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Behavioral Sleep Medicine

Roger McIntosh, Michael Antoni, Julia Seay, Mary Ann Fletcher, Gail Ironson, Nancy Klimas, Mahendra Kumar, Neil Schneiderman
OBJECTIVE: The burden of sleep disturbance and depressive symptomology is high for persons living with HIV and particularly so for women. While cognitive behavioral stress management (CBSM) is shown to reduce symptoms of depression and 24-hr urinary free cortisol output (CORT) in HIV+ men, less is known about the effects of CBSM on mood and concomitant sleep disturbance in HIV+ women. The study aim is to model longitudinal change in sleep disturbance, depressive symptomology, and CORT for HIV+ women exposed to a 12-week CBSM intervention or control condition...
February 20, 2018: Behavioral Sleep Medicine
Jeong Yeon Hwang, Nambeom Kim, Soohyun Kim, Juhyun Park, Jae-Won Choi, Seog Ju Kim, Chang-Ki Kang, Yu Jin Lee
OBJECTIVE/BACKGROUND: In the present study, we compared differences in brain activity during the Stroop task between patients with chronic insomnia disorder (CID) and good sleepers (GS). Furthermore, we evaluated changes in Stroop task-related brain activity after cognitive-behavioral therapy for insomnia (CBT-I). PARTICIPANTS/METHODS: The final analysis included 21 patients with CID and 25 GS. All participants underwent functional magnetic resonance imaging (fMRI) while performing the color-word Stroop task...
February 16, 2018: Behavioral Sleep Medicine
Lydi-Anne Vézina-Im, Alexandre Lebel, Pierre Gagnon, Theresa A Nicklas, Tom Baranowski
OBJECTIVE/BACKGROUND: Women of childbearing age (WOCBA) may be at high risk for short or poor sleep. Yet few studies have focused on this population. The study objective was to identify individual correlates of sleep duration and quality among WOCBA. PARTICIPANTS: The sample consisted of 9,749 WOCBA aged 18-44 years from the Canadian Community Health Survey 2011-2014. METHODS: All variables were self-reported. Sleep duration was dichotomized as insufficient (< 7 hr/night) or adequate (≥ 7 hr/night)...
February 13, 2018: Behavioral Sleep Medicine
Tom J Barry, Keisuke Takano, Yannick Boddez, Filip Raes
OBJECTIVE/BACKGROUND: Sleep can have an important influence on memory. However, it is unclear whether there is any relation between sleep quality and the specificity with which autobiographical memories are retrieved, a key factor associated with vulnerability for, and the presence of, depression and other psychiatric diagnoses. The present study provides the first investigation of the association between sleep quality and autobiographical memory specificity. PARTICIPANTS AND METHOD: Fifty-four unselected community participants completed the Autobiographical Memory Test (AMT) to assess memory specificity, while subjective and objective measures of total sleep time and sleep onset latency were provided through a daily diary and an actigraphy wristwatch worn for a week...
February 9, 2018: Behavioral Sleep Medicine
Mirja Quante, Neha Khandpur, Emily Z Kontos, Jessie P Bakker, Judith A Owens, Susan Redline
BACKGROUND: Daily behaviors such as sleep can be targeted by smartphone app-based interventions, with potential utility among young people of minority ethnic backgrounds who commonly access smartphone devices and are short sleepers. There is a need to understand the acceptability and youth's readiness to use apps to improve sleep, and to identify desired app components that would motivate engagement. PARTICIPANTS AND METHODS: We conducted three focus group discussions (N = 27 total, age 14-18 years) within low- and middle-income ethnically diverse Boston neighborhoods...
February 5, 2018: Behavioral Sleep Medicine
Faith S Luyster, Mark S Aloia, Daniel J Buysse, Jacqueline Dunbar-Jacob, Lynn M Martire, Susan M Sereika, Patrick J Strollo
BACKGROUND: Partner involvement can influence positive airway pressure (PAP) therapy use among patients with obstructive sleep apnea (OSA). This study assessed the feasibility, acceptability, and preliminary efficacy of a couples-oriented education and support (CES) intervention for PAP adherence. PARTICIPANTS: Thirty newly diagnosed OSA patients and their partners were randomly assigned to one of three groups: an education and support intervention directed at both patient and partner (CES), an education and support intervention directed only at the patient (PES), or usual care (UC)...
