Pub Date : 2024-07-01Epub Date: 2024-05-23DOI: 10.1080/15402002.2024.2314281
Clara Sancho-Domingo, Pernilla Garmy, Annika Norell
Objectives: The use of social media during bedtime has increased in the past years among adolescents, contributing to disturbed sleep quality, which could potentially be related to emotional problems. This study aimed to analyze the mediation effects of sleep parameters on the relationship between NightTime Texting (NTT) on social media and adolescent sadness.
Methods: We used a cross-sectional study and evaluated a total of 1464 Swedish students aged 15-17 (55.7% girls) to examine their frequency of NTT on social media, sleep parameters, and adolescent sadness. Bivariate and mediation analyses were performed.
Results: Approximately 60% (n = 882) of adolescents engaged in nighttime instant messaging, with 37% (n = 330) reporting texting every night. Higher frequency of NTT was significantly associated with later bedtimes (η2 > 0.12), extended weekend wake-up times (η2 = 0.07), increased social jetlag (η2 = 0.07), and reduced sleep duration on schooldays (η2 = 0.10). Multicategorical parallel mediation analyses revealed that sleep duration on schooldays had an indirect effect on the relationship between both Occasional NTT (a11b1 = 0.05, p < .05) and Daily NTT (a21b1 = 0.12, p < .05) with sadness. Mediation effects were not moderated by gender (p > .05), however, the association between Occasional NTT and higher sadness was significantly linked to boys (t = 2.72; p = .007).
Conclusions: Findings showed a large percentage of adolescents engaging in nighttime social media use with worse quality of sleep, and underlined sleep duration on schooldays as a mediator associated with emotional problems in adolescents. These insights can aid in developing strategies for healthier habits to address the misuse of social media and prevent related health problems.
{"title":"Nighttime Texting on Social Media, Sleep Parameters, and Adolescent Sadness: A Mediation Analysis.","authors":"Clara Sancho-Domingo, Pernilla Garmy, Annika Norell","doi":"10.1080/15402002.2024.2314281","DOIUrl":"10.1080/15402002.2024.2314281","url":null,"abstract":"<p><strong>Objectives: </strong>The use of social media during bedtime has increased in the past years among adolescents, contributing to disturbed sleep quality, which could potentially be related to emotional problems. This study aimed to analyze the mediation effects of sleep parameters on the relationship between NightTime Texting (NTT) on social media and adolescent sadness.</p><p><strong>Methods: </strong>We used a cross-sectional study and evaluated a total of 1464 Swedish students aged 15-17 (55.7% girls) to examine their frequency of NTT on social media, sleep parameters, and adolescent sadness. Bivariate and mediation analyses were performed.</p><p><strong>Results: </strong>Approximately 60% (n = 882) of adolescents engaged in nighttime instant messaging, with 37% (n = 330) reporting texting every night. Higher frequency of NTT was significantly associated with later bedtimes (η2 > 0.12), extended weekend wake-up times (η2 = 0.07), increased social jetlag (η2 = 0.07), and reduced sleep duration on schooldays (η2 = 0.10). Multicategorical parallel mediation analyses revealed that sleep duration on schooldays had an indirect effect on the relationship between both Occasional NTT (a11b1 = 0.05, p < .05) and Daily NTT (a21b1 = 0.12, p < .05) with sadness. Mediation effects were not moderated by gender (p > .05), however, the association between Occasional NTT and higher sadness was significantly linked to boys (t = 2.72; p = .007).</p><p><strong>Conclusions: </strong>Findings showed a large percentage of adolescents engaging in nighttime social media use with worse quality of sleep, and underlined sleep duration on schooldays as a mediator associated with emotional problems in adolescents. These insights can aid in developing strategies for healthier habits to address the misuse of social media and prevent related health problems.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"488-498"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086316","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}
Pub Date : 2024-07-01Epub Date: 2024-01-23DOI: 10.1080/15402002.2024.2303467
Anthony B Cifre, Christopher J Budnick, Johanna Bick, Eleanor L McGlinchey, Carol H Ripple, Amy R Wolfson, Candice A Alfano
Objectives: Sleep disruption is prevalent among children placed in foster care, elevating risk for a range of deleterious outcomes. Theoretically, achieving permanency via adoption may have a positive influence on children's sleep via the presence of various factors, but little is known about the sleep health of children adopted from foster care, including predictors and moderators of sleep health.
Method: The current study included 226 parents who adopted a child from foster care in the U.S. (aged 4-11 years) within the past two years and a propensity score matched sample of 379 caregivers of children currently in foster care. Both samples completed online questionnaires about their child's sleep, physical, and mental health.
