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Background: Stroke patients may have symptoms such as sleep disorders, and the incidence of frailty is much higher than that of non-stroke patients. Self-efficacy can reduce the occurrence of frailty and sleep disorders and help to maintain the health of stroke patients.
Objective: To investigate the relationship between sleep disorder, self-efficacy and frailty in stroke patients, and to analyse the mediating role of self-efficacy.
Methods: This study was a cross-sectional study, and 6 "stroke map" sites were selected in Shenyang from June to September 2024. A total of 924 stroke patients were included, and a structural equation model (SEM) was constructed to analyse the mediating effect of self-efficacy on sleep disorders, self-efficacy and frailty in stroke patients.
Results: The prevalence of debilitation in stroke patients was 46.2%. Sleep disorders were positively correlated with frailty (<0.01) and negatively correlated with self-efficacy. Self-efficacy is negatively correlated with frailty, which is the intermediary between sleep disorders and frailty.
Conclusion: The prevalence of frailty in stroke patients is high. Sleep disorders are highly correlated with frailty, and self-efficacy plays a mediating role between sleep disorders and frailty, which can reduce the impact of sleep disorders on frailty development.
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http://dx.doi.org/10.3389/fpsyt.2025.1565412 | DOI Listing |
Neurology
October 2025
Montreal Neurological Institute-Hospital, McGill University, Montreal, Canada.
Background And Objectives: Years before diagnosis of Parkinson disease (PD), dementia with Lewy bodies (DLB), or multiple system atrophy (MSA), mild prodromal manifestations can be detected. Longitudinal follow-up of people with prodromal synucleinopathy, particularly idiopathic/isolated REM sleep behavior disorder (iRBD), enables in-depth clinical phenotyping of early disease, which could facilitate stratification for clinical trials, provide the definition of appropriate end points, or predict phenoconversion more precisely. The aim of this study was to update and expand on previous studies assessing clinical evolution from iRBD to clinically diagnosed disease, up to 14 years before diagnosis.
View Article and Find Full Text PDFBackground Uninvestigated dyspepsia (UD) and chronic constipation (CC) are common disorders of gut-brain interaction (DGBI). However, limited research has assessed their risk factors in young adults, particularly the influence of family history. This study investigated the associated factors for UD and CC, focusing on family history among Japanese university students.
View Article and Find Full Text PDFJAMA Pediatr
September 2025
Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Importance: Neonatal intensive care has advanced over recent decades, yet premature birth remains associated with increased neonatal mortality and morbidity.
Objective: To describe health service use, morbidity, and medication needs up to age 5 years in a contemporary cohort of children born preterm.
Design, Setting, And Participants: This population-based cohort study was conducted in British Columbia (BC), Canada, using health service and pharmacy data linked using provincial administrative databases.
J Telemed Telecare
September 2025
Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark.
IntroductionThe use of digital solutions including patient-reported outcomes is limited to follow-up of patients with established diagnoses but is rarely used as first step of the diagnostic process substituting a personal contact with a health professional. We report on the diagnostic validity and cost per patient implications based on a feasibility study of a new virtual diagnostic service (VDS) for common neurological sleep disorders that, as a first step, involves the collection and automated analysis of self-reported digital patient data.MethodsThe VDS was established at the Odense University Hospital, Denmark.
View Article and Find Full Text PDFDiabetes Obes Metab
September 2025
Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus N, Denmark.
Background: Taste and smell disorders are more common in individuals with diabetes, particularly among those with low insulin sensitivity or central obesity. These disorders may affect glycaemic control by altering dietary habits. This study aimed to investigate self-reported taste and smell dysfunction in individuals with diabetes and explore associations with clinical and behavioural factors.
View Article and Find Full Text PDF