Sleep disorders in migrants and refugees: a systematic review with implications for personalized medical approach

Richter, Kneginja; Baumgartner, Lisa M.; Niklewski, Günter; Peter, Lukas; Köck, Melanie; Kellner, Stefanie; Hillemacher, Thomas; Büttner-Teleagă, Antje

doi:10.1007/s13167-020-00205-2

Cited by 35 publications

(25 citation statements)

References 26 publications

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“…6,[8][9][10][11] Sleep disturbances in refugees are a critical concern, as sleep is more closely correlated with mental health in this population compared to nonrefugee migrant populations. 6 Indeed, North Korean refugees have been reported to have poor attentional performance and subjective sleep disturbances, both of which are associated with mental health. [12][13][14] The influence of sleep on attention is well known.…”

Section: Introductionmentioning

confidence: 99%

“…Trauma-exposed populations frequently exhibit cognitive dysfunction and sleep disturbances, in addition to other trauma-related symptoms, such as dissociation or negative affect. 6 , 7 Refugees are more likely to have had traumatic experiences. Refugees are also at a greater risk of trauma-related sleep problems or cognitive dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…Refugees are also at a greater risk of trauma-related sleep problems or cognitive dysfunction. 6 , 8–11 Sleep disturbances in refugees are a critical concern, as sleep is more closely correlated with mental health in this population compared to non-refugee migrant populations. 6 Indeed, North Korean refugees have been reported to have poor attentional performance and subjective sleep disturbances, both of which are associated with mental health.…”

Section: Introductionmentioning

confidence: 99%

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Polysomnographic Sleep and Attentional Deficits in Traumatized North Korean Refugees

Lee¹,

Jeon²,

Kim³

et al. 2021

NSS

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Introduction: Attentional deficits and sleep problems are common in refugees who have experienced trauma. In the present study, we used polysomnography (PSG) to investigate the relationship between attentional deficits and objective measures of sleep structure in traumatized North Korean refugees. Methods: We recruited 32 North Korean refugees (mean age = 33.78 ± 14.33 years) and 39 South Korean participants (mean age = 35.03 ± 11.08 years). Sustained attention and divided attention were assessed using the Computerized Attention Test. We conducted an overnight PSG to objectively assess sleep structure. The participants also completed the

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Polysomnographic Sleep and Attentional Deficits in Traumatized North Korean Refugees

Lee¹,

Jeon²,

Kim³

et al. 2021

NSS

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“…Contextually, individualised sleep quality monitoring is essential to analyse individual sleep patterns, to predict sleep disorders and associated pathologies followed by targeted prevention and treatments tailored to the personalised patient profile [9,[11][12][13][14]. This approach is conform with principles of predictive, preventive and personalised medicine (PPPM/3PM) [15].…”

Section: Introductionmentioning

confidence: 99%

Wrist actigraphic approach in primary, secondary and tertiary care based on the principles of predictive, preventive and personalised (3P) medicine

et al. 2021

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Sleep quality and duration as well as activity-rest-cycles at individual level are crucial for maintaining physical and mental health. Although several methods do exist to monitor these parameters, optimal approaches are still under consideration and technological development. Wrist actigraphy is a non-invasive electro-physical method validated in the field of chronobiology to record movements and to allow for monitoring human activity-rest-cycles. Based on the continuous recording of motor activity and light exposure, actigraphy provides valuable information about the quality and quantity of the sleep–wake rhythm and about the amount of motor activity at day and night that is highly relevant for predicting a potential disease and its targeted prevention as well as personalisation of medical services provided to individuals in suboptimal health conditions and patients. Being generally used in the field of sleep medicine, actigraphy demonstrates a great potential to be successfully implemented in primary, secondary and tertiary care, psychiatry, oncology, and intensive care, military and sports medicines as well as epidemiological monitoring of behavioural habits as well as well-being medical support, amongst others. Prediction of disease development and individual outcomes Activity-rest-cycles have been demonstrated to be an important predictor for many diseases including but not restricted to the development of metabolic, psychiatric and malignant pathologies. Moreover, activity-rest-cycles directly impact individual outcomes in corresponding patient cohorts. Targeted prevention Data acquired by actigraphy are instrumental for the evidence-based targeted prevention by analysing individualised patient profiles including light exposure, sleep duration and quality, activity-rest-cycles, intensity and structure of motion pattern. Personalised therapy Wrist actigraphic approach is increasingly used in clinical care. Personalised measurements of sedation/agitation rhythms are useful for ICU patients, for evaluation of motor fatigue in oncologic patients, for an individual enhancement of performance in military and sport medicine. In the framework of personalised therapy intervention, patients can be encouraged to optimise their behavioural habits improving recovery and activity patterns. This opens excellent perspectives for the sleep-inducing medication and stimulants replacement as well as for increasing the role of participatory medicine by visualising and encouraging optimal behavioural patterns of the individual.