Results: Comparatively, children in foster care experienced more nightmares, night terrors, moving to someone else's' bed during the night, and worse overall sleep quality, whereas adopted children were reported to experience significantly more nighttime awakenings. In the adopted sample, a greater number of prior foster placements unexpectedly predicted lower total sleep disturbance scores, but this relationship was moderated by parent-child interactions around sleep. In general, greater parental involvement in children's sleep was associated with lower levels of child sleep disturbance.
Conclusions: Findings suggest that while specific sleep problems might remit after children in foster care achieve permanence, nighttime sleep fragmentation often persists. Parent-child interactions surrounding sleep may be pivotal in improving sleep health in this population.
{"title":"Sleep Health among Children Adopted from Foster Care: The Moderating Effect of Parent-Child Sleep Interactions.","authors":"Anthony B Cifre, Christopher J Budnick, Johanna Bick, Eleanor L McGlinchey, Carol H Ripple, Amy R Wolfson, Candice A Alfano","doi":"10.1080/15402002.2024.2303467","DOIUrl":"10.1080/15402002.2024.2303467","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep disruption is prevalent among children placed in foster care, elevating risk for a range of deleterious outcomes. Theoretically, achieving permanency via adoption may have a positive influence on children's sleep via the presence of various factors, but little is known about the sleep health of children adopted from foster care, including predictors and moderators of sleep health.</p><p><strong>Method: </strong>The current study included 226 parents who adopted a child from foster care in the U.S. (aged 4-11 years) within the past two years and a propensity score matched sample of 379 caregivers of children currently in foster care. Both samples completed online questionnaires about their child's sleep, physical, and mental health.</p><p><strong>Results: </strong>Comparatively, children in foster care experienced more nightmares, night terrors, moving to someone else's' bed during the night, and worse overall sleep quality, whereas adopted children were reported to experience significantly more nighttime awakenings. In the adopted sample, a greater number of prior foster placements unexpectedly predicted lower total sleep disturbance scores, but this relationship was moderated by parent-child interactions around sleep. In general, greater parental involvement in children's sleep was associated with lower levels of child sleep disturbance.</p><p><strong>Conclusions: </strong>Findings suggest that while specific sleep problems might remit after children in foster care achieve permanence, nighttime sleep fragmentation often persists. Parent-child interactions surrounding sleep may be pivotal in improving sleep health in this population.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"472-487"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542463","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}
Pub Date : 2024-07-01Epub Date: 2023-11-15DOI: 10.1080/15402002.2023.2279308
Sadia B Ghani, Karla Granados, Chloe C A Wills, Pamela Alfonso-Miller, Orfeu M Buxton, John M Ruiz, Sairam Parthasarathy, Sanjay R Patel, Patty Molina, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner
Objectives: The present study investigated the roles birthplace and acculturation play in sleep estimates among Hispanic/Latino population at the US-Mexico border.
Measures: Data were collected in 2016, from N = 100 adults of Mexican descent from the city of Nogales, AZ, at the US-Mexico border. Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index categorized as none, mild, moderate, and severe, and Multivariable Apnea Prediction Index (MAP) categorized as never, infrequently, and frequently. Acculturation was measured with the Acculturation Rating Scale for Mexican-Americans II (ARSMA-II).
Results: The sample consisted of majority Mexican-born (66%, vs. born in the USA 38.2%). Being born in the USA was associated with 55 fewer minutes of nighttime sleep (p = .011), and 1.65 greater PSQI score (p = .031). Compared to no symptoms, being born in the USA was associated with greater likelihood of severe difficulty falling asleep (OR = 8.3, p = .030) and severe difficulty staying asleep (OR = 11.2, p = .050), as well as decreased likelihood of breathing pauses during sleep (OR = 0.18, P = .020). These relationships remained significant after Mexican acculturation was entered in these models. However, greater Anglo acculturation appears to mediate one fewer hour of sleep per night, poorer sleep quality, and reporting of severe difficulty falling asleep and staying asleep.
Conclusions: Among individuals of Mexican descent, being born in the USA (vs Mexico) is associated with about 1 hour less sleep per night, worse sleep quality, more insomnia symptoms, and less mild sleep apnea symptoms. These relationships are influenced by acculturation, primarily the degree of Anglo rather than the degree of Mexican acculturation.
