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Using the Person-Based Approach to Co-Create and Optimize an App-Based Intervention to Support Better Sleep for Adolescents in the United Kingdom: Mixed Methods Study

Using the Person-Based Approach to Co-Create and Optimize an App-Based Intervention to Support Better Sleep for Adolescents in the United Kingdom: Mixed Methods Study

There is a bidirectional relationship between insomnia and mental health difficulties [32-35]. Anxiety may perpetuate and worsen insomnia, with those who experience emotional dysregulation in childhood being more likely to experience anxiety disorders in adolescence [36-38]. As poor sleep during adolescence may be a precursor to mental health problems, targeting poor sleep behaviors early may prevent the development of mental health difficulties, such as anxiety or depression, at a later stage [32].

Sarah E Bennett, Milly H Johnston, Georgia Treneman-Evans, James Denison-Day, Anthony Duffy, Amberly Brigden, Paula Kuberka, Nicholas Christoforou, Lee Ritterband, Jewel Koh, Robert Meadows, Doaa Alamoudi, Ian Nabney, Lucy Yardley

JMIR Hum Factors 2024;11:e63341

Discussions of Cannabis Over Patient Portal Secure Messaging: Content Analysis

Discussions of Cannabis Over Patient Portal Secure Messaging: Content Analysis

Across the United States, many patients are using marijuana to manage medical conditions, including intractable pain, anxiety and depression, and insomnia [5-10]. This patient use comes despite known risks associated with use, such as cannabis use disorder, impaired cognitive functioning and motor coordination, mood disorders, and exacerbation of psychotic disorders [11-15].

Vishal A Shetty, Christina M Gregor, Lorraine D Tusing, Apoorva M Pradhan, Katrina M Romagnoli, Brian J Piper, Eric A Wright

J Med Internet Res 2024;26:e63311

Applying Natural Language Processing Techniques to Map Trends in Insomnia Treatment Terms on the r/Insomnia Subreddit: Infodemiology Study

Applying Natural Language Processing Techniques to Map Trends in Insomnia Treatment Terms on the r/Insomnia Subreddit: Infodemiology Study

Insomnia is a condition characterized by self-reported difficulty in falling asleep or staying asleep, with accompanying distress or impairment [1]. Insomnia symptoms can be chronic or acute [2]. Approximately 10%-30% of the population is estimated to experience either chronic or acute insomnia, with insomnia more common among women and older adults [3,4]. One prospective cohort study reported an insomnia incidence of 13.9%—of those, 37.5% developed chronic insomnia over a 5-year period [5].

Jack A Cummins, Daniel J Gottlieb, Tamar Sofer, Danielle A Wallace

J Med Internet Res 2025;27:e58902

Seasonal and Weekly Patterns of Korean Adolescents’ Web Search Activity on Insomnia: Retrospective Study

Seasonal and Weekly Patterns of Korean Adolescents’ Web Search Activity on Insomnia: Retrospective Study

Therefore, of many sleep disorders, insomnia (especially difficulty in initiating sleep) is the most prevalent symptom among adolescents, along with daytime sleepiness [5]. This trend is a worldwide phenomenon. Research on interviews in 4 European countries revealed that 25% of teenagers aged 15-18 years have insomnia symptoms and 4% of them meet the diagnostic criteria for insomnia from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) [12].

Kwangyeol Baek, Jake Jeong, Hyun-Woo Kim, Dong-Hyeon Shin, Jiyoung Kim, Gha-Hyun Lee, Jae Wook Cho

JMIR Form Res 2024;8:e52977

Preferences of University Students for a Psychological Intervention Designed to Improve Sleep: Focus Group Study

Preferences of University Students for a Psychological Intervention Designed to Improve Sleep: Focus Group Study

At the more severe end of the sleep disturbance spectrum is insomnia disorder, which is defined by the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V) [3] as dissatisfaction with the quantity or quality of sleep despite adequate opportunity for sleep, that occurs at least 3 times per week over the duration of at least 3 months [3].

