• 대한인간공학회지
• /
• 제29권3호
• /
• pp.337-345
• /
• 2010

The purpose of this study was to investigate the effects of sleep/wake behavior for shiftwork in air traffic controllers (ATCs) using wrist actigraph for ten workers on a continuous full-day three-team three-shift system of forward rotation including on-duty and off-duty periods. The wrist actigraph data were recorded for three days (one shift cycle) for each subject. The mean activity counts during an on-duty period progressively increased from the night, the swing, to the morning shifts. The doze length during on-duty periods showed decreases in the morning and swing shifts as compared to the night shift. Total sleep time (TST) and sleep efficiency (SE) during off-duty periods increased in the morning-1 and swing-night shift compared to the morning-2 shift. Finally, I discussed the role of doze-taking during the burden on night shift ATCs.

• 한국학교보건학회지
• /
• 제30권3호
• /
• pp.317-324
• /
• 2017

Purpose: Breakfast is the most important meal to provide energy for the day. Breakfast is especially important to give enough nutritional support to children and adolescents for their physical growth and sexual development. Sleep-related factors like average sleep duration and wake up time would mostly be associated with regular breakfast. This study aimed to investigate the effect of sleep on regular breakfast consumption in Korean adolescents. Methods: The study used the data from the 12th Korea Youth Risk Behavior Web-based Survey (KYRBS-XII) conducted in 2016 by the Korea Centers for Disease Control and Prevention. The data of 62,820 subjects (middle/high school students) were included in the final analysis. The study examined the factors related to regular breakfast, focusing on weekday average sleep duration and wake up time of middle school students and high school students, respectively. Results: Regular breakfast consumption was shown to have a statistically significant association with high economic status, nutritional education, weekday average sleep duration, wake up time, and subjective sleep satisfaction in the multivariate logistic regression. Regardless of the school level, regular breakfast consumption was significantly associated with early wake up time. As to the effect of weekday average sleep duration on regular breakfast consumption, it showed some different results depending on the school level. Conclusion: Regular breakfast consumption of Korean adolescents was related to weekday average sleep duration and wake up time. Having breakfast regularly was affected by both adequate weekday average sleep duration and early wake up time.

• 대한산업공학회지
• /
• 제30권3호
• /
• pp.181-189
• /
• 2004

The purpose of this study was to investigate the effects of sleep/wake behavior for shift workers in the iron and steel industry using wrist actigraph for 59 male workers on a continuous full-day three-team three-shift system of backward rotation including on-duty and off-duty periods. The wrist actigraph data were recorded for 15 days (l shift cycle) for each subject. The sleep length at home during night shift decreased significantly as compared to the morning or evening shifts. The night shift nap length increased significantly in all sections as compared to the morning or evening shifts. The nap length in the Steel Manufacturing Process and Rolling Process during night shift decreased significantly as compared to the Machine Maintenance Section, the Forwarding of Products Section, and the Field Management Section. However, the sleep length at home while off-duty period increased significantly. The percentage of nap length during night shift in the Rolling Process, Steel Manufacture Process, and the other three types of jobs was 16.0%, 20.4%, and about 50.0%, respectively. The nap length during night shift for the above 50 year olds increased significantly as compared to the below 50 year olds. Finally, we discussed the role of nap-taking during the burden on night shift workers and the increased difficulty in continuing their job.