目的:本研究调查了出生地和文化适应在美墨边境西班牙裔/拉丁裔人口睡眠估计中的作用。测量方法:数据于2016年收集,来自亚利桑那州诺加利斯市的100名墨西哥裔成年人,位于美墨边境。采用匹兹堡睡眠质量指数(PSQI)评估睡眠,失眠严重程度指数分为无、轻度、中度和重度,多变量呼吸暂停预测指数(MAP)分为从不、不频繁和频繁。采用《墨西哥裔美国人文化适应评定量表II》(ARSMA-II)测量文化适应程度。结果:样本中大多数是墨西哥出生的(66%,美国出生的38.2%)。出生在美国的人夜间睡眠时间少55分钟(p = 0.011), PSQI评分高1.65分钟(p = 0.031)。与无症状相比,在美国出生的人更有可能出现严重的入睡困难(OR = 8.3, p = 0.030)和严重的睡眠困难(OR = 11.2, p = 0.050),以及睡眠中呼吸暂停的可能性降低(OR = 0.18, p = 0.020)。在这些模型中加入墨西哥文化适应后,这些关系仍然很重要。然而,更大程度的盎格鲁文化适应似乎会导致每晚睡眠时间减少一小时,睡眠质量下降,报告入睡和保持睡眠严重困难。结论:在墨西哥后裔中,出生在美国(相对于墨西哥)的人每晚睡眠时间少1小时,睡眠质量差,失眠症状多,轻度睡眠呼吸暂停症状少。这些关系受到文化适应的影响,主要是盎格鲁文化的适应程度,而不是墨西哥文化的适应程度。
{"title":"Association of Birthplace for Sleep Duration, Sleep Quality, and Sleep Disorder Symptoms, at the US-Mexico Border.","authors":"Sadia B Ghani, Karla Granados, Chloe C A Wills, Pamela Alfonso-Miller, Orfeu M Buxton, John M Ruiz, Sairam Parthasarathy, Sanjay R Patel, Patty Molina, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner","doi":"10.1080/15402002.2023.2279308","DOIUrl":"10.1080/15402002.2023.2279308","url":null,"abstract":"<p><strong>Objectives: </strong>The present study investigated the roles birthplace and acculturation play in sleep estimates among Hispanic/Latino population at the US-Mexico border.</p><p><strong>Measures: </strong>Data were collected in 2016, from <i>N</i> = 100 adults of Mexican descent from the city of Nogales, AZ, at the US-Mexico border. Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index categorized as none, mild, moderate, and severe, and Multivariable Apnea Prediction Index (MAP) categorized as never, infrequently, and frequently. Acculturation was measured with the Acculturation Rating Scale for Mexican-Americans II (ARSMA-II).</p><p><strong>Results: </strong>The sample consisted of majority Mexican-born (66%, vs. born in the USA 38.2%). Being born in the USA was associated with 55 fewer minutes of nighttime sleep (<i>p</i> = .011), and 1.65 greater PSQI score (<i>p</i> = .031). Compared to no symptoms, being born in the USA was associated with greater likelihood of severe difficulty falling asleep (OR = 8.3, <i>p</i> = .030) and severe difficulty staying asleep (OR = 11.2, <i>p</i> = .050), as well as decreased likelihood of breathing pauses during sleep (OR = 0.18, <i>P</i> = .020). These relationships remained significant after Mexican acculturation was entered in these models. However, greater Anglo acculturation appears to mediate one fewer hour of sleep per night, poorer sleep quality, and reporting of severe difficulty falling asleep and staying asleep.</p><p><strong>Conclusions: </strong>Among individuals of Mexican descent, being born in the USA (vs Mexico) is associated with about 1 hour less sleep per night, worse sleep quality, more insomnia symptoms, and less mild sleep apnea symptoms. These relationships are influenced by acculturation, primarily the degree of Anglo rather than the degree of Mexican acculturation.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"393-409"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11093882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650488","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}
Pub Date : 2024-07-01Epub Date: 2023-11-30DOI: 10.1080/15402002.2023.2289442
Megan E Petrov, Dana R Epstein, Lois Krahn, Michael Todd, John G Park, Erik K St Louis, Timothy I Morgenthaler, Coles M Hoffmann, Kristina Hasanaj, Kevin Hollingshead, Tsung-Yen Yu, Matthew P Buman
Objective: To investigate the feasibility and acceptability of SleepWell24, a multicomponent, evidence-based smartphone application, to improve positive airway pressure therapy (PAP) adherence, among patients with obstructive sleep apnea (OSA) naive to PAP.
Methods: In a single-blind randomized controlled trial, SleepWell24, with a companion activity monitor was compared to usual care plus the activity monitor and its associated app. SleepWell24 provides objective feedback on PAP usage and sleep/physical activity patterns, and chronic disease management. Patients were recruited from two sleep medicine centers and followed over the first 60 days of PAP. Feasibility and acceptability were measured by recruitment/retention rates, app usage, differences in post-trial Treatment Evaluation Questionnaire (TEQ) scores, and patient interviews. Exploratory, intent-to-treat logistic and linear mixed models estimated PAP adherence and clinical outcomes.
Results: Of 103 eligible participants, 87 were enrolled (SleepWell24 n = 40, control n = 47; mean 57.6y [SD = 12.3], 44.8% female). Retention was ≥95% across arms. There were no significant differences in TEQ scores. SleepWell24 participants engaged with the app on 62.9% of trial days. PAP use was high across both arms (SleepWell24 vs. Control: mean hours 5.98 vs. 5.86). There were no differences in PAP adherence or clinical outcomes.
