Sleep and Vigilance, Год журнала: 2023, Номер 8(1), С. 3 - 12
Опубликована: Дек. 26, 2023
Язык: Английский
Journal of Sleep Research, Год журнала: 2023, Номер 32(6)
Опубликована: Март 5, 2023
Summary Comorbid insomnia and sleep apnoea (COMISA) is a highly prevalent debilitating disorder. Cognitive behavioural therapy for (CBTi) may be an appropriate treatment COMISA; however, no previous study has systematically reviewed meta‐analysed literature reporting on the effect of CBTi in people with COMISA. A systematic search was conducted across PsychINFO PubMed ( n = 295). In all, 27 full‐text records were independently by at least two authors. Forward‐ backward‐chain referencing, hand‐searches used to identify additional studies. Authors potentially eligible studies contacted provide COMISA subgroup data. total, 21 studies, including 14 independent samples 1040 participants included. Downs Black quality assessments performed. meta‐analysis nine primary measuring Insomnia Severity Index indicated that associated large improvement severity (Hedges’ g −0.89, 95% confidence interval [CI] −1.35, −0.43). Subgroup meta‐analyses effective untreated obstructive (OSA) (five Hedges’ −1.19, CI −1.77, −0.61) treated OSA (four −0.55, −0.75, −0.35). Publication bias evaluated examining Funnel plot (Egger's regression p 0.78). Implementation programmes are required embed management pathways clinics worldwide currently specialise alone. Future research should investigate refine interventions COMISA, identifying most components, adaptations, developing personalised approaches this condition.
Язык: Английский
Процитировано
27
Journal of Sleep Research, Год журнала: 2024, Номер 33(6)
Опубликована: Март 14, 2024
Summary Insomnia is a primary symptom of shift work disorder, yet it remains undertreated. This randomised‐controlled pilot trial examined the efficacy digital, guided cognitive behavioural therapy for insomnia adapted to (SleepCare) in nurses with disorder. The hypothesis was that SleepCare reduces severity compared waitlist control condition. A total 46 unmedicated suffering from disorder (age: 39.7 ± 12.1 years; 80.4% female) were randomised group or group. outcome measure Severity Index. Other questionnaires on sleep, mental health and occupational functioning, sleep diary data actigraphy analysed as secondary outcomes. Assessments conducted before (T0), after intervention/waitlist period (T1), 6 months treatment completion (T2). showed significant reduction T0 T1 condition (β = −4.73, SE 1.12, p < 0.001). Significant improvements observed sleepiness, dysfunctional beliefs about pre‐sleep arousal, effort, self‐reported efficiency onset latency. No effect found data. Depressive anxiety symptoms, irritation ability improved significantly. Overall, satisfaction engagement intervention high. severity, functioning. first investigating digital population insomnia. Future research should further explore these effects larger sample sizes active conditions.
Язык: Английский
Процитировано
9
Sleep Medicine Reviews, Год журнала: 2023, Номер 71, С. 101839 - 101839
Опубликована: Авг. 22, 2023
Язык: Английский
Процитировано
16
Frontiers in Sleep, Год журнала: 2024, Номер 3
Опубликована: Фев. 8, 2024
Introduction Shift work can lead to sleep disturbances and insomnia during the sleeping period, as well excessive sleepiness fatigue waking period. While Cognitive Behavioral Therapy (CBT-i) is recommended first line of treatment for insomnia, key elements CBT-i, such maintaining a consistent schedule, be challenging shift workers, highlighting need tailored interventions. This mini review provides narrative synthesis non-pharmacological interventions workers informs development preventative, multicomponent management programme. Method An informal was conducted in with Phase 1 Framework Development Evaluation Complex Interventions. Results A variety strategies have been employed help manage impacts on sleep, including: adjusting schedules, controlled light exposure, hygiene education, planned napping, caffeine consumption, mind-body (e.g., yogic relaxation). Discussion Recommendations, limitations, directions future research are discussed; notably, role family, commute from workplace, eating behaviors employees appear overlooked current intervention efforts. Digital CBT-i platforms could provide an effective, scalable, low-cost method reducing workers.
Язык: Английский
Процитировано
5
Journal of Sleep Research, Год журнала: 2024, Номер unknown
Опубликована: Март 5, 2024
Summary The present study evaluates the efficacy of behavioural therapy adapted for shift work disorder with a randomised control design in healthcare population. Forty‐three night workers (m. age: 34 years; 77% women) experiencing were to either (BT‐SWD) or waiting‐list group offered after waiting period. Participants completed questionnaires on insomnia, sleepiness and mental health pre‐ post‐treatment, post‐waiting, at follow‐up, sleep diary. As alternate between sleeping during day their shifts transitioning nighttime days off, insomnia severity variables analysed daytime sleep. BT‐SWD involved restriction therapy, stimulus fixed periods dark. Statistical analyses performed under intent‐to‐treat per‐protocol approaches. Repeated‐measures two‐way ANCOVA analysis, controlling age, sex pre‐treatment total time, was Bonferroni corrections, between‐group effect sizes computed. Fourteen participants dropped out randomisation. Under had significant greater decrease an increase time post‐treatment than group, large (−1.25 0.89). These corresponding results also analysis. Sleepiness, anxiety depression levels improved maintained follow‐up when treated controls added group. can be used improve workers.
