Luna Smart (oceanwing55)

Insomnia in older adults has been linked to increased incidence of falls, depression and anxiety, cognitive impairment, institutionalization, and mortality, but traditional sleep assessment instruments, designed for the general adult population, fail to capture many of the experiences and causes that are unique to older adults. This mixed methods study elicited open narratives from 18 older adults (6 men,12 women, mean age 84, SD= 7.62, range 67-96) who reported chronic insomnia or disrupted sleep to learn how poor sleep affected their quality of life and daily functioning. The interviews were supplemented with three widely used self-report sleep instruments to provide baseline sleep quality and hygiene scores. Content analysis of the participants' narratives revealed the overriding theme of Insomnia Is Exhausting, which exemplifies the physical and emotional strain this chronic condition creates, and four categories A Bad Night, Self-Management, Stoicism and Consequences. The narratives revealed severe, negative effects on quality of life, including reduced functional capacity and increased stress, anxiety, and social isolation. The results of this study can be used as a foundation for interventions to enhance sleep quality for this population.Objective The present study investigated the bidirectional associations of adolescent peer experiences and sleep/wake problems during early adolescence. Design The study used a two-wave longitudinal design. Setting Participants were recruited from a small urban community in the Midwestern United States. Participants At T1, participants included 100 adolescents (53% boys; mean age = 11.05 years, SD = 0.33) and their mothers (96% biological), and 78 teachers (62% female). At T2, 89 adolescents and their mothers returned; 76 teachers participated. The racial/ethnic composition of the sample of adolescents and mothers included 57%-63% European American and 43%-37% racial/ethnic minorities (e.g., African American, Hispanic/Latino). Measurements At both waves, adolescents reported on their sleep quality (sleep/wake problems). Adolescent-, mother-, and teacher-reported peer victimization were composited at each wave, and a composite for positive peer relationships included adolescent-reported friendship quality; adolescent-, mother-, and teacher-reported friends' prosociality; and mother- and teacher-reported peer acceptance. Results Findings from cross-lagged panel models revealed some support for reciprocal associations such that T1 positive peer relationships predicted fewer T2 sleep problems and T1 sleep problems predicted less positive peer relationships at T2. However, only T1 sleep problems predicted more peer victimization at T2, controlling for T1 peer victimization, with the effect driven by adolescent-reported peer victimization. Conclusions Findings provide new insight for prevention and intervention efforts regarding the potential protective function of positive peer relationships in reducing sleep problems, as well as the need to address sleep problems as a means to promote more positive peer relationships and less peer victimization over time.Objectives Sleep duration and physical activity decline with age during adolescence. Earlier school schedules may contribute to these declines. The aim of this longitudinal study was to track changes in sleep and activity of Icelandic youth from primary to secondary school and compare students who enrolled in secondary schools with traditional and college-style schedules. RBPJInhibitor1 Methods We measured free-living sleep and activity with wrist actigraphy and body composition by dual-energy x-ray absorptiometry in 145 students at age 15 and age 17, when 58% attended schools with college-style scheduling. Differences from 15 to 17 and between students of different school structures were assessed with mixed-effect models. Results Actigraphs were worn for 7.1 ± 0.4 nights at 15 and 6.9 ± 0.4 nights at 17. Overall, sleep duration decreas