Conclusions: SleepWell24 was feasible and acceptable among PAP-naive patients with OSA.
目的:探讨SleepWell24(一款多组件、循证智能手机应用程序)在初次接受PAP治疗的阻塞性睡眠呼吸暂停(OSA)患者中提高气道正压治疗(PAP)依从性的可行性和可接受性。方法:在一项单盲随机对照试验中,将附有活动监测器的SleepWell24与常规护理加活动监测器及其相关应用程序进行比较。SleepWell24提供关于PAP使用和睡眠/身体活动模式以及慢性疾病管理的客观反馈。患者从两个睡眠医学中心招募,并在PAP的前60天进行随访。可行性和可接受性通过招募/保留率、应用程序使用率、试验后治疗评估问卷(TEQ)评分差异和患者访谈来衡量。探索性、治疗意向logistic和线性混合模型估计PAP依从性和临床结果。结果:在103名符合条件的参与者中,87人入组(SleepWell24 n = 40, control n = 47;平均57.6y [SD = 12.3],女性44.8%)。两臂间保留率≥95%。TEQ得分无显著差异。SleepWell24的参与者在62.9%的试验天数中使用了这款应用。两组PAP使用率均较高(SleepWell24 vs. Control:平均小时数5.98 vs. 5.86)。PAP依从性和临床结果没有差异。结论:SleepWell24在pap初始OSA患者中是可行且可接受的。临床试验注册:NCT03156283https://www.clinicaltrials.gov/study/NCT03156283。
{"title":"SleepWell24, a Smartphone Application to Promote Adherence to Positive Airway Pressure Therapy: Feasibility and Acceptability in a Randomized Controlled Trial.","authors":"Megan E Petrov, Dana R Epstein, Lois Krahn, Michael Todd, John G Park, Erik K St Louis, Timothy I Morgenthaler, Coles M Hoffmann, Kristina Hasanaj, Kevin Hollingshead, Tsung-Yen Yu, Matthew P Buman","doi":"10.1080/15402002.2023.2289442","DOIUrl":"10.1080/15402002.2023.2289442","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the feasibility and acceptability of <i>SleepWell24</i>, a multicomponent, evidence-based smartphone application, to improve positive airway pressure therapy (PAP) adherence, among patients with obstructive sleep apnea (OSA) naive to PAP.</p><p><strong>Methods: </strong>In a single-blind randomized controlled trial, <i>SleepWell24</i>, with a companion activity monitor was compared to usual care plus the activity monitor and its associated app. <i>SleepWell24</i> provides objective feedback on PAP usage and sleep/physical activity patterns, and chronic disease management. Patients were recruited from two sleep medicine centers and followed over the first 60 days of PAP. Feasibility and acceptability were measured by recruitment/retention rates, app usage, differences in post-trial Treatment Evaluation Questionnaire (TEQ) scores, and patient interviews. Exploratory, intent-to-treat logistic and linear mixed models estimated PAP adherence and clinical outcomes.</p><p><strong>Results: </strong>Of 103 eligible participants, 87 were enrolled (<i>SleepWell24 n</i> = 40, control <i>n</i> = 47; mean 57.6y [SD = 12.3], 44.8% female). Retention was ≥95% across arms. There were no significant differences in TEQ scores. <i>SleepWell24</i> participants engaged with the app on 62.9% of trial days. PAP use was high across both arms (<i>SleepWell24</i> vs. Control: mean hours 5.98 vs. 5.86). There were no differences in PAP adherence or clinical outcomes.</p><p><strong>Conclusions: </strong><i>SleepWell24</i> was feasible and acceptable among PAP-naive patients with OSA.</p><p><strong>Clinical trial registration: </strong>NCT03156283https://www.clinicaltrials.gov/study/NCT03156283.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"420-432"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464516","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}
Pub Date : 2024-07-01Epub Date: 2024-01-19DOI: 10.1080/15402002.2023.2301412
He-Li Sun, Yue Ying Wang, Yuan Feng, Xiling Cui, Teris Cheung, Zhaohui Su, Yi-Lang Tang, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang
Objectives: The Coronavirus Disease 2019 (COVID-19) pandemic and the containment measures for COVID-19 have affected sleep quality in the population. This study explored sleep-related research from a bibliometric perspective to provide an overview of the research outputs in this field.
Methods: Original and review articles were retrieved from the Web of Science Core Collection (WOSCC) database from December 2019 to 7 Aug 2023. R package "bibliometrix" was used to summarize the number of articles of authors, institutions, and countries; count the citations of the articles, and generate a Three-Fields Plot. VOSviewer software was applied to visualize the collaboration network among authors and institutions, and to conduct a co-occurrence analysis of keywords.
