yunzhou Dong, Virend K. Somers
{"title":"Guest editorial: Obstructive sleep apnea, cellular senescence, and aging: A convergence of pathways driving cardiometabolic risk","authors":"Yunzhou Dong, Virend K. Somers","doi":"10.1016/j.smrv.2025.102201","DOIUrl":"10.1016/j.smrv.2025.102201","url":null,"abstract":"","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102201"},"PeriodicalIF":9.7,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-02DOI: 10.1016/j.smrv.2025.102196
Joshua A.H. Way , Erin Mathieu , Josephine Chau , Peter A. Cistulli , Yu Sun Bin
Poor sleep health is a significant public health issue. Population health surveillance systems are important for gathering accurate data to inform public health responses but remain underdeveloped for sleep health assessment globally. We aimed to identify sleep assessment tools and to evaluate their validity and reliability for use in population surveillance.
Three databases (PubMed, EMBASE, and PsycINFO) were searched resulting in 12,350 publications as of July 2025; 187 studies met the inclusion criteria and 60 sleep assessment tools were evaluated for nine measurement properties: content validity, criterion validity, construct validity, internal consistency, reliability, agreement, floor and ceiling effects, responsiveness, and interpretability.
The Insomnia Severity Index had five measurement properties rated positively, the highest among all tools. Two tools assessed all sleep health domains: the Regularity, Satisfaction, Alertness, Timing, Efficiency, Duration (RU-SATED) scale and a 13-item composite measure of sleep health (13-SH).
Most sleep assessment tools lacked adequate validation studies in the adult general population or lacked the ability to capture all dimensions of sleep health. Demonstrating criterion and construct validity of existing tools, developing new tools to measure multidimensional sleep health, or combining items from validated measures with strong measurement properties is warranted for effective sleep health surveillance.
{"title":"Assessment tools for population sleep health surveillance in adults: A systematic review of validity and reliability","authors":"Joshua A.H. Way , Erin Mathieu , Josephine Chau , Peter A. Cistulli , Yu Sun Bin","doi":"10.1016/j.smrv.2025.102196","DOIUrl":"10.1016/j.smrv.2025.102196","url":null,"abstract":"<div><div>Poor sleep health is a significant public health issue. Population health surveillance systems are important for gathering accurate data to inform public health responses but remain underdeveloped for sleep health assessment globally. We aimed to identify sleep assessment tools and to evaluate their validity and reliability for use in population surveillance.</div><div>Three databases (PubMed, EMBASE, and PsycINFO) were searched resulting in 12,350 publications as of July 2025; 187 studies met the inclusion criteria and 60 sleep assessment tools were evaluated for nine measurement properties: content validity, criterion validity, construct validity, internal consistency, reliability, agreement, floor and ceiling effects, responsiveness, and interpretability.</div><div>The Insomnia Severity Index had five measurement properties rated positively, the highest among all tools. Two tools assessed all sleep health domains: the Regularity, Satisfaction, Alertness, Timing, Efficiency, Duration (RU-SATED) scale and a 13-item composite measure of sleep health (13-SH).</div><div>Most sleep assessment tools lacked adequate validation studies in the adult general population or lacked the ability to capture all dimensions of sleep health. Demonstrating criterion and construct validity of existing tools, developing new tools to measure multidimensional sleep health, or combining items from validated measures with strong measurement properties is warranted for effective sleep health surveillance.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102196"},"PeriodicalIF":9.7,"publicationDate":"2025-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}