Publications by authors named "R Grunstein"

Melatonin has multiple proposed therapeutic benefits including antioxidant properties, circadian rhythm synchronisation and sleep promotion. Since these areas are also recognised risk factors for dementia, melatonin has been hypothesised to slow cognitive decline in older adults. Participants with Mild Cognitive Impairment (MCI) were recruited from the community for a 12-week randomised placebo-controlled parallel, feasibility trial of 25 mg oral melatonin nightly.

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Insomnia is common in adolescents with associated negative health consequences. This systematic review and meta-analysis assessed the effect of cognitive behavioural therapy for insomnia interventions on insomnia symptoms and subjective sleep quality in adolescents aged 10-19 years. Key electronic databases, including CINAHL, Embase, MEDLINE, PsycINFO and Scopus, were systematically searched from inception to October 2024, and five randomised controlled trials met inclusion criteria for qualitative synthesis.

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Background: Insomnia is a highly burdensome sleep disorder, with a global prevalence of approximately 30% in adults. Insomnia has negative effects on daily functioning and can play a pivotal role in the development and progression of comorbid mental and physical disease. Therefore, appropriate and timely management is essential.

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Article Synopsis
  • The review examines the use of cannabis and cannabinoids for treating sleep disorders, noting that many patients prefer drug-based therapies despite a lack of strong evidence regarding their effectiveness and safety.
  • After analyzing twenty-one recent studies, the review identifies trends such as the rise of minor cannabinoids, decentralized research methods, and the use of objective measures in trials.
  • It emphasizes the urgent need for more rigorous, well-funded clinical trials with longer durations and larger participant groups to provide clearer guidance for clinicians and patients.
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