Results: A total of 4,499 articles on COVID-19 and sleep, and 25,883 articles on non-COVID-19 and sleep were included. Sleep related articles were mainly published by authors from China, the USA, and Italy. For COVID-19 and sleep research, Huazhong University of Science was the most productive institution. The Psychiatry Research was the most influential journal across the different subject categories of this field. "Mental health", "anxiety", and "depression" were the most common keywords, while "sleep quality" and "quality of life" were the likely topic areas in terms of future research directions.
Conclusions: Our findings provide a comprehensive perspective for researchers to understand the wider landscape of both COVID-19 and non-COVID-19 sleep-related research area.
{"title":"COVID-19 and Sleep Problems: A Perspective from Bibliometric Analysis.","authors":"He-Li Sun, Yue Ying Wang, Yuan Feng, Xiling Cui, Teris Cheung, Zhaohui Su, Yi-Lang Tang, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang","doi":"10.1080/15402002.2023.2301412","DOIUrl":"10.1080/15402002.2023.2301412","url":null,"abstract":"<p><strong>Objectives: </strong>The Coronavirus Disease 2019 (COVID-19) pandemic and the containment measures for COVID-19 have affected sleep quality in the population. This study explored sleep-related research from a bibliometric perspective to provide an overview of the research outputs in this field.</p><p><strong>Methods: </strong>Original and review articles were retrieved from the Web of Science Core Collection (WOSCC) database from December 2019 to 7 Aug 2023. R package \"bibliometrix\" was used to summarize the number of articles of authors, institutions, and countries; count the citations of the articles, and generate a Three-Fields Plot. VOSviewer software was applied to visualize the collaboration network among authors and institutions, and to conduct a co-occurrence analysis of keywords.</p><p><strong>Results: </strong>A total of 4,499 articles on COVID-19 and sleep, and 25,883 articles on non-COVID-19 and sleep were included. Sleep related articles were mainly published by authors from China, the USA, and Italy. For COVID-19 and sleep research, Huazhong University of Science was the most productive institution. The Psychiatry Research was the most influential journal across the different subject categories of this field. \"Mental health\", \"anxiety\", and \"depression\" were the most common keywords, while \"sleep quality\" and \"quality of life\" were the likely topic areas in terms of future research directions.</p><p><strong>Conclusions: </strong>Our findings provide a comprehensive perspective for researchers to understand the wider landscape of both COVID-19 and non-COVID-19 sleep-related research area.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"457-471"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492390","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}
Pub Date : 2024-07-01Epub Date: 2024-02-18DOI: 10.1080/15402002.2024.2318261
Cassian J Duthie, Claire Cameron, Kelby Smith-Han, Lutz Beckert, Shenyll Delpachitra, Sheila N Garland, Bryn Sparks, Erik Wibowo
Objectives: Insomnia symptoms are common among medical students. This study explored the perspectives of medical students about which sleep management strategies to use.
Methods: Medical students responded to an online survey on their thoughts about the use of various sleep management strategies.
Results: Of the 828 respondents, 568 (69%) provided responses to questions about the most preferred strategies and 450 (54%) provided responses about their least preferred strategies. About 48.5% felt their insomnia symptoms were too mild to see a clinician and 23.9% did not think their symptoms warranted sleep medication. Over 40% of students could not avoid work before sleep, have consistent sleep/wake times, or engage in regular exercise because of their busy and inconsistent schedules. Approximately 40-60% could not improve their sleep environment (e.g. better heating and bed) because of the associated costs. Over 80% reported an inability to change their pre-sleep habits (e.g. using electronics close to bedtime, using bed for activities other than sleep or sex). Half of the students disliked relaxation techniques or felt they would not help. Around 30-50% did not believe that changing caffeine and/or alcohol intake would affect their sleep.
Conclusions: Medical students may benefit from additional sleep education. Clinicians may need to discuss which strategies individual students prefer and modify their recommendations accordingly.
