Kognitive und körperliche Erregung in der Phase vor dem Einschlafen

Gieselmann, Annika; Jong-Meyer, Renate de; Pietrowsky, Reinhard

doi:10.1026/1616-3443/a000134

Cited by 20 publications

(20 citation statements)

References 23 publications

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“…That is, the difference is that the somatic arousal is divided in two factors. A similar finding was also observed in other studies (Azevedo et al, 2010;Gieselmann et al, 2012), but these three factor/component structures were ignored since the two-factor composition was shown to be more robust. It is worth noting that Kohn and Espie (2005) stated that there may be problems related to the somatic scale of the PSAS.…”

Section: Discussionsupporting

confidence: 85%

“…A study by Gieselmann et al (2012), comprising a sample of 268 individuals aged 18-50 years (M=24.81, SD=5.18) who were predominantly college students (65.7% women and 34.3% men) found adequate properties for the German version of the PSAS.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

“…It is believed that few studies have explicitly focused on the psychometric characteristics of the PSAS. Three of these studies focused on university students (Azevedo et al, 2010;Gieselmann, de Jong-Meyer, & Pietrowsky, 2012; M A N U S C R I P T…”

Section: Introductionmentioning

confidence: 99%

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Pre-Sleep Arousal Scale (PSAS): psychometric study of a European Portuguese version

Marques

Gomes

Nicassio³

et al. 2018

Sleep Medicine

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Section: Discussionsupporting

confidence: 85%

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

See 1 more Smart Citation

Pre-Sleep Arousal Scale (PSAS): psychometric study of a European Portuguese version

Marques

Gomes

Nicassio³

et al. 2018

Sleep Medicine

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“…We use the German version of the Pre-Sleep Arousal Scale to assess cognitive and somatic pre-sleep arousal. Eight and seven items load onto the factors somatic (Cronbach’s α = 0.80) and cognitive (Cronbach’s α = 0.94) arousal, respectively [170]. Items are scored on a five-point Likert scale ( not at all to extremely ) and summed up for each factor separately.…”

Section: Methodsmentioning

confidence: 99%

The acute effects of aerobic exercise on sleep in patients with depression: study protocol for a randomized controlled trial

Brupbacher

Straus

Porschke

et al. 2019

Trials

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Background Unipolar depression is one of the most important mental disorders. Insomnia is a symptom of cardinal importance in depression. It increases the risk to develop depression, negatively affects disease trajectory, is the most common symptom after remission, increases the risk of relapse, and is associated with higher suicide rates. Existing therapies for insomnia in depression have limitations. Further adjuvant therapies are therefore needed. Acute aerobic exercise has been shown to have beneficial effects on sleep in healthy individuals and patients with insomnia. We therefore hypothesize that a single session of aerobic exercise has a positive impact on sleep in patients with unipolar depression. This trial aims to investigate the effects of a single bout of aerobic exercise on the subsequent night’s sleep in patients with depression. Methods/design This is a two-arm parallel group, randomized, outcome assessor blinded, controlled, superiority trial. Patients between 18 and 65 years of age with a primary diagnosis of unipolar depression (without a psychotic episode) are included. Exclusion criteria are regular use of hypnotic agents, opioids, and certain beta-blockers, as well as the presence of factors precluding exercise, history of epilepsy, restless legs syndrome, moderate obstructive sleep apnea, and a BMI > 40. The intervention is a single bout of aerobic exercise, performed for 30 min on a bicycle ergometer at 80% individual anaerobic threshold. The control group sits and reads for 30 min. The primary outcome is sleep efficiency measured by polysomnography. Secondary outcomes include further polysomnographic variables, subjective pre-sleep arousal, nocturnal cardiovascular autonomic modulation, subjective sleep quality, daytime sleepiness, and adverse events. According to the sample size calculation, a total of 92 patients will be randomized using minimization. Discussion This trial will add new information to the body of knowledge concerning the treatment of insomnia in patients with depression. Thereby, the results will inform decision makers on the utility of acute aerobic exercise. Trial registration Clinicaltrials.gov, NCT03673397 . Protocol version 1 registered on 17 September 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3415-3) contains supplementary material, which is available to authorized users.

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“…Patients rate how intensely they experienced each of the symptoms as they attempted to fall asleep. All 15 items (e.g., "a jittery, nervous feeling in your body") are scored on a five-point Likert scale (1 = not at all to 5 = extremely) and summed up for each factor separately [131,132].…”

Section: Pre-sleep Arousalmentioning

confidence: 99%

The Acute Effects of Aerobic Exercise on Nocturnal and Pre-Sleep Arousal in Patients with Unipolar Depression: Preplanned Secondary Analysis of a Randomized Controlled Trial

Brupbacher

Zander-Schellenberg

Straus³

et al. 2021

JCM

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Unipolar depression is associated with insomnia and autonomic arousal. The aim of this study was to quantify the effect of a single bout of aerobic exercise on nocturnal heart rate variability and pre-sleep arousal in patients with depression. This study was designed as a two-arm, parallel-group, randomized, outcome assessor-blinded, controlled, superiority trial. Patients with a primary diagnosis of unipolar depression aged 18–65 years were included. The intervention consisted of a single 30 min moderate-intensity aerobic exercise bout. The control group sat and read for 30 min. The primary outcome of interest was RMSSD during the sleep period assessed with polysomnography. Secondary outcomes were additional heart rate variability outcomes during the sleep and pre-sleep period as well as subjective pre-sleep arousal. A total of 92 patients were randomized to either the exercise (N = 46) or the control (N = 46) group. Intent-to-treat analysis ANCOVA of follow-up sleep period RMSSD, adjusted for baseline levels and minimization factors, did not detect a significant effect of the allocation (β = 0.12, p = 0.94). There was no evidence for significant differences between both groups in any other heart rate variability measure nor in measures of cognitive or somatic pre-sleep arousal. As this is the first trial of its kind in this population, the findings need to be confirmed in further studies. Patients with depression should be encouraged to exercise regularly in order to profit from the known benefits on sleep and depressive symptoms, which are supported by extensive literature.

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Kognitive und körperliche Erregung in der Phase vor dem Einschlafen

Cited by 20 publications

References 23 publications

Pre-Sleep Arousal Scale (PSAS): psychometric study of a European Portuguese version

Pre-Sleep Arousal Scale (PSAS): psychometric study of a European Portuguese version

The acute effects of aerobic exercise on sleep in patients with depression: study protocol for a randomized controlled trial

The Acute Effects of Aerobic Exercise on Nocturnal and Pre-Sleep Arousal in Patients with Unipolar Depression: Preplanned Secondary Analysis of a Randomized Controlled Trial

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