Язык: Английский
Процитировано
5
Clocks & Sleep, Год журнала: 2024, Номер 6(2), С. 267 - 280
Опубликована: Май 29, 2024
Shift work, long work hours, and operational tasks contribute to sleep circadian disruption in defence personnel, with profound impacts on cognition. To address this, a digital technology, the SleepSync app, was designed for use defence. A pre-post design study undertaken examine whether four weeks app improved cognitive fitness (high performance neurocognition) cohort of shift workers from Royal Australian Air Force. In total, 13 approximately 20 shift-working personnel one base volunteered study. Sleep outcomes were assessed using Insomnia Severity Index (ISI), Patient-Reported Outcomes Measurement Information System (PROMIS), Disturbance Sleep-Related Impairment Scales, Glasgow Effort Scale, Hygiene Index, mental health Depression, Anxiety, Stress Scale-21. Sustained attention measured 3-min Psychomotor Vigilance Task (PVT) controlled response NBack. Results showed significant improvements insomnia (ISI scores 10.31 at baseline 7.50 after use), sleep-related impairments (SRI T-scores 53.03 46.75 post-app healthy practices (SHI 21.61 18.83 use; all p < 0.001). Trends improvement recorded depression. NBack incorrect responses reduced significantly (9.36 baseline; by −3.87 last week use, 0.001), but no other objective measures improved. These findings suggest that may improve positively enhance warrants further investigation large samples. Randomised control trials cohorts are needed confirm utility this intervention settings.
Язык: Английский
Процитировано
5
BMC Public Health, Год журнала: 2024, Номер 24(1)
Опубликована: Сен. 3, 2024
Язык: Английский
Процитировано
5
Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 261 - 268
Опубликована: Апрель 1, 2025
Abstract This chapter targets behaviors, feelings, and thinking modes which can affect insomnia, comorbid insomnia obstructive sleep apnea (COMISA), circadian rhythm disorders (CRSD), nightmares. As a mean to improve or decrease wake at onset during the night in individuals presenting with cognitive-behavioral treatment for (CBT-I) includes therapies dealing behaviors thoughts interfering associated feelings keeping person awake night. CBT-I is first-line recommended insomnia. It has also been delivered COMISA CRSD randomized control trials (RCT), contrary parasomnias restless leg syndrome (RLS) are most often studied single case designs. reviews different offers alternatives when available aforementioned disorders.
Язык: Английский
Процитировано
0
International Journal of Nursing Studies, Год журнала: 2025, Номер 169, С. 105112 - 105112
Опубликована: Май 8, 2025
Shift work is associated with many adverse effects on health and, in particular, affects sleep. In nurses, one of the most common forms insomnia shift sleep disorder. Traditional face-to-face cognitive behavioral therapy for often impractical shift-working nurses due to irregular schedules. Digital presents a promising alternative provide access insomnia. To investigate effectiveness digital SleepCare intervention reducing being affected by Randomized controlled trial. 74 two-armed randomized trial, was compared work-specific psychoeducation published digitally German Sleep Society. The diagnosis disorder established through clinical interview. primary outcome severity as measured Insomnia Severity Index at baseline before randomization, 8 weeks, and 3 months after randomization. Further indicators mental long-term hair cortisol concentration were evaluated secondary endpoints. Intention-to-treat analysis covariance showed greater reduction group versus psychoeducation, both post-intervention (d = 1.11[0.7-1.6]) follow-up 0.97 [0.5-1.4]), corresponding between-group differences 5.0 5.3 points Index, respectively. 56 % completed least five six sessions results indicated larger these completers d 1.49 1.28, Statistically significant observed sleep-related, but not other indicators, example, stress depression. Reduced levels (V 82, p .008; Δ -1.8 pg/mg, 44 from baseline). effective symptoms clinically meaningful extent first delivered programs adapt specific exercises address nurses' needs work. development strategies promote treatment adherence seems necessary, substantially completers. Clinical Trials Register - DRKS; DRKS00027411 (https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00027411). Registration date: March 9, 2022. Start recruitment: May 13,
Язык: Английский
Процитировано
0
Clocks & Sleep, Год журнала: 2025, Номер 7(2), С. 24 - 24
Опубликована: Май 9, 2025
Shift workers are at increased risk of insomnia. The standard treatment (cognitive behavioral therapy for insomnia) poses significant challenges this demographic due to irregular work and sleep schedules. New approaches still considered insufficient high attrition or effectiveness. Our preliminary study identified sleep-relevant state trait factors (see secondary outcomes) incorporation into an innovative manual that addresses in implicit manner. objective was reduce the focus on insomnia replace regularity-based interventions. With a sample 55 insomniacs (67.74% male, mean age 41.62 years), customized treatments were compared using pre-treatment, post-treatment, three-month follow-up measurements (RCT, self-assessment data). linear mixed models revealed main effects measurement point primary (insomnia severity, quality, onset latency, total time, daytime sleepiness) outcomes (selection: anxiety/depression, dysfunctional beliefs, arousal, emotional stability, concern). No condition interaction identified. Non-inferiority equivalence tests demonstrated is equivalent therapy, which favorable outcome light approach. Consequently, approach warrants further exploration, incorporating present results.
Язык: Английский
Процитировано
0