Littérature scientifique sur le sujet « Behavioural sleep interventions »
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Articles de revues sur le sujet "Behavioural sleep interventions"
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Järnefelt, Heli, Mikko Härmä, Mikael Sallinen, Jussi Virkkala, Teemu Paajanen, Kari-Pekka Martimo et Christer Hublin. « Cognitive behavioural therapy interventions for insomnia among shift workers : RCT in an occupational health setting ». International Archives of Occupational and Environmental Health 93, no 5 (18 décembre 2019) : 535–50. http://dx.doi.org/10.1007/s00420-019-01504-6.
Texte intégralRésumé :
Abstract Introduction The aim of the study was to compare the effectiveness of cognitive behavioural therapy interventions for insomnia (CBT-I) to that of a sleep hygiene intervention in a randomized controlled design among shift workers. We also studied whether the features of shift work disorder (SWD) affected the results. Methods A total of 83 shift workers with insomnia disorder were partially randomized into a group-based CBT-I, self-help CBT-I, or sleep hygiene control intervention. The outcomes were assessed before and after the interventions and at 6-month follow-up using questionnaires, a sleep diary, and actigraphy. Results Perceived severity of insomnia, sleep-related dysfunctional beliefs, burnout symptoms, restedness, recovery after a shift, and actigraphy-based total sleep time improved after the interventions, but we found no significant differences between the interventions. Mood symptoms improved only among the group-based CBT-I intervention participants. Non-SWD participants had more mental diseases and symptoms, used more sleep-promoting medication, and had pronounced insomnia severity and more dysfunctional beliefs than those with SWD. After the interventions, non-SWD participants showed more prominent improvements than those with SWD. Conclusions Our results showed no significant differences between the sleep improvements of the shift workers in the CBT-I interventions and of those in the sleep hygiene control intervention. Alleviation of mood symptoms seemed to be the main added value of the group-based CBT-I intervention compared to the control intervention. The clinical condition of the non-SWD participants was more severe and these participants benefitted more from the interventions than the SWD participants did. Trial registration ClinicalTrials.gov, NCT02523079.
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Gadam, S., C. Pattinson, S. Soleimanloo, K. Rossa, J. Moore, T. Begum, A. Srinivasan et S. Smith. « P039 Interventions used to increase sleep duration in young people : A systematic review ». SLEEP Advances 2, Supplement_1 (1 octobre 2021) : A34. http://dx.doi.org/10.1093/sleepadvances/zpab014.087.
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Abstract Introduction Habitual short sleep duration affects a substantial proportion of young people, which is problematic due to its association with various adverse consequences. The aim of this systematic review was to identify the effectiveness of current interventions to increase sleep duration in healthy young people (14–25 years). Methods A systematic literature search, following PRISMA guidelines was conducted across multiple databases including PubMed, Ovid MEDLINE, CENTRAL, Embase, CINAHL (via EBSCOhost), PsycINFO, Scopus, Web of Science, ProQuest Dissertations and Theses, and Trove. Eligible studies were required to report sleep duration before and after exposure to the intervention, published from 2005 onwards, and participants 14–25 years of age. The Newcastle-Ottawa scale and Cochrane Risk of Bias were used to evaluate quality of studies. Results 2695 citation were screened, and 29 studies met the eligibility criteria for this review. The included studies implemented differing methodologies, including behavioural (48.3%), educational (24.1%), and combination (24.1%) of behavioural, educational and other methods, such as mindfulness, light therapy, and naturalistic observation (3.4%). Initial findings indicate that educational interventions on their own are not effective at increasing sleep duration as behavioural or combination of both. Discussion These results indicate that behavioural interventions which prescribe new sleep schedules show positive treatment effects on sleep duration. Hence, provide promise for mitigating sleep difficulties and improving health in young people aged 14–25 years.
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Hendricks, Melissa C., Cynthia M. Ward, Lauren K. Grodin et Keith J. Slifer. « Multicomponent Cognitive-Behavioural Intervention to Improve Sleep in Adolescents : A Multiple Baseline Design ». Behavioural and Cognitive Psychotherapy 42, no 3 (4 septembre 2013) : 368–73. http://dx.doi.org/10.1017/s1352465813000623.
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Background: Adolescents are prone to sleep problems that have unique developmental aspects and contribute to physical, emotional, and behavioural problems. Aims: This study evaluated an individualized, multicomponent intervention that considered developmental factors, and promoted age-appropriate autonomy in three adolescent females with disrupted sleep. Method: Adolescents recorded sleep data on daily logs. A nonconcurrent multiple baseline design was used to evaluate a cognitive-behavioural intervention including sleep hygiene training, bedtime routine development, cognitive restructuring, relaxation training, stimulus control, sleep restriction, bedtime fading, and problem-solving, along with clinically indicated individualization. Results: Outcomes demonstrated clinically meaningful improvements and decreased variability in sleep parameters following intervention. Each participant's sleep log data indicated improvement in, or maintenance of, adequate total sleep time (TST), decreased sleep onset latency (SOL), improved sleep efficiency (SE), improvement in time of sleep onset, and decreased or continued low frequency of night awakenings (NA). Anecdotally, adolescents and parents reported improvement in daytime functioning, coping, and sense of wellbeing. Conclusions: These cases highlight the potential for cognitive-behavioural interventions to facilitate healthy sleep in adolescents with challenging sleep problems.
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Speedy, Kathryn, Lokesh Nukalapati, Kathryn Speedy et Megan Davies-Kabir. « Melatonin prescribing practices and the provision of sleep hygiene/parent-led sleep behavioural Interventions in S-CAMHS, Aneurin Bevan University Health Board (ABUHB)- Service evaluation as part of quality improvement project ». BJPsych Open 7, S1 (juin 2021) : S351—S352. http://dx.doi.org/10.1192/bjo.2021.920.
