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

Dieck, Arne; Helbig, Susanne; Drake, Christopher L.; Backhaus, Jutta

doi:10.1111/jsr.12621

Cited by 10 publications

(20 citation statements)

References 25 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

Self Cite

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

show abstract

“…A validated assay for a priori measurement of sleep reactivity in large epidemiological samples is the Ford Insomnia Response to Stress Test (FIRST), a self-report instrument that was originally validated in a large adult sample in the USA (see Drake et al 2004 38 for the full instrument). The FIRST has also been validated for use in early pregnancy 44 and translated into Spanish, 44 Japanese, 45 European Portuguese, 46 French, 47 German, 48 and Italian languages. 49 Many studies comparing high vs low sleep reactivity in individuals have relied on using median splits to distinguish the two groups with good results.…”

Section: Sleep Reactivitymentioning

confidence: 99%

Hyperarousal and sleep reactivity in insomnia: current insights

Kalmbach

Cuamatzi-Castelan

Tonnu

et al. 2018

NSS

253

143

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Hyperarousal is a key component in all modern etiological models of insomnia disorder. Overall patterns in the literature suggest that over-active neurobiological and psychological systems contribute to difficulty sleeping. Even so, mixed results regarding the specific mechanisms linking hyperarousal to sleep disturbance limit current etiological conceptualizations. Similar basal arousal profiles between individuals with high vs low risk for insomnia in the absence of stress exposure suggest that dysregulated stress “response” rather than general hyperarousal may be a more pertinent marker of risk. In this report, we discuss evidence for hyperarousal in insomnia and explore the role of sleep reactivity. A trait characteristic, sleep reactivity is the degree to which stress disrupts sleep, manifesting as difficulty falling and staying asleep. Premorbid sleep reactivity has been shown to identify individuals at risk for future insomnia disorder, such as highly reactive sleepers (whose sleep systems are sensitive to stress) who are at elevated disease risk. Research points to genetics, family history of insomnia, gender, and environmental stress as factors that influence sleep reactivity. Importantly, stress-related cognitive–emotional reactivity (e.g., rumination, worry) may exploit the vulnerability of a highly reactive sleep system. We propose that sleep reactivity and cognitive–emotional reactivity may share a bidirectional relationship, conferring an insalubrious environment for sleep in response to stress. Future research on sleep reactivity is needed to identify its neurobiology, characterize its relationship with cognitive–emotional reactivity, and explore the potential clinical utility of sleep reactivity in treatment planning.

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“…The nine-item self-report questionnaire is answered on a four-point Likert scale ( not very likely to very likely ) with higher total scores indicating a higher likelihood of stress-induced insomnia. The reliability (Cronbach’s α = 0.80) and validity of the German version have been demonstrated [110]. Dysfunctional sleep-related thoughts and attitudes are related to the development and trajectory of sleep disorders [111].…”

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

Cited by 10 publications

References 25 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

Hyperarousal and sleep reactivity in insomnia: current insights

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

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