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Considerations for Assessment

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Insomnia and Anxiety

Part of the book series: Series in Anxiety and Related Disorders ((SARD))

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Abstract

Before we consider complex issues such as the relation between sleep and anxiety, the sleep-related features of anxiety disorders, and the way sleep problems with co-existing anxiety are treated, it is imperative to consider diagnostic and assessment issues. Thus, this chapter provides an overview of assessment and measurement. While a comprehensive review of assessment techniques across all sleep and anxiety disorders is beyond the scope of this book, we focus on commonly used and supported measures and techniques for assessment, including physiologic, clinical, and structured interviews, and self-reported measures of sleep and anxiety.

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References

  • AASM (2008) http://www.sleepeducation.com/pdf/sleepdiary.pdf

  • Abramowitz, J. S., ‖ Deacon, B. J. (2006). Psychometric properties and construct validity of the obsessive-compulsive inventory-revised: Replication and extension with a clinical sample. Journal of Anxiety Disorders, 20(8), 1016–1035.

    Article  PubMed  Google Scholar 

  • American Sleep Disorders Association. (1995). Practice parameters for the use of polysomnography in the evaluation of insomnia. Sleep, 18(1), 55–57.

    Google Scholar 

  • Bastien, C. H., Vallières, A., ‖ Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Epstein, N., Brown, G., ‖ Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., ‖ Brown, G. K. (1996). Manual for the Beck depression inventory, 2nd edition (BDI-II). San Antonio, TX: The Psychological Association.

    Google Scholar 

  • Behar, E., Alcaine, O., Zuellig, A. R., ‖ Borkovec, T. D. (2003). Screening for generalized anxiety disorder using the Penn State Worry Questionnaire: A receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry, 34(1), 25–43.

    Article  PubMed  Google Scholar 

  • Blake, D. D., Weathers, F., Nagy, L. M., Kaloupek, D. G., Klauminzer, G., Charney, D. S., et al. (1990). A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. The Behavior Therapist, 13, 187–188.

    Google Scholar 

  • Broomfield, N. M., ‖ Espie, C. A. (2005). Towards a valid, reliable measure of sleep effort. Journal of Sleep Research, 14(4), 401–407.

    Article  PubMed  Google Scholar 

  • Brown, T., Black, B., ‖ Uhde, T. (1994). The sleep architecture of social phobia. Biological Psychiatry, 35(6), 420–421.

    Article  PubMed  Google Scholar 

  • Brown, T. A., Di Nardo, P. A., Lehman, C. L., ‖ Campbell, L. A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for classification of emotional disorders. Journal of Abnormal Psychology, 110, 49–58.

    Article  PubMed  Google Scholar 

  • Buckner, J. D., Bernert, R. A., Cromer, K. R., Joiner, T. E. J., ‖ Schmidt, N. B. (2008). Social anxiety and insomnia: The mediating role of depressive symptoms. Depression and Anxiety, 25, 124–130.

    Article  PubMed  Google Scholar 

  • Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., ‖ Morin, C. M. (2006). Recommendations for a standard research assessment of insomnia. Sleep, 29(9), 1155–1173.

    PubMed  Google Scholar 

  • Buysse, D. J., Germain, A., Hall, M. L., Moul, D. E., Nofzinger, E. A., Begley, A., et al. (2008). EEG spectral analysis in primary insomnia: NREM period effects and sex differences. Sleep, 31(12), 1673–1682.

    PubMed  Google Scholar 

  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., ‖ Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213.

    Article  PubMed  Google Scholar 

  • Carney, C. E., Edinger, J. D., Krystal, A. D., Stepanski, E. J., ‖Kirby, A. (2006). The contribution of general anxiety to sleep quality ratings in insomnia subtypes. Sleep, 29(Suppl.), A233.

    Google Scholar 

  • Chambless, D. L., Caputo, G. C., Bright, P., ‖ Gallagher, P. (1984). Assessment of “fear of fear” in agoraphobics: The body sensations questionnaire and the agoraphobic cognitions questionnaire. Journal of Consulting and Clinical Psychology, 52, 1090–1097.

    Article  PubMed  Google Scholar 

  • Chambless, D. L., Caputo, G. C., Jasin, S. E., Gracely, E. J., ‖ Williams, C. (1985). The mobility inventory for agoraphobia. Behaviour Research and Therapy, 23, 35–44.

    Article  PubMed  Google Scholar 

  • Chambless, D. L., ‖ Gracely, E. J. (1989). Fear of fear and the anxiety disorders. Cognitive Therapy and Research, 13, 9–20.

