Journal ArticleDOI
Insomnia: Conceptual Issues in the Development, Persistence, and Treatment of Sleep Disorder in Adults
TLDR
In this article, an integrated psychobiological inhibition model of insomnia is developed that accounts for the research data, and it is proposed that sleep homeostatic and circadian factors are compromised by impairment of the automaticity and plasticity associated with good sleep.Abstract:
This paper critically reviews the evidence base for previously reported conceptual models of the development and persistence of insomnia. Although a number of perspectives have some empirical support, no one approach emerges as preeminent. Importantly, the efficacy of any particular psychological intervention cannot be taken as confirmation of presumed, underlying mechanisms. An integrated psychobiological inhibition model of insomnia is developed that accounts for the research data. The model views insomnia as arising from inhibition of de-arousal processes associated with normal sleep. It is proposed that sleep homeostatic and circadian factors are compromised by impairment of the automaticity and plasticity associated with good sleep, and that cognitive/affective processes activate the clinical complaint of insomnia. Common pathways for the action of cognitive-behavioral interventions are identified, and a research agenda is set for further conceptual and clinical study.read more
Citations
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Journal ArticleDOI
European guideline for the diagnosis and treatment of insomnia
Dieter Riemann,Chiara Baglioni,Claudio L. Bassetti,Bjørn Bjorvatn,Leja Dolenc Groselj,Jason Ellis,Colin A. Espie,Diego Garcia-Borreguero,Michaela D. Gjerstad,Marta Gonçalves,Elisabeth Hertenstein,Markus Jansson-Fröjmark,Poul Jennum,Damien Leger,Christoph Nissen,Liborio Parrino,Tiina Paunio,Dirk Pevernagie,Johan Verbraecken,Hans G. Weeß,Adam Wichniak,Irina Zavalko,Erna S. Arnardottir,Oana Claudia Deleanu,Barbara Strazisar,Marielle Zoetmulder,Kai Spiegelhalder +26 more
TL;DR: In this article, a European guideline for the diagnosis and treatment of insomnia was developed by a task force of the European Sleep Research Society, with the aim of providing clinical recommendations for the management of adult patients with insomnia.
European guideline for the diagnosis and treatment of insomnia
Dieter Riemann,Chiara Baglioni,Claudio L. Bassetti,Bjørn Bjorvatn,Leja Dolenc Groselj,Jason Ellis,Colin A. Espie,Diego Garcia-Borreguero,Michaela D. Gjerstad,Marta Gonçalves,Elisabeth Hertenstein,Markus Jansson-Fröjmark,Poul Jennum,Damien Leger,Christoph Nissen,Liborio Parrino,Tiina Paunio,Dirk Pevernagie,Johan Verbraecken,Hans-Guenter Weess,Adam Wichniak,Irina Zavalko,Erna S. Arnardottir,Oana-Claudia Deleanu,Barbara Strazisar,Marielle Zoetmulder,Kai Spiegelhalder +26 more
TL;DR: This European guideline for the diagnosis and treatment of insomnia was developed by a task force of the European Sleep Research Society, with the aim of providing clinical recommendations for the management of adult patients with insomnia.
Journal ArticleDOI
Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects.
Pei Shan Tsai,Shu Yi Wang,Mei Yeh Wang,Chien-Tien Su,Tsung Tsair Yang,Chun Jen Huang,Su Chen Fang +6 more
TL;DR: Results suggest that the CPSQI is a psychometrically sound measure of sleep quality and disturbance for patients with primary insomnia and may not be an effective screening tool because of its low specificity, but can be a sensitive, reliable, and valid outcome assessment tool for use in community-based studies of primary insomnia.
Journal ArticleDOI
Role of stress, arousal, and coping skills in primary insomnia.
TL;DR: The findings suggest that the appraisal of stressors and the perceived lack of control over stressful events, rather than the number of stressful events per se, enhance the vulnerability to insomnia.
Journal ArticleDOI
Sleep and emotions: a focus on insomnia.
TL;DR: There is empirical evidence that dysfunctional emotional reactivity might mediate the interaction between cognitive and autonomic hyperarousal, thus contributing to the maintenance of insomnia, and the need for future research on emotions in insomnia is underlines.
References
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Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
TL;DR: This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.
Journal ArticleDOI
Development and validation of the penn state worry questionnaire
TL;DR: The worry questionnaire was found not to correlate with other measures of anxiety or depression, indicating that it is tapping an independent construct with severely anxious individuals, and coping desensitization plus cognitive therapy was found to produce significantly greater reductions in the measure than did a nondirective therapy condition.