Sleep is essential to health: an American Academy of Sleep Medicine position statement

Journal of Clinical Sleep Medicine, Год журнала: 2021, Номер 17(10), С. 2115 - 2119

Опубликована: Июнь 21, 2021

Sleep is a biological necessity, and insufficient sleep untreated disorders are detrimental for health, well-being, public safety. Healthy People 2030 includes several sleep-related objectives with the goal to improve productivity, quality of life, safety by helping people get enough sleep. In addition adequate duration, healthy requires good quality, appropriate timing, regularity, absence disorders. It position American Academy Medicine (AASM) that essential health. There significant need greater emphasis on health in education, clinical practice, inpatient long-term care, promotion, workplace. More circadian research needed further elucidate importance contributions disparities.Ramar K, Malhotra RK, Carden KA, et al. health: an statement. J Clin Med. 2021;17(10):2115-2119.

Язык: Английский

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Management of Insomnia

New England Journal of Medicine, Год журнала: 2024, Номер 391(3), С. 247 - 258

Опубликована: Июль 17, 2024

Язык: Английский

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Sleep Disturbances and Atopic Dermatitis: Relationships, Methods for Assessment, and Therapies

The Journal of Allergy and Clinical Immunology In Practice, Год журнала: 2020, Номер 9(4), С. 1488 - 1500

Опубликована: Дек. 13, 2020

Язык: Английский

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Comparative efficacy and acceptability of cognitive behavioral therapy delivery formats for insomnia in adults: A systematic review and network meta-analysis

Sleep Medicine Reviews, Год журнала: 2022, Номер 64, С. 101648 - 101648

Опубликована: Май 31, 2022

Язык: Английский

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Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement

American Journal of Respiratory and Critical Care Medicine, Год журнала: 2023, Номер 207(3), С. 244 - 254

Опубликована: Фев. 1, 2023

Section:ChooseTop of pageAbstract <

Язык: Английский

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Prescribing and deprescribing guidance for benzodiazepine and benzodiazepine receptor agonist use in adults with depression, anxiety, and insomnia: an international scoping review

EClinicalMedicine, Год журнала: 2024, Номер 70, С. 102507 - 102507

Опубликована: Март 13, 2024

BackgroundClinical practice guidelines and guidance documents routinely offer prescribing clinicians' recommendations instruction on the use of psychotropic drugs for mental illness. We sought to characterise parameters relevant deprescribing benzodiazepine (BZD) receptor agonist (BZRA), in clinical internationally, adult patients with unipolar depression, anxiety disorders insomnia understand similarities discrepancies between evidence-based expert opinion.MethodsA Scoping Review was conducted characterize that offered and/or consensus pharmacologic management disorders, obsessive-compulsive post-traumatic stress insomnia. A systematic search PubMed, SCOPUS, PsycINFO CINAHL from inception October 13, 2023 supplemented by a gray literature search. Documents were screened Covidence eligibility. Subsequent data-charting eligible collected information aspects both deprescribing.Findings113 offering BZD/BZRA data-charted. Overall, gathered Asia (n = 11), Europe 34), North America 37), Oceania 7), South 4) remainder being "International" 20) not representative any particular region or country. By condition reviewed covered depressive 28), disorder 42) Insomnia 25). Few 18) sufficiently specific complete consider as de-prescribing focused documents.InterpretationDocuments concordance terms BZD BZRA used first-line agents. When used, it is advisable restrict their duration "short-term" most commonly recommended less than four weeks. consistent prescriptive drug, dosing administration pattern (i.e regular 'as needed') selection each condition. Deprescribing unanimously favor gradual dose reduction patient shared decision-making. However, approaches towards dose-tapering differed substantially. Finally, there inconsistencies insufficiency detail, among documents, switching long-acting BZD, adjunctive pharmacotherapies micro-tapering.FundingThe authors received no funding this work.

Язык: Английский

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Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(17), С. 9248 - 9248

Опубликована: Сен. 1, 2021

Obstructive sleep apnea (OSA) and insomnia are the two most common disorders among general population, they may often coexist in patients with sleep-disordered breathing (SDB). The higher prevalence of symptoms OSA (40–60%) compared to that observed population has thus led researchers identify a new disorder named comorbid (COMISA), whose true burden been so far largely underestimated. combined treatment COMISA positive-airway pressure ventilation (PAP) cognitive behavioral therapy for (CBTi) shown better patient outcome obtained single treatment. Furthermore, recent evidence an innovative patient-centered approach taking into consideration characteristics, preferences accessibility is recommended optimize clinical management patients. However, this complex mosaic, many other overlap COMISA, there urgent need further research fully understand impact these therapies on outcomes comorbidity. In light need, review focuses major advances insomniac

