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Behavioral Sleep Medicine

Billingsley Kaambwa, Christine Mpundu-Kaambwa, Robert Adams, Sarah Appleton, Sean Martin, Gary Wittert
OBJECTIVE: To assess the suitability for use within economic evaluation of a widely used sleep-related instrument (the Epworth Sleepiness Scale [ESS]) by examining its convergent and discriminant validity with two widely used generic preference-based instruments (Short-Form 36 [SF-36] and the Assessment of Quality of Life 4 dimensions [AQoL-4D]). METHODS: Data from a cross-section of 2,236 community-dwelling Australian men were analyzed. Convergent validity was investigated using Spearman's correlation, intraclass correlation, and modified Bland-Altman plots, while discriminant validity was examined using Kruskal Wallis tests...
October 18, 2016: Behavioral Sleep Medicine
Pablo Franquelo-Morales, Mairena Sánchez-López, Blanca Notario-Pacheco, José Miota-Ibarra, Noelia Lahoz-García, Manuel Ángel Gómez-Marcos, Vicente Martínez-Vizcaíno
OBJECTIVE: The objectives of this study were to examine in university students: (a) the mean differences in the HRQoL among fat mass percentage, cardiorespiratory fitness (CRF) and sleep quality categories; and (b) the independent associations among fat mass percentage, CRF, and sleep quality with HRQoL. PARTICIPANTS: 376 students, 18-30 years old, from the University of Castilla-La Mancha in Cuenca, Spain (during 2009-2010). METHOD: Cross-sectional study measuring % fat mass (DXA), CRF (20-m shuttle run test), sleep quality (Pittsburgh Sleep Quality Index), and HRQoL (SF-12 questionnaire)...
October 18, 2016: Behavioral Sleep Medicine
Joshua H Baker, Scott D Rothenberger, Christopher E Kline, Michele L Okun
OBJECTIVES/BACKGROUND: Pregnant women report disturbed sleep beginning in early pregnancy. Among nonpregnant populations, exercise has been associated with improved sleep; however, research in pregnant samples has been equivocal. We examined whether varying degrees of exercise were associated with better nocturnal sleep among pregnant women during early gestation. PARTICIPANTS: 172 pregnant women. METHODS: Self-reported sleep and exercise and objective sleep were collected during early gestation: T1 (10-12 weeks), T2 (14-16 weeks), and T3 (18-20 weeks) from 172 pregnant women...
October 14, 2016: Behavioral Sleep Medicine
Timothy D Nelson, Katherine M Kidwell, Maren Hankey, Jennifer Mize Nelson, Kimberly Andrews Espy
OBJECTIVE: Although numerous studies have documented the effects of sleep loss on executive control (EC) and related abilities, research examining the impact of early EC on subsequent sleep problems is lacking. Therefore, the current study reports on a longitudinal investigation of EC in preschool as a predictor of sleep-wake problems and daytime sleepiness in early adolescence. PARTICIPANTS: The participants were 141 children (48.6% female) recruited from the community for a longitudinal study spanning preschool through early adolescence, with an oversampling for high sociodemographic risk (34...
October 11, 2016: Behavioral Sleep Medicine
Marianne Hauan, Linn B Strand, Lars E Laugsand
OBJECTIVE: Although elevated heart rate and blood pressure might represent biologically plausible links for the association of insomnia symptoms with increased risk of cardiovascular disease (CVD), few large studies have investigated the associations of insomnia symptoms with these factors. Our aim was to investigate the associations of self-reported insomnia symptoms with systolic and diastolic blood pressure and resting heart rate in a large population-based study. PARTICIPANTS: Self-reported information on insomnia symptoms, including sleep initiation problems, frequent awakening and early awakenings during night, and measurements of resting heart rate and blood pressure were collected from a total of 50,806 men and women who participated in the third wave of the Nord-Trøndelag Health Study (HUNT-3) in 2006-2008...
October 11, 2016: Behavioral Sleep Medicine
Irina Virtanen, Nea Kalleinen, Anna S Urrila, Päivi Polo-Kantola
OBJECTIVES: In sleep laboratory studies, the new environment is generally considered to disturb sleep during the first night. However, older women have rarely been studied. Although menopause and hormone therapy affect sleep, their impact on the first-night effect is virtually unknown. PARTICIPANTS: Four groups of women with no sleep laboratory experience: young on hormonal contraceptives (n = 11, 23.1 [0.5] years), perimenopausal (n = 15, 48.0 [0.4] years), postmenopausal without hormone therapy (HT; off-HT, n = 22, 63...
