Prevalence Of Sleep Difficulties Research Articles

The Lighter Touch: Less-Restriction in Sequentially Implemented Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions.

The prevalence of sleep difficulties among children with rare genetic neurodevelopmental conditions (RGNC) is high. Behavioral interventions are commonly used in the treatment of sleep difficulties in children with neurodevelopmental conditions such as autism, however, research is scarce in children with RGNC. The range of co-occurring complexities within this population, means there is a need for research to not only determine the effectiveness of behavioral sleep interventions, but also which components might be the least restrictive (i.e., intensive/aversive) and minimally sufficient. This study used a single-case multiple baseline design to investigate the effectiveness and acceptability of behavioral sleep interventions, indicated within a Functional Behavior formulation in eight children with RGNC (M = 7.3years). Intervention components were sequentially administered across up to three phases, based on the principle of less restriction (from least to relatively more intensive) to determine what might be minimally sufficient. Results showed an improvement in sleep onset latency, night wakings, early morning waking and unwanted bed-sharing for 7/7, 6/7, 3/3 and 3/3 children respectively. Improvement was observed for most participants following the less restrictive phases of intervention (circadian modifications, antecedent modifications and positive reinforcement), however, more restrictive, albeit modified, extinction procedures were still implemented for five participants. Improvements were maintained at follow-up and interventions were deemed acceptable to parents. Less restrictive function-based behavioral strategies are an effective, and in some cases sufficient, contribution to a sequence of interventions for a range of sleep difficulties. They should be implemented first, before more restrictive strategies.

Жалобы на нарушения сна у детей 5-13 лет: соотношение оценок детей и родителей. Часть 2

<p>The prevalence of sleep difficulties in children aged 5–13 in the context of rare requests from parents for help to specialists allows us to raise the question of what features of children's sleep parents notice and which of them they consider as a problem. <strong>Aim.</strong> To identify the features of recognition by parents of sleep difficulties in children aged 5–13 years and their subjective qualification their children’s sleep as a problem. <strong>Methods.</strong> In 147 pairs of «parent–child 5–13 years old without diagnosed sleep disorders» (47 pairs with a child 5–6 years old, 49 with a child 7–9 years old, 51 with a child 10–13 years old), parents answered questions about the pattern of children's sleep habits and completed the Children's Sleep Habits Questionnaire, while the children answered questions about the children's self–report about their sleep (Sleep Self–Report). <strong>Results.</strong> Despite the prevalence of various sleep difficulties in children aged 5–13 years, most of the symptoms, unless they are daily or extremely rare and culturally viewed as different from the norm, are rarely considered a problem by parents. The opinions of children and parents in relation to observable, externally verified behavioral manifestations were maximally coherent. The opinions of children and parents on aspects of sleep, which include not the manifestations themselves, but the assessment of their normativity, were not at all consistent with each other. <strong>Conclusions.</strong> The data point to both the importance of better informing parents about various aspects of children's sleep, and the relevance of clinicians' attention to those features of children's sleep that parents do not notice or are not considered a problem.</p>

Sleep Quality in Adolescents with Inflammatory Bowel Disease

Background: The incidence and prevalence of Inflammatory BowelDisease (IBD) in the U.S. is increasing. Because adequate sleep quality and duration play a role in the mental and physical wellbeingof children, this study aimed to determine the prevalence of sleep difficulties in our urban pediatric IBD cohort and evaluateassociations between sleep quality and disease severity. Methods: Patients completed the Pittsburgh Sleep Quality Index(PSQI) questionnaire during an office visit. Chart review provided demographic information, and Pediatric Crohn’s Disease ActivityIndex (PCDAI) and Pediatric Ulcerative Colitis Activity Index (PUCAI) scores were calculated from the day of the visit. Results: The prevalence of sleep problems was 33.54% (95%CI: 26.24% to 41.48%; p-value=0.02). PUCAI scores in children with sleep problems (PSQI mean 19.17 ± 20.43) were significantlyhigher than PUCAI scores in children without sleep problems. There was no association between total PSQI scores, classification of IBD,age, gender, ethnicity, steroid use, or disease duration. Conclusion: Our IBD cohort reported a 33% prevalence ofsleep disturbance symptoms. In the small group of patients withUlcerative Colitis (UC), there was a trend toward a greater degree ofsleep disturbances and a higher PUCAI score. Further investigationinto sleep disorders among children with IBD is warranted toprovide further insight into this issue. Additional evaluation of the differences between Crohn’s disease (CD) and ulcerative colitis asthey relate to sleep quality as well as studies implementing objectivesleep assessments, such as polysomnography or actigraphy, arewarranted as they may offer better understanding of the relationshipbetween pediatric IBD and sleep quality.

Tinnitus and Sleep Difficulties After Cochlear Implantation.