Язык: Английский

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Incidence of insomnia and obstructive sleep apnea in active duty United States military service members

SLEEP, Год журнала: 2021, Номер 44(7)

Опубликована: Фев. 3, 2021

Abstract Study Objectives Epidemiologic studies of obstructive sleep apnea (OSA) and insomnia in the U.S. military are limited. The primary aim this study was to report compare OSA diagnoses active duty United States service members. Method Data branch densities used derive expected rates on were drawn from Defense Medical Epidemiology Database. Single sample chi-square goodness fit tests independent samples t-tests conducted address aims study. Results Between 2005 2019, incidence increased 11 333 6 272 (per 10,000), respectively. Service members Air Force, Navy, Marines diagnosed with below rates, while those Army had higher than (p &lt; .001). Female underdiagnosed both disorders Comparison following transition ICD 9 10 codes revealed significant differences amounts only .05). Conclusion Since 2005, have markedly across all branches military. Despite similar requirements for overall physical mental health resilience, OSA. This unexpected finding may relate inherent or role combat operations. Future utilizing military-specific data directed interventions required reverse negative trend.

Язык: Английский

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“Sleep is Not Getting the Attention It Deserves”

Medical Care, Год журнала: 2025, Номер unknown

Опубликована: Апрель 30, 2025

Unique characteristics and service exposures of the post-9/11 cohort U.S. Veterans can influence their sleep health associated comorbidities. The objectives this study were to learn about men women Veterans' "front line" VA providers' knowledge experiences with Health Administration (VA) management. One sample included who received care (n=23; 60% women; Mage: 45 y). To complement those views, primary mental providers recruited from medical centers (n=27). Semistructured qualitative interviews conducted using Microsoft Teams. Questions pertained knowledge, practices, perceived barriers sleep-related care. Interview data synthesized content analysis inductive coding characterize major themes. Four main themes emerged: (1) Sleep is viewed as foundational but often have limited related more routine education needed. (2) Men distinct management needs. Relative men, are likely advocate for assessment behavioral versus pharmacological treatment. (3) practices vary considerably between clinics providers. (4) each experience unique Post-9/11 view critical. Yet, needs be uniform. Providers motivated assess require standardized low-burden opportunities incorporate into practice, perhaps screening. Ultimately, specialized required meet responsibility health.

Язык: Английский

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Randomized controlled trial of an integrated approach to treating insomnia and improving the use of positive airway pressure therapy in veterans with comorbid insomnia disorder and obstructive sleep apnea

SLEEP, Год журнала: 2020, Номер 44(4)

Опубликована: Ноя. 21, 2020

Abstract Study Objectives Cognitive behavioral therapy for insomnia (CBTI) comorbid and obstructive sleep apnea (OSA) has had mixed results. We integrated CBTI with a positive airway pressure (PAP) adherence program tested effects on PAP use. Methods 125 veterans (mean age 63.2, 96% men, 39% non-Hispanic white, 26% black/African American, 18% Hispanic/Latino) newly-diagnosed OSA (apnea-hypopnea index ≥ 15) were randomized to 5-weekly sessions integrating provided by “sleep coach” (with medicine supervision), or education control sessions. Participants assessment staff blinded group assignment. Outcomes (baseline, 3 6 months) included Pittsburgh Sleep Quality Index (PSQI), 7-day diary (sleep onset latency [SOL-D], wake after [WASO-D], efficiency [SE-D]), actigraphy (SE-A), objective use (hours/night nights 4 h). Insomnia Severity (ISI), Epworth Sleepiness Scale (ESS), Functional of Questionnaire-10 (FOSQ-10) also collected. Results Compared controls, intervention participants showed greater improvement (baseline months, respectively) in PSQI (−3.2 −1.7), SOL-D (−16.2 −15.5 minutes), SE-D (10.5% 8.5%), SE-A (4.4% 2.6%) more 90-day (1.3 0.9 hours/night, 17.4 11.3 at months was 3.2 1.9 h/night versus controls. Intervention improvements ISI, ESS, FOSQ-10 (all p &lt; 0.05). Conclusions An delivered supervised coach improved adults OSA. Trial Registration ClinicalTrials.gov name: Novel Treatment Comorbid Apnea Older Veterans URL: https://clinicaltrials.gov/ct2/results?cond=&term=NCT02027558&cntry=&state=&city=&dist= Registration: NCT02027558

Язык: Английский

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