February 1, 2018: Behavioral Sleep Medicine
Xiaopeng Ji, Junxin Li, Jianghong Liu
OBJECTIVE/BACKGROUND: The impact of midday napping on neurocognitive function in adolescents has not been well established. This study aimed to investigate the relationship between self-reported midday-napping behaviors and neurocognitive function in early adolescents. PARTICIPANTS: The sample was comprised of 363 early adolescents (12.00 ± 0.38 years old) from Jintan, China. METHODS: Midday napping, nighttime sleep duration, and sleep quality were measured by self-reported questionnaires...
February 1, 2018: Behavioral Sleep Medicine
Gwenyth R Wallen, Jumin Park, Michael Krumlauf, Alyssa T Brooks
OBJECTIVE/BACKGROUND: Alcohol use disorders (AUDs) are often accompanied by comorbid physiologic and psychosocial conditions, including sleep disturbances. Sleep disturbances in these individuals may be associated with increased risk of relapse to drinking following detoxification and rehabilitation. PARTICIPANTS: The sample of inpatient treatment-seeking individuals with AUDs (N = 164) was 70.1% male and 47.6% African American with a mean age of 45.6 years (±9...
January 29, 2018: Behavioral Sleep Medicine
Cinzia Arzilli, Mariangela Cerasuolo, Francesca Conte, Valentina Bittoni, Claudia Gatteschi, Benedetta Albinni, Fiorenza Giganti, Gianluca Ficca
BACKGROUND/OBJECTIVE: The aim of this study is to assess the effects of a learning task on the characteristics of a subsequent daytime nap. PARTICIPANTS AND METHODS: Thirty-eight subjects were administered a control nap (C) and one preceded by a cognitive training session (TR). RESULTS: Relative to C, TR naps showed significantly increased sleep duration with decreased sleep latency, as well as significantly increased sleep efficiency due to reduced awakening frequency...
January 25, 2018: Behavioral Sleep Medicine
Peter J Colvonen, Jennifer Ellison, Moira Haller, Sonya B Norman
OBJECTIVE/BACKGROUND: Insomnia occurs in 66-90% of individuals with posttraumatic stress disorder (PTSD) and 36-72% of individuals with substance use disorder (SUD). Individuals with both PTSD and SUD are more likely to have insomnia than individuals with only one disorder. Insomnia is associated with poorer treatment outcomes for both PTSD and SUD, increased daytime symptomology for PTSD, and increased relapse for SUDs. As such, it is important to understand how sleep affects PTSD treatment among patients dually diagnosed with SUD and how sleep changes over time in a residential unit for SUDs...
January 24, 2018: Behavioral Sleep Medicine
Katherine A Duggan, Elizabeth A McDevitt, Lauren N Whitehurst, Sara C Mednick
Although napping has received attention because of its associations with health and use as a method to understand the function of sleep, to our knowledge no study has systematically and statistically assessed reasons for napping. Using factor analysis, we determined the underlying structure of reasons for napping in diverse undergraduates (N = 430, 59% female) and examined their relationships with self-reported sleep, psychological health, and physical health. The five reasons for napping can be summarized using the acronym DREAM (Dysregulative, Restorative, Emotional, Appetitive, and Mindful)...
March 2018: Behavioral Sleep Medicine
Amy I Nathanson, Ine Beyens
This study investigated the relation between preschoolers' mobile electronic device (MED) use and sleep disturbances. A national sample of 402 predominantly college-educated and Caucasian mothers of 3-5-year-olds completed a survey assessing their preschoolers' MED use, bedtime resistance, sleep duration, and daytime sleepiness. Heavier evening and daily tablet use (and to some extent, smartphone use) were related to sleep disturbances. Other forms of MED use were not consistently related to sleep disturbances...
March 2018: Behavioral Sleep Medicine
Jennifer J Doering, Sirin Dogan
The purpose of this pilot study was to evaluate the feasibility, acceptability, and cost of a self-management intervention for postpartum fatigue and sleep in socioeconomically disadvantaged urban women. Helping U Get Sleep (HUGS) is a theory-guided intervention developed from the Individual and Family Self-Management Theory. Medicaid-enrolled participants in the United States were recruited from an inpatient postpartum unit. Treatment and attention control interventions were delivered (15 HUGS, 12 comparison) at a week 3 postpartum home visit and 4 follow-up phone calls...
March 2018: Behavioral Sleep Medicine
Mara E J Bouwmans, Nicole A M Oude Oosterik, Elisabeth H Bos, Izaäk W de Groot, Albertine J Oldehinkel, Peter de Jonge
Epidemiological studies have shown an association between physical activity and sleep, but it is unclear what the temporal order of this association is and whether it differs for depressed patients and healthy controls. Using a multiple repeated observations design, 27 depressed and 27 pair-matched nondepressed participants completed daily measurements of subjective sleep quality and duration during 30 consecutive days while an accelerometer continuously registered their physical activity. Changes in sleep duration, not quality, predicted next-day changes in physical activity (B = -0...
