Mother-to-Infant Bonding is Associated with Maternal Insomnia, Snoring, Cognitive Arousal, and Infant Sleep Problems and Colic DOI
David A. Kalmbach, Louise M. O’Brien, D’Angela Pitts

et al.

Behavioral Sleep Medicine, Journal Year: 2021, Volume and Issue: 20(4), P. 393 - 409

Published: May 28, 2021

Objective: Emerging evidence links maternal and infant sleep problems to impairments in the mother-to-infant bond, but independence directionality of these associations remain unclear. The present study characterized concurrent prospective effects disturbances poor on mother-infant relationship. As common sequalae problematic sleep, nocturnal cognitive hyperarousal daytime sleepiness were investigated as facilitating mechanisms.Participants: Sixty-seven pregnant women enrolled a sleep.Methods: Sociodemographic information clinical symptoms measured prenatally then weekly across first two postpartum months. Women reported insomnia symptoms, duration, snoring, sleepiness, arousal (broadly focused perinatal-specific), perseverative thinking, depression, colic, quality, relationship quality. Mixed models conducted test hypotheses.Results: Prenatal snoring weak maternal-fetal attachment augured poorer bonding. Poor was associated with increased odds for short sleep. Impairments bond linked insomnia, perinatal-focused rumination, Postnatal predicted future decreases partially mediated this association.Conclusions: Both bonding, independent depression colic. Perseverative thinking at night, particularly infant-related concerns, impaired rejection anger, infant-focused anxiety. Improving reducing arousal, may improve maternal-to-infant bond.

Language: Английский

Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis DOI
Faizul Hasan, Yu‐Kang Tu, Chien‐Ming Yang

et al.

Sleep Medicine Reviews, Journal Year: 2021, Volume and Issue: 61, P. 101567 - 101567

Published: Nov. 9, 2021

Language: Английский

Citations

85
We know CBT-I works, now what? DOI Open Access
Alexandria Muench, Iván Vargas, Michael A. Grandner

et al.

Faculty Reviews, Journal Year: 2022, Volume and Issue: 11

Published: Feb. 1, 2022

Cognitive behavioral therapy for insomnia (CBT-I) has been shown to be efficacious and now is considered the first-line treatment both uncomplicated that occurs comorbidly with other chronic disorders (comorbid insomnia). The purposes of this review are provide a comprehensive summary efficacy data (for example, overall by clinical demographic considerations CBT-I formulation) discuss future what next steps should taken in terms research, dissemination, implementation, practice).

Language: Английский

Citations

55
Cognitive-behavioral therapy for insomnia prevents and alleviates suicidal ideation: insomnia remission is a suicidolytic mechanism DOI
David A. Kalmbach, Philip Cheng, Brian K. Ahmedani

et al.

SLEEP, Journal Year: 2022, Volume and Issue: 45(12)

Published: Oct. 15, 2022

Insomnia is associated with elevated levels of suicidal thoughts and behaviors. Emerging evidence suggests that cognitive-behavioral therapy for insomnia (CBTI) may reduce ideation (SI). However, the role digital therapeutics in both alleviation prevention SI remains unclear, treatment mechanisms facilitating reductions have not been clearly identified.A total 658 adults Diagnostic Statistical Manual Mental Disorders, 5th Edition disorder enrolled a single-site randomized controlled trial evaluating efficacy CBTI relative to attention control. Outcomes were measured at pretreatment, posttreatment, 1-year follow-up.Before treatment, 126 patients endorsed (19.1% prevalence). Among those baseline SI, reported lower rates posttreatment (30.0% vs 54.5%, p = .005) follow-up (29.6% 46.8%, .042) PRODCLIN analysis estimated half suicidolytic effects mediated through remission. without did directly prevent new onset SI. remitters new-onset non-remitters (1.5% 6.5%, .009). Mediation supported significant indirect effect wherein increased likelihood remission, which was (αβ -3.20, 95% CI -5.74 -0.87).Digital reduces symptoms, promotes prevention. For nonsuicidal patients, serve as highly accessible monotherapy improving sleep, thereby reducing risk be appropriately administered an adjunct support mainline intervention more targeting suicidogenic thoughts.

Language: Английский

Citations

43
Digital cognitive behavioral therapy for insomnia on depression and anxiety: a systematic review and meta-analysis DOI Creative Commons
Suonaa Lee, Jae Won Oh, Kyungmee Park

et al.

npj Digital Medicine, Journal Year: 2023, Volume and Issue: 6(1)

Published: March 25, 2023

Abstract Despite research into the development of digital cognitive behavioral therapy for insomnia (dCBT-I), outcomes dCBT-I on and associated clinical conditions depression anxiety have been limited. The PubMed, PsycINFO (Ovid), Embase, Cochrane databases were searched randomized controlled trials (RCTs) adult patients with also having reported measures depressive or symptoms. In total, 2504 articles identified after duplicate removal, 22 RCTs included in final meta-analysis. At post-treatment assessment, group had a small to moderate effect alleviating (standardized mean difference (SMD) = −0.42; 95% CI: −0.56, −0.28; p < 0.001; k 21) symptoms (SMD −0.29; −0.40, −0.19; 18), but large sleep outcome −0.76; −0.95, −0.57; 22). When considering treatment adherence, effects those high adherent groups more robust outcome, showing greater sizes than low depression, anxiety, outcomes. Furthermore, additional subgroup analysis studies that used fully automated without support human therapists significant results demonstrated intervention yielded as well Specifically, study above when adherence implementing dCBT-I.

Language: Английский

Citations

40
The Safety of Digital Mental Health Interventions: Systematic Review and Recommendations DOI Creative Commons
Rayan Taher, Che-Wei Hsu, Chloe Hampshire

et al.

JMIR Mental Health, Journal Year: 2023, Volume and Issue: 10, P. e47433 - e47433

Published: July 6, 2023

Evidence suggests that digital mental health interventions (DMHIs) for common conditions are effective. However, interventions, such as face-to-face therapies, pose risks to patients. A safe intervention is considered one in which the measured benefits outweigh identified and mitigated risks.

Language: Английский

Citations

26
Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review DOI Creative Commons
Ulrike Stentzel, Hans J. Grabe, Silke Schmidt

et al.

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: April 28, 2023

Abstract Background Pregnancy and the postpartum period are times when women at increased risk for depression mental problems. This may also negatively affect foetus. Thus, there is a need interventions with low-threshold access care. Telemedicine promising approach to address these issues. systematic literature review examined efficacy of telemedicine pregnant and/or new mothers health-related outcomes. The primary objective was analyse whether can reduce health problems in mothers. secondary aim clarify impact type interventions, their frequency targets. Methods Inclusion criteria: randomized controlled trials, participants being (with infants up twelve months), involving any kind (e.g. websites, apps, chats, telephone), addressing outcomes like depression, postnatal anxiety, stress others. Search terms were women, mothers, telemedicine, RCT (randomised trials), as well numerous synonyms including medical subject headings. search conducted within databases PubMed, Cochrane Library, Web Science PsycINFO. Screening, inclusion records data extraction performed by two researchers according PRISMA guidelines, using online tool CADIMA. Results Forty four articles included. A majority (62%) reported significantly improved receiving compared control. In particular (internet-delivered) Cognitive Behavioural Therapy successful stress, peer support anxiety. Interventions preventive approaches aimed symptom reduction largely successful. For most part no significant improvement symptoms Conclusion evaluated RCTs mostly However, they be designed specifically target certain issue because one-size-fits-all approach. Further research should focus on which specific appropriate intervention delivery modes, content, approaches, etc. investigation needed, regard

Language: Английский

Citations

25
Systematic review and meta-analysis on fully automated digital cognitive behavioral therapy for insomnia DOI Creative Commons
Jiwon Hwang, Ga Eun Lee, Janghee Woo

et al.

npj Digital Medicine, Journal Year: 2025, Volume and Issue: 8(1)

Published: March 12, 2025

Insomnia impairs daily functioning and increases health risks. Cognitive behavioral therapy for insomnia (CBT-I) is effective but limited by cost therapist availability. Fully automated digital CBT-I (FA dCBT-I) provides an accessible alternative without involvement. This systematic review meta-analysis evaluated the effectiveness of FA dCBT-I across 29 randomized controlled trials (RCTs) involving 9475 participants. Compared to control groups, demonstrated moderate large effects on severity. Subgroup analyses indicated that had a significant impact when contrasted with most groups was less than therapist-assisted CBT-I. Meta-regression revealed group type moderated outcomes, whereas completion rate did not. implies treatment adherence, rather merely completing intervention, crucial its effectiveness. study supports potential as promising option managing underscores hybrid model combining support more beneficial.

Language: Английский

Citations

1
Digital and AI-Enhanced Cognitive Behavioral Therapy for Insomnia: Neurocognitive Mechanisms and Clinical Outcomes DOI Open Access
Evgenia Gkintoni, Stephanos P. Vassilopoulos, Γεώργιος Νικολάου

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(7), P. 2265 - 2265

Published: March 26, 2025

Background/Objectives: This systematic review explores the integration of digital and AI-enhanced cognitive behavioral therapy (CBT) for insomnia, focusing on underlying neurocognitive mechanisms associated clinical outcomes. Insomnia significantly impairs functioning, overall health, quality life. Although traditional CBT has demonstrated efficacy, its scalability ability to deliver individualized care remain limited. Emerging AI-driven interventions-including chatbots, mobile applications, web-based platforms-present innovative avenues delivering more accessible personalized insomnia treatments. Methods: Following PRISMA guidelines, this synthesized findings from 78 studies published between 2004 2024. A search was conducted across PubMed, Scopus, Web Science, PsycINFO. Studies were included based predefined criteria prioritizing randomized controlled trials (RCTs) high-quality empirical research that evaluated AI-augmented interventions targeting sleep disorders, particularly insomnia. Results: The suggest improves parameters, patient adherence, satisfaction, personalization in alignment with individual profiles. Moreover, these technologies address critical limitations conventional CBT, notably those related access scalability. AI-based tools appear especially promising optimizing treatment delivery adapting cognitive-behavioral patterns. Conclusions: While demonstrates strong potential advancing through broader accessibility, several challenges persist. These include uncertainties surrounding long-term practical implementation barriers, ethical considerations. Future large-scale longitudinal is necessary confirm sustained benefits AI-powered

Language: Английский

Citations

1
Advances in the Treatment of Chronic Insomnia: A Narrative Review of New Nonpharmacologic and Pharmacologic Therapies DOI Creative Commons
Russell Rosenberg, Leslie Citrome, Christopher L. Drake

et al.

Neuropsychiatric Disease and Treatment, Journal Year: 2021, Volume and Issue: Volume 17, P. 2549 - 2566

Published: Aug. 1, 2021

Abstract: Chronic insomnia disorder, which affects 6– 10% of the population, is diagnostically characterized by ongoing difficulties with initiating or maintaining sleep occurring at least three times per week, persisting for 3 months, and associated daytime impairment. While chronic often considered a condition primarily related to impaired sleep, disorder can also adversely affect domains physical mental health, quality life, function, highlights importance treating multidimensional disorder. Owing misperceptions about safety effectiveness treatment options, many individuals may not seek professional treatment, alternatively use ineffective home remedies over-the-counter medications improve sleep. Some physicians even believe that remediated simply having patient "get more sleep". Unfortunately, always simple. The disorder's complex underlying pathophysiology warrants consideration different nonpharmacologic pharmacologic options. Indeed, recent insights gained from research into have facilitated development newer approaches efficacious outcomes. This narrative review provides summary diagnostic criteria its subtypes. Further, this emphasizes new emerging treatments insomnia, including enhancements in cognitive behavioral therapy (CBT-I) dual orexin receptor antagonist (DORA) pharmacologics. These advances expanded options are likely result improved outcomes patients insomnia. Keywords: antagonists, therapy-insomnia, subtype, hypnotic

Language: Английский

Citations

49
Common Sleep Disorders in Pregnancy DOI Open Access
Francesca Facco,

Megan Q. Chan,

Sanjay R. Patel

et al.

Obstetrics and Gynecology, Journal Year: 2022, Volume and Issue: unknown

Published: July 7, 2022

Compared with men, women have a greater risk of sleep disorders and report higher rates disturbance. Hormonal physiologic changes throughout the life span appear to influence woman's ability get good night's sleep. Sleep disturbances are commonly reported during pregnancy, affecting more than one-half all pregnancies increasing as gestation progresses. The pervasiveness complaints pregnancy may lead belief that these symptoms normal or be expected. Unfortunately, this perception impede accurate diagnosis crucial time. Obstructive apnea, insomnia, restless legs syndrome most common in pregnancy. disruption can substantially worsen maternal quality factor for adverse outcomes. This review outlines important considerations obstetricians taking care pregnant patients sleep-related complaints.

Language: Английский

Citations

32