The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019)

Hypertension Research, Journal Year: 2019, Volume and Issue: 42(9), P. 1235 - 1481

Published: Aug. 2, 2019

Language: Английский

---

Effect of Digital Cognitive Behavioral Therapy for Insomnia on Health, Psychological Well-being, and Sleep-Related Quality of Life: A Randomized Clinical Trial

JAMA Psychiatry, Journal Year: 2018, Volume and Issue: 76(1), P. 21 - 21

Published: Sept. 25, 2018

Digital cognitive behavioral therapy (dCBT) is a scalable and effective intervention for treating insomnia. Most people with insomnia, however, seek help because of the daytime consequences poor sleep, which adversely affects quality life.To investigate effect dCBT insomnia on functional health, psychological well-being, sleep-related life to determine whether reduction in symptoms was mediating factor.This online, 2-arm, parallel-group randomized trial comparing sleep hygiene education (SHE) evaluated 1711 participants self-reported Participants were recruited between December 1, 2015, 2016, delivered using web and/or mobile channels plus treatment as usual; SHE comprised website downloadable booklet usual. Online assessments took place at 0 (baseline), 4 (midtreatment), 8 (posttreatment), 24 (follow-up) weeks. Programs completed within 12 weeks after inclusion.Primary outcomes scores measures health (Patient-Reported Outcomes Measurement Information System: Global Health Scale; range, 10-50; higher indicate better health); well-being (Warwick-Edinburgh Mental Well-being 14-70; greater well-being); (Glasgow Sleep Impact Index; 1-100; impairment). Secondary mood, fatigue, sleepiness, failures, work productivity, relationship satisfaction. Insomnia assessed Condition Indicator (range: 0-32; sleep).Of included intention-to-treat analysis, 1329 (77.7%) female, mean (SD) age 48.0 (13.8) years, 1558 (91.1%) white. Use associated small improvement compared (adjusted difference [95% CI] week 4, 0.90 [0.40-1.40]; 8, 1.76 [1.24-2.28]; 24, [1.22-2.30]) 1.04 [0.28-1.80]; 2.68 [1.89-3.47]; 2.95 [2.13-3.76]), large (at -8.76 [-11.83 -5.69]; -17.60 [-20.81 -14.39]; -18.72 [-22.04 -15.41]) (all P < .01). A mediated these (range mediated, 45.5%-84.0%).Use improving reporting symptoms. mediates improvements. These results confirm that improves both nighttime aspects strengthening existing recommendations CBT choice insomnia.isrctn.org identifier: ISRCTN60530898.

Language: Английский

---

British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: An update

Journal of Psychopharmacology, Journal Year: 2019, Volume and Issue: 33(8), P. 923 - 947

Published: July 4, 2019

This British Association for Psychopharmacology guideline replaces the original version published in 2010, and contains updated information recommendations. A consensus meeting was held London October 2017 attended by recognised experts advocates field. They were asked to provide a review of literature identification standard evidence their area, with an emphasis on meta-analyses, systematic reviews randomised controlled trials where available, plus updates current clinical practice. Each presentation followed discussion, aiming reach and/or experience considered adequate, or otherwise flag area as direction future research. draft proceedings circulated all speakers comments, which incorporated into final statement.

Language: Английский

---

Sleep Quality: A Narrative Review on Nutrition, Stimulants, and Physical Activity as Important Factors

Nutrients, Journal Year: 2022, Volume and Issue: 14(9), P. 1912 - 1912

Published: May 2, 2022

Sleep is a cyclically occurring, transient, and functional state that controlled primarily by neurobiological processes. disorders insomnia are increasingly being diagnosed at all ages. These risk factors for depression, mental disorders, coronary heart disease, metabolic syndrome, and/or high blood pressure. A number of can negatively affect sleep quality, including the use stimulants, stress, anxiety, electronic devices before sleep. growing body evidence suggests nutrition, physical activity, hygiene significantly quality The aim this review was to discuss such as activity.