show abstract

“…Contextually, individualised sleep quality monitoring is essential to analyse individual sleep patterns, to predict sleep disorders and associated pathologies followed by targeted prevention and treatments tailored to the personalised patient pro le [9,[11][12][13][14]. This approach is conform with principles of predictive, preventive and personalised medicine (PPPM / 3PM) [15].…”

Section: Introductionmentioning

confidence: 99%

Wrist Actigraphic Approach in Primary, Secondary and Tertiary Care Based on the Principles of Predictive, Preventive and Personalised (3P) Medicine

Acker

Golubnitschaja

Büttner-Teleagă

et al. 2021

Preprint

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Sleep quality and duration as well as activity-rest-cycles at individual level are crucial for maintaining physical and mental health. Although several approaches do exist to monitor these parameters, optimal approaches are still under consideration and technological development.Wrist actigraphy is a non-invasive electro-physical method validated in the field of chronobiology to record movements and to allow for monitoring human activity-rest-cycles. Based on the continuous recording of motor activity and light exposure, actigraphy provides valuable information about the quality and quantity of the sleep-wake rhythm and about the amount of motor activity at day and night that is highly relevant for disease prediction, targeted prevention and personalisation of medical services. Being generally used in the field of sleep medicine, actigraphy demonstrates a great potential to be successfully implemented in primary, secondary and tertiary care, psychiatry, oncology, and intensive care, military and sports medicines as well as epidemiological monitoring of behavioural habits as well as well-being medical support, amongst others. Prediction of disease development and individual outcomesActivity-rest-cycles have been demonstrated to be an important predictor for many diseases including but not restricted to the development of metabolic, psychiatric and malignant pathologies. Moreover, activity-rest-cycles directly impact individual outcomes in corresponding patient cohorts. Targeted preventionData acquired by actigraphy are instrumental for the evidence-based targeted prevention by analysing individualised patient profiles including light exposure, sleep duration and quality, activity-rest-cycles, intensity and structure of motion pattern. Personalised TherapyWrist actigraphic approach is increasingly used in clinical care. Personalised measurements of sedation/agitation rhythms are useful for ICU-patients, for evaluation of motor fatigue in oncologic patients, for an individual enhancement of performance in military and sport medicine. In the framework of personalised therapy intervention, patients can be encouraged to optimise their behavioural habits improving recovery and activity patterns. This opens excellent perspectives for the sleep-inducing medication and stimulants replacement as well as for increasing the role of participatory medicine by visualisation and encouraging favourable behavioural patterns of the individual.

show abstract

Sleep disorders in migrants and refugees: a systematic review with implications for personalized medical approach

Cited by 35 publications

References 26 publications

Polysomnographic Sleep and Attentional Deficits in Traumatized North Korean Refugees

Polysomnographic Sleep and Attentional Deficits in Traumatized North Korean Refugees

Wrist actigraphic approach in primary, secondary and tertiary care based on the principles of predictive, preventive and personalised (3P) medicine

Wrist Actigraphic Approach in Primary, Secondary and Tertiary Care Based on the Principles of Predictive, Preventive and Personalised (3P) Medicine

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