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    B. Clinical Sleep Science and Practice I. Insomnia: Albrecht JS, Tom SE, Vadlamani A, Scharf SM, Wickwire EM

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    This document contains three research studies related to sleep. The first study examines trends in insomnia diagnoses among Medicare beneficiaries from 2006-2013 and found that insomnia diagnoses increased over that period. The second study investigates seasonal changes in sleep duration and problems in Japanese community residents, finding some seasonal effects that varied by age group. The third study compares measures of sleep onset latency and wake after sleep onset between two different sleep diary formats (paper vs. electronic) in a healthy volunteer, finding a statistically significant difference in measured sleep onset latency between the two diaries.

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    B. Clinical Sleep Science and Practice I. Insomnia: Albrecht JS, Tom SE, Vadlamani A, Scharf SM, Wickwire EM

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    ivan
    24 views1 page
    This document contains three research studies related to sleep. The first study examines trends in insomnia diagnoses among Medicare beneficiaries from 2006-2013 and found that insomnia diagnoses increased over that period. The second study investigates seasonal changes in sleep duration and problems in Japanese community residents, finding some seasonal effects that varied by age group. The third study compares measures of sleep onset latency and wake after sleep onset between two different sleep diary formats (paper vs. electronic) in a healthy volunteer, finding a statistically significant difference in measured sleep onset latency between the two diaries.

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    This document contains three research studies related to sleep. The first study examines trends in insomnia diagnoses among Medicare beneficiaries from 2006-2013 and found that insomnia diagnoses increased over that period. The second study investigates seasonal changes in sleep duration and problems in Japanese community residents, finding some seasonal effects that varied by age group. The third study compares measures of sleep onset latency and wake after sleep onset between two different sleep diary formats (paper vs. electronic) in a healthy volunteer, finding a statistically significant difference in measured sleep onset latency between the two diaries.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    24 views1 page

    B. Clinical Sleep Science and Practice I. Insomnia: Albrecht JS, Tom SE, Vadlamani A, Scharf SM, Wickwire EM

    Uploaded by

    ivan
    This document contains three research studies related to sleep. The first study examines trends in insomnia diagnoses among Medicare beneficiaries from 2006-2013 and found that insomnia diagnoses increased over that period. The second study investigates seasonal changes in sleep duration and problems in Japanese community residents, finding some seasonal effects that varied by age group. The third study compares measures of sleep onset latency and wake after sleep onset between two different sleep diary formats (paper vs. electronic) in a healthy volunteer, finding a statistically significant difference in measured sleep onset latency between the two diaries.

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    of 1

    B. Clinical Sleep Science and Practice I.

    Insomnia

    association between insomnia severity and childhood adversity may changes in sleep duration and sleep problems, as well as the effects of
    be strongly influenced by variability in SES. These findings may have age, in Japanese community residents.
    important implications for insomnia prevention. Further investigation Methods: Data on 1,388 individuals aged 15–89 years, who par-
    into how SES differentially influences insomnia severity is warranted. ticipated in the Survey of Seasonal Changes in Diet and Lifestyles
    Support (If Any):  Grant# R01MD009063. conducted by the National Institute of Health and Nutrition of Japan
    (2004–2006), were analyzed. A self-administered questionnaire
    0351 included items on sleep duration and sleep problems (difficulty initi-
    TRENDS IN INSOMNIA DIAGNOSIS AMONG MEDICARE ating sleep [DIS], difficulty maintaining sleep [DMS]/early morning
    BENEFICIARIES, 2006–2013 awakening [EMA], and excessive daytime sleepiness [EDS]). Data
    Albrecht JS1, Tom SE2, Vadlamani A1, Scharf SM1, Wickwire EM1 were prospectively collected at four time points (spring, summer, fall,
    1
    University of Maryland, Baltimore, MD, 2Columbia University, New and winter).
    Results: Seasonal changes in sleep duration were found, with the

    Downloaded from https://academic.oup.com/sleep/article-abstract/41/suppl_1/A135/4988388 by guest on 22 February 2020


