4 ms·

Sleep studies exist, and they're fairly advanced, is my understanding. For most people, though, it'll be possibly difficult lifestyle changes, like reducing lig

Sleep studies exist, and they're fairly advanced, is my understanding. For most people, though, it'll be possibly difficult lifestyle changes, like reducing light in the room, better bedding, less noise, not sleeping with a partner, winding down before bed without screens (big one), better diet, etc. The solutions are there, they're just unpalatable, like everything else you should do that's good for you.

0xcde4c3db 3y ago
Sleep studies collect a lot of data, but that may or may not translate into an actual intervention depending on the situation. As I understand it, they're mostly useful for detecting when sleep is disrupted, which can then potentially fit a profile for e.g. sleep apnea or be correlated to some other physiological indicator. As for lifestyle changes, I'm not an expert in sleep science, but I've tried to read some of the literature to understand what works, since I struggle with sleep quality. As far as I can tell, a lot of the specific suggestions that often get thrown around (even by otherwise reputable sources, sadly) are somewhere between speculative and pseudoscience. There is some evidence that "sleep hygiene" interventions as a whole might have some kind of effect, but the individual components aren't typically tested, the studies usually aren't adequately controlled, and the effect is often exaggerated (e.g. by highlighting questionable measures like "sleep efficiency"). CBT-I has better evidence, although it's also not entirely clear which components are really worth the trouble (the evidence for sleep restriction seems pretty strong; the "CBT" elements less so, but it may be that they help different subpopulations), and clinicians who actually have experience delivering CBT-I are not readily available in many places.
- thibaut_barrere 3y ago
  I have followed a distilled version of CBT-i remotely via SleepReset (a HN company), because I discovered CBT-i but it wasn’t indeed readily available in my country and region. It has helped me tremendously (together with other tooling like sport and meditation).

0xcde4c3db 3y ago

Sleep studies collect a lot of data, but that may or may not translate into an actual intervention depending on the situation. As I understand it, they're mostly useful for detecting when sleep is disrupted, which can then potentially fit a profile for e.g. sleep apnea or be correlated to some other physiological indicator. As for lifestyle changes, I'm not an expert in sleep science, but I've tried to read some of the literature to understand what works, since I struggle with sleep quality. As far as I can tell, a lot of the specific suggestions that often get thrown around (even by otherwise reputable sources, sadly) are somewhere between speculative and pseudoscience. There is some evidence that "sleep hygiene" interventions as a whole might have some kind of effect, but the individual components aren't typically tested, the studies usually aren't adequately controlled, and the effect is often exaggerated (e.g. by highlighting questionable measures like "sleep efficiency"). CBT-I has better evidence, although it's also not entirely clear which components are really worth the trouble (the evidence for sleep restriction seems pretty strong; the "CBT" elements less so, but it may be that they help different subpopulations), and clinicians who actually have experience delivering CBT-I are not readily available in many places.

thibaut_barrere 3y ago
I have followed a distilled version of CBT-i remotely via SleepReset (a HN company), because I discovered CBT-i but it wasn’t indeed readily available in my country and region. It has helped me tremendously (together with other tooling like sport and meditation).