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Behavioral Sleep Medicine

Yuan-Yuan Wang, Fei Wang, Wei Zheng, Ling Zhang, Chee H Ng, Gabor S Ungvari, Yu-Tao Xiang
OBJECTIVE: Mindfulness-based interventions (MBIs) are clinically effective for insomnia, but the research findings have been mixed. This meta-analysis of randomized controlled trials (RCTs) examined the effect of MBIs on insomnia. METHOD: Both English (PubMed, PsycINFO, Embase, and Cochrane Library databases) and Chinese (WanFang and CNKI) databases were systematically and independently searched. Standardized mean differences (SMDs) and risk ratio (RR) with their 95% confidence intervals (CIs) were calculated using the random effects model...
October 31, 2018: Behavioral Sleep Medicine
Charlotte Randall, Sara Nowakowski, Jason G Ellis
OBJECTIVES/BACKGROUND: Insomnia is a serious condition that affects over 60% of the prison population and has been associated with aggression, anger, impulsivity, suicidality, and increased prison health care use. Nonpharmacological interventions for prison inmates are scarce despite the high prevalence and significant consequences of insomnia among those incarcerated. The aim of the present study was to examine the preliminary efficacy and effectiveness of a one-shot session of cognitive behavioral therapy for insomnia (CBT-I) for prison inmates with acute insomnia in an open trial...
October 5, 2018: Behavioral Sleep Medicine
Tori R Van Dyk, Stephen P Becker, Kelly C Byars
OBJECTIVE/BACKGROUND: Sleep problems and emotional and behavioral difficulties are highly correlated in community samples of youth and in youth presenting to mental health treatment. However, fewer studies have characterized the associations between sleep and psychopathology symptoms in youth presenting to pediatric sleep clinics. This retrospective, cross-sectional study examined the prevalence of psychopathology symptoms and their associations with sleep disruption in youth presenting to a behavioral sleep medicine clinic...
September 27, 2018: Behavioral Sleep Medicine
Marquis Hawkins, Bess Marcus, Penelope Pekow, Milagros C Rosal, Katherine L Tucker, Rebecca M C Spencer, Lisa Chasan-Taber
OBJECTIVE/BACKGROUND: Poor sleep during pregnancy is common and is associated with pregnancy complications. Physical activity (PA) is associated with better sleep in nonpregnant populations. However, studies among pregnant women are sparse, conflicting, and none have been conducted among Hispanic women, who face a disproportionate burden of poor sleep and pregnancy complications. Therefore, our objective was to examine the relationship between intensity- and domain-specific PA, respectively, on sleep quality and duration among Hispanic pregnant women...
September 25, 2018: Behavioral Sleep Medicine
Faith S Luyster, Lee M Ritterband, Susan M Sereika, Daniel J Buysse, Sally E Wenzel, Patrick J Strollo
BACKGROUND/OBJECTIVE: Insomnia is common among adults with asthma and is associated with worse asthma control. Cognitive-behavioral therapy for insomnia (CBT-I) is an effective treatment for insomnia with medical comorbidities, but it has not been tested in asthma. The purpose of this study was to assess the feasibility and acceptability of an Internet-based CBT-I intervention, called Sleep Healthy Using the Internet (SHUTi), among adults with asthma and comorbid insomnia, and to gather preliminary efficacy data on changes in insomnia severity, sleep quality, asthma control, and asthma-related quality of life...
September 25, 2018: Behavioral Sleep Medicine
Sharon L Naismith, Jonathon Pye, Zoe Terpening, Simon Lewis, Delwyn Bartlett
OBJECTIVE/BACKGROUND: Sleep-wake disturbance is associated with poor cognitive functioning and several other adverse outcomes that increase dementia risk in older adults. Targeting sleep-wake disturbance in individuals at risk for dementia may be an important treatment. This study evaluated the efficacy of a four-session multicomponent group intervention for participants with mild cognitive impairment (MCI). PARTICIPANTS: Thirty-five older adults with MCI (mean age = 69...
