Sleep
445 peer-reviewed studies indexed
Effect of Virtual Reality-Based Mindfulness Program vs Audio-Guided Mindfulness on Depression, Sleep, and Quality of Life in Dementia Family Caregivers: An Exploratory Randomized Controlled Trial.
Both VR-based and audio-guided mindfulness interventions were associated with within-group improvements in depression, sleep, and quality of life in dementia caregivers, with no statistically significant between-group differences.
Association between Epworth Sleepiness Scores and CPAP compliance in patients with obstructive sleep apnea.
Higher baseline Epworth Sleepiness Scale scores were significantly associated with greater early CPAP adherence, with each 1-point increase predicting 7.4% higher odds of being in a greater adherence category, while AHI, BMI, and sex were not significant predictors.
Relocation for a better life? A longitudinal study of informal social participation and life satisfaction of older adults relocated for poverty alleviation in China.
Informal social participation enhances life satisfaction among relocated older adults not by improving sleep duration, but primarily through reducing perceived stress, such that social participation lowers stress levels which in turn leads to greater long-term life satisfaction.
Longitudinal effects of dimethyl fumarate on patient-reported outcome measures in multiple sclerosis: treatment satisfaction, quality of life, depressive symptoms, sleep, and work productivity.
DMF was associated with improvements in treatment satisfaction, quality of life, sleep quality, work productivity, and depressive symptoms in both treatment-naïve and previously treated RRMS patients, with high adherence and manageable side effects.
A biomechanical monitoring framework for supine sleep: continuous muscle state assessment using sEMG-JASA synchronized with interface pressure mapping.
Muscle states exhibited distinct regional and temporal patterns during supine sleep, with statistically significant negative correlations identified between muscle fatigue and regional interface pressure, most strongly between gluteus medius fatigue and hips pressure distribution (Kendall's τ = -0.723, p < 0.01), suggesting that reduced interface pressure in partially suspended body regions elicits compensatory muscle activation leading to fatigue accumulation.
Impact of Family-Centred Care Combined With Psychological Intervention on Sleep Quality and Psychological Status in Children With Bronchopneumonia: A Controlled Trial.
FCC combined with psychological intervention effectively enhances sleep quality, mitigates anxiety, promotes treatment adherence and improves family satisfaction among children with bronchopneumonia.
Immersive NREM2 dreaming preserves subjective sleep depth against declining sleep pressure.
Immersive dreaming during NREM2 sleep may help sustain the subjective experience of deep sleep as homeostatic pressure wanes, challenging the view that perceived sleep depth arises solely from reduced brain activity.
Impact of Sleep Quality on Work Functioning Among Critical Care Nurses at an Academic Tertiary Hospital.
Poor sleep quality was significantly associated with poor work functioning among ICU nurses, with poor sleep associated with over four times the odds of poor work functioning (OR 4.29; 95% CI, 1.74-10.58).
Modulation of spinal and cortical neuronal excitability by transcutaneous spinal direct current stimulation in restless legs syndrome.
Anodal transcutaneous spinal direct current stimulation (tsDCS) significantly improved RLS symptoms and sleep quality, likely through enhancing cortical inhibitory function and thereby reducing spinal neuronal excitability.
Exploring sleep outcomes in youth across settings: Are there differences based on rurality or medically underserved status in the ECHO cohort?
Multiple variations in children's sleep health were identified based on living in medically underserved areas while minimal differences were noted based on rurality.
Effects of the Buteyko breathing technique on sleep quality, fatigue, and oxygen saturation in patients with acute coronary syndrome: a randomized controlled trial.
Although modest improvements occurred in sleep, fatigue, and oxygenation, changes were clinically insignificant with no between-group differences; thus, the Buteyko breathing intervention cannot be recommended over standard evidence-based care.
The impact of sleep deprivation on dynamic functional connectivity of the brain: Based on alertness task performance.
Sleep deprivation increased time spent in a 'maladaptive compensatory state' of globally strengthened brain synchronization, with dynamic functional connectivity metrics—particularly within the dorsal attention network—predicting psychomotor vigilance task lapses.
Relationship between Environmental Noise Exposure in Hospitals and Respiratory Infections in Elderly Individuals with Cognitive Decline: A Retrospective Analysis.