To estimate and compare the prevalence of and associations between tinnitus and sleep difficulties in a sample of UK adult cochlear implant users and those identified as potential candidates for cochlear implantation. The study was conducted using the UK Biobank resource, a population-based cohort of 40- to 69-year olds. Self-report data on hearing, tinnitus, sleep difficulties, and demographic variables were collected from cochlear implant users (n = 194) and individuals identified as potential candidates for cochlear implantation (n = 211). These "candidates" were selected based on (i) impaired hearing sensitivity, inferred from self-reported hearing aid use and (ii) impaired hearing function, inferred from an inability to report words accurately at negative signal to noise ratios on an unaided closed-set test of speech perception. Data on tinnitus (presence, persistence, and related distress) and on sleep difficulties were analyzed using logistic regression models controlling for gender, age, deprivation, and neuroticism. The prevalence of tinnitus was similar among implant users (50%) and candidates (52%; p = 0.39). However, implant users were less likely to report that their tinnitus was distressing at its worst (41%) compared with candidates (63%; p = 0.02). The logistic regression model suggested that this difference between the two groups could be explained by the fact that tinnitus was less persistent in implant users (46%) compared with candidates (72%; p < 0.001). Self-reported difficulties with sleep were similar among implant users (75%) and candidates (82%; p = 0.28), but participants with tinnitus were more likely to report sleep difficulties than those without (p < 0.001). The prevalence of sleep difficulties was not related to tinnitus persistence (p = 0.28) or the extent to which tinnitus was distressing (p = 0.55). The lack of association between tinnitus persistence and sleep difficulties is compatible with the notion that tinnitus is suppressed in implant users primarily during active electrical stimulation and may return when the implant is switched off at night time. This explanation is supported by the similar prevalence of sleep problems among implant users and potential candidates for cochlear implantation, despite differences between the groups in tinnitus persistence and related emotional distress. Cochlear implantation may therefore not be an appropriate intervention where the primary aim is to alleviate sleep difficulties.

The Relationship between Quality of Sleep and Geographical Directions during Sleeping Process

Objectives: Sleep has been one of God’s most precious blessings since human’s existence and it is vital for both body and soul. External and internal factors like age, sex, drug, illness, psychological pressure, job, life style and Earth’s magnetic field influence quality of sleep drastically. In this study we tended to find the relationship between geographical direction during sleeping process and quality of sleep. Methods: In a cross-sectional descriptive study, 200 students from university of Iran, Mazandaran province were selected arbitrarily. After exclusion, based on exclusion criteria, the number of research’s samples reached to 153. Tools used regarding collecting data were standard Pittsburg sleep quality inventory (PSQI) in order to assess the quality of the sleep. Symptom Checklist-90-Revised (SCL- 90-R) was used in order to study psychiatric symptoms and an anonymous demographic questionnaire was used to record personal information, filled by individuals. Software Spss17 with chi-square were used for statistical analysis procedure. Results: 30.7%(47cases) slept in north-south direction, 22.8%(35) in south north, 26.2%(40) in east west and 20.3%(31) in west east. Among PSQI sleep scales, there was a strong relationship between difficulties in falling asleep with geographical directions of sleep (p&lt;0.001). No significant relationship between sleep directions and other scales has been found. Conclusion: Considering the high prevalence of sleep difficulties and strong relationship between geographical directions and quality of sleep. With respect to this study, sleep in north-south position can be advised to improve sleep quality and it necessary in order to maintain sleep hygiene.

Sleep difficulties one year following mild traumatic brain injury in a population-based study

BackgroundSleep quality affects all aspects of daily functioning, and it is vital for facilitating recovery from illness and injury. Sleep commonly becomes disrupted following moderate to severe brain injury, yet little is known about the prevalence of sleep disruption over time and how it impacts on recovery following mild injury. MethodsThis was a longitudinal study of 346 adults who experienced a mild brain injury (aged ≥16 years) identified within a population-based incidence sample in New Zealand. The prevalence of sleep difficulties was assessed at baseline (within two weeks), one, six and 12 months, alongside other key outcomes. ResultsOne year post injury, 41.4% of people were identified as having clinically significant sleep difficulties, with 21.0% at a level indicative of insomnia. Poor sleep quality at baseline was significantly predictive of poorer post-concussion symptoms, mood, community integration, and cognitive ability one year post injury. The prevalence of insomnia following mild traumatic brain injury (TBI) was more than three times the rate found in the general population. Of those completing a sleep assessment at six and 12 months, 44.9% of the sample showed improvements in sleep quality, 16.2% remained stable, and 38.9% worsened. ConclusionsScreening for sleep difficulties should occur routinely following a mild brain injury to identify adults potentially at risk of poor recovery. Interventions to improve sleep are needed to facilitate recovery from injury, and to prevent persistent sleep difficulties emerging.