Language: Английский

---

The Effect of Anxiety and Depression on Sleep Quality of Individuals With High Risk for Insomnia: A Population-Based Study

Frontiers in Neurology, Journal Year: 2019, Volume and Issue: 10

Published: Aug. 13, 2019

Introduction: One of the most common sleep disorders, insomnia is a significant public health concern. Several psychiatric such as anxiety disorders and depression, have shown strong relationships with insomnia. However, clinical impact combination these two conditions on severity quality remains unknown. We investigated relationship between disturbance comorbidities in subjects high risk for Methods: analyzed data from nation-wide cross-sectional survey Korean adults aged 19 ~ 69 years conducted November 2011 to January 2012. The was performed via face-to-face interviews using structured questionnaire. used index (ISI) evaluate defined respondents ISI scores ≥10 were considered be at To diagnose we Goldberg scale (GAS) Patient Health Questionnaire-9 (PHQ-9), respectively. Results: Of 2,762 respondents, 290 (10.5%) classified insomnia; [odds ratio (OR), 9.8; 95% confidence interval (CI), 7.3-13.1] depression (OR, 19.7; CI, 13.1-29.6) more this population than participants without insomnia, 152 (52.4%) had neither nor 63 (21.7%) only anxiety, 21 (7.2%) 54 (18.6%) both depression. group associated worse sleep-related scales other groups [high ISI, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale]. outcome measures (ISI PSQI) problems when present. PSQI has mediation effect severity. Conclusion: Among may negative daytime alertness, general quality, severity, especially are present same time. Clinicians should, therefore, consider treating

Language: Английский

---

Sleep deprivation and its association with diseases- a review

Sleep Medicine, Journal Year: 2020, Volume and Issue: 77, P. 192 - 204

Published: Aug. 18, 2020

Language: Английский

---

Beneficial effect of GABA-rich fermented milk on insomnia involving regulation of gut microbiota

Microbiological Research, Journal Year: 2020, Volume and Issue: 233, P. 126409 - 126409

Published: Jan. 7, 2020

Language: Английский

---

The Role of Sleep in Cardiovascular Disease

Current Atherosclerosis Reports, Journal Year: 2024, Volume and Issue: 26(7), P. 249 - 262

Published: May 25, 2024

Sleep is an important component of cardiovascular (CV) health. This review summarizes the complex relationship between sleep and CV disease (CVD). Additionally, we describe data supporting treatment disturbances in preventing treating CVD.

Language: Английский

---

Untreated insomnia increases all-cause health care utilization and costs among Medicare beneficiaries

SLEEP, Journal Year: 2019, Volume and Issue: 42(4)

Published: Jan. 12, 2019

To examine the impact of untreated insomnia on health care utilization (HCU) among a nationally representative sample Medicare beneficiaries.Our data source was random 5% administrative for years 2006-2013. Insomnia operationalized as presence at least one claim containing an insomnia-related diagnosis in any given year based International Classification Disease, Version 9, Clinical Modification codes or prescription fill medication Part D drug files each year. We compared HCU prior to non-sleep disordered controls during same period.A total 151 668 beneficiaries were found have insomnia. Compared (n = 333 038), with had higher rates across all point service locations. Rates highest inpatient (rate ratio [RR] 1.61; 95% confidence interval [CI] 1.59, 1.64) and lowest fills (RR 1.17; CI 1.16, 1.17). Similarly, controls, demonstrated $63,607 (95% $60,532, $66,685) all-cause costs, which driven primarily by ($60,900; $56,609, $65,191). Emergency department ($1,492; $1,387, $1,596) costs ($486; $454, $518) also elevated cases relative controls.In this randomly selected older individuals increased points service.

Language: Английский

---

Factors associated with insomnia among Chinese front‐line nurses fighting against COVID‐19 in Wuhan: A cross‐sectional survey

Journal of Nursing Management, Journal Year: 2020, Volume and Issue: 28(7), P. 1525 - 1535

Published: July 13, 2020

To investigate the prevalence of insomnia among front-line nurses fighting against COVID-19 in Wuhan, China, and analyse its influencing factors.Insomnia is an important factor that can affect health work quality nurses. However, there a lack big-sample studies exploring factors COVID-19.This cross-sectional study using Ascension Insomnia Scale, Fatigue Scale-14 Perceived Stress Scale took place March 2020. Participants were 1,794 from four tertiary-level general hospitals.The participants was 52.8%. predicted by gender, working experience, chronic diseases, midday nap duration, direct participation rescue patients with COVID-19, frequency night shifts, professional psychological assistance during pandemic, negative experiences (such as family, friends or colleagues being seriously ill dying due to COVID-19), degree fear fatigue perceived stress.The level higher than normal level. Interventions based on should be implemented ensure nurses' sleep quality.An in-depth understanding help nurse managers develop solutions improve quality, which will enhance physical mental conditions promote care.

Language: Английский

---