    York, NY
    longest in winter and the shortest in summer (mean winter-summer
    Introduction: Sleep complaints increase across the lifespan, with difference: 0.18 ± 0.91 hours). When analyzed according to age group,
    half of older adults reporting poor sleep quality. The most common seasonal changes in sleep duration were found in the middle and old
    diagnosis is insomnia disorder, which is associated with increased age groups, but not in the young age group. Seasonal changes in the
    morbidity and health care utilization among older adults. Despite its frequencies of DIS, DMS/EMA, and EDS were found, and the prev-
    high prevalence and substantial adverse consequences, few popula- alences of clinically significant DIS, DMS/EMA, and EDS were all
    tion-level studies have examined longitudinal trends in insomnia diag- highest in spring. When analyzed according to age group, seasonal
    noses in the US. The objective of this study was to characterize trends changes in the frequencies of sleep problems were found for some
    in insomnia diagnoses among Medicare fee-for-service beneficiaries items in the young age group (DMS/EMA and EDS) and middle age
    over a seven-year period. group (DIS and DMS/EMA); however, no seasonal changes in sleep
    Methods:  We conducted a time-series analysis to estimate the annual problems were observed in the old age group.
    prevalence of insomnia using a randomly selected 5% sample of Conclusion: The present study found seasonal effects on sleep and
    Medicare fee-for-service beneficiaries from 2006–2013. Insomnia sleep problems in Japanese community residents, but the effects varied
    was defined as the presence at least one inpatient or outpatient claim among age groups.
    containing pertinent International Classification of Disease - Ninth Support (If Any): 
    Edition - Clinical Modification codes (307.41, 307.42, 307.49, 327.00,
    327.01, 327.09, 780.52, V69.4). We also identified annual receipt of 0353
    any insomnia-related medications from Part D prescription drug claims TO COMPARE SLEEP ONSET LATENCY (SOL) AND WAKE
    (barbiturates, benzodiazepines, chloral hydrate, hydroxyzine, non-ben- AFTER SLEEP ONSET (WASO) BETWEEN AASM PAPER
    zodiazepine sedative hypnotics [NBSH], and sedating anti-depressants). SLEEP DIARY AND VAMC EXCEL SLEEP DIARY
    Results:  Prevalence of insomnia diagnoses increased from 4.2% in
    Salhan D1,2, Whirley J2, Freire AX1,2
    2006 to 6.1% in 2013 (p<0.001). The prevalence of either insomnia 1
    Division of Pulmonary, Critical Care, and Sleep Medicine,
    diagnosis or insomnia medication use remained close to 24% from
    2006 to 2012 and subsequently increased to in 28% 2013 (p=0.04). Department of Medicine, University of Tennessee Health Science
    Women were slightly more likely to have an insomnia diagnosis than Center, Memphis, TN, Memphis, TN, 2Memphis VAMC Sleep
    men in all years (p<0.001), with prevalence of 5–6% in women and Disorder Center, Memphis, TN
    4–5% in men. In 2013, prevalence of either insomnia diagnosis or
    insomnia medication use was 24% in men and 31% in women. Introduction: Insomnia is a clinical diagnosis, and therefore, a
    Conclusion:  Insomnia diagnoses increased from 2006 to 2013 among patient’s subjective report of sleep difficulties and maintenance
    Medicare fee-for-service beneficiaries. This suggests a need to focus of a sleep diary plays an important role in directing management.
    on recognition and treatment of insomnia and related conditions Cognitive behavioral therapy(CBT) is the cornerstone management
    among this population. of insomnia, it aims at decreasing SOL and WASO. AASM Paper
    Support (If Any):  Merck Investigator-Initiated Studies Program (PI: sleep diary (Paper-SD) and VAMC excel sleep diary(Excel-SD), are
    Wickwire). the two frequently used tools in CBT to assess SOL and WASO. We
    compared the SOL and WASO between these two tools in a healthy
    volunteer.
    0352 Methods: A healthy volunteer was educated to accurately fill the
    SEASONAL CHANGES IN SLEEP DURATION AND SLEEP Paper-SD and Excel-SD. Two weeks of data was collected, which
    PROBLEMS: A PROSPECTIVE STUDY IN JAPANESE included bedtime, SOL, WASO and wake up time, in both formats. All
    COMMUNITY RESIDENTS data times were measured in minutes. The time reported in Excel-SD
    Suzuki M1, Yoshiike N2, Yoshita K3, Arai Y4, Uchiyama M1 was based on a subjective assessment of the volunteer. Caliper was
    1
    Department of Psychiatry, Nihon University School of Medicine, used to measure the time from the shaded portions of a Paper-SD.
    Tokyo, JAPAN, 2Department of Nutrition, Faculty of Health Sciences, Statistical Analysis: We used Statview Version 5.01 (SAS institute
    Aomori University of Health and Welfare, Aomori, JAPAN, 3Osaka Inc. Cary, NC) for analysis. We described continuous data by mean +
    City University, Osaka, JAPAN, 4Chiba Prefectural University of standard deviation. Student’s t-test (paired) was used for comparisons
    Health Sciences, Chiba, JAPAN of SOL and WASO between Paper-SD and Excel-SD. A p-value < 0.05
    was considered statistically significant.
    Introduction:  Scientific understanding of seasonal effects on sleep Results:  Data was obtained during 14 independent opportunities. The
    and sleep problems has yet to be elucidated, although it may help to mean difference in SOL measured by Paper-SD vs Excel-SD, reported
    establish an optimal sleep hygiene program to treat sleep problems was 8.464 minutes. It was statistically significant with a p-value 0.01.
    such as insomnia and hypersomnia. Here we investigated seasonal There was no statistical difference found in WASO minutes

    A135 SLEEP, Volume 41, Abstract Supplement, 2018

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