    Article  Google Scholar 

  • Clum, G. A., Broyles, S., Borden, J., ‖ Watkins, P. L. (1990). Validity and reliability of the panic attack symptoms and cognitions questionnaires. Journal of Psychopathology and Behavioral Assessment, 12, 233–245.

    Article  Google Scholar 

  • Coates, T. J., ‖ Thoresen, C. E. (1979). Treating arousals during sleep using behavioural self-management. Journal of Consulting and Clinical Psychology, 47, 603–605.

    Article  PubMed  Google Scholar 

  • Connor, K. M., Davidson, J. R., Churchill, L. E., Sherwood, A., Foa, E. B., ‖ Weisler, R. H. (2000). Psychometric properties of the social phobia inventory (SPIN): A new self-rating scale. British Journal of Psychiatry, 176, 379–386.

    Article  PubMed  Google Scholar 

  • Cox, B. J., Cohen, E., Direnfeld, D. M., ‖ Swinson, R. P. (1996). Does the beck anxiety inventory measure anything beyond panic attack symptoms? Behaviour Research and Therapy, 34, 949–954.

    Article  PubMed  Google Scholar 

  • Craske, M. G., Lang, A. J., Tsao, J. C. I., Mystkowski, J. L., ‖ Rowe, M. K. (2001). Reactivity to interoceptive cues in nocturnal panic, Journal of Behavior Therapy and Experimental Psychiatry, 32, 173–190

    Article  PubMed  Google Scholar 

  • Derogatis, L. (1992). Symptom checklist-90-revised: Administration, scoring, and procedures manual II. Towson, MD: Clinical Psychometrics Research.

    Google Scholar 

  • Derogatis, L. R., ‖ Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.

    Article  PubMed  Google Scholar 

  • Di Nardo, P. A., Brown, T. A., ‖ Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV (lifetime version). San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Edinger, J. D., ‖ Carney, C. E. (2008). Overcoming insomnia: A cognitive-behavioral therapy approach-therapist guide. New York: Oxford University Press, Inc.

    Google Scholar 

  • Edinger, J. D., Olsen, M. K., Stechuchak, K. M., Means, M. K., Lineberger, M. K., Kirby, A., et al. (2009). Cognitive behavioral therapy with primary and comorbid insomnia: A randomized clinical trial. Sleep, 32(4), 499–510.

    PubMed  Google Scholar 

  • Espie, C. A. (2000). Assessment and differential diagnosis. In K. L. Lichstein ‖ C. M. Morin (Eds.), Treatment of late-life insomnia (pp. 81–108). Thousand Oaks, CA: Sage Publications, Inc.

    Google Scholar 

  • Espie, C., Broomfield, N., MacMahon, K., Macphee, L., ‖ Taylor, L. M. (2006). The attention-intention-effort pathway in the development of psychophysiologic insomnia: A theoretical review. Sleep Medicine Reviews, 10(4), 215–245.

    Article  PubMed  Google Scholar 

  • First, M., Gibbon, M., Spitzer, R., Williams, J. B. W., ‖ Benjamin, L. S. (1997). Users Guide for the structured clinical interview for DSM IV personality disorders (SCID-II). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Foa, E. B., Cashman, L., Jaycox, L., ‖ Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychological Assessment, 9, 445–451.

    Article  Google Scholar 

  • Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., ‖ Hajcak, G. (2002). The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment, 14(4), 485–496.

    Article  PubMed  Google Scholar 

  • Freedman, R. R. (1986). EEG power spectra in sleep-onset insomnia. Electroencephalography and Clinical Neurophysiology, 63(5), 408–413.

    Article  PubMed  Google Scholar 

  • Fresco, D. M., Mennin, D. S., Heimberg, R. G., ‖ Turk, C. L. (2003). Using the Penn State Worry Questionnaire to identify individuals with generalized anxiety disorder: A receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry, 34(3–4), 283–291.

    Article  PubMed  Google Scholar 

  • Germain, A., Hall, M., Krakow, B., Shear, M. K., ‖ Buysse, D. J. (2005). A brief sleep scale for posttraumatic stress disorder: Pittsburgh sleep quality index addendum for PTSD. Journal of Anxiety Disorders, 19, 233–244.

    Article  PubMed  Google Scholar 

  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The Yale-Brown obsessive compulsive scale. I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011.

    PubMed  Google Scholar 

  • Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40, 869–893.

    Article  PubMed  Google Scholar 

  • Harvey, A. G., ‖ Greenall, E. (2003). Catastrophic worry in primary insomnia. Journal of Behavior Therapy and Experimental Psychiatry, 34(1), 11–23.

