Abstract
Cognitive models propose that insomnia is maintained by negative cognitive activity (such as worry and rumination) and somatic anxious arousal. Attention control (ability to focus attention, control thought) may also influence insomnia, as it is thought to protect against negative cognitive activity. The main aims of the study were to test specific hypotheses concerning: (i) relationships between insomnia and worry, rumination and somatic anxious arousal; (ii) whether insomnia is also associated with poor attention control; and (iii) whether the predicted association between insomnia and negative emotionality (combination of worry, somatic anxious arousal and rumination) is influenced by individual differences in attention control. Participants were 196 young adults who completed the following questionnaire measures: Insomnia Severity Index, Penn State Worry Questionnaire, Mood and Anxiety Symptom Questionnaire Anxious Arousal Scale, Ruminative Responses Scale, and Attention Control Scale. Results indicated that worry, rumination, and somatic anxious arousal each independently correlated with insomnia. Moreover, insomnia was not only associated with the overall index of negative emotionality (combination of worry, somatic anxious arousal and rumination), but also with the interactive effect of poor attention control and negative emotionality. Thus, poor attention control may further contribute to sleep difficulties in individuals with high negative emotionality.
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References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Revised 4th edn. American Psychiatric Association: Washington, DC, 20
Ohayon MM, Caulet M, Lemoine P. Co-morbidity of mental and insomnia disorders in the general population. Compr. Psychiatry 1998; 39: 185–97.
Harvey AG. A cognitive model of insomnia. Behav. Res. Ther. 2002; 40: 869–93.
Nitschke JB, Heller W, Imig JC, McDonald RP, Miller GA. Distinguishing dimensions of anxiety and depression. Cognit. Ther. Res. 2001; 25: 1–22.
Tang NKY, Harvey AG. Effects of cognitive arousal and physiological arousal on sleep perception. Sleep 2004; 27: 69–78.
Nelson J, Harvey AG. An exploration of pre-sleep cognitive activity in insomnia: imagery and verbal thought. B r. J. Clin. Psychol. 2003; 42: 271–88.
Espie CA. Insomnia: conceptual issues in the development persistence and treatment of sleep disorder in adults. Annu. Rev. Psychol. 2002; 53: 215–43.
Nolen-Hoeksema S. Responses to depression and their effects on the duration of depressive episodes. J. Abnorm. Psychol. 1991; 100: 569–82.
Thomsen DK, Mehlsen MY, Christensen S, Zachariae R. Rumination- relationship with negative mood and sleep quality. Pers. Individ. Diff. 2003; 34: 1293–301.
Fresco DM, Frankel AN, Mennin DS, Turk CL, Heimberg RG. Distinct and overlapping features of rumination and worry: the relationship of cognitive production to negative affective states. Cognit. Ther. Res. 2002; 26: 179–88.
Espie CA, Broomfield NM, MacMahon KMA, Macphee LM, Taylor LM. The attention-intention-effort pathway in the development of psychophysiologic insomnia: a theoretical review. Sleep Med. Rev. 2006; 10 (4): 215–45.
MacMahon KMA, Broomfield NM, MacPhee L, Espie CA. Attention bias for sleep related stimuli in primary insomnia and delayed sleep phase syndrome using the dot probe task. Sleep 2006; 29: 1420–7.
Spiegelhalder K, Espie C, Nissen C, Riemann D. Sleep-related attentional bias in patients with primary insomnia compared with sleep experts and healthy controls. J. Sleep Res. 2008; 17: 191–6.
Tang NKY, Schmidt DA, Harvey AG. Sleeping with the enemy: clock monitoring in the maintenance of insomnia. J. Behav. Ther. Exp. Psychiatry 2007; 38: 40–55.
Rothbart MK, Ellis LK, Posner MI. Temperament and self regulation. In: Baumeister RF, Vohs KD, eds. Handbook of Self-Regulation: Research Theory and Applications. Guilford Press: New York, 2004; 357–70
Derryberry D, Reed MA. Anxiety-related attention biases and their regulation by attention control. J. Abnorm. Psychol. 2002; 111: 225–36.
Moriya J, Tanno Y. Relationships between negative emotionality and attention control in effortful control. Pers. Individ. Diff. 2008; 44: 1348–55.
Muris P, Pennen E, Sigmond R, Mayer B. Symptoms of anxiety depression and aggression in non-clinical children: relationships with self-report and performance-based measures of attention and effortful control. Child Psychiatry Hum. Dev. 2008; 39: 455–67.
Morin CM. Insomnia: Psychological Assessment and Management. Guilford Press: New York, 1993
Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001; 2: 297–307.
Meyer TJ, Miller ML, Metzger RL, Borkovec TD. Development and validation of the Penn State Worry Questionnaire. Behav. Res. Ther. 1990; 28: 487–95.
Treynor W, Gonzalez R, Nolen-Hoeksema S. Rumination reconsidered: a psychometric analysis. Cognit. Ther. Res. 2003; 27: 247–59.
Watson D, Clark LA. The Mood and Anxiety Symptom Questionnaire. Unpublished manuscript, University of Iowa, Iowa City, IA 1991.
Muris P, Roelofs J, Rassin E, Franken I, Mayer B. Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Pers. Individ. Diff. 2005; 39: 1105–11.
Rothbart M. Temperament, development, and personality. Curr. Dir. Psychol. Sci. 2007; 16: 207–12.
Taylor DJ, Gardner CE, Bramoweth AD et al. Insomnia and mental health in college students. Behav. Sleep Med. 2011; 9: 107–16.
Gyurak A, Ayduk O. Defensive physiological reactions to rejection: the effect of self-esteem and attention control on startle responses. Psychol. Sci. 2007; 18: 886–92.
Bélanger L, Morin CM, Langlois F, Ladouceur R. Insomnia and generalized anxiety disorder: effects of cognitive behaviour therapy for GAD on insomnia symptoms. J. Anxiety Dis. 2003; 18: 561–71.
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Mitchell, L., Mogg, K. & Bradley, B.P. Relationships between insomnia, negative emotionality and attention control. Sleep Biol. Rhythms 10, 237–243 (2012). https://doi.org/10.1111/j.1479-8425.2012.00567.x
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DOI: https://doi.org/10.1111/j.1479-8425.2012.00567.x