Association Between Stress-Related Sleep Reactivity and Metacognitive Beliefs About Sleep in Insomnia Disorder: Preliminary Results

Palagini, Laura; Bruno, Rosa Maria; Toti, Paolo; Caccavale, L.; Gronchi, Alessia; Mauri, Mauro; Riemann, Dieter; Drake, Christopher L.

doi:10.1080/15402002.2015.1065406

Cited by 20 publications

(30 citation statements)

References 49 publications

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“…Exploratory factor analysis identified a single‐factor structure for the FIRST, comprised of nine items accounting for 25.7% of the variance among all 27 items. This single‐factor nine‐item structure has also been validated for use in early pregnancy (Gelaye et al., ) and translated into Spanish (Gelaye et al., ), Japanese (Nakajima et al., ), European Portuguese (Marques, Allen Gomes, Drake, Roth, & De Azevedo, ), French (Chen et al., ), German (Dieck, Helbig, Drake, & Backhaus, ) and Italian (Palagini et al., ).…”

Section: Measuring Sleep Reactivitymentioning

confidence: 99%

The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders

Kalmbach

Anderson

Drake

2018

Journal of Sleep Research

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355

224

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Sleep reactivity is the trait-like degree to which stress exposure disrupts sleep, resulting in difficulty falling and staying asleep. Individuals with highly reactive sleep systems experience drastic deterioration of sleep when stressed, whereas those with low sleep reactivity proceed largely unperturbed during stress. Research shows that genetics, familial history of insomnia, female gender and environmental stress influence how the sleep system responds to stress. Further work has identified neurobiological underpinnings for sleep reactivity involving disrupted cortical networks and dysregulation in the autonomic nervous system and hypothalamic-pituitary-adrenal axis. Sleep reactivity is most pathologically and clinically pertinent when in excess, such that high sleep reactivity predicts risk for future insomnia disorder, with early evidence suggesting high sleep reactivity corresponds to severe insomnia phenotypes (sleep onset insomnia and short sleep insomnia). High sleep reactivity is also linked to risk of shift-work disorder, depression and anxiety. Importantly, stress-related worry and rumination may exploit sensitive sleep systems, thereby augmenting the pathogenicity of sleep reactivity. With the development of cost-effective assessment of sleep reactivity, we can now identify individuals at risk of future insomnia, shift-work disorder and mental illness, thus identifying a target population for preventive intervention. Given that insomniacs with high sleep reactivity tend to present with severe insomnia phenotypes, patient sleep reactivity may inform triaging to different levels of treatment. Future research on sleep reactivity is needed to clarify its neurobiology, characterize its long-term prospective associations with insomnia and shift-work disorder phenotypes, and establish its prognostic value for mental illness and other non-sleep disorders.

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Section: Measuring Sleep Reactivitymentioning

confidence: 99%

The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders

Kalmbach

Anderson

Drake

2018

Journal of Sleep Research

Self Cite

355

224

View full text Add to dashboard Cite

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“…The present study shows that the German version of the FIRST is a reliable and valid instrument to assess the vulnerability to stress‐induced sleep disturbances. The internal consistency was good ( r = 0.80), which is comparable to the original version's Cronbach's α coefficient of 0.83 (Drake et al ., ), to the validation of the Japanese version of the FIRST with a Cronbach's α coefficient of 0.89 for insomnia patients and 0.87 for healthy subjects (Nakajima et al ., ) and to the validation of the Italian version with a Cronbach's α coefficient of 0.86 for insomnia patients and 0.79 for healthy subjects (Palagini et al ., ). The test–retest reliability was satisfactory ( r = 0.72), but lower compared to the original version ( r = 0.92) (Drake et al ., ).…”

Section: Discussionmentioning

confidence: 97%

“…caffeine (Drake et al ., ). Since its publication, the FIRST has been shown to be predicted by dysfunctional beliefs about sleep (Palagini et al ., ) and to be related to cognitive–emotional hyperarousal (Fernández‐Mendoza et al ., ), and has been used to examine familial aggregation in the context of vulnerability to insomnia (Drake et al ., ) or to investigate the genetic and environmental influence on insomnia and sleep reactivity (Drake et al ., ). Its psychometric properties have been determined for other languages, e.g.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the German version of the Ford Insomnia Response to Stress Test

