Psychosocial Correlates of Insomnia Severity in Primary Care

Bluestein, Daniel; Rutledge, Carolyn; Healey, Amanda C.

doi:10.3122/jabfm.2010.02.090179

Cited by 37 publications

(18 citation statements)

References 39 publications

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“…6,7 Social and cultural factors play a role by not only dictating specific sleep-related behaviors but in developing attitudes and beliefs about sleep, which then translate into behaviors. For example, if one is taught that sleep is not important for health, that person would presumably be less likely to seek adequate sleep and more likely to seek other, more high-priority activities.…”

Section: Introductionmentioning

confidence: 99%

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Grandner

Patel

Jean‐Louis

et al. 2013

Journal of the National Medical Association

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Explore how social factors influence sleep, especially sleep-related beliefs and behaviors. Sleep complaints, sleep hygiene behaviors, and beliefs about sleep were studied in 65 black/African American and white/European American women. Differences were found for snoring and discrepancy between sleep duration and need. Sleep behaviors differed across groups for napping, methods for coping with sleep difficulties, and nonsleep behaviors in bed. Beliefs also distinguished groups, with differences in motivation for sleep and beliefs about sleep being important for health and functioning. These findings have important public health implications in terms of developing effective sleep education interventions that include consideration of cultural aspects.

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Section: Introductionmentioning

confidence: 99%

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Grandner

Patel

Jean‐Louis

et al. 2013

Journal of the National Medical Association

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“…Cognitions related to control may be particularly potent compared to other cognitive content. Poor self-efficacy predicted more severe insomnia, while dysfunctional beliefs did not demonstrate an independent effect on insomnia severity (26). As sense of control over sleep improved with cognitive behavioral therapy, sleep efficiency also improved (27), and among individuals who developed a more internal sleep locus of control during CBT for insomnia, insomnia severity decreased (28).…”

Section: Introductionmentioning

confidence: 99%

Gender and cognitive–emotional factors as predictors of pre-sleep arousal and trait hyperarousal in insomnia

Hantsoo

Khou

White

et al. 2013

Journal of Psychosomatic Research

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Objective Elevated pre-sleep arousal has been consistently associated with insomnia, yet the cognitive-emotional mechanisms involved in sleep-related arousal remain unclear. The purpose of this study was to identify predictors of pre-sleep arousal and trait hyperarousal from a set of variables that included self-reported affect, sleep-related cognitions, locus of control, and gender. Methods Cross-sectional data were analyzed for 128 participants (89 female) who met criteria for psychophysiological insomnia and completed a set of questionnaires that included the Beliefs and Attitudes about Sleep (BAS), Positive and Negative Affect Schedule (Negative Subscale (nPANAS) and Positive Subscale (pPANAS)), Sleep Locus of Control (SLOC), Pre-Sleep Arousal Scale (PSAS), Hyperarousal Scale (HAS) and demographic information. Step-wise regression was conducted with a set of independent variables, with PSAS and HAS serving as separate dependent variables. Results Trait hyperarousal was associated with higher levels of both negative and positive emotionality, as well as negative beliefs about sleep, in both genders. Pre-sleep arousal was associated with greater negative emotionality and internal sleep locus of control, varying by gender. Among women, high pre-sleep arousal was associated with negative emotionality, while in men greater pre-sleep arousal was associated with an internal sleep locus of control. Conclusion These findings have clinical implications, suggesting that men and women may require different cognitive targets when addressing pre-sleep arousal.

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“…Methods for this study closely parallel those detailed in a related article concerning psychosocial correlates of insomnia severity, which was previously published in The Journal of the American Board of Family Medicine. 38 Accordingly, key elements are summarized here, as are details about measures of treatment acceptability, which were not reported previously.…”

Section: Designmentioning

confidence: 99%

Acceptability of Behavioral Treatments for Insomnia

Bluestein¹,

Healey²,

Rutledge³

2011

The Journal of the American Board of Family Medicine

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Background: Behavioral treatments for insomnia are safe and efficacious but may not be embraced by patients in primary care. Understanding factors associated with acceptability can enhance successful use of these modalities. The objective of this study was to identify demographic and clinical/psychosocial correlates of behavioral insomnia treatment acceptability.Methods: This nonexperimental, inventory-based, cross-sectional study enrolled patients from a hospital-sponsored primary care clinic and 2 urban academic family practices. Participants (n ‫؍‬ 236) were 18 years of age or older who had clinically significant insomnia (Insomnia Severity Index score > 8) and were recruited consecutively at these sites. A study coordinator obtained informed consent then distributed survey materials. Participants received a $10 honorarium. The main outcome measure was the Acceptability Insomnia Treatment Acceptability Scale-Behavioral subscale (ITAS-B).Results

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Psychosocial Correlates of Insomnia Severity in Primary Care

Cited by 37 publications

References 39 publications

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Gender and cognitive–emotional factors as predictors of pre-sleep arousal and trait hyperarousal in insomnia

Acceptability of Behavioral Treatments for Insomnia

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