    Article  PubMed  Google Scholar 

  • Horowitz, M., Wilner, N., ‖ Alvarez, W. (1979). Impact of events scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.

    PubMed  Google Scholar 

  • Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep, 14, 540–545.

    PubMed  Google Scholar 

  • Kluge, M., Schussler, P., Dresler, M., Yassouridis, A., ‖ Steiger, A. (2007). Sleep onset REM periods in obsessive compulsive disorder. Psychiatry Research, 152(1), 29–35.

    Article  PubMed  Google Scholar 

  • Krupp, L. B., Jandorf, L., Coyle, P. K., ‖ Mendelson, W. (1993). Sleep disturbance in chronic fatigue syndrome. Journal of Psychosomatic Research, 37, 325–331.

    Article  PubMed  Google Scholar 

  • Krupp, L. B., LaRocca, N. G., Muir-Nash, J., ‖ Sternberg, A. D. (1989). The Fatigue Severity Scale: Application to patients with multiple sclerosis and systemic lupus erythemasis. Archives of Neurology, 46, 1121–1123.

    PubMed  Google Scholar 

  • Lacks, P. (1987). Behavioral treatment for persistent insomnia. New York: Pergamon Press.

    Google Scholar 

  • Lamarche, C. H., ‖ Ogilvie, R. D. (1997). Electrophysiological changes during the sleep onset period of psychophysiological insomniacs, psychiatric insomniacs and normal sleepers. Sleep, 20, 724–733.

    PubMed  Google Scholar 

  • Lichstein, K. L., Means, M. K., Noeb, S. L., ‖ Aguillard, R. N. (1997). Fatigue and sleep disorders. Behaviour Research and Therapy, 35(8), 733–740.

    Article  PubMed  Google Scholar 

  • Mastin, D. F., Bryson, J., ‖ Corwyn, R. (2006). Assessment of sleep hygiene using the sleep hygiene index. Journal of Behavioral Medicine, 29(3), 223–227.

    Article  PubMed  Google Scholar 

  • Mattick, R. P., ‖ Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470.

    Article  PubMed  Google Scholar 

  • McNair, D. M., Lorr, M., ‖ Droppleman, L. F. (1971). Manual for the profile of mood states. San Diego, CA: EDITS.

    Google Scholar 

  • Means, M. K., Edinger, J. D., Glenn, D. M., ‖ Fins, A. I. (2003). Accuracy of sleep perceptions among insomnia sufferers and normal sleepers. Sleep Medicine, 4, 285–296.

    Article  PubMed  Google Scholar 

  • Meyer, T. J., Miller, M. L., Metzger, R. L., ‖ Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495.

    Article  PubMed  Google Scholar 

  • Monk, T. H., Reynolds, C. F. R., Kupfer, D. J., Buysse, D. J., Coble, P. A., Hayes, A. J., et al. (1994). The Pittsburgh sleep diary. Journal of Sleep Research, 3, 111–120.

    Article  Google Scholar 

  • Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: Guilford Press.

    Google Scholar 

  • Morin, C. M., Vallières, A., ‖ Ivers, H. (2007). Dysfunctional beliefs and attitudes about sleep (DBAS): Validation of a brief version (DBAS-16). Sleep, 30(11), 1547–1554.

    PubMed  Google Scholar 

  • Nofzinger, E. A., Nowell, P. D., Buysse, D. J., Vasco, M. E., Thase, F. E., Kupfer, D. J., et al. (1999). Towards a neurobiology of sleep disturbance in primary insomnia and depression: A comparison of subjective, visually scored, period amplitude and power spectral density sleep measures. Sleep, 22(Suppl 1), S99.

    Google Scholar 

  • NSF (2007) http://www.sleepfoundation.org

  • O’Mahony, J. F., ‖ Ward, B. G. (2003). Differences between those who panic by day and those who also panic by night. Journal of Behavior Therapy and Experimental Psychiatry, 34, 239–249.

    Article  PubMed  Google Scholar 

  • Perlis, M. L., Smith, M. T., Andrew, P. J., Orff, H., ‖ Giles, D. E. (2001). Beta/gamma EEG activity in patients with primary and secondary insomnia and good sleeper controls. Sleep, 24, 110–117.

    PubMed  Google Scholar 

  • Peters, L. (2000). Discriminant validity of the Social Phobia and Anxiety Inventory (SPAI), the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Behaviour Research and Therapy, 38(9), 943–950.

    Article  PubMed  Google Scholar 

  • Peterson, R. A., ‖ Reiss, S. (1993). Anxiety sensitivity index revised test manual. Worthington, OH: IDS Publishing Corporation.

