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Linking Sleep Disturbance and Maladaptive Repetitive Thought: The Role of Executive Function

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Abstract

Although sleep disturbance has been linked to maladaptive repetitive thought, a process commonly observed in anxiety and related disorders, the mechanism that may account for this association has not been fully elucidated. The current study used structural equation modeling to evaluate the relationship between sleep disturbance and maladaptive repetitive thought in a large sample (n = 341) to examine whether executive function partially accounts for this relationship. Consistent with predictions, results revealed that executive function accounted for the relationship between sleep disturbance and maladaptive repetitive thought. Furthermore, executive function was found to account for the relationship between sleep disturbance and maladaptive repetitive thought above and beyond the effect of general distress. These results were also found in gender-specific subsamples. The results of this study provide preliminary evidence to suggest that impaired executive function may be a unique mechanism that links sleep disturbance and maladaptive repetitive thought, such as worry and rumination, that is characteristic of anxiety and related disorders.

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Notes

  1. Due to an error in survey development, data was not obtained for one item of the DASS Depression subscale (item 2, “I felt that I had nothing to look forward to”). The Depression subscale was retained given that the remaining items were depression-relevant and evidenced adequate internal consistency.

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  1. Department of Psychology, Vanderbilt University, 301 Wilson Hall, 111 21st Avenue South, Nashville, TN, 37240, USA

    Rebecca C. Cox & Bunmi O. Olatunji

  2. Department of Psychology, Duksung Women’s University, Seoul, South Korea

    Chad Ebesutani

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Cox, R.C., Ebesutani, C. & Olatunji, B.O. Linking Sleep Disturbance and Maladaptive Repetitive Thought: The Role of Executive Function. Cogn Ther Res 40, 107–117 (2016). https://doi.org/10.1007/s10608-015-9713-5

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