Texte intégralRésumé :
AimsTo identify the number of patients currently on melatoninTo determine the average duration of use of melatonin in patients under the care of S-CAMHS in ABUHBTo investigate whether behaviour interventions were tried and reinforced from time to timeTo identify any areas of improvementMethodData were collected at St. Cadoc's hospital, in January, 2021. S-CAMHS database was used. Out of total 346 patient currently being managed with pharmacological therapies, 115 (33.2%) are currently on melatonin. 57/115 were randomly selected as a sample for this this project. Patient notes and EPEX software were also used to collect information regarding the sleep management practices.ResultDuring analysis, it was noticed that within the sample, only 46 patients were actively on melatonin. Melatonin is prescribed for sleep related issues in ASD (8/46), ADHD (15/46), ASD and ADHD (10/46), ADHD and mood disorder (0/46), ASD and mood disorder (6/46), ADHD and behaviour difficulties (2/46), ASD with behaviour difficulties (1/46), mood disorder (4/46).39/46 patients are currently on melatonin for more than a year (85%). These patients also include 10 patients who have been using melatonin for 5 years or more.35 patients (76%) reported improved sleep or some benefit from melatonin.Evidence for implementation of parent-led sleep behavioural interventions:Prior to commencing melatonin- Clear evidence available for 35 patients only (76%). These interventions were however not deemed helpful by most of the service users.While prescribing melatonin- Clear evidence available for 39(85%) patients. Evidence base for melatonin was also discussed during this visit.During last follow-up visit- Evidence available for 31 patients only (67%).ConclusionMajority of patients under S-CAMHS ABUHB remain on melatonin therapy for longer than one year. Most of these patients have reported benefit from this therapy and preferred to remain on it despite being informed about evidence base for melatonin. Also, there is evidence for implementation of sleep behavioural interventions prior to prescribing melatonin, however their benefit remains unclear.Recommendations:The quality of education on sleep hygiene offered should be assessed and improved if neededFormal group sessions/workshops on sleep hygiene/parent-led sleep behavioural interventions at regular intervals might be useful in reducing the chances of long term polypharmacy or unlicensed drugsUse of outcome measures such as Child Sleep Habits Questionnaire at intervals can be helpful in identifying any improvement from educational/pharmacological interventionsS-CAMHS database (for patients actively on medications) needs a review and update
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Escañuela Sanchez, Tamara, Molly Byrne, Sarah Meaney, Keelin O'Donoghue et Karen Matvienko-Sikar. « A protocol for a systematic review of behaviour change techniques used in the context of stillbirth prevention ». HRB Open Research 4 (19 août 2021) : 92. http://dx.doi.org/10.12688/hrbopenres.13375.1.
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Background: Stillbirth is a devastating pregnancy outcome that affects approximately 3.5 per 1000 births in high-income countries. Previous research has highlighted the importance of focusing prevention efforts on targeting risk factors and vulnerable groups. A wide range of risk factors has been associated with stillbirth before, including maternal behaviours such as back sleep position, smoking, alcohol intake, illicit drug use, and inadequate attendance at antenatal care. Given the modifiable nature of these risk factors, there has been an increase in the design of behaviour change interventions targeting such behaviours to reduce the risk of stillbirth. Objectives: The aim of this study is to identify all behavioural interventions with a behavioural component designed and trialled for the prevention of stillbirth in high-income countries, and to identify the behaviour change techniques (BCTs) used in such interventions using the Behaviour Change Techniques Taxonomy V1 (BCTTv1). Inclusion criteria: Interventions will be included in this review if they (1) have the objective of reducing stillbirth rates with a focus on behavioural risk factors; (2) are implemented in high-income countries; (3) target pregnant women or women of childbearing age; and (4) are published in research articles. Methods: A systematic search of the literature will be conducted. The results of the search will be screened against our inclusion criteria by two authors. The following data items will be extracted from the selected papers: general information, study characteristics, participant and intervention/approach details. The Cochrane Effective Practice and Organization of Care (EPOC) risk of bias criteria will be used to assess the methodological quality of included studies. Intervention content will be coded for BCTs as present (+) or absent (-) by two authors using the BCTTv1, discrepancies will be discussed with a third author. A narrative synthesis approach will be used to present the results of this systematic review.
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Escañuela Sánchez, Tamara, Molly Byrne, Sarah Meaney, Keelin O'Donoghue et Karen Matvienko-Sikar. « A protocol for a systematic review of behaviour change techniques used in the context of stillbirth prevention ». HRB Open Research 4 (11 mars 2022) : 92. http://dx.doi.org/10.12688/hrbopenres.13375.2.
Texte intégralRésumé :
Background: Stillbirth is a devastating pregnancy outcome that affects approximately 3.5 per 1000 births in high-income countries. Previous research has highlighted the importance of focusing prevention efforts on targeting risk factors and vulnerable groups. A wide range of risk factors has been associated with stillbirth before, including maternal behaviours such as back sleep position, smoking, alcohol intake, illicit drug use, and inadequate attendance at antenatal care. Given the modifiable nature of these risk factors, there has been an increase in the design of behaviour change interventions targeting such behaviours to reduce the risk of stillbirth. Objectives: The aim of this study is to identify all behavioural interventions with a behavioural component designed and trialled for the prevention of stillbirth in high-income countries, and to identify the behaviour change techniques (BCTs) used in such interventions using the Behaviour Change Techniques Taxonomy V1 (BCTTv1). Inclusion criteria: Interventions will be included in this review if they (1) have the objective of reducing stillbirth rates with a focus on behavioural risk factors; (2) are implemented in high-income countries; (3) target pregnant women or women of childbearing age; and (4) are published in research articles. Methods: A systematic search of the literature will be conducted. The results of the search will be screened against our inclusion criteria by two authors. The following data items will be extracted from the selected papers: general information, study characteristics, participant and intervention/approach details. The Cochrane Effective Practice and Organization of Care (EPOC) risk of bias criteria will be used to assess the methodological quality of included studies. Intervention content will be coded for BCTs as present (+) or absent (-) by two authors using the BCTTv1, discrepancies will be discussed with a third author. A narrative synthesis approach will be used to present the results of this systematic review.
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Crowther, M., S. Ferguson, C. Gupta et A. Reynolds. « P032 The Health Belief Model for Shift Workers Scale : The development and validation of a novel metric for use in shift working populations ». SLEEP Advances 3, Supplement_1 (1 octobre 2022) : A41—A42. http://dx.doi.org/10.1093/sleepadvances/zpac029.105.
Texte intégralRésumé :
Abstract Introduction Shift work is associated with circadian misalignment, sleep loss and suboptimal health behaviours, which may contribute to longer term negative health outcomes. interventions based on behavioural models may improve health behaviours in shift workers. To implement and evaluate these interventions, a validated metric based on behavioural theory specifically for use with shift workers would be beneficial. The present study aimed to develop and evaluate the Health Belief Model for Shift Workers (HBM-SW) scale. Methods The HBM-SW development involved a seven-step process, including a literature review, expert panel analysis, cognitive interviews with shift workers, and administration to pilot sample of shift workers (n=153). Validation of the HBM-SW was compared to Pittsburgh Sleep Quality Index, International Physical Activity Questionnaire and Food Frequency Questionnaire. Results Utilising exploratory factor analysis for factor identification and item reduction, the developed scale loaded on seven factors in line with the theoretical framework of the Health Belief Model Perceived Threat, Perceived Severity, Perceived Benefits, Perceived Barriers, Cues to Action, Self-Efficacy and Health Motivation. The HBM-SW showed good – excellent (α =0.74-0.93) internal consistency and moderate – good (ICC =0.64-0.89) test re-test reliability. Using health behaviour outcome measures, the HBM-SW scale showed meaningful correlations with sleep quality, sleep duration, diet quality and leisure time physical activity, and acceptable validity and reliability. Conclusion Further testing should be conducted in a larger sample to facilitate confirmatory factor analysis. The Health Belief Model for Shift Workers scale is likely to be beneficial for in future studies of interventions for shift workers.
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Edley, Ruth. « Can non-pharmacological interventions improve sleep quality for haemodialysis patients ? » Journal of Kidney Care 5, no 1 (2 janvier 2020) : 6–12. http://dx.doi.org/10.12968/jokc.2020.5.1.6.
