Sleep Hygiene and Migraine in Children and Adolescents

Cephalalgia ◽  
1999 ◽  
Vol 19 (25_suppl) ◽  
pp. 57-59 ◽  
Author(s):  
O Bruni ◽  
F Galli ◽  
V Guidetti
Keyword(s):  
Sleep Problems ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Sleep Behavior ◽  
Simple Modification ◽  
Initial Reduction ◽  
Alternative Approach ◽  
Group A ◽  
Group B

Although sleep problems are a common complaint in migraine patients, the role of sleep habits and hygiene as triggering factors of head pain attacks has been poorly analyzed. The aim of this study was to evaluate the effect of modifying bad sleep habits across several headache parameters. Based on our previous study, we selected 70/164 migraineurs (42.7%) with poor sleep hygiene and randomly assigned them to two groups: group A migraineurs, who were instructed to follow directions to improve sleep hygiene; and group B migraineurs who were not given instructions on improving sleep hygiene. Mean duration and frequency of migraine attacks were significantly reduced at follow-up in group A, while group B showed only an insignificant initial reduction. No differences were found in the severity of migraine attacks that seemed related to a higher prevalence of nocturnal symptoms such as bedtime struggles, hypnic jerks, nightmares, and restless sleep. Our study is an alternative approach to the treatment of migraine, i.e. treatment through a simple modification of sleep behavior without recurring to pharmacological treatment.

scholarly journals Sleep quality, sleep habits, and chronotypes of medical interns at the beginning of their training

2017 ◽  
Vol 5 (20) ◽  
pp. 4 ◽  
Author(s):  
Chok Limsuwat ◽  
Pantaree Aswanetmanee ◽  
Mustafa Awili ◽  
Ahmed Raziuddin ◽  
Supat Thammasitboon
Keyword(s):  
Sleep Quality ◽  
Sleep Problems ◽  
Sleep Hygiene ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Resident Work ◽  
Quality Sleep ◽  
Work Hour

Introduction: Despite the implementation of resident work hour regulations, studieshave not consistently shown beneficial changes in residents’ sleep quality or duration. Wehypothesized that inter-individual sleep-related differences may exist prior to training and thepre-existing sleep health and habits may impact training.Objective: To determine interns’ baseline sleep quality, sleep hygiene, chronotypes, andtheir correlates at the beginning of their residency training program.Methods: A cross-sectional study using an anonymous “Resident Sleep Survey” includedbaseline demographic information and questionnaires, including the Epworth SleepinessScale (ESS), the Pittsburgh’s Sleep Quality Index (PSQI), the Morningness-EveningnessQuestionnaire (MEQ), and the Sleep Hygiene Index (SHI).Results: One hundred and twenty-nine subjects participated the study; 45.7 % (n=59)were male and 18.6 % (n=24) were married. Twenty percent of interns had an ESS >10. ThePSQI revealed that 28% of interns had poor sleep hygiene. The mean sleep efficiency was91.2 ±7.4% estimated from the PSQI. Non-married interns had a lower prevalence of morningchronotypes (22.3% vs. 45.8%, p=0.02). Morning chronotype interns had a lower ESS score(6.1 ±3.1 vs. 7.6 ±3.6, p=0.03) and a lower SHI (29 ±7.0 vs. 34.3 ±7.1, p=0.003).Conclusion: About a quarter of interns had poor sleep quality and excessive daytimesleepiness prior to their training. Non-morning chronotype interns appeared to have moredaytime sleepiness and poorer sleep quality. Since pre-existing sleep problems may adverselyaffect learning, we suggest that strategies to improve sleep hygiene and quality in this specificpopulation should be emphasized early in their training.

scholarly journals Use of the Method of Levels Therapy as a Low-Intensity Intervention to Work With People Experiencing Sleep Difficulties

2019 ◽  
Vol 33 (2) ◽  
pp. 140-156 ◽  
Author(s):  
Jakub Grzegrzolka ◽  
Phil McEvoy ◽  
Warren Mansell
Keyword(s):  
Behavioral Treatment ◽  
Sleep Problems ◽  
Well Being ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Low Intensity ◽  
Psychological Therapies ◽  
The United Kingdom ◽  
Disturbed Sleep ◽  
Alternative Approach

