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Showing papers in "Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine in 2021"


Journal ArticleDOI
TL;DR: This guideline establishes clinical practice recommendations for the use of behavioral and psychological treatments for chronic insomnia disorder in adults based on a systematic review of the literature and an assessment of the evidence using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology.
Abstract: Introduction:This guideline establishes clinical practice recommendations for the use of behavioral and psychological treatments for chronic insomnia disorder in adults.Methods:The American Academy...

211 citations


Journal ArticleDOI
TL;DR: This review provides a detailed summary of the evidence along with the quality of evidence, the balance of benefits versus harms, patient values and preferences, and resource use considerations.
Abstract: Introduction:The purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of behavioral and psychological treatments for chronic insomnia dis...

111 citations


Journal ArticleDOI
TL;DR: Healthy People 2030 includes several sleep-related disorders as mentioned in this paper, and insufficient sleep and untreated sleep disorders are detrimental for health, well-being, and public safety, which is a biological necessity.
Abstract: Sleep is a biological necessity, and insufficient sleep and untreated sleep disorders are detrimental for health, well-being, and public safety. Healthy People 2030 includes several sleep-related o...

74 citations


Journal ArticleDOI
TL;DR: In this paper, the COVID-19 pandemic has challenged the population of affected areas in multiple dimensions, and adolescents have been especially affected with school closure and home confinement, while adults were not affected.
Abstract: Study Objectives:The COVID-19 pandemic has challenged the population of affected areas in multiple dimensions. Adolescents have been especially affected with school closure and home confinement. Th...

67 citations


Journal ArticleDOI
TL;DR: Short- and long-term PAP adherence rates in Brazil and Mexico were similar to those achieved in the US, and patients who registered to use an engagement tool consistently had better adherence.
Abstract: Study Objectives:Minimal focus has been placed on variations in health care delivery for obstructive sleep apnea (OSA). This study compared positive airway pressure usage in developing countries (B...

24 citations


Journal ArticleDOI
TL;DR: In this article, the performance of the single-channel automatic sleep staging (AS) software ASEEGA in adult patients diagnosed with various sleep disorders was evaluated in a clinical setting.
Abstract: Study Objectives:To assess the performance of the single-channel automatic sleep staging (AS) software ASEEGA in adult patients diagnosed with various sleep disorders.Methods:Sleep recordings were ...

17 citations


Journal ArticleDOI
TL;DR: Patient and provider perspectives on barriers and facilitators to optimal, patient-centred management of OSA in a primary care setting are identified and innovative models of care, developed with input from patients and providers, may mitigate barriers and support optimal primary care management.
Abstract: Study Objectives:Difficulties in providing timely access to care have prompted interest in primary care delivery models for obstructive sleep apnea (OSA). Sustainable implementation of such models ...

15 citations


Journal ArticleDOI
TL;DR: Although there was no difference in the underlying characteristics and subjective symptom scores between the groups, the patients with epiglottic collapse showed significantly lower BMI and OSA severity.
Abstract: Study Objectives:The purpose of this study was to analyze patients with epiglottic collapse, especially their clinical characteristics related to obstructive sleep apnea and phenotype labeling usin...

14 citations


Journal ArticleDOI
TL;DR: A retrospective study of children with ADHD who underwent polysomnography to identify the prevalence of restless sleep disorder (RSD), finding only 9.1% had RSD.
Abstract: Study Objectives:Restless sleep is a very common parental complaint in children with attention-deficit/hyperactivity disorder (ADHD), but restless sleep has been seen in association with other como...

13 citations


Journal ArticleDOI
TL;DR: In this article, the authors describe objective sleep-wake characteristics and glycemia over 7-14 days in young adults with type 1 diabetes, in addition to person-level associati...
Abstract: Study Objectives:The purpose of this study was to describe objective sleep-wake characteristics and glycemia over 7–14 days in young adults with type 1 diabetes. In addition, person-level associati...