March 2018: Behavioral Sleep Medicine
Fay E Fletcher, Russell Conduit, Mistral D Foster-Owens, Nicole J Rinehart, Shantha M W Rajaratnam, Kim M Cornish
The current study assessed the association between anxiety symptoms and sleep in 90 school-aged children, aged 6-12 years (Mage = 108 months, 52.2% male). The Children's Sleep Habits Questionnaire (CSHQ) and 14 nights of actigraphy were used to assess sleep. Anxiety was assessed using the Spence Children's Anxiety Scale (SCAS). A significant association was found between parent-reported anxiety symptoms and current sleep problems (i.e., CSHQ total scores ≥ 41). An examination of SCAS subscales identified a specific association between generalized anxiety disorder (GAD) symptoms and increased parental sleep concerns, including sleep onset delay, sleep duration, and daytime sleepiness...
March 2018: Behavioral Sleep Medicine
Kristin H G Maich, Angela M Lachowski, Colleen E Carney
The Consensus Sleep Diary (CSD) is a standardized, prospective tool for tracking nightly subjective sleep. The current study evaluated the validity and utility of the CSD, with consideration for challenges inherent to psychometric evaluation of diary measures. Results showed that the CSD indices differentiated good sleepers from those with insomnia and were associated with similar objective indices and a subjective insomnia severity measure. The ability to detect treatment improvements after cognitive behavior therapy for insomnia (CBT-I) was tested by comparing pre- and post-CBT-I CSD indices with a subjective rating of insomnia symptom severity...
March 2018: Behavioral Sleep Medicine
Marianna Vitkova, Zuzana Gdovinova, Jaroslav Rosenberger, Jarmila Szilasiova, Pavol Mikula, Roy E Stewart, Johan W Groothoff, Jitse P van Dijk
Poor sleep is a serious burden for patients with multiple sclerosis (MS). The aim of this study is to assess whether the association between sleep quality and disability in MS patients is direct or mediated by depression, pain, and fatigue. We collected data from 152 patients with MS who filled out the Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale, the Multidimensional Fatigue Inventory and one item of the Short Form-36 regarding pain. The relationship between poor sleep and disability was found to be indirect, mediated by depression (p < 0...
March 2018: Behavioral Sleep Medicine
Janet M Y Cheung, Delwyn J Bartlett, Carol L Armour, Tracey-Lea Laba, Bandana Saini
Treatment preferences play a key role in dictating sleep health outcomes. However, patients' treatment beliefs, attitudes, and experiences that inform preference conceptualization remain an unknown phenomenon. Therefore, this study aims to explore patient perceptions toward pharmacotherapy and the nonpharmacological management of insomnia. Fifty-one patients with insomnia were recruited from specialist clinics and general community settings. Participants completed a brief questionnaire followed by an in-depth semistructured interview that was digitally recorded, transcribed verbatim, and subjected to Framework Analysis to identify emergent themes...
January 2018: Behavioral Sleep Medicine
Megan E Patrick, Jamie Griffin, Edward D Huntley, Jennifer L Maggs
This study examines whether energy drink use and binge drinking predict sleep quantity, sleep quality, and next-day tiredness among college students. Web-based daily data on substance use and sleep were collected across four semesters in 2009 and 2010 from 667 individuals for up to 56 days each, yielding information on 25,616 person-days. Controlling for average levels of energy drink use and binge drinking (i.e., 4+ drinks for women, 5+ drinks for men), on days when students consumed energy drinks, they reported lower sleep quantity and quality that night, and greater next-day tiredness, compared to days they did not use energy drinks...
January 2018: Behavioral Sleep Medicine
Joseph DeGutis, Christopher Chiu, Michelle Thai, Michael Esterman, William Milberg, Regina McGlinchey
While the associations between psychological distress (e.g., posttraumatic stress disorder [PTSD], depression) and sleep dysfunction have been demonstrated in trauma-exposed populations, studies have not fully explored the associations between sleep dysfunction and the wide range of common physical and physiological changes that can occur after trauma exposure (e.g., pain, cardiometabolic risk factors). We aimed to clarify the unique associations of psychological and physical trauma sequelae with different aspects of self-reported sleep dysfunction...
January 2018: Behavioral Sleep Medicine
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