Schmidt Ralph E, Renaud Olivier, van der Linden Martial
Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland.
Int J Aging Hum Dev. 2011;73(4):371-93. doi: 10.2190/AG.73.4.f.
Despite their importance for general health, emotion-related factors have rarely been considered in the etiology of late-life insomnia. This study explored the relations between impulsivity, regret experiences, use of different thought-control strategies, and insomnia severity in a sample of older adults whose age ranged from 51 to 98 years. Results revealed that: (a) regret frequency varies across the hours of the day, with a peak in the evening when people are trying to fall asleep; (b) individuals scoring high on impulsive urgency are particularly prone to experience nocturnal regrets; (c) nocturnal regrets are associated with insomnia severity, independently of other well-known risk factors such as depression, sleep-interfering medical conditions, and medications; and (d) the thought-control strategies of self-attacking, thought suppression, and worry are positively associated with the frequency of nocturnal regrets and insomnia severity. These findings indicate that dysfunctional regret regulation plays an important role for sleep disturbances in elderly people.
尽管与情绪相关的因素对整体健康很重要，但在晚年失眠的病因中很少被考虑。本研究探讨了冲动性、后悔经历、不同思维控制策略的使用与年龄在51至98岁之间的老年人样本中失眠严重程度之间的关系。结果显示：（a）后悔频率在一天中各小时有所不同，在晚上人们试图入睡时达到峰值；（b）冲动紧迫性得分高的个体特别容易经历夜间后悔；（c）夜间后悔与失眠严重程度相关，独立于其他众所周知的风险因素，如抑郁、干扰睡眠的医疗状况和药物；（d）自我攻击、思维抑制和担忧等思维控制策略与夜间后悔频率和失眠严重程度呈正相关。这些发现表明，功能失调的后悔调节对老年人的睡眠障碍起着重要作用。