13 citations


Journal ArticleDOI
TL;DR: In this article, a standard definition of sleep quality has not been identified, and polysomnography (PSG) provides important information for sleep quality assessment, but it is not suitable for medical applications.
Abstract: Study Objectives:Sleep is one of the most common factors related to health, yet a standard definition of sleep quality has not been identified. Polysomnography (PSG) provides important information ...

Journal ArticleDOI
TL;DR: Treatment of mild OSA with CPAP or MAD did not improve BP or endothelial function after one year, even in patients with effective treatment.
Abstract: Study Objectives:To evaluate and compare the effects of continuous positive airway pressure (CPAP), use of a mandibular advancement device (MAD), and no treatment on 24-hour ambulatory blood pressu...

Journal ArticleDOI
TL;DR: In this paper, the authors assessed the impact of lem... changes to sleep architecture that occur as a result of the normal aging process may also exacerbate insomnia in older individuals and found that older individuals are more prone to sleep apathy.
Abstract: Study Objectives:Changes to sleep architecture that occur as a result of the normal aging process may also exacerbate insomnia in older individuals. Therefore, this study assessed the impact of lem...

Journal ArticleDOI
TL;DR: In this article, the authors examined the prevalences of PTSD, psychiatric, and medical conditions in veterans with high levels of trauma, and found that these conditions may increase their risk for insomnia.
Abstract: Study Objectives:Veterans experience high levels of trauma, psychiatric, and medical conditions that may increase their risk for insomnia. To date, however, no known study has examined the prevalen...

Journal ArticleDOI
TL;DR: In this paper, positive airway pressure (PAP) therapy is used to treat obstructive sleep apnea in children. But the PAP therapy data are highly heterogeneous in pediatr...
Abstract: Study Objectives:The implementation of positive airway pressure (PAP) therapy to treat obstructive sleep apnea in children is a complex process. PAP therapy data are highly heterogeneous in pediatr...

Journal ArticleDOI
TL;DR: In this paper, the authors assess the impact of the COVID-19 pandemic on sleep medicine and find that the practice of sleep medicine has been affected by the pandemic, however, the actual impact is not known.
Abstract: Study Objectives:Like other medical branches, the practice of sleep medicine has been affected by the COVID-19 pandemic; however, the actual impact is not known. This study was planned to assess th...

Journal ArticleDOI
TL;DR: The drug may be of clinical benefit in patients with high loop gain apnea of various etiologies and patterns and the existence of high heterogeneity is an important limitation in applicability of this analysis.
Abstract: Study Objectives: The recognition of specific endotypes as drivers of sleep apnea suggests the need of therapies targeting individual mechanisms. Acetazolamide is known to stabilize respiration at ...

Journal ArticleDOI
TL;DR: An international, multidisciplinary consensus protocol is needed to guide clinicians on optimal UAO assessment in RS and a lack of standardization, interpretation and reporting of assessment and treatment indications for UAO in RS is demonstrated.
Abstract: Study Objectives: Identifying optimal treatment for infants with Robin sequence (RS) is challenging due to substantial variability in the presentation of upper airway obstruction (UAO) in this popu...

Journal ArticleDOI
TL;DR: Evidence is found for an indirect pathway between trauma exposure and posttraumatic symptoms, through pre-migration stress and sleep (particularly pre-sleep arousal), which highlights the extent of sleep disturbance in refugees.
Abstract: Study Objectives:Sleep disturbance is common in those who experience trauma. In a sample of nontreatment-seeking refugees, we examined the associations between trauma exposure, postmigration stress...

Journal ArticleDOI
TL;DR: In this paper, the authors compared type 2 polysomnography (T2PSG) to the gold standard type 1 in-laboratory polysomalization (T1PSG), for diagnosing obstructive sleep apnea (OSA) in children.
Abstract: Study Objectives: To compare type 2 polysomnography (T2PSG) to the gold standard type 1 in-laboratory polysomnography (T1PSG) for diagnosing obstructive sleep apnea (OSA) in children; validate home...