Dieck

Helbig

Drake

et al. 2017

Journal of Sleep Research

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The purpose of this study was to assess the psychometric properties of a German version of the Ford Insomnia Response to Stress Test with groups with and without sleep problems. Three studies were analysed. Data set 1 was based on an initial screening for a sleep training program (n = 393), data set 2 was based on a study to test the test-retest reliability of the Ford Insomnia Response to Stress Test (n = 284) and data set 3 was based on a study to examine the influence of competitive sport on sleep (n = 37). Data sets 1 and 2 were used to test internal consistency, factor structure, convergent validity, discriminant validity and test-retest reliability of the Ford Insomnia Response to Stress Test. Content validity was tested using data set 3. Cronbach's alpha of the Ford Insomnia Response to Stress Test was good (α = 0.80) and test-retest reliability was satisfactory (r = 0.72). Overall, the one-factor model showed the best fit. Furthermore, significant positive correlations between the Ford Insomnia Response to Stress Test and impaired sleep quality, depression and stress reactivity were in line with the expectations regarding the convergent validity. Subjects with sleep problems had significantly higher scores in the Ford Insomnia Response to Stress Test than subjects without sleep problems (P < 0.01). Competitive athletes with higher scores in the Ford Insomnia Response to Stress Test had significantly lower sleep quality (P = 0.01), demonstrating that vulnerability for stress-induced sleep disturbances accompanies poorer sleep quality in stressful episodes. The findings show that the German version of the Ford Insomnia Response to Stress Test is a reliable and valid questionnaire to assess the vulnerability to stress-induced sleep disturbances.

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“…In fact, recent findings show that a reduction of insomnia symptoms through cognitive behavioural therapy is indeed associated with a reduction of sleep reactivity as measured by FIRST scores [26]. Sleep reactivity—as insomnia—is shown to be much more prevalent in women than in men, and is in turn associated with metacognitive beliefs about sleep in insomnia patients [27]. These findings emphasize the importance of reducing sleep reactivity through appropriate insomnia treatment.…”

Section: Discussionmentioning

confidence: 99%

How Hyperarousal and Sleep Reactivity Are Represented in Different Adult Age Groups: Results from a Large Cohort Study on Insomnia

et al. 2017

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Hyperarousal is a 24-h state of elevated cognitive and physiological activation, and is a core feature of insomnia. The extent to which sleep quality is affected by stressful events—so-called sleep reactivity—is a vulnerability factor for developing insomnia. Given the increasing prevalence of insomnia with age, we aimed to investigate how hyperarousal and sleep reactivity were related to insomnia severity in different adult age groups. Data were derived from a large cohort study investigating the natural history of insomnia in a population-based sample (n = 1693). Baseline data of the Arousal Predisposition Scale (APS) and Ford Insomnia Response to Stress Test (FIRST) were examined across age and sleep/insomnia subgroups: 25–35 (n = 448), 35–45 (n = 528), and 45–55 year olds (n = 717); good sleepers (n = 931), individuals with insomnia symptoms (n = 450), and individuals with an insomnia syndrome (n = 312). Results from factorial analyses of variance (ANOVA) showed that APS scores decreased with increasing age, but increased with more severe sleep problems. FIRST scores were not significantly different across age groups, but showed the same strong increase as a function of sleep problem severity. The findings indicate that though arousal predisposition and sleep reactivity increase with more severe sleep problems, only arousal decreases with age. How arousing events affect an individual during daytime thus decreases with age, but how this arousal disrupts sleep is equivalent across different adult age groups. The main implication of these findings is that treatment of insomnia could be adapted for different age groups and take into consideration vulnerability factors such as hyperarousal and stress reactivity.

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Association Between Stress-Related Sleep Reactivity and Metacognitive Beliefs About Sleep in Insomnia Disorder: Preliminary Results

Cited by 20 publications

References 49 publications

The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders

The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders

Validation of the German version of the Ford Insomnia Response to Stress Test

How Hyperarousal and Sleep Reactivity Are Represented in Different Adult Age Groups: Results from a Large Cohort Study on Insomnia

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