Publications by authors named "M B Sforza"

Article Synopsis
  • This study investigates how K-complexes (KC), a specific type of brainwave, relate to the effectiveness of Cognitive-Behavioral Therapy for Insomnia (CBT-I), which is the main treatment for chronic insomnia.
  • Researchers conducted a multicenter study with 98 insomnia patients undergoing a 6-8 week CBT-I program, evaluating their sleep using polysomnography and an insomnia severity index before and after treatment.
  • The results indicate that KC density, particularly its change after treatment, can predict how well patients respond to CBT-I and significantly correlates with improved sleep pressure, suggesting KC is an important biomarker for insomnia treatment.
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Article Synopsis
  • - The study investigates Sleep State Misperception (SSM) in Insomnia Disorder (ID) patients, who tend to misjudge their sleep latency (how long it takes to fall asleep) and total sleep time compared to healthy individuals.
  • - The research involved twenty ID patients and eighteen healthy controls undergoing polysomnography (PSG) and analyzing their sleep diaries, with a focus on alterations in brain wave patterns during sleep onset and throughout the night.
  • - Results indicated significant differences in brain wave activity, with ID patients showing a low delta/beta ratio and distinctive power changes in certain brain regions, suggesting a relationship between sleep misperception and altered sleep EEG topography.
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Article Synopsis
  • - Obstructive sleep apnea (OSA) is a common sleep disorder with low diagnosis and treatment rates, and Continuous Positive Airway Pressure (CPAP/PAP) is the main therapy, although many patients struggle to stick with it.
  • - A network meta-analysis of 50 randomized control trials explored how different types of interventions—Behavioral, Educational, Supportive, and Mixed—impact adherence to CPAP/PAP therapy among OSA patients.
  • - The findings indicate that Supportive interventions are the most effective for improving CPAP adherence, highlighting the need for collaboration among clinicians and a multidisciplinary approach to OSA treatment using a biopsychological framework.
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The association between cerebral hemodynamics and cognitive impairment has been reported in neurodegenerative and cerebrovascular disorders (CVD). However, it is still unclear whether changes occur in the acute phase of CVD. Here we investigated cognitive and hemodynamic parameters and their association in patients with CVD during the acute and subacute phases.

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