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Poor sleep quality is a major issue for haemodialysis (HD) patients, with as many as 80% reporting problems with sleep. Poor sleep has a negative impact on HD patients' mental health, quality of life and day-to-day functioning, along with increasing morbidity and mortality risks. Non-pharmacological interventions have fewer side-effects compared to hypnotic medications and have been shown to be effective in research studies. Ruth Edley examines acupressure, massage, aerobic and non-aerobic exercise and cognitive behavioural therapy. All have been shown in small-scale studies to improve sleep quality in HD patients, although no intervention has been found to improve sleep quality to normal levels. It is recommended that further research using larger, randomised controlled trials is undertaken to increase confidence in the benefits of these interventions.
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Aparício, Carlos, et Francesca Panin. « Interventions to improve inpatients' sleep quality in intensive care units and acute wards : a literature review ». British Journal of Nursing 29, no 13 (9 juillet 2020) : 770–76. http://dx.doi.org/10.12968/bjon.2020.29.13.770.
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Background: Sleep is essential for the physical and psychological restoration of inpatients, and lack of sleep results in sleep deprivation and poor sleep quality, with potentially harmful consequences. Aim: To summarise sleep-promoting interventions in the Intensive care unit (ICU) and acute ward setting. Method and results: Six databases were searched to obtain studies for review and eight studies were selected, appraised, analysed and produced two themes: sleep-disturbing factors and sleep-promoting strategies. Sleep-disturbing factors included environmental factors (such as light and noise), illness-related factors (such as pain, anxiety and discomfort), clinical care and diagnostics. Sleep-promoting strategies included using pharmacological aids (medication) and non-pharmacological aids (reducing noise and disturbances, eye masks, earplugs and educational and behavioural changes). Conclusion: The literature review showed that both ICU and acute ward settings affect patients' sleep and both use similar strategies to improve this. Nevertheless, noise and sleep disturbances remain the most critical sleep-inhibiting factors in both settings. The review recommended future research should focus on behavioural changes among health professionals to reduce noise and improve patients' sleep.
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Tse, Andy C. Y., Paul H. Lee, Jihui Zhang et Elvis W. H. Lai. « Study protocol for a randomised controlled trial examining the association between physical activity and sleep quality in children with autism spectrum disorder based on the melatonin-mediated mechanism model ». BMJ Open 8, no 4 (avril 2018) : e020944. http://dx.doi.org/10.1136/bmjopen-2017-020944.
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IntroductionSleep disturbance is commonly observed in children with autism spectrum disorders (ASD). Disturbed sleep may exacerbate the core symptoms of ASD. Behavioural interventions and supplemental melatonin medication are traditionally used to improve sleep quality, but poor sustainability of behavioural intervention effects and use of other medications that metabolise melatonin may degrade the effectiveness of these interventions. However, several studies have suggested that physical activity may provide an effective intervention for treating sleep disturbance in typically developing children. Thus, we designed a study to examine whether such an intervention is also effective in children with ASD. We present a protocol (4 December 2017) for a jogging intervention with a parallel and two-group randomised controlled trial design using objective actigraphic assessment and 6-sulfatoxymelatonin measurement to determine whether a 12-week physical activity intervention elicits changes in sleep quality or melatonin levels.Methods and analysisAll eligible participants will be randomly allocated to either a jogging intervention group or a control group receiving standard care. Changes in sleep quality will be monitored through actigraphic assessment and parental sleep logs. All participants will also be instructed to collect a 24-hour urine sample. 6-sulfatoxymelatonin, a creatinine-adjusted morning urinary melatonin representative of the participant’s melatonin levels, will be measured from the sample. All assessments will be carried out before the intervention (T1), immediately after the 12-week intervention or regular treatment (T2), 6 weeks after the intervention (T3) and 12 weeks after the intervention (T4) to examine the sustainability of the intervention effects. The first enrolment began in February 2018.Ethics and disseminationEthical approval was obtained through the Human Research Ethics Committee, Education University of Hong Kong. The results of this trial will be submitted for publication in peer-reviewed journals.Trial registration numberNCT03348982.
Thèses sur le sujet "Behavioural sleep interventions"
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Mizusawa, Risa. « Sleep problems in children with disabilities : behavioural family interventions ». Thesis, University of Canterbury. School of Educational Studies and Human Development, 2003. http://hdl.handle.net/10092/2358.
Texte intégralRésumé :
Sleep problems are frequently reported in children and studies indicate that
approximately 15 to 30% of children experience some form of sleep difficulty (Partinen &
Hublin, 2000; Richman, 1981; Zuckerman, Stevenson, & Bailey, 1987). Children's sleep
problems often impact on family members, in particular parents, causing a considerable
amount of stress and frustration. Difficulties with sleep are a common problem for typically
developing children; however, research indicates that the incidence of sleep problems is even
higher in the disabilities population (Didden, Korzillius, van Aperlo, Overloop, & de Vries,
2002; Espie & Tweedie, 1991; Richdale, Francis, Gavidia-Payne, & Cotton, 2000; Saxby &
Morgan, 1983). This has implications for families already under considerable amounts of
stress and pressure of having a child with a disability.
The present study aimed to treat persistent sleep problems in children with disabilities
using family behavioural intervention methods. A range of behavioural strategies was utilised
to reduce sleep problems such as bed refusal, sleep onset delay, night waking, co-sleeping,
and nightmares. Techniques such as a positive bedtime routine, reward systems, the parental
presence programme, standard and modified extinction were used. In one case, a short-term
decremental dose of a mild sedative (trimeprazine tartrate) was used in the initial stages of
implementing a behavioural intervention to reduce child and parent distress. A "fear busting
and monster taming" programme (White, 1985) was employed in conjunction with other
behavioural techniques to reduce the occurrence of nightmares in another child. The results
indicate that behavioural family interventions are effective in treating sleep problems in
children with disabilities. The majority of the sleep behaviours targeted for intervention were
eliminated or reduced to low levels of occurrence with 9 out of 11 target behaviours rated as
showing a substantial improvement. These positives changes were maintained at follow-up
with the exception of co-sleeping in Case Study Two. The social validity for the programmes
was high and caregivers reported satisfaction.
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Bisseker, Gabrielle Jayne. « Management of Sleep Problems in Preschoolers ». Thesis, University of Canterbury. Health Sciences, 2010. http://hdl.handle.net/10092/5329.
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There is minimal research into behavioural interventions for typically developing preschoolers (2-5 years of age) with sleep problems. Often these children are not considered as a distinct developmental group and are incorporated into sleep intervention studies for infants or school-aged children. Yet preschoolers do differ in their language, social and cognitive abilities. The present study examines an intervention tailored to the developmental abilities of four preschool children with sleep problems. It utilised positive reinforcement in order to create a less restrictive intervention than those based on extinction alone. This was combined with a range of other behavioural strategies such as parental presence, standard and graduated extinction to reduce a variety of sleep problems. Problems targeted included bedtime refusal, co-sleeping, night waking and a possible diagnosis of sleep terrors. Behavioural interventions effectively reduced sleep problems in all four participants. Parental report demonstrated acceptance of strategies implemented and satisfaction in intervention outcomes.
