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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。
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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。
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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.
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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.
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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.
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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.
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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.
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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。
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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。
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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。
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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.

DOI:10.5664/jcsm.2040
PMID:22893774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3407262/
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。