Sleep problems are common with nearly one in three people reporting disturbed sleep. In line with guidelines, most people experiencing poor sleep in the United Kingdom are referred for cognitive and behavioral treatment approaches. A large proportion of these clients are seen by Psychological Well-being Practitioners (PWPs) delivering low-intensity therapy within Improving Access to Psychological Therapies (IAPT) services. The training of PWPs in the treatment of sleep problems is limited to sleep hygiene psychoeducation. The role that sleep hygiene psychoeducation plays in improving sleep quality is unclear, especially if used as a stand-alone intervention. The article introduces method of levels (MOL) as an alternative approach explaining sleep problems by transdiagnostic mechanisms. Two clinical cases are presented to demonstrate how MOL was implemented to support clients with the perceived sleep issue. This article adds to growing evidence that a transdiagnostic approach to helping people experiencing psychological distress is needed.

scholarly journals Augmented cerclage wire improves the fixation strength of a two-screw construct for humerus split type greater tuberosity fracture: a biomechanical study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chao-Jui Chang ◽  
Wei-Ren Su ◽  
Kai-Lan Hsu ◽  
Chih-Kai Hong ◽  
Fa-Chuan Kuan ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Biomechanical Study ◽  
Fixation Strength ◽  
Myotendinous Junction ◽  
Steel Cable ◽  
Simple Modification ◽  
Greater Tuberosity ◽  
Cerclage Wire ◽  
Group A ◽  
Group B

Abstract Background Poor functional outcome can result from humeral greater tuberosity (GT) fracture if not treated appropriately. A two-screw construct is commonly used for the surgical treatment of such injury. However, loss of reduction is still a major concern after surgery. To improve the biomechanical strength of screw fixation in GT fractures, we made a simple modification of the two-screw construct by adding a cerclage wire to the two-screw construct. The purpose of this biomechanical study was to analyze the effect of this modification for the fixation of GT fractures. Materials and methods Sixteen fresh-frozen human cadaveric shoulders were used in this study. The fracture models were arbitrarily assigned to one of two fixation methods. Group A (n = 8) was fixed with two threaded cancellous screws with washers. In group B (n = 8), all screws were set using methods identical to group A, with the addition of a cerclage wire. Horizontal traction was applied via a stainless steel cable fixed directly to the myotendinous junction of the supraspinatus muscle. Displacement of the fracture fixation under a pulling force of 100 N/200 N and loading force to construct failure were measured. Results The mean displacements under 100 N and 200 N traction force were both significantly decreased in group B than in group A. (100 N: 1.06 ± 0.12 mm vs. 2.26 ± 0.24 mm, p < 0.001; 200 N: 2.21 ± 0.25 mm vs. 4.94 ± 0.30 mm, p < 0.001) Moreover, the failure load was significantly higher in group B compared with group A. (415 ± 52 N vs.335 ± 47 N, p = 0.01), Conclusions The current biomechanical cadaveric study demonstrated that the two-screw fixation construct augmented with a cerclage wire has higher mechanical performance than the conventional two-screw configuration for the fixation of humeral GT fractures. Trial registration Retrospectively registered.

scholarly journals The relationship between sleep hygiene and sleep quality among residents of an elderly care institution in DKI Jakarta

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Mutia Annisa ◽  
Dwi Nurviyandari Kusuma Wati
Keyword(s):  
Sleep Quality ◽  
Sleep Problems ◽  
Elderly Care ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Purposive Sample