{"title":"Reasons for why Medical Students Prefer Specific Sleep Management Strategies.","authors":"Cassian J Duthie, Claire Cameron, Kelby Smith-Han, Lutz Beckert, Shenyll Delpachitra, Sheila N Garland, Bryn Sparks, Erik Wibowo","doi":"10.1080/15402002.2024.2318261","DOIUrl":"10.1080/15402002.2024.2318261","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia symptoms are common among medical students. This study explored the perspectives of medical students about which sleep management strategies to use.</p><p><strong>Methods: </strong>Medical students responded to an online survey on their thoughts about the use of various sleep management strategies.</p><p><strong>Results: </strong>Of the 828 respondents, 568 (69%) provided responses to questions about the most preferred strategies and 450 (54%) provided responses about their least preferred strategies. About 48.5% felt their insomnia symptoms were too mild to see a clinician and 23.9% did not think their symptoms warranted sleep medication. Over 40% of students could not avoid work before sleep, have consistent sleep/wake times, or engage in regular exercise because of their busy and inconsistent schedules. Approximately 40-60% could not improve their sleep environment (e.g. better heating and bed) because of the associated costs. Over 80% reported an inability to change their pre-sleep habits (e.g. using electronics close to bedtime, using bed for activities other than sleep or sex). Half of the students disliked relaxation techniques or felt they would not help. Around 30-50% did not believe that changing caffeine and/or alcohol intake would affect their sleep.</p><p><strong>Conclusions: </strong>Medical students may benefit from additional sleep education. Clinicians may need to discuss which strategies individual students prefer and modify their recommendations accordingly.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"516-529"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900955","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}
Pub Date : 2024-07-01Epub Date: 2024-02-25DOI: 10.1080/15402002.2024.2319835
Katrina A Rufino, Courtney J Bolstad, Courtney B Worley, Michelle A Patriquin, Michael R Nadorff
Study objectives: The Disturbing Dream and Nightmare Severity Index (DDNSI) has been used widely in research and clinical practice without psychometric evidence supporting its use in clinical samples. The present study aimed to explore and confirm the factor structure of the DDNSI in an inpatient sample. We also sought to test the measure's construct validity.
Methods: Two samples of U.S. inpatients including adult (N = 937) and adolescent (N = 274) participants provided data on nightmares (i.e. DDNSI), sleep quality (i.e. the Pittsburgh Sleep Quality Index) and related psychopathology symptoms (e.g. depression, posttraumatic stress disorder, anxiety).
Results: Exploratory and confirmatory factor analyses found the six original items of the DDNSI to load onto a single latent factor.
Conclusions: The DDNSI was found to be a valid measure of nightmare frequency and distress, as it was significantly correlated with the items related to disturbing dreams, and the DDNSI was able to differentiate between nightmares and psychopathology symptoms. Though this research comes nearly two decades after the initial creation and use of the DDNSI, it provides a foundation for the scientific rigor of previous and future studies on nightmares using the DDNSI.
{"title":"Factor Analysis and Validation of the Disturbing Dream and Nightmare Severity Index in an Inpatient Sample.","authors":"Katrina A Rufino, Courtney J Bolstad, Courtney B Worley, Michelle A Patriquin, Michael R Nadorff","doi":"10.1080/15402002.2024.2319835","DOIUrl":"10.1080/15402002.2024.2319835","url":null,"abstract":"<p><strong>Study objectives: </strong>The Disturbing Dream and Nightmare Severity Index (DDNSI) has been used widely in research and clinical practice without psychometric evidence supporting its use in clinical samples. The present study aimed to explore and confirm the factor structure of the DDNSI in an inpatient sample. We also sought to test the measure's construct validity.</p><p><strong>Methods: </strong>Two samples of U.S. inpatients including adult (<i>N</i> = 937) and adolescent (<i>N</i> = 274) participants provided data on nightmares (i.e. DDNSI), sleep quality (i.e. the Pittsburgh Sleep Quality Index) and related psychopathology symptoms (e.g. depression, posttraumatic stress disorder, anxiety).</p><p><strong>Results: </strong>Exploratory and confirmatory factor analyses found the six original items of the DDNSI to load onto a single latent factor.</p><p><strong>Conclusions: </strong>The DDNSI was found to be a valid measure of nightmare frequency and distress, as it was significantly correlated with the items related to disturbing dreams, and the DDNSI was able to differentiate between nightmares and psychopathology symptoms. Though this research comes nearly two decades after the initial creation and use of the DDNSI, it provides a foundation for the scientific rigor of previous and future studies on nightmares using the DDNSI.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"540-552"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974738","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}
Pub Date : 2024-07-01Epub Date: 2023-12-26DOI: 10.1080/15402002.2023.2298377
Zachary Ta, Allyson A Gilles, Nasim Parsinejad, Marlene J Egger, Kelly Glazer Baron
Objective: The goal of this study is to evaluate the factors associated with vulnerability and course of insomnia longitudinally in the COVID-19 pandemic and examine differences between: (a) those who never demonstrated clinical insomnia symptoms, (b) those who demonstrated clinically elevated insomnia symptoms at 1 or 2 time points, and (c) those who demonstrated clinically elevated insomnia symptoms at all 3 time points.
Methods: Participants (≥18 years old) completed measures of insomnia (ISI), depression (PHQ-8), anxiety (GAD-7), and pre-sleep arousal (PSAS) at 3 time points (baseline, 1 month, and 3 months). Data were analyzed using univariable odds ratios and multivariable multicategory logistic regression to determine demographic, psychological, and behavioral predictors of insomnia persistence.