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Alammar, Hetaf Abdullah I. « The Good Night Project : behavioural sleep interventions for children with ADHD : a randomised controlled trial ». Thesis, University of Leeds, 2018. http://etheses.whiterose.ac.uk/20775/.
Texte intégralRésumé :
The Good Night Project is an evidence-based project aimed to design, implement and evaluate an RCT of behavioural interventions to improve sleep for children aged 5-12 years with ADHD and their primary caregivers in the Kingdom Saudi Arabia. The project was developed by systematically reviewing the literature. From the available, high quality literature using an RCT design (n=4), a group of behavioural interventions were identified using the behaviour change techniques taxonomy BCTs (Chapter two). Health professionals and caregivers were asked to rank these interventions from the most important interventions to the less important interventions using a Delphi method in two rounds (Chapter three). Their recommendations were considered when preparing the final version of the intervention. The 34-page Good Night Project was developed as a guide, translated from English to Arabic. Sleep habits cards and a video clip were also available to help children and their caregivers to promote sleep hygiene. The intervention, using these materials, was delivered by the psychologists to the caregivers in three sessions over three weeks, with each session lasting for three hours. The project was completed in the Kingdom of Saudi Arabia using a randomised controlled trial (RCT) design (Chapter four). Due to the high attrition rate, the number of participants who dropped out (n=61) which is more than 80% of the eligible participants, the study aim has been changed to examine the feasibility of the project instead of the efficacy (Chapter four). The results indicated that the Good Night Project is not feasible at this stage due to high attrition rate, although there is some tentative evidence of positive outcomes for those who completed the intervention. Thus, a further study is required using focus groups or experience-based co-design in order to explore factors that affect parents’ ability to complete the intervention. Following this, a further feasibility study is recommended taking into account the changes indicated to improve acceptability. General discussion about the project including summary of the results, implication for practice and for future research and contribution to knowledge including behavioural change interventions, culturally adapting interventions and sleep in children with ADHD are considered (Chapter five).
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Wilson, Shannae Louise. « Effects on sleep-state organisation of a behavioural intervention for infant sleep disturbance ». Thesis, University of Canterbury. Psychology, 2013. http://hdl.handle.net/10092/8044.
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Establishing healthy sleep-wake patterns early in infancy is vitally important as sleep problems can persist. Behavioural sleep interventions such as the parental presence procedure are well established and have been found to improve infant sleep as determined by parent report. The exact nature of this improvement is, however, unclear. Sleep consolidation, sleep-state organisation, and self-soothing are thought likely to change after intervention; however, no known research has comprehensively determined which of these variables change as infant sleep changes in response to intervention. Three participants aged between 7 to 11 months who met the criteria for Infant Sleep Disturbance (ISD) were referred by a Health Centre and the parental presence behavioural sleep intervention was implemented. Parental report and videosomonography (VSG) data were used to measure sleep before and after intervention. While parental report is limited in that parents can only report what they can hear and/or see, VSG offers a tool that can be used to measure sleep-state organisation, state changes, and periods when the infant is awake and quiet. The present research found that infants’ sleep became more consolidated resulting in fewer sleep-wake transitions and night wakings. Infants who had difficulties initiating sleep on their own also demonstrated decrease in Sleep Onset Delay (SOD). Furthermore, infants were found to sleep through a greater number of sleep-state transitions and sleep for a greater duration of time before waking. Collectively this research provides some evidence that changing parental behaviours to those that promote self-initiation through self-soothing and consistency, can change sleep-state organisation and improve self-soothing.
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Presnall, Melissa. « Sleep problems in anxious children : a behavioural family intervention : a dissertation ». Thesis, University of Canterbury. School of Educational Studies and Human Development, 2003. http://hdl.handle.net/10092/2943.
Texte intégralRésumé :
This study used a multiple baseline across participants design to examine the relationship
between sleep and anxiety in school-aged children, the effectiveness of a behavioural family
intervention, and the co-existence of depression with children presenting with sleep
disturbances and anxiety symptoms. The families of five school-aged children, three females
and two males that met the selection criteria as having problematic sleep and anxiety
participated in the study. Interventions incorporating a combination of strategies from sleep
and anxiety research were individually designed for each child.
The hypotheses of the study were measured by the use of parent and child sleep
diaries, the Child Behaviour Checklist (CBCL), the State-Trait Anxiety Inventory for
Children (STAIC), and the Children's Depression Inventory (CDI) and were administered at
baseline, post-intervention, and follow-up. This study provides preliminary results that
indicate a relationship between sleep and anxiety may occur. The use of a behavioural family
intervention in the treatment of these problems showed mixed results, appearing most
successful in reducing participants' self-ratings of anxieties followed by reductions in parental
presence and sleep onset latency. The co-occurrence of depression was indicated and
symptoms decreased for those children whose sleep behaviours and anxiety problems
improved. The limitations of this study and implications for future research and professional
practice are discussed.
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Hartescu, Iuliana. « Physical activity to the current recommended guidelines and sleep quality of adults with insomnia ». Thesis, Loughborough University, 2014. https://dspace.lboro.ac.uk/2134/14905.