October 4, 2016: Behavioral Sleep Medicine
Yeonsu Song, Donna L Washington, Elizabeth M Yano, Susan M McCurry, Constance H Fung, Joseph M Dzierzewski, Juan Carlos Rodriguez, Stella Jouldjian, Michael N Mitchell, Cathy A Alessi, Jennifer L Martin
OBJECTIVE/BACKGROUND: To identify caregiving-related sleep problems and their relationship to mental health and daytime function in female Veterans. PARTICIPANTS: Female Veterans (N = 1,477) from cross-sectional, nationwide, postal survey data. METHODS: The survey respondent characteristics included demographics, comorbidity, physical activity, health, use of sleep medications, and history of sleep apnea. They self-identified caregiving- related sleep problems (i...
October 3, 2016: Behavioral Sleep Medicine
Lori S Hoggard, LaBarron K Hill
BACKGROUND: African Americans experience more problematic and disordered sleep than White Americans. Racial discrimination has been implicated in this disparity. However, the mechanisms by which discrimination disrupts sleep are unclear. It has been theorized that Perseverative Cognition (PC), characterized by recurrent patterns of reflective (i.e., rumination) and anticipatory (i.e., worry) negative thinking about personally relevant stressors, may reflect the functional mechanism linking discrimination to sleep...
October 3, 2016: Behavioral Sleep Medicine
Yan Ma, Alicia Yeung, Albert C Yang, Chung-Kang Peng, Alisabet Clain, Jonathan Alpert, Maurizio Fava, Albert S Yeung
OBJECTIVE: This pilot study evaluated the effects of Tai Chi training on sleep quality (primary outcomes), and depression and social functioning levels (secondary outcomes) among patients with depression. PARTICIPANTS: Sixteen depressed Chinese patients. METHODS: Participants received 1-hr Tai Chi training sessions 2 times per week for 10 weeks. Patients' subjective sleep quality ratings, objective sleep quality measurements, and depression and social functioning levels were measured before, during, and after the intervention...
September 27, 2016: Behavioral Sleep Medicine
Panagiotis Matsangas, Nita Lewis Shattuck
OBJECTIVE: To assess the similarities and differences between reported levels of fatigue and sleepiness as a consequence of working at sea. PARTICIPANTS: 767 crewmembers of a U.S. Navy ship. METHODS: Retrospective analysis of a survey to include questions about demographics, caffeine consumption, sleep adequacy, the Epworth Sleepiness Scale (ESS), and the Fatigue Severity Scale (FSS). RESULTS: ESS scores (8.41 ± 4.66) indicated that 32% of the participants had excessive daytime sleepiness (ESS score > 10), while approximately 7% had an ESS score of 16 or more...
September 23, 2016: Behavioral Sleep Medicine
Suzanne S Dickerson, Carla Jungquist, Eric TenBrock, Alan Aquilina, Patricia Smith, Eman Abu Sabbah, Rana Alameri, Grace Dean
OBJECTIVES: To obtain feasibility data on a self-management program to improve adherence with positive airway pressure (PAP) in individuals with newly diagnosed obstructive sleep apnea. METHODS: A mixed-methods design assessed program effectiveness and participants' opinions on program ease-of-use. Structured interviews with the treatment group occurred one week and one month after initiation of PAP therapy. RESULTS: Participants (n = 14) completing the study demonstrated 64% adherence versus 58% of the controls...
September 23, 2016: Behavioral Sleep Medicine
Angelika A Schlarb, Isabel Bihlmaier, Kerstin Velten-Schurian, Christian F Poets, Martin Hautzinger
OBJECTIVE/BACKGROUND: This intervention study evaluates the short- and long-term effects of cognitive behavior therapy for insomnia (CBT-I) in groups for school-age children and their parents, named the KiSS-program. CBT-I was implemented in three sessions for children and three sessions for parents. PARTICIPANTS AND METHODS: All in all, 112 children with chronic childhood insomnia were randomly assigned to a wait-list (WL) control or treatment condition. RESULTS: According to subjective measures as well as objective wrist actigraphy, children in the CBT-I condition reported greater improvements in sleep behavior immediately after the treatment compared to the WL group...
