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Showing papers in "Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine in 2018"


Journal ArticleDOI
TL;DR: The aim is to summarize recent diagnostic guidelines and both nonpharmacological and pharmacological strategies for the management of insomnia in the older population and conclude the most important aspect in evaluation of insomnia is detailed history taking and thorough physical examination.
Abstract: Background:Insomnia remains one of the most common sleep disorders encountered in the geriatric clinic population, frequently characterized by the subjective complaint of difficulty falling or main...

287 citations


Journal ArticleDOI
TL;DR: It is demonstrated that actigraphy provides consistent objective data that is often unique from patient-reported sleep logs for some sleep parameters in adult and pediatric patients with suspected or diagnosed insomnia, circadian rhythm sleep-wake disorders, sleep-disordered breathing, central disorders of hypersomnolence, and adults with insufficient sleep syndrome.
Abstract: Introduction:The purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of actigraphy.Methods:The American Academy of Sleep Medicine commis...

264 citations


Journal ArticleDOI
Ellen Snyder1, Bing Cai1, Carla DeMuro1, Mary F Morrison1, William A. Ball1 
TL;DR: The SQS possesses favorable measurement characteristics relative to lengthier or more frequently administered sleep questionnaires in patients with insomnia and depression.
Abstract: Study Objectives:A single-item sleep quality scale (SQS) was developed as a simple and practical sleep quality assessment and psychometrically evaluated.Methods:SQS measurement characteristics were...

151 citations


Journal ArticleDOI
TL;DR: Lower Sleep Score (poorer sleep profile) increases the risk of coronary heart disease, suggesting the importance of considering sleep duration and sleep quality together when developing strategies to improve sleep for cardiovascular disease prevention.
Abstract: Study Objectives:There is limited information on the relationship between risk of cardiovascular disease and the joint effects of sleep quality and sleep duration, especially from large, prospectiv...

139 citations


Journal ArticleDOI
TL;DR: It is suggested that few apps meet prespecified criteria for quality, content, and functionality for sleep self-management and lack of validation studies is a significant concern that limits the clinical value of these apps.
Abstract: Study Objectives:Mobile health (mHealth) tools such as smartphone applications (apps) have potential to support sleep self-management. The objective of this review was to identify the status of ava...

112 citations


Journal ArticleDOI
TL;DR: OSA is highly prevalent in children with Down syndrome, and the prevalence of moderate to severe OSA is higher in younger age.
Abstract: Study Objectives:To estimate the prevalence of obstructive sleep apnea (OSA) in children with Down syndrome.Methods:Two authors independently searched databases, namely PubMed, MEDLINE, EMBASE, and...

103 citations


Journal ArticleDOI
TL;DR: Findings based on past treatment contact for sleep problems suggest that diagnosis and treatment of insomnia is lacking in this population, and clinicians treating psychiatric patients should view insomnia less as a symptom of their mental illnesses and treat clinical insomnia as a primary disorder.
Abstract: Study Objectives:With the introduction of insomnia disorder in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), greater emphasis has been placed on the diagnosis and tr

61 citations


Journal ArticleDOI
TL;DR: Findings suggest significantly better stroke outcomes and statistically nonsignificant favorable outcomes in terms of recurrence of vascular events for patients with stroke and OSA who use CPAP treatment.
Abstract: Study Objectives:Obstructive sleep apnea (OSA) is an independent risk factor for stroke. The objective of this study was to assess the effect of continuous positive airway pressure (CPAP) treatment...

58 citations


Journal ArticleDOI
TL;DR: A brief and personalized online sleep education intervention improved sleep behaviors, sleep quality, and depressions scores among college students and may offer an effective and inexpensive remedy.
Abstract: Study Objectives:Sleep deprivation can impair attention, mood, and performance; however, few effective sleep education programs are available. The aim of this study was to assess the effect of a sl...

57 citations


Journal ArticleDOI
TL;DR: In a clinical setting, a positive MSLT for narcolepsy is a more reproducible and stable feature in NT1 than NT2, and additional systematic MSLT repeatability studies independent of confounds are ideally needed.
Abstract: Study Objectives:To examine repeatability of Multiple Sleep Latency Test (MSLT) results in narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2) according to the criteria of the International Classif...

