原发性失眠中与睡眠相关的觉醒与一般认知觉醒的比较。
Sleep-related arousal versus general cognitive arousal in primary insomnia.
机构信息
Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Hauptstraße 5, Freiburg, Germany.
出版信息
J Clin Sleep Med. 2012 Aug 15;8(4):431-7. doi: 10.5664/jcsm.2040.
Abstract
STUDY OBJECTIVES
The present study aimed at further investigating trait aspects of sleep-related cognitive arousal and general cognitive arousal and their association with both objective and subjective sleep parameters in primary insomnia patients.
METHODS
A clinical sample of 182 primary insomnia patients and 54 healthy controls was investigated using 2 nights of polysomnography, subjective sleep variables, and a questionnaire on sleep-related and general cognitive arousal.
RESULTS
Compared to healthy controls, primary insomnia patients showed both more sleep-related and general cognitive arousal. Furthermore, sleep-related cognitive arousal was closely associated with measures of sleep-onset and sleep-maintenance problems, while general cognitive arousal was not.
CONCLUSIONS
Cognitive-behavioral treatment for insomnia might benefit from dedicating more effort to psychological interventions that are able to reduce sleep-related cognitive arousal.
摘要
研究目的
本研究旨在进一步探讨睡眠相关认知唤醒和一般认知唤醒的特质方面，以及它们与原发性失眠患者的客观和主观睡眠参数的关系。
方法
使用 2 晚多导睡眠图、主观睡眠变量和睡眠相关及一般认知唤醒问卷，对 182 名原发性失眠患者和 54 名健康对照进行了临床研究。
结果
与健康对照组相比，原发性失眠患者的睡眠相关认知唤醒和一般认知唤醒均较高。此外，睡眠相关认知唤醒与入睡和睡眠维持问题的测量指标密切相关，而一般认知唤醒则没有。
结论
针对失眠的认知行为治疗可能受益于更多地专注于能够降低睡眠相关认知唤醒的心理干预。
相似文献
1
Sleep-related arousal versus general cognitive arousal in primary insomnia.原发性失眠中与睡眠相关的觉醒与一般认知觉醒的比较。
J Clin Sleep Med. 2012 Aug 15;8(4):431-7. doi: 10.5664/jcsm.2040.
2
The exploratory power of sleep effort, dysfunctional beliefs and arousal for insomnia severity and polysomnography-determined sleep.睡眠努力、功能失调信念及觉醒对失眠严重程度和多导睡眠图测定睡眠的探索性作用。
J Sleep Res. 2015 Aug;24(4):399-406. doi: 10.1111/jsr.12293. Epub 2015 Mar 14.
3
Moving beyond average values: assessing the night-to-night instability of sleep and arousal in DSM-IV-TR insomnia subtypes.超越平均值：评估 DSM-IV-TR 失眠亚型中睡眠和觉醒的夜间不稳定性。
Sleep. 2011 Apr 1;34(4):531-9. doi: 10.1093/sleep/34.4.531.
4
Pain-related insomnia versus primary insomnia: a comparison study of sleep pattern, psychological characteristics, and cognitive-behavioral processes.疼痛相关失眠与原发性失眠的比较研究：睡眠模式、心理特征和认知行为过程的比较。
Clin J Pain. 2012 Jun;28(5):428-36. doi: 10.1097/AJP.0b013e31823711bc.
5
Sleep-related cognitive processes, arousal, and emotion dysregulation in insomnia disorder: the role of insomnia-specific rumination.失眠障碍中与睡眠相关的认知过程、觉醒和情绪调节：失眠特异性反刍思维的作用。
Sleep Med. 2017 Feb;30:97-104. doi: 10.1016/j.sleep.2016.11.004. Epub 2016 Nov 19.
6
Trait- and pre-sleep-state-dependent arousal in insomnia disorders: what role may sleep reactivity and sleep-related metacognitions play? A pilot study.失眠症中特质和睡前状态依赖性唤醒：睡眠反应性和与睡眠相关的元认知可能起什么作用？一项初步研究。
Sleep Med. 2016 Sep;25:42-48. doi: 10.1016/j.sleep.2016.07.020. Epub 2016 Sep 6.