Texte intégralRésumé :
Systematic reviews have consistently found that moderate intensity physical activity levels at or above a threshold value of 150 minutes per week reliably deliver cardiovascular, metabolic and musculo-skeletal health benefits. As a result, this threshold value has been widely adopted as an aspirational, public health goal throughout the world. However, while epidemiological and laboratory studies have established clear links between physical activity and sleep outcomes, the evidence base does not yet provide guidelines on minimum levels of exercise likely to reduce insomnia symptoms and improve sleep quality. Such a guideline, if evidence based, could greatly clarify advice, and accelerate the use of physical activity goals to improve sleep outcomes in behavioural sleep medicine and public health. This thesis examined the current public-health recommendation of 150 minutes of moderate intensity activity per week in relation to sleep outcomes. To commence, it established a population-level pattern of the relationship between levels of physical activity and sleep quality by reviewing relevant epidemiological evidence. Exploratory analyses were then conducted using data from an ongoing longitudinal study of physical activity and health outcomes among older people (aged 65 years and above) in which respondents were classified as walking at or above, or below the recommended threshold of 150 minutes per week. In regression models controlling for health and demographic factors, these analyses showed that higher levels of walking were significantly and independently associated with a lower likelihood of either reporting insomnia symptoms (OR = 0.67 (95% CI = 0.45 0.91) p=0.04), or experiencing poor sleep efficiency (OR = 0.70 (95% CI = 0.52 0.94 p=0.02). Using the same data, the predictive validity of this activity threshold was then confirmed in a 27-year survival analysis which showed a significantly decreased all-cause mortality risk associated with the higher level of walking (HR = 0.75 (95% CI = 0.65 - 0.86) p<0.01). These findings offered proof of concept that physical activity-sleep relationships operated on a continuum, with sleep benefits possible even at relatively low levels of activity. Experimental evidence on the acute and sustained effects of physical activity on sleep quality was then analysed and discussed. Outcomes from this review, together with the preliminary analyses described above, were then used to inform the design of a randomised controlled trial to investigate the effects on sleep quality of increasing physical activity to currently recommended levels among sedentary people with insomnia. A total of 41 sedentary adults meeting DSM-IV criteria for insomnia (30 female; mean age 59.8??9.5) were randomised to a physical activity group (???150 minutes moderate intensity activity/week) or a waiting list control group. The principal outcome was Insomnia Severity Index (ISI) change 6 months post baseline; secondary outcomes were anxiety (using the State Trait Anxiety Inventory) and depression (Beck Depression Inventory II). Physical activity was assessed using Actigraph GTX3+ accelerometers. Outcomes were assessed in univariate general linear models, adjusted for baseline confounders. Activity and sleep assessments did not differ at baseline. At 6 months post baseline the intervention group engaged in 213 min/week of moderate intensity PA, compared to the control group (82 min/week). Compared to the control group, the intervention group showed significant improvement in the ISI score at 6 months F(1,28) = 5.16, p=0.03), adjusted means difference = 3.37, with an adjusted Cohen's d =.78 (95% CI 0.10 1.45). There was a significant improvement in trait anxiety, and depression outcomes post-intervention, F(6,28)=4.41, p=0.05, and F(6,28)=5.61, p=0.02, respectively. The results showed that increasing activity in line with current guidelines could deliver clinically significant improvements in sleep quality and mood outcomes among inactive adults with insomnia. While the effect sizes are modest, the pattern of results reported here allow for two conclusions with clear implications for public health: 1) measures to increase levels of physical activity above the currently recommended threshold of 150 minutes per week could usefully be added to other approaches to insomnia management; and 2) the likelihood of improved sleep quality should be routinely added to those evidence-based cardiovascular and metabolic benefits most frequently associated with increased physical activity in behaviour change initiatives.
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Malaffo, Marina. « The quarter of an hour rule : a simplified cognitive-behavioural intervention for insomnia improves sleep ». Thesis, University of Glasgow, 2006. http://theses.gla.ac.uk/1529/.
Texte intégralRésumé :
Stimulus control (SC) is a core component of cognitive behavioural therapy (CBT) for insomnia and is the single intervention for which there is most empirical evidence. Nonetheless, little is known about whether all of the elements within SC are critical to sleep improvement. This study, therefore, investigated the impact on sleep of the Quarter of an Hour Rule (QHR) a single, situational element considered central to SC for insomnia. The mechanisms of effect of SC intervention remain also unclear. An associated aim of the present study, therefore, was to contrast two forms of administration of the QHR to test aspects of the learning theory presumed to underlie the SC model. In addition adherence to the behavioural intervention was investigated and the possibility of using actigraphy to measure adherence objectively was explored. Prior to the randomised controlled trial (primary study), two preliminary studies were conducted. The first preliminary study aimed at determining the optimal cut-off to represent normalcy in sleep onset latency (SOL). The results indicated it to be fifteen minutes and, therefore, participants in studies two and three were asked to apply the QHR if they were not asleep within a quarter of an hour. Study two comprised three single cases and tested the feasibility of the QHR as a standalone therapy for insomnia. Visual inspection of the data and interrupted time series analyses evidenced SOL, wake after sleep onset (WASO) and sleep efficiency (S.E.) improvements in two out of three participants. Their Pittsburgh Sleep Quality Index (PSQI) score at the end of the intervention was reduced by 50% compared to baseline. The participant, whose sleep was not improved, following the intervention, had not applied the QHR. The results of this exploratory, single case, study warranted further investigation of the QHR. In study three forty-one GP and self referred volunteers, aged 18-72 years, with SOL and/or WASO complaints, formed 3 randomised groups: QHRin bed, QHRout of bed and control. Both QHR conditions required to ‘read if not asleep within a quarter of an hour’, with groups differing only with the location (in bed versus out of bed) where to apply the QHR. Sleep diary pre-treatment (two weeks) and post-treatment (three weeks), home polysomnography (PSG) (two nights pre-, two post-treatment) and sleep related questionnaire (pre and post) data were collected. Adherence with the QHR was measured objectively (actigraphy + light monitoring) and subjectively (adherence diary). Following QHR treatments, statistically significant reductions in SOL (QHRout) and WASO (QHRin and QHRout),an increase in S.E. (QHRin and QHRout) and a decrease in PSQI score (QHRin and QHRout) were found. Trends also indicated increased total sleep time (TST). Clinically significant improvements (SOL and WASO ≤ 31 minutes or reduced by 50%, PSQI ≤5 or reduced by 50%) were obtained in 33-57% of active groups participants.
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Henst, Rob HP. « A sleep behaviour intervention to improve cardiometabolic health in adults with overweight and obesity ». Doctoral thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32735.
Texte intégralRésumé :
Rob Henricus Petrus Henst was born on the 12th of March in Schaijk, the Netherlands. He graduated from pre-vocational secondary education (VMBO) in 2005 and continued to study process and laboratory technology at an intermediate vocational educational (MBO) institution. In 2009, Rob started with a Bachelor of Science degree, majoring in Life Science with a minor in Exercise Science. For his undergraduate thesis in 2012, he moved to South Africa where he was introduced to chronobiology in exercise science. In 2013, Rob continued to study in South Africa for his Master of Science (Exercise Science) degree and published his first peer-reviewed article in the Journal of Biological Rhythms. He then developed an interest in sleep and cardiometabolic health, specifically in the context of public health. In 2015, these interests were combined and lead to his current PhD thesis on a sleep behaviour intervention for the betterment of cardiometabolic health. In this year, he also co-founded the business unit Sleep Science within the Sports Science Institute of South Africa to help individuals sleep better. In 2019, Rob moved back to the Netherlands to write the final pages of his PhD thesis.
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Robinson, Anthony, et trobinson@parentingrc org au. « Sleep problems in children with an intellectual disability : The role of child and parent factors, and treatment efficacy using the Signposts program ». RMIT University. Health Sciences, 2007. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080808.161306.