<p class="AbstractContent"><strong>Objective:</strong> Elderly are at risk of poor slepp quality and other health problems due to reduced sleep satisfaction. The objective of this study was to explore the association between sleep hygiene and sleep quality in elderly.</p><p class="AbstractContent"><strong>Methods: </strong>This was a descriptive study with cross sectional design. The study was conducted in four elderly care institutions in Jakarta, Indonesia, involving a purposive sample of 103 elderly aged 60 to 111 years old. Data were collected using Sleep Hygiene Index (SHI) and Pittsburgh Sleep Quality Index (PSQI).</p><p class="AbstractContent"><strong>Results:</strong> Over half of the residents had poor sleep hygiene (51.5%) and more than three quarter (81.6%) had poor sleep quality. The study revealed that there was a highly significant relationship between sleep hygiene and sleep quality (p = 0.001). The study also showed that those with poor sleep hygiene were 7.834 times more likely to have poor sleep quality.<strong></strong></p><p class="AbstractContent"><strong>Conclusion: </strong>Nurses need to include interventions that may address residents’ sleep problems. They also need to promote sleep hygiene and improve residents’ sleep quality.<strong></strong></p><strong>Keywords: </strong>elderly, institution, sleep hygiene, sleep quality

scholarly journals A Good Night’s Sleep: Learning About Sleep From Autistic Adolescents’ Personal Accounts

2020 ◽  
Vol 11 ◽  
Author(s):  
Georgia Pavlopoulou
Keyword(s):  
Sleep Problems ◽  
Sleep Hygiene ◽  
Physical Activities ◽  
Photo Elicitation ◽  
Personal Factors ◽  
Sleep Habits ◽  
Night Time ◽  
Sleep Study ◽  
Autistic People ◽  
Personal Accounts

BackgroundSleep is a strong predictor of quality of life and has been related to cognitive and behavioral functioning. However, research has shown that most autistic people experience sleep problems throughout their life. The most common sleep problems include sleep onset delay, frequent night-time wakings and shorter total sleep time. Despite the importance of sleep on many domains, it is still unclear from first-hand accounts what helps autistic people to sleep. The purpose of this study is to explore together with autistic adolescents their sleep-related practices before bedtime and during the day which contribute to a good night’s sleep.MethodsFifty-four autistic adolescents collaborated with an academic researcher in a novel adapted photo-elicitation methodology, rooted in a Lifeworld framework. The adolescents were invited to collect and analyze their data. The data were also presented in a community knowledge exchange event.ResultsSeveral self-reported practices that facilitate better nocturnal sleep were identified. Those were organized into two thematics: Evening/bedtime factors and Day time factors. These included practices such as personalized sensory and relaxation tools before bed and during night-time, engaging in a range of physical activities during daytime and accommodating personal time to engage with highly preferred and intense focus activities and hobbies. It also included spending time in predictable and fun ways with family members before bedtime.ConclusionThis is the first time that a study uses a novel methodological approach based on personal accounts elicited by photos rooted in a Lifeworld framework to describe personal sleep-related practices before bedtime and during the day to identify a “good night of sleep” in autistic adolescents. The outcomes from the current study showed that sleep facilitating factors are in a direct contrast to the sleep hygiene recommendations. Therefore, it is thus important for the sleep practitioners and healthcare providers to move beyond providing standardized sleep hygiene interventions. A Lifeworld led care model that pays attention to personal experiences, promotes sense of agency, evaluates both autism-specific strengths and struggles could and should complement biomedical approaches.Lay SummaryThis is the first study to examine autistic adolescents’ self-reported sleep habits and factors which facilitate autistic adolescents’ sleep by employing adapted photo-elicitation interviews. This study is innovative in at least three ways. First, it examines the factors that may facilitate a good night’s sleep through personal accounts of autistic adolescents. Second, this is the first sleep study to adopt a collaborative, flexible approach to understanding positive sleep factors in the lives of autistic adolescents. This study employed a personalized approach into collecting, categorizing, coding, and analyzing qualitative data allowing autistic adolescents and the researcher to work together across key stages of data collection and data analysis. Third, we adopted a theoretical framework that allows us to consider autistic adolescents in both agency and vulnerability positions when it comes to their sleep difficulties. Our results highlight that sleep should be treated individually and in relation to the environmental and personal factors that affect each autistic person. Hence, researchers and professionals may benefit from working collaboratively with autistic adolescents with the aim to identify individual strengths and adopt a positive narrative around sleep. Furthermore, it is important to further examine both the daytime and evening factors that may affect bedtime and the quality and quantity of sleep as well as the role of intense focused interests and physical activities that cultivate positive feelings and help autistic people to relax before bedtime.