7
Presleep Cognitive Arousal and Insomnia Comorbid to Parkinson Disease: Evidence for a Serial Mediation Model of Sleep-Related Safety Behaviors and Dysfunctional Beliefs About Sleep.帕金森病伴发的入睡认知觉醒与失眠：睡眠相关安全行为和睡眠不良信念的串行中介模型的证据。
J Clin Sleep Med. 2019 Sep 15;15(9):1217-1224. doi: 10.5664/jcsm.7906.
8
The microstructure of sleep in primary insomnia: an overview and extension.原发性失眠的睡眠微观结构：概述与拓展。
Int J Psychophysiol. 2013 Aug;89(2):171-80. doi: 10.1016/j.ijpsycho.2013.04.002. Epub 2013 Apr 11.
9
The mediating role of sleep-related metacognitive processes in trait and pre-sleep state hyperarousal in insomnia disorder.睡眠相关元认知过程在失眠症特质性和睡前状态过度觉醒中的中介作用。
J Psychosom Res. 2017 Aug;99:59-65. doi: 10.1016/j.jpsychores.2017.03.001. Epub 2017 Mar 6.
10
Investigating psychological and physiological responses to the Trier Social Stress Test in young adults with insomnia.调查失眠的年轻成年人对特里尔社会应激测试的心理和生理反应。
Sleep Med. 2017 Dec;40:11-22. doi: 10.1016/j.sleep.2017.09.011. Epub 2017 Oct 7.
引用本文的文献
1
Chronic insomnia, REM sleep instability and emotional dysregulation: A pathway to anxiety and depression?慢性失眠、快速眼动睡眠不稳定与情绪失调：通往焦虑和抑郁的一条途径？
J Sleep Res. 2025 Apr;34(2):e14252. doi: 10.1111/jsr.14252. Epub 2024 May 29.
2
Cognitive factors and processes in models of insomnia: A systematic review.失眠模型中的认知因素和过程：系统评价。
J Sleep Res. 2023 Dec;32(6):e13923. doi: 10.1111/jsr.13923. Epub 2023 Jun 26.
3
Stress dynamically reduces sleep depth: temporal proximity to the stressor is crucial.压力会动态降低睡眠深度：与压力源的时间接近度至关重要。
Cereb Cortex. 2022 Dec 15;33(1):96-113. doi: 10.1093/cercor/bhac055.
4
Insomnia among Prison Officers and Its Relationship with Occupational Burnout: The Role of Coping with Stress in Polish and Indonesian Samples.监狱官员的失眠及其与职业倦怠的关系：波兰和印度尼西亚样本中的压力应对作用。
Int J Environ Res Public Health. 2021 Apr 17;18(8):4282. doi: 10.3390/ijerph18084282.
5
Nocturnal cognitive arousal is associated with objective sleep disturbance and indicators of physiologic hyperarousal in good sleepers and individuals with insomnia disorder.夜间认知觉醒与睡眠良好者及失眠症患者的客观睡眠障碍和生理过度觉醒指标有关。
Sleep Med. 2020 Jul;71:151-160. doi: 10.1016/j.sleep.2019.11.1184. Epub 2019 Nov 14.
6
Vigilant attention to threat, sleep patterns, and anxiety in peripubertal youth.警惕青春期前青少年的威胁、睡眠模式和焦虑。
J Child Psychol Psychiatry. 2018 Dec;59(12):1309-1322. doi: 10.1111/jcpp.12923. Epub 2018 May 2.
7
Perfectionism and Polysomnography-Determined Markers of Poor Sleep.完美主义与多导睡眠图测定的睡眠不佳标志物。
J Clin Sleep Med. 2017 Nov 15;13(11):1319-1326. doi: 10.5664/jcsm.6806.