Texte intégralRésumé :
The current research considered parent report of sleep problems in children with an intellectual disability (ID). Of specific interest were parents who reported child sleep issues/disturbances but who did not consider their child to have a sleep problem. Also of interest was the use of a general parent-training program to treat both the sleep and behaviour problems in children with an ID. Study 1 examined parent perceptions regarding sleep in children with an ID. Parents who reported a child sleep problem provided information on the types of sleep treatment tried and rated their effectiveness. Overall, 243 questionnaires were completed by parents of children with a range of disabilities aged between 3.1 to 18.7 years. While 62% of parents rated their child as displaying problematic night settling, night waking, early waking, or other disturbing sleep behaviours, only 27% of parents considered their child to have a sleep problem. A higher number of parents (75%) than expected had tried at least one type of intervention, although it was not possible to discern 'self help' treatments from 'professionally sought' treatments. Study 2 investigated child and parent factors associated with parent perception of sleep problems in children with an ID. Seventy-six parents from Study 1 completed measures in relation to child adaptive and daytime behaviour, parent stress, locus of control, personality (extraversion, neuroticism, and psychoticism), parenting competence, and perceived control over the child's sleep and daytime behaviour. Based on parent report on a sleep measure and response to the question 'do you think your child has a sleep problem' parents were allocated into one of three sleep groups: Parents who recognised a sleep problem (RSP, N=20), parents whose child did not have a sleep problem (NSP, N=35), and parents who did not recognise their child to have a sleep problem (USP, N=21). The results revealed differences between parents who do (RSP) and parents who do not (USP) recognise their child's sleep problem. These differences related to amount of child sleep (as reported by parents) and parent perceived control over the child's sleep and daytime behaviour. Study 3 examined the efficacy of a general parent-training (behaviour management) program, with sleep used as the training exemplar, for the treatment of sleep problems in children with an ID. Of the 20 parents in the RSP group in Study 2, five agreed to take part in Study 3 and three completed the intervention. The effect of the intervention on (a) a targeted sleep problem, (b) a targeted behaviour problem, (c) other sleep and daytime behaviours, (d) parent stress, (e) parent sleep, (f) parent sense of competence, and (g) parent perceived control over the child's sleep and daytime behaviour were examined. All parents reported an improvement in target sleep behaviour, and at follow-up all of the parents no longer considered their child to have a sleep problem. One parent reported a decrease in stress and an increase in measures of perceived control, and parenting competence, while two parents showed minimal to no improvement on child and parent outcomes.
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Fuller, Andrea. « Development and evaluation of an intervention targeting parenting practices associated with obesity-related behaviours in young children attending playgroup ». Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/205814/1/Andrea_Fuller_Thesis.pdf.
Texte intégralRésumé :
This thesis focussed on obesity prevention in children under five years by targeting parenting practices that support the development of healthy lifestyle behaviours in respect to eating, active play, screen time and sleep. An intervention, developed from focus groups with parents, was trialled in community playgroups in Brisbane and was both feasible and acceptable. The aim was to support parents to use autonomy promoting parenting practices. The program, unique in the community playgroup setting, consisted of five fortnightly sessions, delivered during playgroup time. A peer facilitator led brief conversations around parenting challenges and strategies for using appropriate parenting practices.
Livres sur le sujet "Behavioural sleep interventions"
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Mystakidou, Kyriaki, Irene Panagiotou, Efi Parpa et Eleni Tsilika. Sleep disorders. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0086.
Texte intégralRésumé :
Sleep disturbances represent frequent distressing symptoms in the palliative care setting. The more common disorders include insomnia, excessive daytime sleepiness, and circadian rhythm sleep disorders. The most prevalent sleep disorder, insomnia, includes difficulty initiating and/or maintaining sleep, waking up too early, and non-restorative or poor quality sleep. Primary sleep disturbances are thought to be a disorder of hyperarousal, while a hypothalamic-pituitary-adrenal axis dysfunction has also been confirmed. Secondary sleep disorders have been associated with a large number of potential causes, both physical and psychological. Sleep disturbances in palliative care can be due to either the advanced disease and/or its treatment. Chronic medication use, neurological or psychiatric disorders, as well as environmental factors, can also present contributing factors. This chapter discusses the diagnosis and treatment of sleep disturbances, both pharmacological and non-pharmacological, including cognitive behavioural therapy, the cornerstone of non-pharmacological interventions.
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Durand, V. Mark. When Children Don't Sleep Well : Therapist Guide. Oxford University Press, 2008. http://dx.doi.org/10.1093/med:psych/9780195329476.001.0001.
Texte intégralRésumé :
This comprehensive online guide provides intervention options for a wide variety of sleep problems, including bedtime disturbances, night waking, sleep terrors, and nightmares. It also addresses sleep hygiene, bedwetting, and other sleep-related issues, and uses a modular format, starting with a thorough assessment of the child's sleep problems, and the family’s ability to intervene. Each intervention module outlines how to instruct families in selecting an intervention and carrying it out successfully. A companion guide for parents includes detailed steps for intervention, as well as recording forms for sleep and behaviour.
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Balzafiore, Danielle, Thalia Robakis, Sarah Borish, Vena Budhan et Natalie Rasgon. The treatment of bipolar disorder in women. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198748625.003.0020.
Texte intégralRésumé :
Sex-specific effects in the clinical presentation and course of bipolar disorder in women have important treatment implications for the management of symptoms across the menstrual cycle and reproductive lifespan. Women with bipolar disorder are particularly vulnerable to premenstrual mood symptoms, menstrual abnormalities, and polycystic ovary syndrome. Special considerations include understanding the interactions between these reproductive issues, oral contraceptives, and mood-stabilizing agents. Additionally, the management of bipolar disorder during the perinatal period requires a careful approach to psychotropic medication to optimize the maintenance of mood stability while minimizing the potential for adverse risk of fetal and neonatal outcomes. Non-pharmaceutical approaches, including electroconvulsive therapy, transcranial magnetic stimulation, selected psychotherapies, and social and behavioural interventions may represent efficacious treatment options to reduce medication burden. Lastly, women with bipolar disorder may be at particular risk for worsening of affective symptoms during the menopausal transition, and strategies to reduce sleep disruption are imperative.
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Durand, V. Mark. When Children Don't Sleep Well : Parent Workbook. Oxford University Press, 2008. http://dx.doi.org/10.1093/med:psych/9780195329483.001.0001.
Texte intégralRésumé :
This online guide will help parents effectively manage their child's sleep problems without the use of drugs. Each module describes a different problem and gives options for treating it. Bedtime disturbances, night waking, sleep terrors, nightmares, and other sleep-related issues are all addressed in this workbook. It also includes a module on bedwetting. Working with a therapist, parents will choose the best intervention options for their family. It provides step-by-step instructions for carrying out each intervention, is easy-to-use, and complements the program described in the corresponding therapist guide. It includes questionnaires for parents about their child(ren) and family, as well as forms for recording the child's sleep and behaviour.
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White, Susan W., Brenna B. Maddox et Carla A. Mazefsky, dir. The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions. Oxford University Press, 2020. http://dx.doi.org/10.1093/oxfordhb/9780190910761.001.0001.