Journal ArticleDOI
TL;DR: Despite the importance of treating sleep-disordered breathing, positive airway pressure adherence rates in children are low as mentioned in this paper, and identifying readily available predictors of nonadherenc...
Abstract: Study Objectives:Despite the importance of treating sleep-disordered breathing, positive airway pressure adherence rates in children are low. Identifying readily available predictors of nonadherenc...

Journal ArticleDOI
TL;DR: For predicting moderate-to-severe OSA, the optimal STOP-Bang threshold for the Chinese, Indian, Malay and Caucasian were determined to be 4 or greater, and this was a multicentre prospective cohort study involving patients with cardiovascular risk factors undergoing major non-cardiac surgery.
Abstract: Study Objectives:The STOP-Bang questionnaire is a concise and easy screening tool for obstructive sleep apnea (OSA). Using modified body mass index (BMI), we assessed the diagnostic performance of ...

Journal ArticleDOI
TL;DR: In this paper, temperature-sensing data chips embedded in the appliance are used to measure the use of oral appliance therapy for short-term treatment of oral cancer. But, the results were limited.
Abstract: Study Objectives: Oral appliance (OA) therapy usage can be objectively measured through temperature-sensing data chips embedded in the appliance. Initial reports of group data for short-term treatm...

Journal ArticleDOI
TL;DR: Sleep duration and sleep patterns seems to be associated with childhood weight status and interventions should be developed to educate parents on the importance of an adequate sleep duration and healthy sleep patterns for their children's healthy development.
Abstract: Study Objectives:Sleep is an essential normal function for children’s growth and development, but over the years, lifestyle changes have resulted in insufficient sleep, a factor that may be associa...

Journal ArticleDOI
TL;DR: In this article, the aim of the Improving CPAP Adherence Program (I-CAP) study was to assess the impact of a multidimensional treatment framework based on shared decision-making, patient activatio...
Abstract: Study Objectives: The aim of the Improving CPAP Adherence Program (I-CAP study) was to assess the impact of a multidimensional treatment framework based on shared decision-making, patient activatio...

Journal ArticleDOI
TL;DR: Long-term efficacy and safety of solriamfetol were similar regardless of adherence to primary OSA therapy, and Solriam Fetol did not affect primary therapy use.
Abstract: Study Objectives:Solriamfetol, a dopamine/norepinephrine reuptake inhibitor, is approved in the United States and European Union to treat excessive daytime sleepiness in patients with obstructive s...

Journal ArticleDOI
TL;DR: The Decide2Rest program promotes person-centered OSA decision-making for older patients with newly diagnosed OSA and future studies are needed to optimize implementation of the program.
Abstract: Study Objectives:Person-centered obstructive sleep apnea (OSA) care is a collaborative approach that is respectful of an individual’s health priorities. Informed decision-making is essential to per...

Journal ArticleDOI
TL;DR: OSA is common and strongly associated with major comorbidities and warrants more diagnostic and therapeutic attention, and the STOP-BAG questionnaire provides a public health platform to monitor this disease.
Abstract: Study Objectives:Population based estimates of obstructive sleep apnea (OSA) frequency and health impact are incomplete. The aim of this study was to determine the prevalence of risk factors for ph...

Journal ArticleDOI
TL;DR: In this article, the efficacy of portable-monitor (PM) sleep testing in children is not well understood, while most studies have evaluated PM in a lab setting, the utility of PM in the home environment is questionable.
Abstract: Study Objectives:The efficacy of portable-monitor (PM) sleep testing in children is not well understood. While most studies have evaluated PM in a lab setting, the utility of PM in the home environ...

Journal ArticleDOI
TL;DR: The findings suggest that family practitioners can effectively pre-screen patients for possible OSA by inquiring about 5 items that form the SSC Sleep Disorders subscale, and that if OSA is suspected, there are a range of behavioral techniques which are recommended to improve symptoms.
Abstract: Study Objectives:In the context of the current COVID-19 pandemic situation, we address the following important questions: (1) How can patients be identified for possible OSA while sleep clinic test...