Anxiety mediates the relationship between multidimensional perfectionism and insomnia disorder

Akram, Umair; Ellis, Jason; Myachykov, Andriy; Chapman, Ashley; Barclay, Nicola L.

doi:10.1016/j.paid.2016.07.042

Cited by 26 publications

(43 citation statements)

References 14 publications

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“…Indeed, most studies did not use the PSQI to assess sleep. Lundh et al (1994) 19 used screening questions to assess sleep. Only Vincent and Walker (2000) 10 used the PSQI to assess sleep.…”

Section: Discussionmentioning

confidence: 99%

“…between insomnia and perfectionism showed that insomnia is associated with DA, 9,19 PS, 9 CM, 9,19 and PC. 10,19 Studies reporting on the association between insomnia symptoms and perfectionism showed that insomnia symptoms are associated with DA, 16,17 PS, 16 CM, 15,16 and PC.…”

Section: Introductionmentioning

confidence: 99%

“…10,19 Studies reporting on the association between insomnia symptoms and perfectionism showed that insomnia symptoms are associated with DA, 16,17 PS, 16 CM, 15,16 and PC. 17 In addition, it was reported that SPP is a predictor for insomnia symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…11, 2017 AF Johann, E Hertenstein, SD Kyle, et al Poor Sleep and Perfectionism between insomnia and perfectionism showed that insomnia is associated with DA,9,19 PS, 9 CM,9,19 and PC. 10,19 Studies reporting on the association between insomnia symptoms and perfectionism showed that insomnia symptoms are associated with DA, 16,17 PS, 16 CM,15,16 and PC. 17 In addition, it was reported that SPP is a predictor for insomnia symptoms.…”

mentioning

confidence: 99%

“…Indeed, most studies did not use the PSQI to assess sleep. Lundh et al (1994) 9 used a clinical interview, Brand et al (2015) 16 and Akram et al (2015) 17 used the Insomnia Severity Index, Jansson-Fröjmark and Linton (2007) 15 used the Basic Nordic Sleep Questionnaire and the Uppsala Sleep Inventory, and Azevedo et al (2010) 14 and Akram et al (2017) 19 used screening questions to assess sleep. Only Vincent and Walker (2000) 10 used the PSQI to assess sleep.…”

mentioning

confidence: 99%

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Perfectionism and Polysomnography-Determined Markers of Poor Sleep

Johann

Hertenstein

Kyle

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: Perfectionism has been suggested to represent a predisposing factor for poor sleep. However, previous studies have relied on selfreported measures. The association between perfectionism and poor sleep measured by polysomnography (PSG) warrants further investigation. Methods: The current retrospective exploratory study used the Frost Multidimensional Perfectionism Scale and PSG in an unselected sample of 334 consecutive sleep laboratory patients (140 males, 194 females, 44.6 ± 15.9 years). Data were analyzed using linear regression analyses. Results: High levels of perfectionism were associated with PSG-determined markers of poor sleep in the first sleep laboratory night. The total Frost Multidimensional Perfectionism Scale score was significantly associated with the number of nocturnal awakenings in the first sleep laboratory night. The subscales "concern over mistakes" and "personal standards" of perfectionism were significantly associated with markers of poor sleep. In contrast, there were only a few associations between perfectionism and PSG variables of the second sleep laboratory night. Conclusions: This pattern of results suggests that high levels of perfectionism may predispose individuals to sleep disturbances in the context of acute stressors. Thus, the influence of perfectionism on poor sleep should be further investigated to improve treatment. I NTRO DUCTI O NPerfectionism is a personality trait that has been defined as a dispositional tendency to set excessively high standards and to evaluate one's own performance in an overly critical manner. 1 Perfectionism has been linked to several mental disorders including eating, anxiety, and depressive disorders.2 In addition, perfectionism may be a predisposing factor for poor sleep. [3][4][5] This may be due to the fact that the maladaptive form of perfectionism includes excessive concerns about making mistakes and is associated with worry and rumination. 6 Worry and rumination at bedtime are, in turn, assumed to lead to sleep onset and sleep maintenance difficulties.7 In particular, it has been suggested that individuals with high levels of perfectionism are more concerned about the effects of acute sleep disturbances on their daytime performance. 4 This may lead to increased worry and arousal at bedtime; therefore, perfectionism may contribute to the transition from acute to chronic sleep disturbances. It may be hypothesized that individuals prone to perfectionism actively attempt to force sleep initiation, a strategy called sleep effort that does not pay off and leads to sleep disturbances. 3,8 In line with these theoretical considerations, previous evidence suggests that individuals who fulfill the diagnostic criteria for insomnia present with higher levels of perfectionism than good sleepers. 9,10 Additionally, several studies showed that patients with insomnia strive for perfection on a behavioral level. [11][12][13] Longitudinal studies suggest that perfectionism Perfectionism is often assessed using the Hewitt and Flett Multidimen...

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“…Indeed, most studies did not use the PSQI to assess sleep. Lundh et al (1994) 19 used screening questions to assess sleep. Only Vincent and Walker (2000) 10 used the PSQI to assess sleep.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Perfectionism and Polysomnography-Determined Markers of Poor Sleep

Johann

Hertenstein

Kyle

et al. 2017

Journal of Clinical Sleep Medicine

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Dysfunctional sleep-related cognition and anxiety mediate the relationship between multidimensional perfectionism and insomnia symptoms

et al. 2019

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Perfectionism is one of several personality traits associated with insomnia. Whilst research has examined the relationships between perfectionism and insomnia, the mediating role of dysfunctional sleep-related cognition (i.e. sleep-related worry and dysfunctional beliefs about the biological attribution of and consequences of poor sleep) has yet to be examined. This study aimed to determine whether aspects of multidimensional perfectionism were related to increased reporting of insomnia symptoms. In addition, the potential mediating role of dysfunctional sleep-related cognition and anxiety symptoms was examined. Members of the general population (N = 624) completed the Dysfunctional Beliefs and Attitudes About Sleep Scale, the Insomnia Severity Index, the Hospital Anxiety and Depression Scale, and the Multidimensional Perfectionism Scale. The results showed that perfectionism dimensions, anxiety symptoms, and dysfunctional sleep-related cognition were significantly associated with insomnia symptoms. Regression-based mediation analyses further showed that both dysfunctional sleep-related cognition and anxiety significantly mediated the associations between insomnia symptoms and three perfectionism dimensions (i.e. doubts about action, parental expectations, and parental criticism). The experience of perfectionistic tendencies, anxiety, and dysfunctional sleep-related cognition may initiate behavioural strategies (e.g. daytime napping) when faced with an acute sleep problem. However, these strategies may serve to transition insomnia from an acute to a chronic condition.

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Picture perfect—how seeking perfection influences sleep and romantic relationships

Faber

Schlarb

2018

Somnologie

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Anxiety mediates the relationship between multidimensional perfectionism and insomnia disorder

Cited by 26 publications

References 14 publications

Perfectionism and Polysomnography-Determined Markers of Poor Sleep

Perfectionism and Polysomnography-Determined Markers of Poor Sleep

Dysfunctional sleep-related cognition and anxiety mediate the relationship between multidimensional perfectionism and insomnia symptoms

Picture perfect—how seeking perfection influences sleep and romantic relationships

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