• 대한감각통합치료학회지
• /
• 제21권2호
• /
• pp.69-83
• /
• 2023

목적 : 본 연구는 수면장애 아동을 대상으로 사회적 이야기(social story)를 적용한 연구를 대상으로 중재효과를 체계적으로 고찰하고자 하였다. 연구방법 : 본 연구는 2001년에서 2022년까지 데이터베이스 Scopus, ScienceDirect, psycArticles, Pubmed에 게재된 문헌들을 대상으로 하였다. 검색어는 'social story' OR 'social stories' AND 'sleep' OR 'sleep disorders' OR 'sleep wake disorder bedtimes' OR 'sleep initiation' and 'maintenance disorders' OR 'sleep wake disorder' OR 'sleep arousal disorder'을 사용하였다. 선정 기준에 따라 최종적으로 6편의 실험연구를 선정하여 분석을 실시하였다. 결과 : 분석 대상 문헌은 무작위 대조 실험연구는 2편, 개별 실험연구가 3편, 사례연구가 1편이었다. 대상자는 진단별로는 자폐스펙트럼 아동, 연령별로는 학령기와 청소년기가 가장 많았다. 중재유형은 사회적 이야기와 다른 중재를 함께 포함한 복합중재가 많았고, 중재 기간은 1일부터 40일 이상으로 다양하였다. 중재 효과로는 수면의 질에 긍정적인 효과를 보였으며, 그중에서도 야간 각성(night walking), 수면 시작 지연(sleep onset delay), 수면 불안(sleep anxiety)이 개선되었다. 사회적 이야기의 효과를 평가하는 도구로는 표준화된 평가에서는 아동 수면 습관 설문지(children's sleep habits questionnaire)와 아동 행동 체크리스트(child behavior checklist)를 가장 많이 사용하였고, 비표준화된 평가로는 인터뷰(interview), 수면일기 (Sleep diary)를 사용한 연구가 많았다. 결론 : 본 연구는 수면장애가 있는 아동 및 청소년에게 사회적 이야기를 적용함으로써 임상에서 적용할 수 있는 수면 중재 방향을 모색하는 것에 의의가 있다. 사회적 이야기의 중재 효과로는 야간 각성(night wakings), 수면 시작 지연(sleep onset delay), 수면 불안(sleep anxiety) 영역이 개선된 연구들이 큰 비중을 차지하였다. 수면의 질의 세부 효과 영역은 대부분의 연구에서 중재 전후 유의한 개선을 나타냈으며, 본 연구에서 분석한 6편의 연구에서는 추적검사를 통해서 중재 효과에 대한 지속을 확인할 수 있었다. 따라서 본 연구는 사회적 이야기(social story)를 적용한 수면장애 아동의 중재 효과, 결과 평가 도구, 중재 기간을 제시함으로써 수면장애 아동을 대상으로 사회적 이야기(social story)를 임상에서 적용할 때 도움이 될 것으로 판단된다.

• 수면정신생리
• /
• 제14권1호
• /
• pp.5-12
• /
• 2007

Sleep changes substantially with age. There is a phase advance in the circadian sleep cycle and increased waking after sleep onset. The elderly people wake more frequently during the night and experience fragmented sleep and excessive daytime sleepiness. The prevalence of sleep disorders increases with age, and the composition of sleep disorders in the elderly differs from that in the young. The most frequently encountered sleep disorders are psychophysiologic insomnia, sleep disturbance due to dementia, sleeprelated respiratory disorder, restless legs syndrome and periodic limb movement disorder, and REM sleep behavior disorder. To treat the elderly sleep problem appropriately, it is important to know how sleep pattern changes as we age and to understand the cause of sleep-related symptoms. This article will review the sleep physiology and common sleep disorders in the elderly.

• Journal of Ginseng Research
• /
• 제34권1호
• /
• pp.30-40
• /
• 2010

The present investigation was conducted to evaluate the regulation of sleep architecture by the red ginseng water extract (RGE) in acutely and chronically restraint stressed rats. Adult rats were fitted with sleep.wake recording electrodes. Following post-surgical recovery, rats were extensively habituated for freely moving polygraphic recording conditions. Polygraphic signs of sleep-wake activities were recorded for 24 h after RGE administration and induction of stress and were analyzed to understand the regulation of sleep architecture. Acute stress decreased wakefulness and increased total sleep, non-rapid eye movement (NREM) sleep, and rapid eye movement (REM) sleep in both the daytime and nighttime recording. RGE shortened the daytime NREM and REM sleep, without changing the wakefulness and total sleep. RGE increased nighttime wakefulness, and decreased total, NREM and REM sleep. Chronic stress increased wakefulness and decreased total sleep in the daytime recording, and increased REM and decreased NREM sleep in both the day and night time recording. RGE ameliorated chronic stress and induced alterations of REM and NREM sleep in the day and night time sleep architecture. Acute and chronic stress could also induce alternations in cortex electroencephalogram (EEG) recording during NREM, REM sleep and wakefulness. These findings suggest that RGE may modulate the sleep behavior in acutely and chronically stressed rats and the ameliorating effect of RGE on the sleep architecture may involve in modulation of $\alpha$-, $\theta$- and $\delta$- wave activities of the cortical EEG.