Long-term environmental noise exposure is associated with an increased risk of respiratory tract infections in the elderly with cognitive decline, with cognitive impairment potentially aggravating this association by affecting behavioral adaptation and physiological stress responses.
Applying Virtual Community Engagement Studio to Inform a Dyadic Text Message Intervention for Diet, Physical Activity, and Sleep After Cancer.
A Virtual Community Engagement Studio (V-CES) model was used to develop and refine SMS health promotion messages for cancer survivors and caregivers, with stakeholders finding SMS accessible and appropriate and providing actionable feedback on content and delivery.
Assessing Night-to-Night Sleep Variability as a Hallmark of Chronic Insomnia Using Longitudinal, Contactless, Mobile Sleep Monitoring: Prospective Cohort Study.
Persistent night-to-night variability in objective sleep measures is a hallmark of chronic insomnia, as demonstrated by the longest known objective characterization of sleep among individuals with chronic insomnia using a contactless, radio frequency-based sleep monitoring device.
Mental health disorders among people living with human immunodeficiency virus on antiretroviral therapy in Benin: the overlooked role of sleep quality.
Moderate-or-worse depressive and anxiety symptoms are frequent among PLHIV in this setting, and sleep quality shows a robust independent association with both outcomes.
Effects of multi-herb and ashwagandha root formulas on stress modulation: a randomized, double-blind, placebo-controlled clinical study.
Both a multi-herb formula (Rhodiola, holy basil, Schisandra chinensis; VL-G-A57) and a full-spectrum ashwagandha formula (VL-G-E12) were associated with significant reductions in stress, fatigue, and anxiety while improving mood and sleep quality compared to placebo over 60 days.
Preoperative sleep quality predicts postoperative morbidity in elderly gastric cancer patients undergoing radical gastrectomy: integration with nutritional and sarcopenia assessment.
Preoperative sleep quality independently predicts postoperative complications after radical gastrectomy, and integrating sleep, nutritional, and sarcopenia assessments improves risk stratification and highlights targets for perioperative optimization.
Comparative Effects of Music Therapy Versus White Noise on Sleep Quality and Psychological Resilience of Night-Shift Nurses: Retrospective Cohort Study.
White noise demonstrates greater efficacy for sleep quality and circadian rhythm optimisation, while music therapy provides superior psychological resilience enhancement, burnout reduction and emotional labour management in night-shift nurses.
The influence of smartphone addiction on sleep quality among college students: The parallel mediating roles of perceived stress and health-promoting lifestyle.
Smartphone addiction negatively affects sleep quality both directly and indirectly through increased perceived stress and reduced engagement in a health-promoting lifestyle, with perceived stress accounting for 47.51% and health-promoting lifestyle accounting for 14.83% of the total effect.
Circadian gene expression in adolescents: Associations with concurrent circadian disruption and subsequent changes in cardiometabolic risk measures.
Expression of core clock genes was linked to circadian disruption and changes in cardiometabolic risk factors in a sex-specific manner among adolescents.
The DREAMS START intervention for sleep in dementia: Long-term follow-up of a randomized controlled trial.
The DREAMS START multi-component intervention for sleep disturbance in people with dementia demonstrated sustained 2-year improvement in sleep disruption, with adjusted mean Sleep Disorders Inventory score significantly lower in the intervention arm than treatment-as-usual.
Clinical features associated with a response to ethosuximide in developmental and epileptic encephalopathy with spike wave activation in sleep.
Among patients with (D)EE-SWAS treated with ethosuximide as add-on therapy, 43.5% achieved a clinically meaningful reduction in spike-wave index at first follow-up, and several clinical factors including underlying etiology, focal interictal epileptiform discharges, and epilepsy syndrome were significantly associated with responder status.
The multidimensional effects of sleep quality in young adults: the relationship between auditory performance, sound tolerance, and anxiety.
Poor sleep quality in young adults was significantly associated with lower auditory performance, reduced sound tolerance (hyperacusis, phonophobia, and misophonia), and higher anxiety levels.
Sleep Routines and Tiredness Among Children Ages 2-17 Years: United States, 2024.
Children ages 5-10 years were most likely to have a regular bedtime, and children with disability were more likely to complain of being tired (22.0%) than children without disability (6.3%).
Clinical Outcomes and Patient Profiles in the UK Medical Cannabis Registry: A k-Means Clustering Analysis.
