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Life
Special Issues
Sleep and Sleep Apnea: Impacts, Mechanisms, and Interventions
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Sleep and Sleep Apnea: Impacts, Mechanisms, and Interventions

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Physiology and Pathology".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 731

Special Issue Editors

Dr. Yung-An Tsou

E-Mail Website1 Website2
Guest Editor
Department of Otorhinolaryngology, China Medical University Hospital, Taichung 404327, Taiwan
Interests: otorhinolaryngology; sleep medicine; sleep surgery
Dr. Wen-Dien Chang

E-Mail Website
Guest Editor
Department of Sport Performance, National Taiwan University of Sport, Taichung 404401, Taiwan
Interests: sleep quality in athletes; health promotion; physical fitness
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Obstructive sleep apnea (OSA) is a prevalent but often underdiagnosed sleep disorder characterized by recurrent episodes of upper airway obstruction during sleep. This condition leads to intermittent hypoxia, sleep fragmentation, and significant physiological stress, contributing to a wide range of health complications. OSA has been linked to cardiovascular diseases, metabolic disorders, neurocognitive impairments, and decreased quality of life. Despite growing awareness of the condition, many aspects of its pathophysiology, diagnosis, and treatment remain subjects of ongoing research.

This Special Issue aims to explore the complex relationship between sleep and sleep apnea. We invite researchers from various disciplines, including sleep medicine, pulmonology, neurology, cardiology, psychology, and public health, to contribute their latest findings.

We welcome original research articles, systematic reviews, meta-analyses, and clinical studies that provide new insights into the mechanisms, consequences, and management of sleep apnea. By compiling high-quality research, this Special Issue seeks to enhance our understanding of sleep apnea and contribute to improved prevention and treatment strategies for affected individuals.

Dr. Yung-An Tsou
Dr. Wen-Dien Chang
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Life is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • obstructive sleep apnea
  • sleep medicine
  • sleep surgery
  • sleep quality
  • insomnia

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Published Papers (1 paper)

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Research

11 pages, 495 KiB  
Article
Comparing the Effects of Cranial Electrotherapy Stimulation and Cognitive Behavioral Therapy for Insomnia on Daily Mood and Physiological Sleep Parameters in Athletes with Poor Pre-Competition Sleep Quality
by Yung-An Tsou, Bao-Lien Hung and Wen-Dien Chang
Life 2025, 15(6), 905; https://doi.org/10.3390/life15060905 - 3 Jun 2025
Viewed by 560
Abstract
This study aimed to compare 4 weeks of cranial electrotherapy stimulation (CES) versus cognitive behavioral therapy for insomnia (CBT-I) in athletes with poor sleep quality pre-competition as measured by changes in daily mood state and physiologic parameters of sleep. Athletes with poor sleep [...] Read more.
This study aimed to compare 4 weeks of cranial electrotherapy stimulation (CES) versus cognitive behavioral therapy for insomnia (CBT-I) in athletes with poor sleep quality pre-competition as measured by changes in daily mood state and physiologic parameters of sleep. Athletes with poor sleep quality in their pre-competition phase were recruited. Four weeks of CES and CBT-I were used to compare the effects on daily mood state and physiologic parameters of sleep. The participants were divided into a CES and a CBT-I group. The Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Profile of Mood States (POMS), nighttime heart rate variability (HRV), and sleep architecture of cardiopulmonary coupling (CPC) analyses were assessed before and after the interventions. Twenty-four participants (time to competition = 46.71 ± 11.21 days) completed the study. Decreases in PSQI and ESS scores were observed in both groups. A decrease in confusion and tension scores and improvement of sleep efficiency were noted after CBT-I (p < 0.05). Changes in light sleep (stages S1 and S2) and deep sleep (stages S3 and S4) were observed (p < 0.05), accompanied by alterations in HRV (p < 0.05). Both interventions for athletes experiencing poor sleep quality before competition had efficacy in improving sleep quality and reducing daytime sleepiness. CES could cause alterations in sleep architecture and autonomic nervous regulation, and CBT-I contributed to a reduction in negative mood states. This study is tiny and limited by the absence of a control group, which may introduce psychological bias, and future research should include control conditions and extended follow-up assessments to validate these findings. Full article
(This article belongs to the Special Issue Sleep and Sleep Apnea: Impacts, Mechanisms, and Interventions)
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