8
Exploration of changes in the brain response to sleep-related pictures after cognitive-behavioral therapy for psychophysiological insomnia.认知行为疗法治疗心理生理性失眠后对睡眠相关图片的大脑反应变化的探索。
Sci Rep. 2017 Oct 2;7(1):12528. doi: 10.1038/s41598-017-13065-0.
9
Sleep problems in university students - an intervention.大学生的睡眠问题——一项干预措施。
Neuropsychiatr Dis Treat. 2017 Jul 26;13:1989-2001. doi: 10.2147/NDT.S142067. eCollection 2017.
10
Predictors of Nightly Subjective-Objective Sleep Discrepancy in Poor Sleepers over a Seven-Day Period.睡眠不佳者七天内夜间主观-客观睡眠差异的预测因素
Brain Sci. 2017 Mar 9;7(3):29. doi: 10.3390/brainsci7030029.
本文引用的文献
1
Prevalence and perceived health associated with insomnia based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition criteria: results from the America Insomnia Survey.基于 DSM-IV-TR；国际疾病分类与相关健康问题第十版；以及研究诊断标准/睡眠障碍国际分类第二版标准的失眠症患病率和与健康相关的感知：来自美国失眠调查的结果。
Biol Psychiatry. 2011 Mar 15;69(6):592-600. doi: 10.1016/j.biopsych.2010.10.023. Epub 2010 Dec 31.
2
The contribution of attentional bias to worry: distinguishing the roles of selective engagement and disengagement.注意偏向对担忧的影响：选择性参与和脱离的作用区分。
J Anxiety Disord. 2011 Mar;25(2):272-7. doi: 10.1016/j.janxdis.2010.09.013. Epub 2010 Oct 25.
3
Distinguishing rumination from worry in clinical insomnia.区分临床失眠中的反刍思维和担忧。
Behav Res Ther. 2010 Jun;48(6):540-6. doi: 10.1016/j.brat.2010.03.004. Epub 2010 Mar 11.
4
Psychophysiological reactivity to sleep-related emotional stimuli in primary insomnia.原发性失眠患者对睡眠相关情绪刺激的心理生理反应。
Behav Res Ther. 2010 Jun;48(6):467-75. doi: 10.1016/j.brat.2010.01.008. Epub 2010 Feb 13.
5
Sleep and emotions: a focus on insomnia.睡眠与情绪：以失眠为重点。
Sleep Med Rev. 2010 Aug;14(4):227-38. doi: 10.1016/j.smrv.2009.10.007. Epub 2010 Feb 6.
6
The impact of sleep-related attentional bias on polysomnographically measured sleep in primary insomnia.睡眠相关注意力偏向对原发性失眠多导睡眠图测量睡眠的影响。
Sleep. 2010 Jan;33(1):107-12. doi: 10.1093/sleep/33.1.107.
7
Night-to-night sleep variability in older adults with and without chronic insomnia.老年人慢性失眠患者与非慢性失眠患者的夜间睡眠变异性。
Sleep Med. 2010 Jan;11(1):56-64. doi: 10.1016/j.sleep.2009.02.010. Epub 2009 Dec 4.
8
Rumination predicts longer sleep onset latency after an acute psychosocial stressor.反复思考预示着在急性心理社会应激源出现后入睡潜伏期会更长。
Psychosom Med. 2009 Sep;71(7):771-5. doi: 10.1097/PSY.0b013e3181ae58e8. Epub 2009 Jul 21.
9
The hyperarousal model of insomnia: a review of the concept and its evidence.失眠的过度唤醒模型：概念及其证据综述。
Sleep Med Rev. 2010 Feb;14(1):19-31. doi: 10.1016/j.smrv.2009.04.002. Epub 2009 May 28.
10
The clock as a focus of selective attention in those with primary insomnia: an experimental study using a modified Posner paradigm.时钟作为原发性失眠患者选择性注意的焦点：使用改良的 Posner 范式进行的实验研究。
Behav Res Ther. 2009 Mar;47(3):231-6. doi: 10.1016/j.brat.2008.12.009. Epub 2009 Jan 6.
Zotero 插件