Trajectory k-means clustering of 8945 patients in the UK Medical Cannabis Registry identified 10 distinct HRQoL response patterns over 24 months, with 77.72% of patients demonstrating improvements, and baseline patient characteristics being stronger predictors of favorable treatment response than product-specific factors.
Effect of melatonin enriched with L-Tryptophan and 5-Hydroxytryptophan on sleep parameters in children with neurodevelopmental disorders.
In this exploratory pilot study, a within-group reduction in nocturnal motor activity was observed among M-5HTP completers, but given the small sample size, high attrition rate, and limited statistical power, these findings should be interpreted cautiously and considered hypothesis-generating.
Risk Factors for Comorbid Anxiety in Patients with Coronary Heart Disease and Association with Noise Exposure.
Patients with CHD are prone to anxiety, with hospital noise being a potential risk factor, and noise reduction management can effectively alleviate anxiety.
Mapping the cortical architecture of sleep deprivation: insights from fMRI, neurotransmission, and metabolic activity.
This study identifies an SD-related cortical weight map predominantly localized to the occipital cortex and visual/ventral attention networks, and characterizes its functional, directional, and metabolic associations, offering a systems-level perspective on the neural vulnerability underlying cognitive impairment after sleep loss.
Night eating syndrome in liver transplant recipients with diabetes or excess-weight: a cross-sectional study.
Night Eating Syndrome (NES) was identified in 5% of liver transplant recipients with type 2 diabetes and/or overweight/obesity, and obesity was significantly associated with nocturnal awakenings unrelated to urination (p = 0.008).
High sugar-sweetened beverage intake predicts adverse physical, emotional, and sleep health trajectories in adolescents: a 4-year prospective cohort study.
High sugar-sweetened beverage intake is prospectively associated with unfavorable cardiometabolic, emotional, and sleep-related health trajectories during adolescence, and reducing SSB consumption by ≥30% was associated with significantly smaller increases across physical, emotional, and sleep-related outcomes.
Enhancing identification and diagnosis of nightmare disorder in active duty patients at a sleep disorders center: A quality improvement initiative.
A quality improvement initiative using tiered Plan-Do-Study-Act cycles increased nightmare disorder diagnosis rates among active duty service members from 0.60% at baseline to 9.12% after three intervention cycles, surpassing the target goal of 5% within 12 months.
How exercise adherence affects emotion regulation in Chinese college students: The chain mediating effect of sleep quality and self-efficacy.
Exercise adherence directly enhances emotional regulation and indirectly influences it through the 'sleep quality → self-efficacy' chain pathway, revealing a synergistic multi-path mechanism in Chinese college students.
Intraindividual Variability of the Cortisol Awakening Response, Sleep Dynamics, Stress, and Emotion in Two Persons With Poststroke Aphasia.
The cortisol awakening response was consistent across days and weeks with little intraindividual variability in two persons with poststroke aphasia, and modifiable variables (sleep quality, sleep quantity, stress, and emotion) varied in their association with the CAR but did not reach statistical significance.
Physical activity and meal timing alignment with chronotype and their associations with glucose metabolism: The Maastricht Study.
Weekday, but not weekend, alignment of physical activity and meal timing with chronotype was modestly associated with more favourable glucose metabolism, suggesting a potential role of behaviour-chronotype alignment in metabolic health.
Disentangling trait and developmental chronotype across the lifespan: An augmented regression-based approach to norms for morningness-eveningness scales.
Augmented regression-based norms for the European Portuguese Composite Scale of Morningness that disentangle trait and developmental chronotype components better predicted sleep timing, mental-health outcomes, and cognitive complaints than conventionally normed scores.
Lifestyle, sleep quality, and cognitive function in resistant hypertension: One-year follow-up from the TRIUMPH trial.
Lifestyle modification may help preserve cognitive functioning among individuals with resistant hypertension, with the C-LIFE group showing more preserved cognitive functioning compared to SEPA at one-year follow-up.
Quality of Sleep among the Post Operative Patients at a Tertiary Care Hospital: An Observational Study.
The prevalence of poor sleepers among postoperative patients was 69.17% (95% CI: 60.58%-76.89%), with poor sleep quality especially prevalent in the first week after surgery and more noticeable among females, middle-aged adults, and married individuals.