57 citations


Journal ArticleDOI
TL;DR: The data suggest that the informative value of sleep reference data in healthy individuals is limited because of high interindividual and intraindividual variation within sleep variables.
Abstract: Study Objectives:Reference data for sleep are needed for the interpretation of clinical sleep parameters. This analysis aimed to provide polysomnography-measured, spectral analytic and subjective r...

Journal ArticleDOI
TL;DR: Subjects with insomnia showed low resilience, which was related to high stress-related sleep reactivity, emotional dysregulation, and hyperarousal, which helps to minimize the extent of pathogenesis in the developmental process.
Abstract: Study Objectives:According to the diathesis-stress model of insomnia, insomnia may develop in vulnerable individuals in response to stress. Resilience is a psychobiological factor that determines a...

Journal ArticleDOI
TL;DR: Treatment-emergent or persistent CSA during CPAP reduced therapy adherence, but adherence improved early after switching from CPAP to ASV, and average apnea-hypopnea index decreased significantly on ASV versus CPAP.
Abstract: Study Objectives:There is a lack of data regarding adherence trajectories when switching from continuous positive airway pressure (CPAP) to adaptive servoventilation (ASV) in the context of persist...

Journal ArticleDOI
TL;DR: AZT reduced blood pressure, vascular stiffness, andSleep Apnea Associated Hypertension and Vascular Dysfunction in patients with OSA and comorbid hypertension.
Abstract: Study Objectives:The carbonic anhydrase inhibitor acetazolamide (AZT) modulates blood pressure at high altitude and reduces sleep-disordered breathing in patients with obstructive sleep apnea (OSA)...

Journal ArticleDOI
TL;DR: The CPAP adherence did not differ between the three different mask interfaces but the residual AHI was lower with NM than ONM and patients reported greater mask comfort, better sleep, and overall preference for a NM.
Abstract: Study Objectives:To determine if the type of continuous positive airway pressure (CPAP) mask interface influences CPAP treatment efficacy, adherence, side effects, comfort and sleep quality in pati...

Journal ArticleDOI
TL;DR: In this paper, the prevalence of sleep disorders in adults with Down syndrome through self-reported and clinical data was found to be high in the presence of sleep apnea in adults.
Abstract: Study Objectives:Sleep problems are often undetected in adults with Down syndrome (DS). Our objective was to determine the prevalence of sleep disorders in adults with DS through self-reported and ...

Journal ArticleDOI
TL;DR: There is a high prevalence of comorbid insomnia with OSA, consistent with previous findings in Western studies, and this findings warrant further investigation into the mechanisms involved in its pathogenesis and devising more efficient treatments.
Abstract: Study Objectives:Obstructive sleep apnea (OSA) and chronic insomnia are two common sleep disorders and both are considered independent risk factors for heart disease. The aim of this study was to i...

Journal ArticleDOI
TL;DR: CPAP treatment of OSA in PD is associated with improved overall non-motor symptoms, sleep quality, anxiety, and global cognitive function over a 12-month period.
Abstract: Study Objectives:Parkinson disease (PD) non-motor symptoms are associated with sleep disorders and impair quality of life. Our objective was to assess the effect of obstructive sleep apnea (OSA) tr...

Journal ArticleDOI
TL;DR: The results suggest that systematic bright light exposure in the morning may have beneficial effects on sleep in fatigued cancer survivors and larger scale efficacy trials are warranted.
Abstract: Study Objectives:Sleep disturbances are commonly reported by cancer survivors. Systematic light exposure using bright light has been used to improve sleep in other populations. In this secondary da...

Journal ArticleDOI
TL;DR: A marked reduction of long-term CPAP use in nonobese patients with low ArTH highlights the importance of understanding a patient's physiologic phenotype for OSA management, and suggests potential targets to improve CPAP adherence.
Abstract: Study Objectives:Determine the prevalence of, and clinical features associated with, a low respiratory arousal threshold (ArTH) among patients with obstructive sleep apnea (OSA), and to assess whet...