Michelle Tadros, Sophie Li, Emily Upton, Jill Newby, Aliza Werner-Seidler

JMIR Hum Factors 2023;10:e44145

Implementing Blended Care to Discontinue Benzodiazepine Receptor Agonist Use for Insomnia: Process Evaluation of a Pragmatic Cluster Randomized Controlled Trial

Implementing Blended Care to Discontinue Benzodiazepine Receptor Agonist Use for Insomnia: Process Evaluation of a Pragmatic Cluster Randomized Controlled Trial

Among these substances are benzodiazepine receptor agonists (BZRAs), which are often used in the treatment of anxiety and insomnia. Although multiple expert groups promote a reticent policy for their use, the International Narcotics Control Board’s yearly reports show that BZRA consumption is, and remains, remarkably high in Belgium [1].

Kristien Coteur, Marc Van Nuland, Birgitte Schoenmakers, Sibyl Anthierens, Kris Van den Broeck

JMIR Form Res 2023;7:e43738

Effectiveness of an App-Based Short Intervention to Improve Sleep: Randomized Controlled Trial

Effectiveness of an App-Based Short Intervention to Improve Sleep: Randomized Controlled Trial

Approximately 1 in 3-4 adults experience symptoms of insomnia, while up to 10%-15% cross the threshold to full-syndrome insomnia [5-7]. Poor sleep is associated with disabling daytime consequences including fatigue, reduced performance, irritability, mood disturbances, and impaired health-related quality of life [8-11]. Individuals with insomnia often report symptoms that persist over several months, indicating a chronic course of insomnia.

Bianka Vollert, Luise Müller, Corinna Jacobi, Mickey Trockel, Ina Beintner

JMIR Ment Health 2023;10:e39052

Assessment of Smartphone Apps for Common Neurologic Conditions (Headache, Insomnia, and Pain): Cross-sectional Study

Assessment of Smartphone Apps for Common Neurologic Conditions (Headache, Insomnia, and Pain): Cross-sectional Study

To understand the current state of mobile apps for neurological disorders, using headache and pain as the leading causes of nonfatal health loss [20] and insomnia as the common sleep disorder [21], we applied the 105 metrics found in MIND to the top neurological apps discoverable on i OS and Android devices.

Mia T Minen, Alexis George, Erica Camacho, Leslie Yao, Ananya Sahu, Maya Campbell, Mia Soviero, Quazi Hossain, Deepti Verma, John Torous

JMIR Mhealth Uhealth 2022;10(6):e36761

The Role of Dysfunctional Sleep Beliefs in Mediating the Outcomes of Web-Based Cognitive Behavioral Therapy for Insomnia in Community-Dwelling Older Adults: Protocol for a Single-Group, Nonrandomized Trial

The Role of Dysfunctional Sleep Beliefs in Mediating the Outcomes of Web-Based Cognitive Behavioral Therapy for Insomnia in Community-Dwelling Older Adults: Protocol for a Single-Group, Nonrandomized Trial

Sleep problems, such as insomnia, are highly prevalent in those older than 60 years of age [1], with age-related changes in sleep architecture appearing from middle age and continuing to remain relatively constant past the age of 60 years [2]. Insomnia is characterized by difficulties with sleep initiation, duration, or quality that are not due to a lack of opportunity to sleep and which results in daytime impairment [3].

Yvonne Kutzer, Lisa Whitehead, Eimear Quigley, Mandy Stanley

JMIR Res Protoc 2022;11(12):e32705

Sleep Disturbances in Frontline Health Care Workers During the COVID-19 Pandemic: Social Media Survey Study

Sleep Disturbances in Frontline Health Care Workers During the COVID-19 Pandemic: Social Media Survey Study

Primary outcomes were poor sleep quality and moderate to severe insomnia. Poor sleep quality was defined as a PSQI score ≥5 [20]. Moderate-to-severe insomnia was defined as an ISI score of >14.21. The Mini-Z Burnout Survey was used to measure burnout [22].

Nancy H Stewart, Anya Koza, Serena Dhaon, Christiana Shoushtari, Maylyn Martinez, Vineet M Arora

J Med Internet Res 2021;23(5):e27331