Sleep physiology, pathophysiology, and sleep hygiene

Baranwal, Navya; Yu, Phoebe K.; Siegel, Noah

doi:10.1016/j.pcad.2023.02.005

Cited by 72 publications

(49 citation statements)

References 80 publications

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“…Specifically, the conditional LCS model indicated that individuals who reported poor sleep hygiene exhibited a greater increase in sleep problems. Consistent with previous research, our study strengthens the notion that sleep hygiene is strongly associated with sleep quality (Baranwal et al, 2023; Brown et al, 2002). These findings are further supported by a recent Italian study that investigated the impact of the pandemic on sleep and mental health in young adults, revealing a significant association between insomnia severity and poor sleep hygiene practices, as well as dysfunctional beliefs about sleep, self‐reported mental disorders, anxiety and depression, among a large sample of 1989 participants (Bacaro et al, 2020).…”

Section: Discussionsupporting

confidence: 93%

Poor sleep hygiene practices are associated with a higher increase in sleep problems during the COVID‐19 pandemic: A latent change score model

Zagaria,

Serena,

Musetti

et al. 2023

Journal of Sleep Research

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SummaryThe Coronavirus 2019 (COVID‐19) pandemic significantly influenced physical and mental health worldwide. The present study aimed to investigate changes in sleep problems across three waves of the COVID‐19 pandemic, and to identify potential predictors of the inter‐individual variability around these changes, with a particular focus on the role of detrimental sleep hygiene practices. A total of 352 participants completed an online survey of self‐report questionnaires at three different waves of the COVID‐19 pandemic: T1 (Spring 2020); T2 (Autumn‐Winter 2020); and T3 (Spring 2021). The questionnaires collected information on socio‐demographic and COVID‐19‐related variables, psychological distress (i.e. the Depression Anxiety Stress Scale‐21), sleep hygiene (i.e. the Sleep Hygiene Index) and sleep problems (i.e. the Medical Outcomes Study—Sleep Scale). Latent change score modelling revealed an average increase in sleep problems between T1 and T2 with significant inter‐individual variability. No substantial changes were observed on average between T2 and T3. Notably, poorer sleep hygiene practices were associated with a more pronounced increase in sleep problems between T1 and T2 (β = 0.191, p = 0.013), even after controlling for relevant confounders such as demographic factors, COVID‐19‐related information and psychological distress. These findings expand on previous research regarding the detrimental effects of the pandemic on mental health, suggesting that interventions targeting sleep hygiene practices may be beneficial for mitigating its negative impact on sleep disruptions.

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Section: Discussionsupporting

confidence: 93%

Poor sleep hygiene practices are associated with a higher increase in sleep problems during the COVID‐19 pandemic: A latent change score model

Zagaria,

Serena,

Musetti

et al. 2023

Journal of Sleep Research

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“…Despite the lack of association between sleep hygiene habits and sleep outcomes post-program, sleep hygiene habits improved for the larger group. Recommendations to improve sleep hygiene to engender long-term sleep improvement remain the prevailing first-line approach to treating sleep problems [ 12 , 29 ]. The positive effects of sleep hygiene on sleep quality have been demonstrated in the literature [ 12 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Equivalent Improvements in Sleep Duration and Sleep Quality Regardless of Program Delivery Modality: The SLeep Education for Everyone Program (SLEEP)

2023

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Sleep issues are pervasive, and treatment can be difficult to access, if available at all. The purpose of this study was to test whether the delivery modality (online vs. in person) of the SLeep Education for Everyone Program (SLEEP) influenced programmatic outcomes. A total of 60 participants completed the study, 28 in the online group and 32 in the in-person group. Across all participants, SLEEP improved sleep duration, sleep quality, and sleep hygiene behaviors (p < 0.001 for all). When comparing delivery modality, sleep duration and quality improved similarly between groups; however, sleep hygiene behaviors improved more in the in-person group (p = 0.033). Sleep hygiene scores did not correlate with sleep duration or quality after the program. Based on these findings, SLEEP appears to be equally effective in improving sleep duration and quality when delivered online or in person. These findings suggest that SLEEP can be delivered based on the organization’s and participant’s resources, needs, and preferred style of interaction.

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“…The most common interventions to improve sleep quality are over‐the‐counter and prescription drugs, which often have side effects, limited efficacy, and may result in dependency 4 . Thus, there is an urgent need to examine the effectiveness of nonpharmacological interventions of lifestyle choices and environmental conditions to improve sleep and related health outcomes 5 …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a grid mattress on adults' sleep quality and health: A quasi‐experimental intervention study

Breus,

Hooper,

Lynch

et al. 2024

Health Science Reports

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Background and aimsDespite that 93% of people indicate that a mattress plays a pivotal role in achieving high‐quality sleep, there is a scarcity of research investigating the influence of mattresses on sleep quality, pain, and mood in nonclinical poor sleepers. The purpose was to examine the effectiveness of a pressure‐releasing medium‐firm grid mattress on sleep and health outcomes (e.g., mood, pain, daytime fatigue) of adults with nonclinical insomnia symptoms using a quasi‐experimental design.MethodsParticipants were 39 adults (mean age = 45.29) with nonclinical insomnia (i.e., occasional sleeplessness). Following 1 week of baseline assessments on their current mattress, they slept on a pressure‐relieving grid mattress for 8 weeks. Participants completed self‐report assessments of the Pittsburgh Sleep Quality Index, Berlin Questionnaire, Insomnia Severity Index, Restorative Sleep Questionnaire, Perceived Stress Scale, Profile of Mood States, Daytime Fatigue Scale, Pain and Sleep Questionnaire, and Brief Pain Inventory at Baseline and Weeks 1, 2, 3, 4, and 8. Participants continually wore an Oura Ring to objectively assess sleep and daytime activity. The data were collected from January 2022 to April 2022 and were stored electronically. Repeated‐measures analyses of variance were used to analyze mean time differences.ResultsSelf‐reported sleep quality, perceived pain, perceived stress, mood, and daytime fatigue improved significantly from Baseline to Week 8, p's < 0.05. Objective Oura Ring validated the self‐reported sleep and daytime activity outcomes with improvements in sleep duration, time awake during the night, light sleep, deep sleep, and total sleep time, p's < 0.05. No significant time effects were evidenced for rapid eye movement sleep. No adverse events were reported.ConclusionThe grid mattress is a simple, noninvasive, and nonpharmacological intervention that improved adults sleep quality and health. Controlled trials are encouraged to examine the effects of this mattress in a variety of populations and environments.

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Sleep physiology, pathophysiology, and sleep hygiene

Cited by 72 publications

References 80 publications

Poor sleep hygiene practices are associated with a higher increase in sleep problems during the COVID‐19 pandemic: A latent change score model

Poor sleep hygiene practices are associated with a higher increase in sleep problems during the COVID‐19 pandemic: A latent change score model

Equivalent Improvements in Sleep Duration and Sleep Quality Regardless of Program Delivery Modality: The SLeep Education for Everyone Program (SLEEP)

Effectiveness of a grid mattress on adults' sleep quality and health: A quasi‐experimental intervention study

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