Results: A total of 129 participants completed all 3 assessments (70 female, age M = 44 years, SD = 16). We found that 40% (N = 51) never had insomnia symptoms, 33% (N = 42) reported transient insomnia symptoms (1 or 2 time points), and 28% (N = 36) reported persistent insomnia symptoms (all 3 time points). From the multivariable multicategory logistic analyses, pre-sleep arousal, gender, and income were significant predictors of insomnia persistence.
Conclusions: Findings indicate elevated insomnia symptoms were persistent in a substantial number of individuals throughout the pandemic. Results suggest additional insomnia and psychological interventions are needed to improve sleep and mental health.
{"title":"Predicting the Persistence of Insomnia Symptoms during the COVID-19 Pandemic.","authors":"Zachary Ta, Allyson A Gilles, Nasim Parsinejad, Marlene J Egger, Kelly Glazer Baron","doi":"10.1080/15402002.2023.2298377","DOIUrl":"10.1080/15402002.2023.2298377","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this study is to evaluate the factors associated with vulnerability and course of insomnia longitudinally in the COVID-19 pandemic and examine differences between: (a) those who never demonstrated clinical insomnia symptoms, (b) those who demonstrated clinically elevated insomnia symptoms at 1 or 2 time points, and (c) those who demonstrated clinically elevated insomnia symptoms at all 3 time points.</p><p><strong>Methods: </strong>Participants (≥18 years old) completed measures of insomnia (ISI), depression (PHQ-8), anxiety (GAD-7), and pre-sleep arousal (PSAS) at 3 time points (baseline, 1 month, and 3 months). Data were analyzed using univariable odds ratios and multivariable multicategory logistic regression to determine demographic, psychological, and behavioral predictors of insomnia persistence.</p><p><strong>Results: </strong>A total of 129 participants completed all 3 assessments (70 female, age <i>M</i> = 44 years, SD = 16). We found that 40% (<i>N</i> = 51) never had insomnia symptoms, 33% (<i>N</i> = 42) reported transient insomnia symptoms (1 or 2 time points), and 28% (<i>N</i> = 36) reported persistent insomnia symptoms (all 3 time points). From the multivariable multicategory logistic analyses, pre-sleep arousal, gender, and income were significant predictors of insomnia persistence.</p><p><strong>Conclusions: </strong>Findings indicate elevated insomnia symptoms were persistent in a substantial number of individuals throughout the pandemic. Results suggest additional insomnia and psychological interventions are needed to improve sleep and mental health.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"433-445"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040966","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}
Pub Date : 2024-05-01Epub Date: 2023-08-02DOI: 10.1080/15402002.2023.2241589
Christopher S Hollenbeak, Sangchoon Jeon, Meghan O' Connell, Samantha Conley, Henry Yaggi, Nancy S Redeker
Objectives: Nearly half of patients with chronic heart failure (HF) report insomnia symptoms. The purpose of this study was to examine the impact of CBT-I versus HF self-management on healthcare costs and resource utilization among patients with stable chronic HF who participated in a clinical trial of the effects of CBT-I compared to HF self-management education (attention control) over 1 year.
Methods: We measured resource utilization as self-reported (medical record review) physician office visits, emergency department visits, and inpatient admissions at 3-month intervals for 1 year after enrollment. Costs were estimated by applying price weights to visits and adding self-reported out-of-pocket and indirect costs. Univariate comparisons were made of resource utilization and costs between CBT-I and the HF self-management group. A generalized linear model (GLM) was used to model costs, controlling for covariates.
Results: The sample included 150 patients [79 CBT-I; 71 self-management (M age = 62 + 13 years)]. The CBT-I group had 4.2 inpatient hospitalizations vs 4.6 for the self-management group (p = .40). There were 13.1 outpatient visits, in the CBT-I compared with 15.4 outpatient visits (p-value range 0.39-0.81) for the self-management group. Total costs were not significantly different in univariate or ($7,813 CBT-I vs. $7,538 self-management), p = .96) or multivariable analyses.
Conclusions: Among patients with both HF and insomnia, CBT-I and HF self-management were associated with similar resource utilization and total costs. Additional research is needed to estimate the value of CBT-I relative to usual care and other treatments for insomnia in patients with HF.
