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Behavioral Sleep Medicine

Carolyn J Gibson, Anne Richards, Cynthia Villanueva, Maureen Barrientos, Thomas C Neylan, Sabra S Inslicht
OBJECTIVE/BACKGROUND: Sleep difficulty is both a common symptom of posttraumatic stress disorder (PTSD) and a risk factor for the development and maintenance of PTSD symptomatology. Gender differences in sleep following trauma exposure have been posited to contribute to the increased risk for the development of PTSD among women, but the persistence and long-term contributions of these potential differences to the maintenance and severity of PTSD symptoms is unclear. PARTICIPANTS: Men and women reporting a history of trauma exposure (n = 112, 63% female)...
November 27, 2017: Behavioral Sleep Medicine
Ali-Mohamed Nassur, Marie Lefèvre, Bernard Laumon, Damien Léger, Anne-Sophie Evrard
BACKGROUND: Exposure to aircraft noise has been shown to have adverse effects on health, particularly on sleep. Exposure to nighttime aircraft noise clearly affects sleep architecture, as well as subjective sleep quality. OBJECTIVES: This study aimed to investigate the relationship between aircraft noise exposure and subjective sleep quality in the population living near airports in France. METHODS: A total of 1,244 individuals older than 18 and living near three French airports (Paris-Charles de Gaulle, Lyon-Saint-Exupéry and Toulouse-Blagnac) were randomly selected to participate in the study...
November 27, 2017: Behavioral Sleep Medicine
Yahya A Alamir, Keith J Zullig, Sijin Wen, Hawley Montgomery-Downs, Alfgeir L Kristjansson, Ranjita Misra, Jianjun Zhang
OBJECTIVE/BACKGROUND: Poor sleep and nonmedical use (NMU) of prescription drugs (NMUPD) are both common among college students. Since lack of sleep adversely influences academic performance, this study examined the association between NMUPD and subjective sleep quality among college students. PARTICIPANTS: Students who completed the American College Health Association-National College Health Assessment data (Fall 2010, Spring 2011; N = 135,874). METHODS: Associations were examined between NMUPD in four classes over the past 12 months (Antidepressant, Painkillers, Sedatives, and Stimulants), and five aspects of sleep quality (Enough Sleep, Early Awakening, Daytime Sleepiness, Difficulty Falling Asleep, and Problem with Daytime Sleepiness) in the past seven days...
November 13, 2017: Behavioral Sleep Medicine
Katherine E Miller, Eric Kuhn, Jason Owen, Katherine Taylor, Jessica Yu, Brandon J Weiss, Jill J Crowley, Mickey Trockel
OBJECTIVE: Clinicians' perceptions of CBT-I Coach, a patient-facing mobile app for cognitive-behavioral therapy for insomnia (CBT-I), are critical to its adoption and integration into practice. Diffusion of innovations theory emphasizes the influence of perceptions, including the relative advantage to current practice; the compatibility to clinician's needs; the complexity; the innovation's trialability; and observability. This study intended to evaluate the use and perceptions of CBT-I Coach among Veterans Affairs (VA)-trained CBT-I clinicians...
November 9, 2017: Behavioral Sleep Medicine
Frances Le Cornu Knight, Dagmara Dimitriou
BACKGROUND: Sleep problems are commonly reported in attention deficit hyperactivity disorder (ADHD), and are also a familiar characteristic of typical development (TD). We sought to elucidate the relationship between sleep, ADHD trait behaviors, and cognitive inattention, and how it manifests between ADHD and TD children. PARTICIPANTS: Eighteen children diagnosed with ADHD and 20 age-matched TD controls aged 5 to 11 years old participated in the study. METHODS: Sleep profiles were assessed using Children's Sleep Habits Questionnaire and actigraphy measures...
October 26, 2017: Behavioral Sleep Medicine
Olivier Mairesse, Vincent Damen, Johan Newell, Charles Kornreich, Paul Verbanck, Daniel Neu
BACKGROUND: While often confused, fatigue (as opposed to sleepiness) mostly requires rest, not sleep, to recover from. Clinical evaluations of fatigue mainly rely on assessments of symptom intensity, however without taking into account the need to engage in behavioral countermeasures. We therefore developed an 8-item 4-point Likert scale (the Brugmann Fatigue Scale; BFS) sharing a similar conceptual background with the Epworth Sleepiness Scale (ESS), assessing mental and physical fatigue and focusing specifically on rest propensity...
October 24, 2017: Behavioral Sleep Medicine
Charity B Breneman, Christopher E Kline, Delia S West, Xuemei Sui, Ryan R Porter, Kimberly P Bowyer, Sabra Custer, Xuewen Wang
OBJECTIVE/BACKGROUND: Exercise training has been demonstrated to beneficially influence mean-level measures of sleep; however, few studies have examined the impact of an exercise intervention on night-to-night variability in sleep. This study investigated whether four months of moderate-intensity exercise impacted night-to-night variability in sleep among older women. METHODS: Participants (n = 49) were randomized to one of two moderate-intensity walking programs with different doses of energy expenditure: low-dose (n = 23: 8 kcal/kg of body weight per week) or high-dose (n = 26: 14 kcal/kg of body weight per week)...
October 20, 2017: Behavioral Sleep Medicine
M S Goelema, M Regis, R Haakma, E R van den Heuvel, P Markopoulos, S Overeem
OBJECTIVE: This study aimed to establish the determinants of perceived sleep quality over a longer period of time, taking into account the separate contributions of actigraphy-based sleep measures and self-reported sleep indices. METHODS: Fifty participants (52 ± 6.6 years; 27 females) completed two consecutive weeks of home monitoring, during which they kept a sleep-wake diary while their sleep was monitored using a wrist-worn actigraph. The diary included questions on perceived sleep quality, sleep-wake information, and additional factors such as well-being and stress...
September 20, 2017: Behavioral Sleep Medicine
Mirja Quante, Rui Wang, Jia Weng, Emily R Kaplan, Michael Rueschman, Elsie M Taveras, Sheryl L Rifas-Shiman, Matthew W Gillman, Susan Redline
BACKGROUND: Understanding variation in physical activity (PA) and sleep is necessary to develop novel intervention strategies targeting adolescents' health behaviors. We examined the extent to which PA and sleep vary by aspects of the physical environment. PARTICIPANTS: We performed a cross-sectional analysis of 669 adolescents in the Project Viva cohort. METHODS: We estimated total PA, sleep duration, sleep efficiency, and sleep midpoint timing from wrist accelerometers...
September 18, 2017: Behavioral Sleep Medicine
Isabelle Lucas, Melissa Mulraney, Emma Sciberras
BACKGROUND: Sleep problems and daytime sleepiness are common in children with attention-deficit hyperactivity disorder (ADHD) and are associated with poor parent-reported functional outcomes. However, the potential impact of sleep problems or daytime sleepiness on the school functioning of children with ADHD remains unknown. We aimed to determine if sleep problems and daytime sleepiness were associated with the social, emotional, and behavioral school-based functioning of children with ADHD and comorbid sleep problems...
September 18, 2017: 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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