Literature DB >> 22893774

Sleep-related arousal versus general cognitive arousal in primary insomnia.

Kai Spiegelhalder1, Wolfram Regen, Bernd Feige, Verena Hirscher, Thomas Unbehaun, Christoph Nissen, Dieter Riemann, Chiara Baglioni.   

Abstract

STUDY
OBJECTIVES: The present study aimed at further investigating trait aspects of sleep-related cognitive arousal and general cognitive arousal and their association with both objective and subjective sleep parameters in primary insomnia patients.
METHODS: A clinical sample of 182 primary insomnia patients and 54 healthy controls was investigated using 2 nights of polysomnography, subjective sleep variables, and a questionnaire on sleep-related and general cognitive arousal.
RESULTS: Compared to healthy controls, primary insomnia patients showed both more sleep-related and general cognitive arousal. Furthermore, sleep-related cognitive arousal was closely associated with measures of sleep-onset and sleep-maintenance problems, while general cognitive arousal was not.
CONCLUSIONS: Cognitive-behavioral treatment for insomnia might benefit from dedicating more effort to psychological interventions that are able to reduce sleep-related cognitive arousal.

Entities:  

Keywords:  Cognitive arousal; polysomnography; primary insomnia; subjective sleep parameters

Mesh:

Year:  2012        PMID: 22893774      PMCID: PMC3407262          DOI: 10.5664/jcsm.2040

Source DB:  PubMed          Journal:  J Clin Sleep Med        ISSN: 1550-9389            Impact factor:   4.062


  33 in total

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Review 4.  Psychophysiological insomnia: the behavioural model and a neurocognitive perspective.

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5.  Symptom-focused rumination and sleep disturbance.

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6.  Attention bias for sleep-related stimuli in primary insomnia and delayed sleep phase syndrome using the dot-probe task.

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7.  Does REM sleep contribute to subjective wake time in primary insomnia? A comparison of polysomnographic and subjective sleep in 100 patients.

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8.  Sleep-related attentional bias in patients with primary insomnia compared with sleep experts and healthy controls.

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9.  An open trial of cognitive therapy for chronic insomnia.

Authors:  Allison G Harvey; Ann L Sharpley; Melissa J Ree; Katheen Stinson; David M Clark
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  12 in total

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6.  Nocturnal cognitive arousal is associated with objective sleep disturbance and indicators of physiologic hyperarousal in good sleepers and individuals with insomnia disorder.

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7.  Objective sleep disturbances are associated with greater waking resting-state connectivity between the retrosplenial cortex/ hippocampus and various nodes of the default mode network.

Authors:  Wolfram Regen; Simon D Kyle; Christoph Nissen; Bernd Feige; Chiara Baglioni; Jürgen Hennig; Dieter Riemann; Kai Spiegelhalder
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8.  Vigilant attention to threat, sleep patterns, and anxiety in peripubertal youth.

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9.  Sleep problems in university students - an intervention.

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