scholarly journals Association between sleep hygiene and sleep quality in medical students

2017 ◽  
Author(s):  
Cameron Brick
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
Sleep Hygiene ◽  
Future Research ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Subjective Sleep Quality ◽  
Web Based ◽  
Subjective Sleep ◽  
Future Research Directions

The aim of the current study was to determine whether subjective sleep quality was reduced in medical students, and whether demographics and sleep hygiene behaviors were associated with sleep quality. A web-based survey was completed by 314 medical students, containing questions about demographics, sleep habits, exercise habits, caffeine, tobacco and alcohol use, and subjective sleep quality (using the Pittsburgh Sleep Quality Index). Correlation and regression analyses tested for associations among demographics, sleep hygiene behaviors, and sleep quality. As hypothesized, medical students’ sleep quality was significantly worse than a healthy adult normative sample (t=5.13, p&lt;.001). Poor sleep quality in medical students was predicted by several demographic and sleep hygiene variables, and future research directions are proposed.Brick, C., Seely, D. L., &amp; Palermo, T. M. (2010). Association between sleep hygiene and sleep quality in medical students. Behavioral Sleep Medicine, 8(2), 113–121. https://www.tandfonline.com/doi/abs/10.1080/15402001003622925

scholarly journals College Students’ Sleep Habits and Their Perceptions Regarding Its Effects on Quality of Life

2018 ◽  
Vol 3 (2) ◽  
pp. 7 ◽  
Author(s):  
Megan L. Herrmann ◽  
Anthena K. Palmer ◽  
Morgan F. Sechrist ◽  
Sam Abraham
Keyword(s):  
Quality Of Life ◽  
College Students ◽  
Extracurricular Activities ◽  
Sleep Problems ◽  
The United States ◽  
Poor Sleep ◽  
Significant Finding ◽  
Sleep Habits ◽  
Spring Semester

Objective: Poor sleep in college students can attribute to poor academic performance. Poor sleep is detrimental to health; however, adequate sleep is not often seen as a priority. The objective of the study was to better understand college students’ sleep habits and determine their perceptions regarding the effects of these sleep habits on quality of life.Methodology: A quantitative, cross-sectional approach with a descriptive design was appropriate for this study. Participants were 122 students, in a Christian college with a population of about 2000 in the mid-western region of the United States. The survey instrument was developed with 6 demographic items and 19 statements using a 4-point Likert-type scale. Data collection occurred in the hallway of the library on two days in the spring semester of 2016.Results: Regarding sleep habits, the average college student keeps their sleep and study spaces separate, they wake up at a regular time every day, they do use technology, such as a cell phone, TV/radio, computer, or iPad before going to sleep, and they have a sleep environment that is quiet and calming. A significant finding was that students did not think extracurricular activities (anything outside of class) negatively affected their sleep. Conclusions: A large percentage of students use technology before bed, which places them at a higher risk for negative quality of life. Students admit to experiencing irregularity in their sleep patterns (M=3.59, on a 4-point scale); however, most participants did not agree that caffeine consumption (M=2.15), extracurricular activities (M=2.25), or daytime naps (M=2.16) contributed to sleep problems.

scholarly journals A novel method for activity monitoring in small non-human primates

2005 ◽  
Vol 39 (2) ◽  
pp. 169-177 ◽  
Author(s):  
T M Mann ◽  
K E Williams ◽  
P C Pearce ◽  
E A M Scott
Keyword(s):  
Well Being ◽  
Total Activity ◽  
Activity Monitoring ◽  
General Behaviour ◽  
Non Invasive ◽  
Alternative Approach ◽  
Group A ◽  
Novel Method ◽  
Group B ◽  
Temporal Spread