A gendered lifecourse examination of sleep difficulties among older women

ABSTRACTRecent research has suggested that understanding and addressing the high prevalence of sleep difficulties in older women requires going beyond a purely physiological focus to address the role of social contextual pressures and demands. We take a gendered lifecourse approach to explore how sleep difficulties have evolved and how their management might reflect the position of older women in society more broadly. We conducted in-depth interviews with 12 oldest-old (average age 86) community-dwelling women who currently experienced sleep difficulties. Five themes emerged from the analysis: significant life stages; contingent lives; daily concerns in relation to ageing; attitudes and responses of women and general practitioners; and stigma and sleeping pills, which provided a conceptual framework through which to explain the reality of sleep difficulties for these women. For all women, sleep difficulties were not related to physical aspects such as pain or discomfort, but were largely shaped by demands associated with family relationships at different times in the lifecourse. Furthermore, our findings suggest that responses by women themselves, and health professionals, reflect a sense of stigma around sleep difficulties and use of sleeping pills. More emphasis on the social contextual explanations underpinning sleep difficulties might lead to better prevention and treatment of such problems, and increase quality of life.

On counting sheep: The self-medication and coping strategies of university students suffering from primary insomnia

A factor that affects university students\' academic performance is the quantity and quality of their sleep. There is a high rate of insomnia in the general population, but the prevalence of sleep difficulties among university students has not been extensively studied. The current study found that 23 per cent of the researched student population may suffer from primary insomnia. The strategies used by these students to cope with insomnia were investigated by means of a self-report questionnaire, which examined two broad categories, namely self-medication and self-coping strategies. Students were found to employ potentially harmful coping strategies, while harmless strategies were not always perceived as helpful. Since the onset of insomnia is often during early adulthood, and since poor sleep impacts negatively on academic performance, this study indicates that education around this topic is vital for students. South African Journal of Higher Education Vol. 20 (5) 2006: pp.627-638

Beyond the Usual Suspects: Approaching Sleep in Elderly People

HERE are now numerous reports in the literature to support the high prevalence of sleep difficulties and excessive daytime sleepiness in elderly persons. However, as the saying goes, acknowledging the problem is just the first step. Currently, both the fields of Sleep and Geriatric Medicine are faced with the more difficult task of sifting through potential causes and assessing the impact of sleep problems in elderly people. Although sleep patterns appear to alter as we age, by far, in elderly people, most sleep problems are not the result of biologic shifts in circadian rhythmicity but rather result from increasing disease burden, medication effects, depression and anxiety, and limited mobility (1,2). These issues, along with changes in a person’s living situation, make elderly nursing home residents even more vulnerable to sleep disorders. The large number of factors affecting sleep in elderly individuals creates a challenge for both the geriatrician and sleep specialist. Both

Encuesta sobre dificultades del sueño en una población urbana latinoamericana

To report the results of the first regional survey on the prevalence of sleep disturbances in an urban Latin American population. Door-to-door and telephone interviews in main urban areas were performed in two phases. In phase one, 1776 adults, aged 18 to 70 were interviewed in Buenos Aires and São Paulo. In phase two, adults aged 18 to 77 were interviewed in Buenos Aires, São Paulo and Mexico City (n = 300 in each city). Two-thirds of those surveyed in phase 1, regardless of age and gender, reported some type of sleep problem within the last 12 months. Up to 25 % of individuals surveyed in phase 2 reported being severely affected or moderately affected by their sleep problems. The severity of the condition increased with age, women being more severely affected than men. On average, individuals reported suffering from sleep difficulties for a period of 5 years and were affected 15.5 nights per month. Although 8.2 hours of sleep was most desired, Latin Americans were sleeping on average 5.8 hours per night. Those severely affected lost about 3 hours per night. Individuals reported stress and worry as the primary trigger for their sleep problems, followed by health concerns. All respondents reported the negative impact of poor sleep on their health and quality of life. The survey indicates that the prevalence of sleep difficulties in an urban Latin America population is high.

Treatment approaches for sleep difficulties in college students

College students face many challenges and live experiences that may lead to sleep difficulties, including: varied and changing schedules, repeated deadlines, increased freedom and self-responsibility, and group living arrangements, to name but a few. A high frequency of sleep difficulties is commonly reported among college student and others who encounter similar life experiences. The prevalence of sleep difficulties is explored and a rationale provided for treatment. It is suggested that interventionists need to consider the impact of sleep difficulties on their clients' immediate and long-term functioning. To help psychologists, counsellors, and therapists better ameliorate sleep problems a number of proven techniques are reviewed which are applicable to individuals in both clinical and non-clinical settings.

Sleep disturbance, depression, and lesion site in patients with multiple sclerosis.

We examined the prevalence of sleep problems in a sample of patients with mild but clinically definite multiple sclerosis (n = 143) and sought to determine whether there was a relationship between the presence of sleep complaints and the level of depression. As magnetic resonance imaging scans were available for a subsample of the patients with multiple sclerosis (n = 117), we also wanted to determine whether there was a relationship between the site of the lesion and the presence of sleep difficulties. The prevalence of sleep difficulties was three times higher in the patients with multiple sclerosis than the control group (25.2% vs 8.2%). Moreover, the presence of sleep complaints was associated with higher levels of depression. Three lesion sites that subserve supplemental motor areas were significantly related to the presence of sleep complaints. These findings suggest that, for some patients with MS, sleep disturbance and accompanying increases in depression may be a function of the lesion site resulting in nocturnal spasms.