Social-ecological considerations informing a universal screening strategy for sleep health in the community
“Poor sleep health” (PSH), defined as reduced amount of sleep and non-restorative sleep, affects cognitive, social and emotional development. Evidence suggests an association of sleep deprivation and mental health problems; however, there are no universal concepts allowing a first-tier screening of...
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ftdoajarticles:oai:doaj.org/article:24355c511a2d4c09ae00bc5299022720 2023-05-15T16:16:58+02:00 Social-ecological considerations informing a universal screening strategy for sleep health in the community Sarah Blunden William McKellin Thomas Herdin Osman S. Ipsiroglu 2023-03-01T00:00:00Z https://doi.org/10.3389/fpsyt.2023.857717 https://doaj.org/article/24355c511a2d4c09ae00bc5299022720 EN eng Frontiers Media S.A. https://www.frontiersin.org/articles/10.3389/fpsyt.2023.857717/full https://doaj.org/toc/1664-0640 1664-0640 doi:10.3389/fpsyt.2023.857717 https://doaj.org/article/24355c511a2d4c09ae00bc5299022720 Frontiers in Psychiatry, Vol 14 (2023) community health multi-professional team public health priority iatrogenic harm medical anthropology Psychiatry RC435-571 article 2023 ftdoajarticles https://doi.org/10.3389/fpsyt.2023.857717 2023-03-26T01:36:25Z “Poor sleep health” (PSH), defined as reduced amount of sleep and non-restorative sleep, affects cognitive, social and emotional development. Evidence suggests an association of sleep deprivation and mental health problems; however, there are no universal concepts allowing a first-tier screening of PSH at a community level. The focus of this narrative review is to highlight the cultural context of the current medicalized approach to PSH and to suggest social ecological strategies informing new and holistic community-based screening concepts. We present two conceptual screening frameworks; a “medical” and a merged “social emotional wellbeing framework” and combine them utilizing the concept of “ecologies.” The first framework proposes the incorporation of “sleep” in the interpretation of “vigilance” and “inappropriate” labeled behaviors. In the first framework, we provide a logic model for screening the myriad of presentations and possible root causes of sleep disturbances as a tool to assess daytime behaviors in context with PSH. In the second framework, we provide evidence that informs screening for “social emotional wellbeing” in the context of predictive factors, perpetuating factors and predispositions through different cultural perspectives. The distinct goals of both frameworks are to overcome training-biased unidirectional thinking and a priori medicalization of challenging, disruptive and/or disobedient behaviors. The latter has been explicitly informed by the critical discourse on colonization and its consequences, spearheaded by First Nations. Our “transcultural, transdisciplinary and transdiagnostic screening framework” may serve as a starting point from which adaptations of medical models could be developed to suit the purposes of holistic screening, diagnosis, and treatment of complex childhood presentations in different cultural contexts. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Frontiers in Psychiatry 14 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
community health multi-professional team public health priority iatrogenic harm medical anthropology Psychiatry RC435-571 |
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community health multi-professional team public health priority iatrogenic harm medical anthropology Psychiatry RC435-571 Sarah Blunden William McKellin Thomas Herdin Osman S. Ipsiroglu Social-ecological considerations informing a universal screening strategy for sleep health in the community |
topic_facet |
community health multi-professional team public health priority iatrogenic harm medical anthropology Psychiatry RC435-571 |
description |
“Poor sleep health” (PSH), defined as reduced amount of sleep and non-restorative sleep, affects cognitive, social and emotional development. Evidence suggests an association of sleep deprivation and mental health problems; however, there are no universal concepts allowing a first-tier screening of PSH at a community level. The focus of this narrative review is to highlight the cultural context of the current medicalized approach to PSH and to suggest social ecological strategies informing new and holistic community-based screening concepts. We present two conceptual screening frameworks; a “medical” and a merged “social emotional wellbeing framework” and combine them utilizing the concept of “ecologies.” The first framework proposes the incorporation of “sleep” in the interpretation of “vigilance” and “inappropriate” labeled behaviors. In the first framework, we provide a logic model for screening the myriad of presentations and possible root causes of sleep disturbances as a tool to assess daytime behaviors in context with PSH. In the second framework, we provide evidence that informs screening for “social emotional wellbeing” in the context of predictive factors, perpetuating factors and predispositions through different cultural perspectives. The distinct goals of both frameworks are to overcome training-biased unidirectional thinking and a priori medicalization of challenging, disruptive and/or disobedient behaviors. The latter has been explicitly informed by the critical discourse on colonization and its consequences, spearheaded by First Nations. Our “transcultural, transdisciplinary and transdiagnostic screening framework” may serve as a starting point from which adaptations of medical models could be developed to suit the purposes of holistic screening, diagnosis, and treatment of complex childhood presentations in different cultural contexts. |
format |
Article in Journal/Newspaper |
author |
Sarah Blunden William McKellin Thomas Herdin Osman S. Ipsiroglu |
author_facet |
Sarah Blunden William McKellin Thomas Herdin Osman S. Ipsiroglu |
author_sort |
Sarah Blunden |
title |
Social-ecological considerations informing a universal screening strategy for sleep health in the community |
title_short |
Social-ecological considerations informing a universal screening strategy for sleep health in the community |
title_full |
Social-ecological considerations informing a universal screening strategy for sleep health in the community |
title_fullStr |
Social-ecological considerations informing a universal screening strategy for sleep health in the community |
title_full_unstemmed |
Social-ecological considerations informing a universal screening strategy for sleep health in the community |
title_sort |
social-ecological considerations informing a universal screening strategy for sleep health in the community |
publisher |
Frontiers Media S.A. |
publishDate |
2023 |
url |
https://doi.org/10.3389/fpsyt.2023.857717 https://doaj.org/article/24355c511a2d4c09ae00bc5299022720 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Frontiers in Psychiatry, Vol 14 (2023) |
op_relation |
https://www.frontiersin.org/articles/10.3389/fpsyt.2023.857717/full https://doaj.org/toc/1664-0640 1664-0640 doi:10.3389/fpsyt.2023.857717 https://doaj.org/article/24355c511a2d4c09ae00bc5299022720 |
op_doi |
https://doi.org/10.3389/fpsyt.2023.857717 |
container_title |
Frontiers in Psychiatry |
container_volume |
14 |
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1766002821106237440 |