Sudden infant death syndrome risk factors with regards to sleep position, sleep surface, and co-sleeping

We present a study of 102 Sudden Infant Death Syndrome (SIDS) deaths using a retrospective review of medical examiner autopsy reports. The prevalence of sleep related risk factors with regards to sleep surface, sleep position, and co-sleeping were determined in a population of infants less than 1-year-old. Of the 102 SIDS deaths, 67 (65.7%) were not in a crib, 63 (61.8%) were prone, and 48 (47.1%) were co-sleeping. However, 94 (92.2%) of these deaths had at least one risk factor present. Only 8 (7.8%) infants had slept alone, in a crib or bassinet, and on their back or side. Infants less than 4-months-old had a higher rate of co-sleeping (54.7%) than the older infants (25.9%), and a higher frequency of heart malformations at post-mortem examination. The older infants were more likely to exhibit pulmonary and tracheal inflammation, and neuropathology.     

Female impulsive aggression: A sleep research perspective

The rate of violent crimes among girls and women appears to be increasing. One in every five female prisoners has been reported to have antisocial personality disorder. However, it has been quite unclear whether the impulsive, aggressive behaviour among women is affected by the same biological mechanisms as among men. Psychiatric sleep research has attempted to identify diagnostically sensitive and specific sleep patterns associated with particular disorders. Most psychiatric disorders are typically characterized by a severe sleep disturbance associated with decreased amounts of slow wave sleep (SWS), the physiologically significant, refreshing part of sleep. Among men with antisocial behaviour with severe aggression, on the contrary, increased SWS has been reported, reflecting either specific brain pathology or a delay in the normal development of human sleep patterns. In our preliminary study among medication-free, detoxified female homicidal offenders with antisocial personality disorder, the same profound abnormality in sleep architecture was found. From the perspective of sleep research, the biological correlates of severe impulsive aggression seem to share similar features in both sexes.     

Aggression and sleep: a daylight saving time natural experiment on the effect of mild sleep loss and gain on assaults

Objectives

The purpose of this study was to test the effect of a mild, short-term sleep loss/gain on assault rates.

Methods

Using National Incidence Based Reporting System data and city-reported data from Chicago, New York, Philadelphia, and Los Angeles, we calculated the difference in assault rates on the Monday immediately following daylight saving time (DST) as compared to the Monday a week later using a Poisson quasi-maximum likelihood estimator model. The same analyses were performed to examine effects of the return to standard time in the fall. We employed several falsification checks.

Results

There were 2.9% fewer (95% CI: –4.2%, ?1.6%, p < 0.0001) assaults immediately following DST, when we lose an hour, as compared to a week later. In contrast, there was a 2.8% rise in assaults immediately following the return to standard time, when an hour is gained, as compared to a week later (95% CI: 1.5%, 4.2%, p < 0.0001). Multiple falsification analyses suggest the spring findings to be robust, while the evidence to support the fall findings is weaker.

Conclusions

This study suggests that mild and short-term changes in sleep do significantly affect rates of assault. Specifically, there is support for the theory that mild sleepiness possibly associated with an hour loss of sleep results in reduced assaults. This contradicts the simple inverse relationship currently suggested by most of the correlational literature. This study and the mixed findings presented by experimental studies indicate that measurement variability of both sleep and aggression may result in conflicting findings.

     

The relationship between shift work, perceived stress, sleep and health in Swiss police officers

Purpose

This study examined how a specific shift system was associated with stress, sleep and health among police officers. Moreover, this study investigated whether gender moderated the association between shift work and stress, sleep and health. Additional analyses were performed to find out how stress and shift work interact in explaining sleep and health.

Methods

The findings are based on a cross-sectional survey. A written questionnaire was sent to all employees of a local police force. 460 police officers (M = 40.67 years, SD = 9.66; 25.2% females) volunteered to take part in the study. 251 subjects were shift workers (54.6%). Police officers filled in a series of validated instruments assessing stress (TICS), perceived health (SF-12, somatic complaints, health care use) and sleep (ISI, PSQI).

Results

Shift work was associated with increased social stress, work discontent and sleep complaints. In turn, shift workers reported decreased use of primary health care. Moreover, stress was associated with increased sleep complaints and lower scores in perceived health. The interplay between stress and shift work did not produce any significant effects.

Conclusions

Workforce health promotion should make attempts to reduce chronic stress, while occupational health physicians should emphasize the diagnosis of undetected sleep disorders.