Showing papers in "Sleep Medicine Reviews in 2016"

TL;DR: The best evidence synthesis for the PSQI showed strong reliability and validity, and moderate structural validity in a variety of samples, suggesting the tool fulfills its intended utility.

TL;DR: Internet-delivered CBT-I appears efficacious and can be considered a viable option in the treatment of insomnia, according to a meta-analysis of 11 randomized controlled trials.

TL;DR: The risk of developing diabetes associated with sleep disturbances is comparable to that of traditional risk factors, and sleep disturbances should be considered in clinical guidelines for type 2 diabetes screening.

TL;DR: In extending current understanding of sleep/wake patterns beyond the mean values, IIV should be incorporated as an additional dimension when sleep is examined across multiple days.

TL;DR: Much refinement of ideas and innovative experimental approaches are needed to clarify the sleep-connectivity relationship, and the ideas surrounding the broad hypothesis that sleep serves a connectivity/plasticity function are many and attractive.

TL;DR: Overall, the evidence supports recent non-experimental study findings and calls for policy that advocates for delayed school start time to improve sleep, but there is a need for rigorous randomized study designs and reporting of consistent outcomes, including objective sleep measures and consistent measures of health and academic performance.

TL;DR: The quality of the evidence supports a strong recommendation for the use of CBT-I among cancer survivors, and large effect sizes were observed for self-reported insomnia severity for those patients who received CBTs, representing a clinically relevant eight point reduction.

TL;DR: Prospective studies have identified female gender, depressed mood, and physical illness as general risk factors for future sleep disturbances in later life, although specific physiological pathways have not yet been established.

TL;DR: To conclude, light therapy is effective for sleep problems in general, particularly for circadian outcomes and insomnia symptoms, however, most effect sizes are small to medium.

TL;DR: A significant majority of studies reviewed found that the cost of treating primary and comorbid insomnia is less than thecost of not treating it, and Treatments were generally found to be cost-effective using commonly employed standards, with treatment costs being recouped within 6-12 mo.

TL;DR: Although CPAP has a greater treatment effect, MAD is an appropriate treatment for patients who are intolerant of CPAP and may be comparable to CPAP in mild disease.

TL;DR: The ABCs of SLEEPING mnemonic provided preliminary support for many of the recommendations that are commonly made to families regarding healthy sleep practices, but more robust investigations are needed to better understand the causal contributions ofhealthy sleep practices to the onset and maintenance of children's sleep problems.

TL;DR: The results suggest that adolescents with higher subjective and objective PA are more likely to experience good sleep subjectively and objectively, and researchers should take into account several assessment factors unique to the adolescent population.

TL;DR: This review highlights the important role of sleep homeostasis in sleep timing, shows that the same phenotypic response may have multiple underlying causes, and identifies aspects of sleep to target to correct delayed sleep in adolescents and advanced sleep in later life.

TL;DR: In this article, a review summarizes studies examining the prevalence of sleep problems in primary care settings as well as current practices in screening, diagnosis, and management, including behavioral recommendations and medications.

TL;DR: Nocturnal oximetry emerges as a valuable tool that can facilitate treatment decisions when polysomnography is not available and can predict responses to treatment interventions for OSAS and potential complications.

TL;DR: Investigation of the efficacy of orthopedic mandibular advancement and/or rapid maxillary expansion in the treatment of pediatric obstructive sleep apnea yielded only a small number of studies, and any conclusions from the pooled diagnostic parameters and their interpretation should be treated carefully.

TL;DR: It is suggested that future studies should investigate longitudinal associations between sleep and cardiometabolic risk factors with the use of objective sleep measurements conducted for several days, including weekdays and weekend days, at multiple time points over time.

TL;DR: The hypothesis proffered here is that being awake when one is not biologically prepared to be so results in "hypofrontality" and diminished executive function, and that this represents a common pathway to suicidal ideation and behavior.

TL;DR: Evidence for trauma-induced insomnia is presented and a model of it as an important nosological and neurobiological entity is advanced, which can establish novel biological markers to identify persons at risk for the condition, and help optimize treatment of the trauma-insomnia interface.

TL;DR: Treatments that decrease the cutaneous symptoms in Psoriasis were successful in mitigating insomnia, but did not show improvements in OSA where the relationship with psoriasis is multifactorial.

TL;DR: Results suggest that sleeping problems may be used as a possible signal that a child is victimized by peers in the relation between peer victimization and sleeping problems.

TL;DR: The authors review and summarize the current and relevant S-EEG literature on sleep-related hypermotor epilepsies and NREM-related parasomnias, and highlights the presence of local electrophysiological dissociated states and clarifying the underlying pathophysiological substrate of such NREM sleep disorders.

TL;DR: PAP has a moderate clinical effect on symptoms of depression and anxiety in OSA, but it is not superior to dental appliances or sham PAP, and PAP was superior to all comparators for respiratory variables.

TL;DR: It is suggested that a systematic assessment of the association between sleep disorders and impaired autonomic control of the cardiovascular system is warranted and the mechanism of this association may yield insights into the interaction between the autonomic nervous system and sleep.

TL;DR: The overarching conclusion appears supportive in the formulation of an hypothetical framework, in which fragmented sleep and intermittent hypoxia may promote changes in multiple signalosomes and transcription factors that can not only initiate malignant transformation, but will also alter the tumor microenvironment, disrupt immunosurveillance, and thus hasten tumor proliferation and increase local and metastatic invasion.

TL;DR: Evidence is shown that ADHD compared to typically developing children present a higher mean activity during structured sessions, a similar sleep duration, and a moderately altered sleep pattern.

TL;DR: A systematic review of criterion validation of sleep time questionnaires for children and adolescents, considering accelerometers as the reference method found a strong correlation between questionnaires and accelerometers for weeknights and a moderate correlation for weekend nights.

TL;DR: The results are consistent with recent reviews of subjective data, which have challenged the notion of a modern epidemic of insufficient sleep.

TL;DR: Interventions offered in the perinatal period appear to impact the amount of sleep that a mother reports her baby to have, although the infants continue to wake as frequently.