September 24, 2018: Behavioral Sleep Medicine
Silvia A Tafoya, Vania Aldrete-Cortez
OBJECTIVE/BACKGROUND: The objective of this study was to observe the effect of positive mental health (PMH) and subjective sleep quality (SQ) on depressive symptoms in high school students. PARTICIPANTS: This cross-sectional study evaluated 2,186 students (55% female and 45% male) with a mean age of 16.8 years (SD ± 0.7) at 20 private high schools in Mexico City. METHODS: An electronic survey was used, which included a questionnaire on sleep habits that is a Spanish-language adaptation of Rosenthal's Sleep-Wake Activity Inventory, the Pittsburgh Sleep Quality Index (PSQI), the Morningness-Eveningness Scale for Children and Adolescents (MESC), the combined scales to evaluate positive aspects of mental health, and the Patient Health Questionnaire (PHQ-9)...
September 17, 2018: Behavioral Sleep Medicine
Jason C Ong, Donna Arand, Michael Schmitz, Kelly Baron, Richard Blackburn, Michael A Grandner, Kenneth L Lichstein, Sara Nowakowski, Celso Teixeira, Karlyn Boling, Spencer C Dawson, Kathryn Hansen
No abstract text is available yet for this article.
November 2018: Behavioral Sleep Medicine
Jennifer N Felder, Barbara Laraia, Kimberly Coleman-Phox, Nicole Bush, Madhuvanthi Suresh, Melanie Thomas, Nancy Adler, Elissa Epel, Aric A Prather
OBJECTIVE/BACKGROUND: Poor sleep quality is common in pregnancy and associated with increased psychological distress, which has adverse consequences for families. Emerging theory suggests that mindfulness-based interventions may help reduce cognitive and emotional reactivity to stressful events. The current study examines the effects of a mindfulness-based intervention on the relationship between poor sleep quality and increased depression symptom severity and perceived stress during pregnancy...
November 2018: Behavioral Sleep Medicine
Kristine A Wilckens, Kirk I Erickson, Mark E Wheeler
OBJECTIVE: Physical activity benefits executive control, but the mechanism through which this benefit occurs is unclear. Sleep is a candidate mechanism given that it improves with exercise and has restorative effects on the prefrontal cortex. The present cross-sectional study examined the mediating role of sleep in the relationship between physical activity and executive control in young and older adults. PARTICIPANTS: Young (n = 59) and older (n = 53) community-dwelling adults ages 21-30 and 55-80...
November 2018: Behavioral Sleep Medicine
Erika J Bagley, Thomas E Fuller-Rowell, Ekjyot K Saini, Lauren E Philbrook, Mona El-Sheikh
BACKGROUND & OBJECTIVE: A growing body of work indicates that experiences of neighborhood disadvantage place children at risk for poor sleep. This study aimed to examine how both neighborhood economic deprivation (a measure of poverty) and social fragmentation (an index of instability) are associated with objective measures of the length and quality of children's sleep. PARTICIPANTS: Participants were 210 children (54.3% boys) living predominantly in small towns and semirural communities in Alabama...
November 2018: 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...
September 2018: 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...
September 2018: 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...
September 2018: 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...
September 2018: 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...
September 2018: 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...
September 2018: 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 2018: 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 2018: Behavioral Sleep Medicine
Sanne Nauts, Bart A Kamphorst, Wim Stut, Denise T D De Ridder, Joel H Anderson
BACKGROUND/OBJECTIVE: Bedtime procrastination is a prevalent cause of sleep deprivation, but little is known about why people delay their bedtimes. In the present research, we conducted a qualitative study with bedtime procrastinators to classify their self-reported reasons for later-than-intended bedtime. PARTICIPANTS: Participants (N = 17) were selected who frequently engaged in bedtime procrastination, but whose sleep was not otherwise affected by diagnosed sleep disorders or shift work...
July 30, 2018: Behavioral Sleep Medicine
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