Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Cognitive processes and their association with persistence and remission of insomnia: Findings from a longitudinal study in the general population
Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.ORCID iD: 0000-0003-2008-0784
Stockholms universitet, Örebro Universitet.ORCID iD: 0000-0003-2059-1621
Örebro Universitet.
USA.
Show others and affiliations
2014 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 54, p. 38-48Article in journal (Refereed) Published
Abstract [en]

Aim: Insomnia is a common health problem that affects about 10% of the population. The purpose of this investigation was to examine the association between cognitive processes and the persistence and remission from insomnia in the general population. Methods: In a longitudinal design, 2333 participants completed a survey on night time and daytime symptoms, and cognitive processes. Follow-up surveys were sent out six months and 18 months after the first assessment. Participants were categorised as having persistent insomnia, being in remission from insomnia or being a normal sleeper. Results: Cognitive processes distinguished between people with persistent insomnia and normal sleepers. Specifically, worry, dysfunctional beliefs, somatic arousal, selective attention and monitoring, and safety behaviours increased the likelihood of reporting persistent insomnia rather than normal sleep. For people with insomnia, more worry about sleep at baseline predicted persistent insomnia but not remission later on. Lower selective attention and monitoring, and use of safety behaviours over time increased the likelihood of remission from insomnia. In general, these results remained, when psychiatric symptoms and medical complaints were added to the models. Conclusions: The findings support that certain cognitive processes may be associated with persistence and remission of insomnia. Clinical implications are discussed.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 54, p. 38-48
Keyword [en]
Insomnia, Worry, Safety behaviours, Selective attention, Dysfunctional beliefs, Physiological arousal
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-38377DOI: 10.1016/j.brat.2014.01.002ISI: 000334009000006OAI: oai:DiVA.org:kau-38377DiVA, id: diva2:868859
Available from: 2014-05-16 Created: 2015-11-12 Last updated: 2017-12-06Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records BETA

Norell-Clarke, AnnikaJansson-Fröjmark, Markus

Search in DiVA

By author/editor
Norell-Clarke, AnnikaJansson-Fröjmark, MarkusTillfors, Maria
In the same journal
Behaviour Research and Therapy
Psychology

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 130 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf