Insomnia during the COVID-19 pandemic in a Greek population

Psychiatry Research, Journal Year: 2020, Volume and Issue: 289, P. 113076 - 113076

Published: May 12, 2020

Language: Английский

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The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Australian & New Zealand Journal of Psychiatry, Journal Year: 2020, Volume and Issue: 55(1), P. 7 - 117

Published: Dec. 22, 2020

Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence supplemented by expert clinical consensus to formulate s that maximise utility. Methods: Articles information sourced search engines including PubMed, EMBASE, MEDLINE, PsycINFO Google Scholar were literature known disorders committee (e.g. books, book chapters government reports) published depression bipolar disorder guidelines. Relevant was appraised discussed in detail members committee, with a view formulating developing consensus-based recommendations guidance. The guidelines subjected rigorous consultation external review involving: advisors, key stakeholders, professional bodies specialist groups interest disorders. Results: Royal Australian New Zealand College Psychiatrists practice 2020 (MDcpg ) up-to-date is informed experience. guideline intended for use psychiatrists, psychologists, primary care physicians others an mental health care. Conclusion: MDcpg builds on previous 2015 maintains its joint focus both depressive It provides within evidence-based framework, consensus. Mood committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Porter, Ajeet B Singh Greg Murray.

Language: Английский

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The effect of caffeine on subsequent sleep: A systematic review and meta-analysis

Sleep Medicine Reviews, Journal Year: 2023, Volume and Issue: 69, P. 101764 - 101764

Published: Feb. 6, 2023

The consumption of caffeine in response to insufficient sleep may impair the onset and maintenance subsequent sleep. This systematic review meta-analysis investigated effect on characteristics night-time sleep, with intent identify time after which should not be consumed prior bedtime. A search literature was undertaken 24 studies included analysis. Caffeine reduced total by 45 min efficiency 7%, an increase latency 9 wake 12 min. Duration (+6.1 min) proportion (+1.7%) light (N1) increased intake duration (-11.4 (-1.4%) deep (N3 N4) decreased intake. To avoid reductions time, coffee (107 mg per 250 mL) at least 8.8 h bedtime a standard serve pre-workout supplement (217.5 mg) 13.2 results present study provide evidence-based guidance for appropriate mitigate deleterious effects

Language: Английский

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Bidirectional relationships of comorbidity with obstructive sleep apnoea

European Respiratory Review, Journal Year: 2022, Volume and Issue: 31(164), P. 210256 - 210256

Published: May 4, 2022

Obstructive sleep apnoea (OSA) is frequently associated with comorbidities that include metabolic, cardiovascular, renal, pulmonary and neuropsychiatric. There considerable evidence OSA an independent risk factor for many of these but, more recently, there some may predispose to the development OSA. Thus, growing a bidirectional relationship between comorbidity, especially heart failure, metabolic syndrome stroke. Potential mechanisms relationships differ in individual fluid retention redistribution being important failure end-stage renal disease, whereas neural be diabetes mellitus The other comorbidities, such as hypertension atrial fibrillation, support consequence limited relationship. present review explores particular perspective on impact therapy also reviewed, which highlights clinical importance accurate diagnosis. This aspect true COPD, where identification co-existing has implications optimum therapy.

Language: Английский

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Effect of Electroacupuncture on Insomnia in Patients With Depression

JAMA Network Open, Journal Year: 2022, Volume and Issue: 5(7), P. e2220563 - e2220563

Published: July 7, 2022

Importance

Electroacupuncture (EA) is a widely recognized therapy for depression and sleep disorders in clinical practice, but its efficacy the treatment of comorbid insomnia remains uncertain.

Objective

To assess safety EA as an alternative improving quality mental state patients with depression.

Design, Setting, Participants

A 32-week patient- assessor-blinded, randomized, sham-controlled trial (8-week intervention plus 24-week observational follow-up) was conducted from September 1, 2016, to July 30, 2019, at 3 tertiary hospitals Shanghai, China. Patients were randomized receive standard care, sham acupuncture (SA) or care only control. 18 70 years age, had insomnia, met criteria classified theDiagnostic Statistical Manual Mental Disorders (Fifth Edition). Data analyzed May 4 13, 2020.

Interventions

All groups provided guided by psychiatrists. SA received real treatment, sessions per week 8 weeks, total 24 sessions.

Main Outcomes Measures

The primary outcome change Pittsburgh Sleep Quality Index (PSQI) baseline 8. Secondary outcomes included PSQI 12, 20, 32 weeks follow-up; parameters recorded actigraphy; Insomnia Severity Index; 17-item Hamilton Depression Rating Scale score; Self-rating Anxiety score.

Results

Among 270 (194 women [71.9%] 76 men [28.1%]; mean [SD] 50.3 [14.2] years) intention-to-treat analysis, 247 (91.5%) completed all measurements 32, 23 (8.5%) dropped out trial. difference within group −6.2 (95% CI, −6.9 −5.6). At 8, score −3.6 −4.4 −2.8;P < .001) between −5.1 −6.0 −4.2;P control groups. treating sustained during postintervention follow-up. Significant improvement (−10.7 [95% −11.8 −9.7]), (−7.6 −8.5 −6.7]), (−2.9 −4.1 −1.7]) scores time actigraphy (29.1 21.5-36.7] minutes) observed 8-week period (P< .001 all). No between-group differences found frequency awakenings. serious adverse events reported.

Conclusions Relevance

In this depression, improved significantly compared 32.

Trial Registration

ClinicalTrials.gov Identifier:NCT03122080

Language: Английский

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Mediterranean Diet on Sleep: A Health Alliance

Nutrients, Journal Year: 2022, Volume and Issue: 14(14), P. 2998 - 2998

Published: July 21, 2022

The Mediterranean diet is a plant-based, antioxidant-rich, unsaturated fat dietary pattern that has been consistently associated with lower rates of noncommunicable diseases and total mortality, so it considered one the healthiest patterns. Clinical trials mechanistic studies have demonstrated its peculiar foods nutrients exert beneficial effects against inflammation, oxidative stress, dysmetabolism, vascular dysfunction, adiposity, senescence, cognitive decline, neurodegeneration, tumorigenesis, thus preventing age-associated chronic improving wellbeing health. Nocturnal sleep an essential physiological function, whose alteration health outcomes diseases. Scientific evidence suggests are related in bidirectional relationship, understanding this association important given their role disease prevention. In review, we surveyed literature concerning current state from epidemiological on impact nighttime quantity quality. available indicate greater adherence to adequate duration several indicators better Potential mechanisms mediating effect described, gap-in-knowledge new research agenda corroborate findings discussed.

Language: Английский

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Mendelian randomization: causal inference leveraging genetic data

Psychological Medicine, Journal Year: 2024, Volume and Issue: 54(8), P. 1461 - 1474

Published: April 19, 2024

Mendelian randomization (MR) leverages genetic information to examine the causal relationship between phenotypes allowing for presence of unmeasured confounders. MR has been widely applied unresolved questions in epidemiology, making use summary statistics from genome-wide association studies on an increasing number human traits. However, understanding essential concepts is necessary appropriate application and interpretation MR. This review aims provide a non-technical overview demonstrate its relevance psychiatric research. We begin with origins reasons recent expansion, followed by statistical methodology. then describe limitations MR, how these are being addressed methodological advances. showcase practical psychiatry through three illustrative examples - connection cannabis psychosis, link intelligence schizophrenia, search modifiable risk factors depression. The concludes discussion prospects focusing integration multi-omics data extension delineating complex networks.

Language: Английский

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Associations between 24-h movement behaviors and indicators of mental health and well-being across the lifespan: a systematic review

Journal of Activity Sedentary and Sleep Behaviors, Journal Year: 2024, Volume and Issue: 3(1)

Published: March 14, 2024

Abstract Researchers have adopted a variety of analytical techniques to examine the collective influence 24-h movement behaviors (i.e., physical activity, sedentary behaviors, sleep) on mental health, but efforts synthesize this growing body literature been limited studies children and youth. This systematic review investigated how combinations relate indicators ill-being well-being across lifespan. A search MEDLINE, PsycINFO, Embase, SPORTDiscus was conducted. Studies were included if they reported all three behaviors; an indicator or well-being; published in English after January 2009. Samples both clinical non-clinical populations included. total 73 ( n = 58 cross-sectional; 15 longitudinal) met our inclusion criteria, which 47 children/youth 26 adults. Seven approaches used: guideline adherence (total specific combinations), compositions, isotemporal substitution, profile/cluster analyses, Goldilocks method rest-activity rhythmicity. More associations for 127 children/youth; 53 adults) than 54 adults). Across lifespan, favorable benefits most consistently observed when components guidelines met. Movement compositions more often associated with health youth Beneficial behavior replaced sleep activity. Other analytic indicated that engaging healthier consistent patterns (emphasizing adequate sleep, maximizing minimizing behaviors) better health. Favorable less longitudinal studies. Collectively, these findings provide further support adopting integrative whole day approach promote prevent manage over status quo focusing isolation. literature, however, is still emerging—for adults particular—and work required make stronger inferences.

Language: Английский

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Road Traffic Noise Exposure and Depression/Anxiety: An Updated Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health, Journal Year: 2019, Volume and Issue: 16(21), P. 4134 - 4134

Published: Oct. 27, 2019

Unlike other World Health Organization evidence reviews, the systematic review on mental disorders could not provide a quantitative estimate of effect environmental noise. With that in mind, we aimed to update it with additional studies published through 18 August 2019 order allow for formal meta-analysis association residential road traffic noise anxiety and depression. The quality effects random estimators were used robustness findings was tested several sensitivity analyses. Ten included qualitative synthesis, from which extracted 15 estimates depression (n = 1,201,168) five 372,079). Almost all cross-sectional risk bias them generally high. We found 4% (95% CI: −3%, 11%) higher odds 12% −4%, 30%) associated 10 dB(A) increase day–evening–night level (Lden). Both models suffered moderate heterogeneity (55% 54%), but there publication only model. These robust no study-level moderators. A analysis an alternative set categorically-reported supported linear relationship between Lden Taking into account overall assessment studies, conclude is “very low” increasing exposure may be anxiety.

Language: Английский

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Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Sept. 10, 2021

Abstract Background Cross-sectional and longitudinal studies have found that problematic mobile phone use, bedtime procrastination, sleep quality, depressive symptoms are strongly associated. However, inconsistent regarding whether use predicts or vice versa, factors been infrequently focused on in this regard. In addition, few examined the associations directions of effects between these factors. Therefore, study aims to explore relationship among college students. Methods Overall, 1181 students completed questionnaires at two time points 12 months apart. A cross-lagged model was used examine Results Cross-lagged analyses showed significant bidirectional relationships with procrastination symptoms. Additionally, there were also quality Problematic predicted subsequent one-way, one-way. Conclusions This further expands our understanding helps school mental health educators design targeted interventions reduce problems,

Language: Английский

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