• 수면정신생리
• /
• 제7권1호
• /
• pp.5-9
• /
• 2000

Several nonpharmacological treatment methods of insomnia and their effects were reviewed. A long-term use of most hypnotics may produce tolerance, dependence, cognitive and psychomotor impairments at daytime, shallow sleep, and rebound insomnia on drug withdrawal. To reduce hypnotic abuse, nonpharmacological strategies have been developed to correct disordered behavioral and cognitive factors. These treatments aim at modifying maladaptive sleep habits, lowering physiological and cognitive arousal levels, and correcting dysfuctional beliefs and attitudes about sleep. These non-pharmacological or cognitive behavior treatments include stimulus control, sleep restriction, relaxation training, sleep hygiene education, cognitive therapy, and light therapy. Among them the stimulus control therapy has been demonstrated most effective as a single treatment or in combination with other treatments. Through nonpharmacological treatments, sleep latency was most significantly reduced and wake time after sleep onset was also reduced. About 50% of insomniacs reported clinical improvements in terms of nearly normalized sleep latency, awakening time, sleep efficiency, and reduction of hypnotic use. Compared to the hypnotic therapy, nonpharmacological treatments are more cost-effective and more readily accepted by patients, and their effects last longer.

• Clinical and Experimental Pediatrics
• /
• 제50권8호
• /
• pp.711-717
• /
• 2007

Sleep is a vital, highly organized process regulated by complex systems of neuronal networks and neurotransmitters. Normal sleep comprises non-rapid eye movement (NREM) and REM periods that alternate through the night. Sleep usually begins in NREM and progresses through deeper NREM stages (2, 3, and 4 stages), but newborns enter REM sleep (active sleep) first before NREM (quiet sleep). A period of NREM and REM sleep cycle is approximately 90 minutes, but newborn have a shorter sleep cycle (50 minutes). As children mature, sleep changes as an adult pattern: shorter sleep duration, longer sleep cycles and less daytime sleep. REM sleep is approximately 50% of total sleep in newborn and dramatically decreases over the first 2 years into adulthood (20% to 25%). An initial predominant of slow wave sleep (stage 3 and 4) that peaks in early childhood, drops off abruptly after adolescence by 40% from preteen years, and then declines over the life span. The hypothalamus is recognized as a key area of brain involved in regulation of sleep and wakefulness. The basic function of sleep largely remains elusive, but it is clear that sleep plays an important role in the regulation of CNS and body physiologic processes. Understanding of the architecture of sleep and basic mechanisms that regulate sleep and wake cycle are essential to evaluate normal or abnormal development of sleep pattern changes with age. Reduction or disruption of sleep can have a significant impact on daytime functioning and development, including learning, growth, behavior, and emotional regulation.

• Safety and Health at Work
• /
• 제13권1호
• /
• pp.3-8
• /
• 2022

Background: This study aims to allow the development of efficient measures to improve occupational health of shift-working nurses focusing on job stress, health promotion behavior, resilience, and sleep disturbance. Methods: It was conducted on a subject panel of 137 nurses who were aware of the purpose of the study and agreed to participate. They worked three shifts at a tertiary hospital or a general hospital located in metropolitan city B. The collected data were analyzed by the independent t test and one-way analysis of variance and post-tested by Scheffe's test, Pearson's correlation coefficients, and multiple linear regression analysis using SPSS/WIN 25.0. Results: The significant influencing factors on sleep disturbance were of those whose subjective health status was 'normal' (b = 0.29, p < .001), 'not healthy' (β = .40, p < .001), who have job stress (β = .22, p = .003), and who have health promotion behavior (β = -0.17, p = .023). The overall explanatory power was 31.1% (F = 16.31, p < .001). Conclusion: Through this study, nurses' subjective health status and job stress of working shifts were found to be important factors influencing the sleep disturbance level, and the most influencing factor was identified as the subjective health status.

• 신경정신의학
• /
• 제57권4호
• /
• pp.276-286
• /
• 2018

Circadian rhythm is a periodic and continuous change in physiological, behavioral, and mental characteristics that occurs in most organisms on the Earth, because the Earth rotates in a 24-hour cycle. The circadian system regulates daily rhythms of physiology and behavior, such as the sleep/wake cycle, body temperature, hormonal secretion, and mood. The influence of circadian rhythm is very powerful, but limited research has addressed its effects. However, many recent studies have shown that circadian dysregulation may play an important role in the pathogenesis of bipolar disorder. This review study examined current and noteworthy studies, including the authors' own works, and proposes a possible clinical application of bipolar disorder based on evidence that circadian rhythm dysregulation in bipolar disorder may be a key pathogenetic mechanism.