September 20, 2016: Behavioral Sleep Medicine
Efrosini A Papaconstantinou, Ellen Hodnett, Robyn Stremler
OBJECTIVE/BACKGROUND: Hospitalization can contribute to common sleep difficulties in children. Interventions aimed at hospitalized children need to be developed and piloted with rigorous evaluative methods. The primary purpose of this study was to examine the feasibility and acceptability of a behavioral-educational intervention aimed at increasing nighttime sleep for hospitalized children. PARTICIPANTS: Hospitalized children aged 4-10 years and their caregivers...
September 15, 2016: Behavioral Sleep Medicine
Daniel Ruivo Marques, Ana Allen Gomes, Christopher Lawrence Drake, Thomas Roth, Maria Helena Pinto de Azevedo
OBJECTIVE AND BACKGROUND: Over the past few years, the comprehensive models of insomnia have exhibited impressive developments. However, there is scarce knowledge on predisposing or vulnerability factors for insomnia. One of the most promising constructs to aid in filling this gap is stress-induced sleep reactivity assessed through self-report. Our aim was to study the psychometric properties of the European Portuguese version of the Ford Insomnia Response to Stress Test (FIRST). PARTICIPANTS: We recruited a large sample of students attending medical school (N = 699)...
August 11, 2016: Behavioral Sleep Medicine
Katarina Danielsson, Markus Jansson-Fröjmark, Jan-Erik Broman, Agneta Markström
Clinical trials with light therapy (LT) for delayed sleep phase disorder (DSPD) are sparse and little is known about factors that are favorable for improvements. In this study, LT with scheduled rise times was conducted at home for 14 days by 44 participants with DSPD aged 16-26 years. Primary outcomes were sleep onset and sleep offset. Potential predictors were demographic characteristics, chronotype, dim light melatonin onset, the number of days the LT lamp was used, the daily duration of LT, daytime sleepiness, anxiety, depression, worry, and rumination...
August 11, 2016: Behavioral Sleep Medicine
Josée Savard, Marie-Hélène Savard, Hans Ivers
PURPOSE: To assess the moderating role of demographic and clinical variables on the efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I) among breast cancer patients. PATIENTS AND METHODS: As part of a randomized controlled trial, 80 women received VCBT-I. RESULTS: Patients with a more advanced breast cancer were less likely to show reductions on the Insomnia Severity Index (ISI) and increased sleep efficiency at posttreatment...
August 5, 2016: Behavioral Sleep Medicine
Leslie M Swanson, Edward D Huntley, Holli Bertram, Ann Mooney, Richard Dopp, Robert Hoffmann, Roseanne Armitage, J Todd Arnedt
BACKGROUND: There are complex, bidirectional associations between major depressive disorder and insomnia. In the present study, we evaluated insomnia as a moderator of response to antidepressant therapy in the context of a sleep manipulation (time in bed restriction) for major depressive disorder. METHODS: Fifty-eight adults with major depressive disorder received 8 weeks of fluoxetine 20-40 mgs and were randomized to 8 hr time in bed (8h TIB) or 6 hr time in bed (6h TIB) for the first 2 weeks (participants in the 6h TIB condition were further randomized to a delayed bedtime (Late Bedtime) or advanced rise time (Early Rise Time) group)...
August 5, 2016: Behavioral Sleep Medicine
Margaret H Bublitz, Ghada Bourjeily, Christina D'Angelo, Laura R Stroud
Poor sleep in pregnancy is related to adverse neonatal health. Elevated maternal cortisol has been proposed as a pathway, yet the association in pregnancy is not well understood. The goals of the current study were to examine associations between (a) sleep and cortisol, (b) sleep, cortisol, and neonatal outcomes, and (c) variables that could explain these associations. Two hundred pregnant women completed the Pittsburgh Sleep Quality Index (PSQI; Buysse, Reynolds, Monk, Berman, & Kupfer, 1989) and provided diurnal salivary cortisol samples at two times over pregnancy...
August 2, 2016: Behavioral Sleep Medicine
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No abstract text is available yet for this article.
November 2016: Behavioral Sleep Medicine
Michael F Schmitz
No abstract text is available yet for this article.
November 2016: Behavioral Sleep Medicine
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