Texte intégralRésumé :
People with autism spectrum disorder (ASD) are often diagnosed, and treated for, co-occurring mental health disorders. Co-occurring problems are, in fact, a primary reason for referral and treatment-seeking. Research on comorbidity and its management in youth and adults with ASD has expanded at a rapid rate over the last decade. This is the first comprehensive volume on the topic of co-occurring psychiatric conditions and symptoms in ASD. In this Handbook, internationally recognized clinical scientists synthesize the research on assessment and evidence-based treatment for a broad range of conditions as they present in ASD, from childhood through adulthood. In addition to coverage of formal diagnoses that frequently present in ASD (e.g., mood and anxiety disorders), common behavioural concerns (e.g., psychosexual and sleep problems) are also addressed. Each chapter summarizes the condition or disorder as it presents in ASD, and presents the extant research on its prevalence, developmental course, etiology, and assessment and diagnosis in the context of ASD. Each chapter also includes a summary of evidence-based treatment approaches or current best practices for intervention, as well as a case example to demonstrate application. Chapters are also included to synthesize broader issues related to co-occurring psychiatric conditions in ASD, including a historical overview and conceptual framework for co-occurring conditions in ASD, crisis management, and psychopharmacology. In sum, this handbook is comprehensive compilation of the current evidence-base and recommendations for future research to inform clinical practice related to co-occurring psychiatric conditions and symptoms in ASD.
Chapitres de livres sur le sujet "Behavioural sleep interventions"
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Farquhar, Michael. « Primary sleep problems in the typically developing child ». Dans Oxford Handbook of Sleep Medicine, 209–28. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780192848253.003.0021.
Texte intégralRésumé :
Various behavioural approaches have been shown to ameliorate sleep in children who have difficulties with initiating sleep and getting back to sleep during the night. The fundamentals of these techniques are the same irrespective of the underlying health or environmental concerns. Essential foundations of good sleep include consistent sleep timings with a nightly pre-bed wind-down routine, which is maintained at weekends and during school/nursery holidays, and age-appropriate bedtimes. This chapter focusses mainly on behavioural interventions to address unhelpful sleep associations that younger children might develop, leading them to “need” parental presence in order to initiate sleep, and following night wakings. Behavioural interventions depend on caregiver engagement; habit change is effortful for all involved. Central to assessment should be clarifying goals of the child (if possible) and their caregivers. Patients (and their families) and clinicians can hold differing beliefs about ideal sleep, owing to societal, cultural and familial influences. Beliefs about medications can also play a role: some people would prefer the change be effected via medication than take a more active role in behavioural change. Motivational interviewing can support this process, and SMART (specific, measurable, attainable, reasonable and time-based) goals should be established.
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Vincent, Norah, et Maxine Holmqvist. « Low intensity CBT interventions for chronic insomnia ». Dans Oxford Guide to Low Intensity CBT Interventions, 187–96. Oxford University Press, 2010. http://dx.doi.org/10.1093/med:psych/9780199590117.003.0017.
Texte intégralRésumé :
Chapter 17 describes LI interventions in the treatment of chronic sleep problems and insomnia, and explores computerized cognitive behavioural therapy (cCBT) and challenges, using case studies throughout.
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Gavriloff, Dimitri, Felicity Waite et Colin A. Espie. « Low intensity interventions for sleep problems in children and adolescents ». Dans Oxford Guide to Brief and Low Intensity Interventions for Children and Young People, sous la direction de Sophie Bennett, Pamela Myles-Hooton, Jessica L. Schleider et Roz Shafran, 130—C13.P95. Oxford University PressOxford, 2022. http://dx.doi.org/10.1093/med-psych/9780198867791.003.0013.
Texte intégralRésumé :
Abstract Sleep problems in children and young people are common and varied. They are also often poorly understood and result in significant disruption to the lives of those affected, including to the lives of parents and family members. However, the majority of these problems can be treated using well-evidenced cognitive behavioural approaches. This is particularly important as the effective treatment of sleep problems not only improves sleep itself but also reduces the risk of other mental health problems and improves the ability of the child or young person and their family to function optimally during the day.
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Eriksson, Sofia. « Sleep walking and other NREM parasomnias ». Dans Oxford Handbook of Sleep Medicine, 161–70. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780192848253.003.0017.
Texte intégralRésumé :
Circadian Rhythm Sleep-Wake Disorders (CRSWDs) are an important group of sleep disorders, in which problems arise from aberrant timing of the sleep-wake cycle. When standard societal timetables are superimposed upon this, major problems, such as insomnia, chronic sleep restriction, and excessive daytime sleepiness may arise. These enduring problems may often have profound impacts on performance, as well as mental and physical health. Numerous CRSWDs exist. Of these, a very small number are truly ‘intrinsic’ – that is due to inherited molecular dysfunction of the pacemaker. Ageing, behaviour, illness and the environment, may influence many of the disorders, and are likely to have a cumulative effect in any one individual. However, some disorders are more ‘extrinsic’ than others, such as shift work and jet lag disorder. The various types of CRSWDs are discussed within this chapter, as are the behavioural and pharmacological interventions that can be used in their management.
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Rosenzweig, Ivana, et Ricardo S. Osorio. « Sleep and psychiatric disorders ». Dans Oxford Handbook of Sleep Medicine, 281–92. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780192848253.003.0027.
Texte intégralRésumé :
Chronic pain affects 10% of the population, and 50-75% of people with chronic pain report sleep difficulties. Pain disrupts sleep continuity and quality via many different mechanisms, and conversely, poor sleep, short sleep, and prolonged sleep, can amplify chronic pain, in an often bi-directional relationship. These interactions relate to numerous disorders causing chronic pain, and are not necessarily specific to any particular one. Sleep-related symptoms can include insomnia, excessive daytime sleepiness, restless legs syndrome, snoring, and more unusually, abnormal sleep behaviours. Sleep behavioural (‘hygiene’) practices are often poor, and provide an opportunity for intervention.
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« Cancer-related fatigue ». Dans Oxford Handbook of Cancer Nursing, sous la direction de Mike Tadman, Dave Roberts, Mark Foulkes, Mike Tadman, Dave Roberts et Mark Foulkes, 519–24. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198701101.003.0042.
Texte intégralRésumé :
Fatigue is one of the most common and distressing symptoms experienced by people with cancer, occurring in up to 80% of people having treatment. Cancer-related fatigue (CRF) is characterized by a subjective feeling of tiredness, weakness, or lack of energy. It is different from the usual tiredness experienced after exertion, as it is not relieved by rest. It tends to be pervasive and affects both mental processes, like concentration and attention, and physical processes, restricting activities and potentially leading to social isolation. It is associated with all forms of cancer treatments, including surgery, radiotherapy, chemotherapy, and biological therapies. In spite of this, the underlying processes and pathophysiology of CRF are not fully understood. Assessment of fatigue can be based on simple questions about its presence and the severity and effects on function, rating on a scale of 0 to 10, or it can be rated by the patient as mild, moderate, or severe. Those reporting moderate to severe fatigue should receive a more detailed fatigue assessment. Many of the fatigue management strategies are psychosocial or behavioural, so education and counselling are central to the effective management of fatigue. Psychosocial interventions include education, exercise and activity, energy conservation, sleep hygiene, attention-restoring interventions, and psychological treatments. The most commonly used pharmacological approaches include: psychostimulants, antidepressants, corticosteroids, treatments for anaemia, and progestogens.
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Chira, Peter, et Laura E. Schanberg. « Inflammatory arthritis and arthropathy ». Dans Oxford Textbook of Paediatric Pain, 215–27. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642656.003.0022.