{"title":"Costs and Resource Utilization of People with Stable Heart Failure and Insomnia: Evidence from a Randomized Trial of Cognitive Behavioral Therapy for Insomnia.","authors":"Christopher S Hollenbeak, Sangchoon Jeon, Meghan O' Connell, Samantha Conley, Henry Yaggi, Nancy S Redeker","doi":"10.1080/15402002.2023.2241589","DOIUrl":"10.1080/15402002.2023.2241589","url":null,"abstract":"<p><strong>Objectives: </strong>Nearly half of patients with chronic heart failure (HF) report insomnia symptoms. The purpose of this study was to examine the impact of CBT-I versus HF self-management on healthcare costs and resource utilization among patients with stable chronic HF who participated in a clinical trial of the effects of CBT-I compared to HF self-management education (attention control) over 1 year.</p><p><strong>Methods: </strong>We measured resource utilization as self-reported (medical record review) physician office visits, emergency department visits, and inpatient admissions at 3-month intervals for 1 year after enrollment. Costs were estimated by applying price weights to visits and adding self-reported out-of-pocket and indirect costs. Univariate comparisons were made of resource utilization and costs between CBT-I and the HF self-management group. A generalized linear model (GLM) was used to model costs, controlling for covariates.</p><p><strong>Results: </strong>The sample included 150 patients [79 CBT-I; 71 self-management (M age = 62 <u>+</u> 13 years)]. The CBT-I group had 4.2 inpatient hospitalizations vs 4.6 for the self-management group (<i>p</i> = .40). There were 13.1 outpatient visits, in the CBT-I compared with 15.4 outpatient visits (p-value range 0.39-0.81) for the self-management group. Total costs were not significantly different in univariate or ($7,813 CBT-I vs. $7,538 self-management), <i>p</i> = .96) or multivariable analyses.</p><p><strong>Conclusions: </strong>Among patients with both HF and insomnia, CBT-I and HF self-management were associated with similar resource utilization and total costs. Additional research is needed to estimate the value of CBT-I relative to usual care and other treatments for insomnia in patients with HF.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"263-274"},"PeriodicalIF":3.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9917679","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}
Pub Date : 2024-05-01Epub Date: 2023-09-05DOI: 10.1080/15402002.2023.2255327
Fei-Wan Ngai, Yao Jie Xie
Objectives: The objectives were to: (1) investigate the prevalence, differences and changes in sleep quality over time among Chinese couples during pregnancy and at 6 weeks and 6 months postpartum and (2) examine the association between sleep quality and depressive symptoms.
Method: This study was part of an intervention study for postnatal depression. Childbearing couples were recruited from antenatal clinics. Data on sleep and depression during pregnancy and at 6 weeks and 6 months postpartum were collected using the Pittsburgh Sleep Quality Index (PSQI) and Edinburgh Postnatal Depression Scale, respectively.
Results: The prevalence of sleep disturbance (PSQI score > 5) during pregnancy and at 6 weeks and 6 months postpartum was 45.0%, 62.8% and 36.8%, respectively, among women and 26.4%, 36.4% and 27.3%, respectively, among men. Sleep quality declined significantly in both partners from pregnancy to 6 weeks postpartum, followed by a significant improvement by 6 months postpartum. The results revealed significant correlations between partners' scores on sleep quality across the perinatal period, with women experiencing poorer sleep quality than men. Poor sleep was associated with depressive symptoms across the perinatal period for both partners.
Conclusions: This study highlights the importance of screening couples for sleep disturbances throughout pregnancy and the postnatal period and assisting them to develop strategies to improve sleep quality during the transition to parenthood.
{"title":"Sleep and depression in couples during the transition to parenthood.","authors":"Fei-Wan Ngai, Yao Jie Xie","doi":"10.1080/15402002.2023.2255327","DOIUrl":"10.1080/15402002.2023.2255327","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives were to: (1) investigate the prevalence, differences and changes in sleep quality over time among Chinese couples during pregnancy and at 6 weeks and 6 months postpartum and (2) examine the association between sleep quality and depressive symptoms.</p><p><strong>Method: </strong>This study was part of an intervention study for postnatal depression. Childbearing couples were recruited from antenatal clinics. Data on sleep and depression during pregnancy and at 6 weeks and 6 months postpartum were collected using the Pittsburgh Sleep Quality Index (PSQI) and Edinburgh Postnatal Depression Scale, respectively.</p><p><strong>Results: </strong>The prevalence of sleep disturbance (PSQI score > 5) during pregnancy and at 6 weeks and 6 months postpartum was 45.0%, 62.8% and 36.8%, respectively, among women and 26.4%, 36.4% and 27.3%, respectively, among men. Sleep quality declined significantly in both partners from pregnancy to 6 weeks postpartum, followed by a significant improvement by 6 months postpartum. The results revealed significant correlations between partners' scores on sleep quality across the perinatal period, with women experiencing poorer sleep quality than men. Poor sleep was associated with depressive symptoms across the perinatal period for both partners.</p><p><strong>Conclusions: </strong>This study highlights the importance of screening couples for sleep disturbances throughout pregnancy and the postnatal period and assisting them to develop strategies to improve sleep quality during the transition to parenthood.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"308-318"},"PeriodicalIF":3.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10145583","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}