Patterns of spontaneous activity are valuable reflections of well-being in animals and humans and, because of this, investigations have frequently incorporated some form of activity monitoring into their studies. It is widely believed that activity monitoring, alongside assessments of general behaviour, should be included in initial CNS safety pharmacology screening. As the number of marmoset studies having actimetry as their focus, or as an adjunct, is increasing, we wished to evaluate an alternative approach to those commonly used. The method is based on miniaturized accelerometer technologies, currently used for human activity monitoring. Actiwatch®-Minis were used to monitor the activity of two groups of differently housed marmosets for 14 consecutive days. Group A consisted of four mixed-sex pairs of animals and group B comprised eight group-housed males. Activity profiles were generated for weekday and weekend periods. The devices captured quantifiable data which showed differences in total activity between the two differently housed groups and revealed intragroup variations in the temporal spread of activity between weekdays and weekends. The Actiwatch®-Mini has been shown to generate retrospective, data-logged activity counts recorded from multiple animals in a single arena by means of non-invasive monitoring.

scholarly journals Study of sleep pattern in children aged 1-12 years attending OPD at tertiary care hospital, Puducherry, India

2017 ◽  
Vol 4 (6) ◽  
pp. 1980 ◽  
Author(s):  
C. Barathy ◽  
S. Prabha ◽  
Shanthi A. K. ◽  
Devikittu .
Keyword(s):  
Screen Time ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Tertiary Care ◽  
Sleep Pattern ◽  
Poor Sleep ◽  
Care Hospital ◽  
Sleep Habits ◽  
The Mean ◽  
Good Sleep

Background: Children differ in their sleep pattern from adults and within their developmental age groups. Good sleep habits help them in better sleep outcomes. Inadequate sleep can contribute to various health issues. Hence, this study was carried out to find out sleep pattern in children and identify factors affecting it so that suitable measures can be taken to ensure good sleep hygiene in children.Methods: This was a cross-sectional observational study done in children aged 1-12 years. Every 5th child who attended OPD were included. Children who were very sick or had chronic illness or pain were excluded. Details pertaining to sleep was recorded after written parental consent.Results: The total sample size was 650. The mean age was 6.25±3.2 years. The mean bed time and wake up time was 9.18 pm±(1.02) and 6.41 am±(0.85) respectively. The mean night sleep duration was 9.38±1.05 hours. Co-sleeping was 97.5%. Sleep problem was seen in 51.1%. Screen time >2 hours contributed to late bedtime and insomnia. Reduced physical activity/exercise was significantly associated with sleep problems.Conclusions: Sleep problems and poor sleep habits are common among children. Increased screen time and reduced physical activities in children contribute to poor sleep habits and sleep problem. 

Sleep Habits, Sleep Problems, Sleep Hygiene, and Their Associations With Mental Health Problems Among Adolescents

2017 ◽  
Vol 24 (3) ◽  
pp. 223-234 ◽  
Author(s):  
Jinwen Zhang ◽  
Zhiwei Xu ◽  
Kena Zhao ◽  
Ting Chen ◽  
Xiuxia Ye ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Sleep Problems ◽  
Sleep Hygiene ◽  
Health Problems ◽  
Sleep Habits ◽  
Cross Sectional Survey ◽  
Full Spectrum ◽  
Adolescent Sleep ◽  
Sleep Behaviors

BACKGROUND: Studies in adults suggested that sleep could be a significant contributor to mental health. However, little is known about their relationship in adolescents. OBJECTIVE: The present study aimed to examine the overall associations of full-spectrum sleep behaviors, including sleep habits, sleep problems, and sleep hygiene, with mental health problems among adolescents in Shanghai, China. DESIGN: A stratified, cluster random sample of 4,823 adolescents aged 11 to 20 years participated in a cross-sectional survey. The Adolescent Sleep Disturbance Questionnaire and the modified Adolescent Sleep Hygiene Scale were used to examine sleep behaviors. The Strengths and Difficulties Questionnaire was used to evaluate mental health problems. RESULTS: Five sleep variables were found to be associated with adolescents’ mental health. The five factors covered three sleep domains: sleep habits (later bedtime during weekdays), sleep problems (maintaining sleep difficulties, disorders of arousal), and sleep hygiene (poor emotion at bedtime, unstable sleep schedule). CONCLUSIONS: The clinical significance of the findings lies in the emphasis of comprehensive screening of sleep in the predicting, diagnosis, nursing, and intervention of adolescents’ mental health problems.

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