Texte intégralRésumé :
Musculoskeletal pain is a common symptom in inflammatory arthritides such as juvenile idiopathic arthritis; however, identifying the underlying pathological process is often challenging for health care providers due to the extensive differential diagnoses. In children with inflammatory arthritides, physical examination abnormalities including swelling and/or pain on movement and joint limitation accompany the pain at initial presentation. Control of disease activity through anti-inflammatories and other disease-modifying agents can limit disease progression and joint damage; however, pain may persist in spite of these measures. Optimal treatment of pain in juvenile idiopathic arthritis and related conditions is based on a biopsychosocial model, which addresses biological, environmental, and cognitive-behavioural factors. Analgesics such as opioids and neuropathic pain medications, in conjunction with other modalities such as pain coping skills training, aerobic exercise, and improved sleep hygiene may be appropriate in certain circumstances. Further research is needed to prospectively identify patients and families early in the course of disease who would benefit from additional support to optimize pain management and limit distress. In addition, future clinical trials should assess the impact of study interventions on pain as a primary endpoint, assessed independently from other response variables.
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Myers, Gil. « Psychiatry ». Dans Oxford Handbook of Clinical Specialties, 682–773. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198827191.003.0012.
Texte intégralRésumé :
This chapter in the Oxford Handbook of Clinical Specialties explores the specialty of psychiatry. It discusses seeing patients, taking a psychiatric history, the mental state exam, risk assessment, confidentiality, physical examination, descriptive psychopathology, the classification of disorders (ICD-10/DSM-5), and community care. It explores schizophrenia, depression, bipolar affective disorder, anxiety, withdrawing psychotropics, suicide, self-harm, crisis intervention, urgent psychiatry situations, and managing violence. It describes dealing with delirium, dementia, depression, psychosis, and behavioural difficulties, as well as disorders of sleep, autism spectrum disorders, attention deficit hyperactivity disorder, intellectual disability, and personality, eating, psychosexual, and perinatal disorders. It examines therapies and psychotherapies including cognitive, behavioural, dynamic, systemic/family, counselling, and supportive, group, play, and art therapies. It discusses compulsory treatment and hospitalization, the Mental Health Act law and consent, and capacity.
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Baldwin, Andrew, Nina Hjelde, Charlotte Goumalatsou et Gil Myers. « Psychiatry ». Dans Oxford Handbook of Clinical Specialties, 312–409. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198719021.003.0004.
Texte intégralRésumé :
This chapter discusses psychiatry. It outlines psychiatric history skills (principles, mental state exam, risk assessment, confidentiality, and physical ecamination), assessment of psychiatric symptoms (descriptive psychopathology, classification of disorders (ICD-10, DSM-V)), community psychiatry (community care, schizophrenia, depression, bipolar affective disorder, anxiety, OCD, and PTSD, and the withdrawal of psychotropics), emergency department psychiatry (suicide and suicidal ideation, deliberate self-harm, crisis intervention, urgent psychiatry situations, and managing violence), liaison psychiatry and organix illness (delirium and dementia), child and adolescent psychiatry (depression, psychosis, behavioural difficulties, sleep disorders, ASD, and ADHD), psychiatric subspecialties (substance and alcohol misuse, intellectual disability, personality disorders, eating disorders, psychosexual disorders, and perinatal disorders), psychological treatment and psychotherapy (cognitive therapy, behavioural therapy, dynamic psychotherapy, systemic/family therapy, counselling and supportive psychotherapy, group psychotherapy, play and art therapy), and mental health and the law (compulsory hospitalisation, consent, capacity, and the Mental Health Act).
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Simonoff, Emily. « Management and treatment of autism spectrum disorders ». Dans New Oxford Textbook of Psychiatry, sous la direction de John R. Geddes, Nancy C. Andreasen et Guy M. Goodwin, 289–98. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198713005.003.0030.
Texte intégralRésumé :
Autism spectrum disorder (ASD) is a chronic disorder beginning early in development and comprising lifelong impairments in social communication and restricted and repetitive behaviours and interests. The manifestations of these core symptoms frequently vary across individuals, especially with differences in intellectual ability, and may change with age. In addition, people with ASD have high rates of co-occurring psychiatric disorders, including attention-deficit/hyperactivity disorder, anxiety and depression, tics/Tourette’s syndrome, and sleep problems. They frequently exhibit behaviours that challenge others, including aggression, self-injury, and high levels of irritability. Hence, their treatment and management requires a comprehensive approach to core and co-occurring symptoms. Management should include evidence-based approaches from health and also ASD-specific support from education, employment, social care, and the wider community. There is insufficient evidence to guide best practice, and more research on interventions is urgently required.
Actes de conférences sur le sujet "Behavioural sleep interventions"
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Dawson, Vicki, Janine Reynolds, Ruth Kingshott, Candi Lawson et Lorraine Hall. « P028 A model for city-wide implementation of intensive behavioural intervention to improve sleep in vulnerable children ». Dans BSS Scientific Conference Abstract Book, Birmingham, England. British Thoracic Society, 2019. http://dx.doi.org/10.1136/bmjresp-2019-bssconf.28.
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Elphick, HE, L. Hall, V. Dawson, C. Lawson, S. Siddall, A. Ives, J. Reynolds et RN Kingshott. « G534(P) A model for city-wide implementation of intensive behavioural intervention to improve sleep in vulnerable children ». Dans Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics : pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.517.
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Igelström, Helena, Margareta Emtner, Pernilla Åsenlöf et Eva Lindberg. « Improvement in obstructive sleep apnea syndrome after a tailored behavioural medicine intervention targeting healthy eating and physical activity ». Dans ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.oa1520.
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Passos, Natália F. P., Regina M. Carvalho-Pinto, Alberto Cukier, Rafael Stelmach, Celso R. F Carvalho et Patricia Duarte Freitas. « Effects of a behaviour change intervention aimed to increase physical activity on sleep quality of adults with asthma : an RCT ». Dans ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.4660.
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Wiggs, Luci, Georgia Cook, Harriet Hiscock et Paul Gringras. « P011 Development of an online behavioural sleep intervention for parents of children with epilepsy, for use in the CASTLE (changing agendas on sleep, treatment and learning in epilepsy) study clinical trial ». Dans BSS Scientific Conference Abstract Book, Birmingham, England. British Thoracic Society, 2019. http://dx.doi.org/10.1136/bmjresp-2019-bssconf.11.
Texte intégralRapports d'organisations sur le sujet "Behavioural sleep interventions"
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In Conversation… Sleep and Mental Health. ACAMH, juillet 2018. http://dx.doi.org/10.13056/acamh.4588.
Texte intégralRésumé :
At our recent Sleep and Mental Health Conference, we caught up with the speakers, Dr Michael Farquhar, Dr Jenna Vyas-Lee, Dr Max Davie and Dr Sally Hobson to discuss the relationship between sleep, behaviour and mental health, as well as some insights into assessment, management and barriers to interventions.