Browsing by Subject "Sleep Wake Disorders"

Now showing 1 - 3 of 3
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    Establishing OT’s Role in Addressing Sleep Disturbances for Autistic Children: A Rapid Systematic Review
    (2024-04-25) Arnold, Logan; Bacon, Veronica; Conn, Sydney; Cowgur, Chloe; Metaxas, Nina; Mehringer, Jadon; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human Sciences
    This rapid systematic review examined the relationship between various interventions and sleep measures for autistic children and adolescents. Establishing this link can aid occupational therapists in understanding how to select and apply established interventions to practice. A variety of interventions were found within current literature to treat sleep disturbances including melatonin, non-melatonin pharmaceuticals, physical activity, behavioral and educational sleep hygiene, and sensory based interventions. The results indicated that all but the non-pharmaceutical interventions consistently yielded beneficial outcomes in decreasing sleep problems in the autistic children. However, these positive outcomes were briefly sustained once the studies ended. These findings suggest there is a trend within literature that sleep interventions have limitations when attempting to apply them to real-life cases. This dynamic highlights a gap between evidence-based outcomes that may improve sleep deficits in autistic children and the ability for these outcomes to be implemented in family’s homes. Occupational therapists have the potential to fill the gap and provide translational care to assist families in establishing routines backed by evidence. By improving sleep quality in this population, these guided interventions have the potential to improve the overall well-being and life satisfaction of children and their families.
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    Hypnosis Intervention for Sleep Disturbance: Determination of Optimal Dose and Method of Delivery for Postmenopausal Women
    (T&F, 2021) Elkins, Gary; Otte, Julie; Carpenter, Janet S.; Roberts, Lynae; Jackson, Lea' S.; Kekecs, Zoltan; Patterson, Vicki; Keith, Timothy Z.; School of Nursing
    Sleep disturbances are a pervasive problem among postmenopausal women, with an estimated 40 to 64% reporting poor sleep. Hypnosis is a promising intervention for sleep disturbances. This study examined optimal dose and delivery for a manualized hypnosis intervention to improve sleep. Ninety postmenopausal women with poor sleep were randomized to 1 of 4 interventions: 5 in-person, 3 in-person, 5 phone, or 3 phone contacts. All received hypnosis audio recordings, with instructions for daily practice for 5 weeks. Feasibility measures included treatment satisfaction ratings and practice adherence. Sleep outcomes were sleep quality, objective and subjective duration, and bothersomeness of poor sleep. Results showed high treatment satisfaction, adherence, and clinically meaningful (≥ 0.5 SD) sleep improvement for all groups. Sleep quality significantly improved, p < .05, η2 = .70, with no significant differences between groups, with similar results for the other sleep outcomes across all treatment arms. Comparable results between phone and in-person groups suggest that a unique “dose” and delivery strategy is highly feasible and can have clinically meaningful impact. This study provides pilot evidence that an innovative hypnosis intervention for sleep (5 phone contacts with home practice) reduces the burden on participants while achieving maximum treatment benefit.
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    SOMATOSENSORY AMPLIFICATION AND MENOPAUSAL SYMPTOMS IN BREAST CANCER SURVIVORS AND MIDLIFE WOMEN
    (Elsevier, 2014-05) Carpenter, Janet S.; Igega, Christele M.; Otte, Julie L.; Burns, Debra S.; Yu, Menggang; Wu, Jingwei; IU School of Nursing
    OBJECTIVES Somatosensory amplification is the experience of sensing everyday bodily sensations as intense, agitating, and unpleasant. Using data from menopausal breast cancer survivors and midlife women without cancer, the study purposes were to (1) explore the psychometric properties of the Somatosensory Amplification Scale and (2) to describe somatosensory amplification and its relationship to menopausal symptoms of hot flashes, mood and sleep disturbance. STUDY DESIGN This was a cross-sectional, descriptive, correlational study using demographic, e-diary, and questionnaire data from 99 breast cancer survivors and 138 midlife women. MAIN OUTCOME MEASURES Somatosensory amplification, hot flashes (frequency, severity, bother, interference, perceived control), mood, and sleep. RESULTS Cronbach’s alphas for the scale were low. When an 8-item version of the scale was evaluated, alphas improved and item-total correlations remained strong or improved. Midlife women and breast cancer survivors did not have significantly different somatosensory amplification total or item scores after adjusting for group differences in demographics. Somatosensory amplification was significantly correlated with hot flash interference, perceived control over hot flashes, and mood and sleep disturbance in both groups but the patterns of correlations differed slightly between groups and depending on whether the 10-item or 8-item scale was used. CONCLUSION Somatosensory amplification may be a relevant concept to assess in relation to the menopausal symptom experience of midlife women with and without breast cancer as it may represent a potential intervention target to improve the menopausal symptom experience.