Composite Phase Deviation as a marker of circadian disruption in college students: Associations with chronotype, sleep, and light regularity.
Composite Phase Deviation (CPD) is a robust marker of circadian disruption in college students, with evening chronotype students showing greater misalignment and sleep irregularity than morning or intermediate types.
Preserved temporal hierarchy but frequency-specific alterations in dynamical regimes of EEG microstate multimers during reversible unconsciousness.
EEG microstate sequences exhibit precise temporal orchestration with frequency-specific alterations in multimer dynamics during reversible unconsciousness, with beta band sequences showing consistent increases in peak power and decreases in center frequency during both deep sedation and N3 sleep.
Evaluating Electroencephalogram-Based Predictive Model for Drowsiness Measurement to Reduce Accident Risk in Active Individuals: Protocol for a Preliminary Monocentric Study.
This protocol describes a single-center, nonrandomized, single-group study designed to validate continuous or predictive methods for assessing drowsiness using automated analysis of a limited number of EEG channels in 40 healthy volunteers exposed to two sleep deprivation conditions simulating real-world occupational scenarios.
The effect of postoperative back massage on pain, sleep outcomes and serum cortisol after open-heart surgery: A randomized controlled trial.
Back massage is a safe and feasible intervention after open-heart surgery, improving objectively measured sleep duration and reducing pain, though cortisol levels decreased over time in both groups without significant between-group differences.
Psychosocial Outcomes in Patients Who Participated in a Hospital-Based Family Involvement Program After Major Abdominal Oncological Surgery: A Preplanned Secondary Analysis of a Prospective Cohort Study.
Family caregiver involvement during hospital admission for major abdominal cancer surgery improved sleep quality and satisfaction with care, but did not significantly affect patients' anxiety, depression, or self-perceived health.
Sex differences in the association between chronotype and anxiety: A nationwide population study.
Having a morning chronotype may reduce the risk of anxiety in men, whereas this protective effect was not observed in women, suggesting the need for sex-specific chronotype-targeted approaches for the prevention and management of anxiety.
Quality of Life, Self-Reported Cognitive Difficulties, and Performance-Based Cognitive Problems in Multiple Sclerosis: What's Sleep Got to Do With It?
Poor sleep quality in people with multiple sclerosis was associated with greater self-reported cognitive difficulties and poorer quality of life (symptoms and fatigue domains), but not with performance-based cognitive functioning.
Personalized Machine Learning Intervention to Improve Sleep Quality Using Wearable Technology in Healthy Middle-Aged Adults From Mexico City: Protocol for a Pilot Randomized Controlled Trial.
This protocol describes a pilot randomized controlled trial testing whether a single personalized sleep intervention driven by machine learning using consumer wearable data can improve sleep scores compared with generic sleep hygiene education in healthy middle-aged adults from Mexico City.
Preventing and Treating Insomnia Symptoms in Midlife and Older Adults (ASLEEP): Protocol for a Randomized Controlled Trial Using the PROTECT Norge Infrastructure.
This paper describes the protocol for ASLEEP, a tiered, digitally delivered cognitive behavioral therapy for insomnia (CBT-I) intervention designed to reduce insomnia severity and improve related health outcomes in adults aged 50 years and older, to be evaluated via a fully digital waitlist-controlled randomized controlled trial.
Light matters: Investigating the influence of natural and artificial light on BMI and key mediators.
Daytime natural light exposure was associated with lower BMI and nighttime artificial light exposure was associated with higher BMI, with diet quality, sleep quality, and bedtime emerging as key mediators of these relationships.
Sleep-like slow waves in ADHD: Regional specificity in combined type.
Sleep-like slow wave activity during wakefulness was significantly elevated in both ADHD subtypes compared to healthy controls, with topographic analysis revealing that local frontal lobe abnormalities specifically distinguished ADHD-C from ADHD-I, and prefrontal SWA features were selectively associated with executive control and orientation deficits only in the combined type.
Winding down for the night: changes in thalamocortical connectivity before bed are associated with subsequent sleep-stage duration.
Fluctuations in presleep thalamocortical connectivity predicted distinct features of subsequent sleep architecture, suggesting that presleep thalamocortical network dynamics may facilitate some aspects of later restorative sleep the same night.