    Google Scholar 

  • Rechtshaffen, A., ‖ Kales, A. (1968). A manual of standardized terminology, techniques, and scoring systems of sleep stages of human subjects. Los Angeles: UCLA Brain Information Service/Brain Research Institute.

    Google Scholar 

  • Ree, M. J., ‖ Harvey, A. G. (2004). Insomnia: The development of the sleep-related behaviours questionnaire (SRBQ). Behaviour Change, 21(1), 26–36.

    Article  Google Scholar 

  • Sanford, S. D., Bush, A. J., Stone, K. C., Lichstein, K. L., ‖ Aguillard, N. (2008). Psychometric evaluation of the beck anxiety inventory: A sample with sleep-disordered breathing. Behavioral Sleep Medicine, 6(3), 193–205.

    Article  PubMed  Google Scholar 

  • Sateia, M. J. (2002). Epidemiology, consequences, and evaluation of insomnia. In T. L. Lee-Chiong, M. J. Sateia, ‖ M. A. Carskadon (Eds.), Sleep medicine (pp. 151–160). Philadelphia: Hanley and Belfus.

    Google Scholar 

  • Savard, J., ‖ Morin, C. M. (2002). Insomnia. In M. Antony ‖ D. B. Barlow (Eds.), Handbook of assessment and treatment planning for psychological disorders (pp. 523–555). New York: Guilford.

    Google Scholar 

  • Schmidt, N. B., Zvolensky, M. J., ‖ Maner, J. K. (2006). Anxiety sensitivity: Prospective prediction of panic attacks and Axis I pathology. Journal of Psychiatric Research, 40, 691–699.

    Article  PubMed  Google Scholar 

  • Sharafkhaneh, A., Giray, N., Richardson, P., Young, T., ‖ Hirshkowitz, M. (2005). Association of psychiatric disorders and sleep apnea in a large cohort. Sleep, 28, 1405–1411.

    PubMed  Google Scholar 

  • Shear, M. K., Brown, T. A., Sholomskas, D. E., Barlow, D. H., Gorman, J. M., Woods, S. W., et al. (1992). Panic disorder severity scale (PDSS). Pittsburgh, PA: University of Pittsburgh School of Medicine.

    Google Scholar 

  • Silverman, W. K., ‖ Albano, A. M. (1996). Manual for the anxiety disorders schedule for DSM-IV: Child version. Albany, NY: Graywind Publications.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., ‖ Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Spielman, A., ‖ Anderson, M. (1999). The clinical interview and treatment planning as a guide to understanding the nature of insomnia: The CCNY insomnia interview. In S. Chokroverty (Ed.), Sleep disorders medicine: Basic science, technical considerations, and clinical aspects (2nd ed., pp. 385–416). Boston: Butterworth-Heinemann.

    Google Scholar 

  • Spitzer, R. L., Williams, J. B. W., Gibbons, M., ‖ First, M. B. (1996). Instruction manual for the structured clinical interview for DSM-IV (SCID-IV). (SCID 1996 Revision). New York: Biometrics Research Department, New York Psychiatric Institute.

    Google Scholar 

  • Turner, J., Drummond, L. M., Mukhopadhyay, S., Ghodse, H., White, S., Pillay, A., et al. (2007). A prospective study of delayed sleep phase syndrome in patients with severe resistant obsessive-compulsive disorder. World Psychiatry, 6(2), 108–111.

    PubMed  Google Scholar 

  • Turner, S. M., Beidel, D. C., Dancu, C. V., ‖ Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The social phobia and anxiety inventory. Psychological Assessment, 1, 35–40.

    Article  Google Scholar 

  • Vincent, N., ‖ Walker, J. (2001). Anxiety sensitivity: Predictor of sleep-related impairment and medication use in chronic insomnia. Depression and Anxiety, 14, 238–243.

    Article  PubMed  Google Scholar 

  • Wohlgemuth, W. K., ‖ Edinger, J. D. (2000). Sleep restriction therapy. In K. L. Lichstein ‖ C. M. Morin (Eds.), Treatment of late-life insomnia (pp. 147–184). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Zayfert, C., ‖ DeViva, J. C. (2004). Residual insomnia following cognitive behavioral therapy for PTSD. Journal of Traumatic Stress, 17(1), 69–73.

    Article  PubMed  Google Scholar 

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Correspondence to Colleen E. Carney .

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Carney, C.E., Edinger, J.D. (2010). Considerations for Assessment. In: Insomnia and Anxiety. Series in Anxiety and Related Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1434-7_2

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