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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ftpubmed:oai:pubmedcentral.nih.gov:10067715 2023-05-15T16:16:56+02:00 Social-ecological considerations informing a universal screening strategy for sleep health in the community Blunden, Sarah McKellin, William Herdin, Thomas Ipsiroglu, Osman S. 2023-03-20 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067715/ http://www.ncbi.nlm.nih.gov/pubmed/37020729 https://doi.org/10.3389/fpsyt.2023.857717 en eng Frontiers Media S.A. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067715/ http://www.ncbi.nlm.nih.gov/pubmed/37020729 http://dx.doi.org/10.3389/fpsyt.2023.857717 Copyright © 2023 Blunden, McKellin, Herdin and Ipsiroglu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Front Psychiatry Psychiatry Text 2023 ftpubmed https://doi.org/10.3389/fpsyt.2023.857717 2023-04-09T00:43:54Z “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. Text First Nations PubMed Central (PMC) Frontiers in Psychiatry 14 |
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Psychiatry Blunden, Sarah McKellin, William Herdin, Thomas Ipsiroglu, Osman S. Social-ecological considerations informing a universal screening strategy for sleep health in the community |
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Psychiatry |
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 |
Text |
author |
Blunden, Sarah McKellin, William Herdin, Thomas Ipsiroglu, Osman S. |
author_facet |
Blunden, Sarah McKellin, William Herdin, Thomas Ipsiroglu, Osman S. |
author_sort |
Blunden, Sarah |
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 |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067715/ http://www.ncbi.nlm.nih.gov/pubmed/37020729 https://doi.org/10.3389/fpsyt.2023.857717 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Front Psychiatry |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067715/ http://www.ncbi.nlm.nih.gov/pubmed/37020729 http://dx.doi.org/10.3389/fpsyt.2023.857717 |
op_rights |
Copyright © 2023 Blunden, McKellin, Herdin and Ipsiroglu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
op_doi |
https://doi.org/10.3389/fpsyt.2023.857717 |
container_title |
Frontiers in Psychiatry |
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14 |
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