Journal ArticleDOI
TL;DR: Results from this study can be used to justify the interpretation of the ESS within clinical populations, and supports valid comparisons between groups based on the E SS, as well as confirm the unidimensionality of this scale in a large diverse clinical population.
Abstract: Study Objectives:The Epworth Sleepiness Scale (ESS) is used by clinicians and researchers to determine level of daytime sleepiness. The number of factors included in the scale has been debated. Our...

Journal ArticleDOI
TL;DR: Two weeks of CPAP in females with GDM and OSA did not result in improved glucose levels, but insulin secretion improved in those adherent to CPAP, and continued CPAP use was possibly associated with improved pregnancy outcomes.
Abstract: Study Objectives:Obstructive sleep apnea (OSA) is associated with gestational diabetes mellitus (GDM). This study assessed the effects of continuous positive airway pressure (CPAP) in obese pregnan...

Journal ArticleDOI
TL;DR: Clinically significant nightmares are highly prevalent in United States military personnel with sleep disturbances and are frequently comorbid with other sleep and mental health disorders.
Abstract: Study Objectives:Sleep disturbances are common in United States military personnel. Despite their exposure to combat and trauma, little is known about nightmares in this population. The purpose of ...

Journal ArticleDOI
TL;DR: Fear of sleep was related to sleep disturbances specific to trauma rather than "classic" insomnia symptoms and may be related to having a truncated sleep period and thus more consolidated sleep.
Abstract: Study Objectives:Our study aims were to examine (1) the association between fear of sleep and posttraumatic stress disorder (PTSD) symptoms, (2) the association between fear of sleep and subjective...

Journal ArticleDOI
TL;DR: In a clinical obstructiveSleep apnea referral population, the ESS score was variable when administered sequentially and should not be used as the sole tool to prioritize patients for obstructive sleep apnea assessment.
Abstract: Study Objectives:To determine the reproducibility of the Epworth Sleepiness Scale (ESS) score in a clinical population referred for diagnostic testing with suspected obstructive sleep apnea.Methods...

Journal ArticleDOI
TL;DR: Manual scoring of non-rapid eye movement sleep stages is highly unreliable among highly trained, experienced technologists, and measures of sleep continuity and depth that are reliable and clinically relevant should be a focus of clinical research.
Abstract: Study Objectives:The American Academy of Sleep Medicine has published manuals for scoring polysomnograms that recommend time spent in non-rapid eye movement sleep stages (stage N1, N2, and N3 sleep

Journal ArticleDOI
TL;DR: High-throughput sequencing revealed that the oral microbiome composition and function were significantly altered in pediatric OSA, and co-inertia and correlation analyses revealed that several oral microbiome changes were correlated with urinary metabolite perturbations in toddler OSA.
Abstract: Study Objectives:Several cross-sectional studies have reported associations between oral diseases and obstructive sleep apnea (OSA) However, there have been no reports regarding the structure and

Journal ArticleDOI
TL;DR: The Jawbone UP3 did not accurately quantify or classify sleep in patients with suspected central disorders of hypersomnolence, and was particularly poor at identifying REM sleep.
Abstract: Study Objectives:To evaluate the ability of a multisensory fitness tracker, the Jawbone UP3 (JB3), to quantify and classify sleep in patients with suspected central disorders of hypersomnolence.Met...

Journal ArticleDOI
TL;DR: The NightOwl-REI achieved a close correlation and REI-categorization with the MSSS-AHI, especially in light of the significant inter-scorer variability of the analysis of the PSG.
Abstract: Study Objectives:The objective of this study was to evaluate the performance of a miniaturized home sleep apnea test, called NightOwl. The system consists of a sensor placed on the fingertip and a ...

Journal ArticleDOI
TL;DR: A good feasibility and sufficient accuracy of HSAT attached in a stroke rehabilitation unit is confirmed and the authors suggest that American Academy of Sleep Medicine recommendations for HSAT should include stroke patients.
Abstract: Study Objectives:To study the feasibility and accuracy of home sleep apnea testing (HSAT) in the diagnosis of obstructive sleep apnea (OSA) in a stroke rehabilitation unit.Methods:Stroke patients r...