Palagini Laura, Bruno Rosa Maria, Paolo Toti, Caccavale Lisa, Gronchi Alessia, Mauri Mauro, Riemann Dieter, Drake Christopher L
a Department of Clinical and Experimental Medicine , Psychiatric Unit II, University of Pisa , Italy.
b Institute of Clinical Physiology , National Research Council , Pisa , Italy.
Behav Sleep Med. 2016 Nov-Dec;14(6):636-49. doi: 10.1080/15402002.2015.1065406. Epub 2015 Nov 7.
To evaluate the relation between stress-related sleep reactivity and metacognitive beliefs about sleep in subjects with insomnia disorder (93) and in a group of healthy controls (30) a set of variables, including Ford Insomnia Response to Stress Test (FIRST) and Metacognition Questionnaire-Insomnia (MCQ-I), have been used. Internal consistency of the Italian version of FIRST was studied. Univariate correlation, regression analysis, and principal component analysis were also performed. The Italian version of FIRST showed good internal consistency and discriminant validity. Sleep reactivity was higher in women (p < .05) and correlates positively in both genders with metacognitive beliefs about sleep (p < .01) in insomnia. In insomnia, metacognitive beliefs may play a key role in modulating sleep reactivity. Therapeutic strategies acting selectively on metacognition to reduce stress-related sleep reactivity in insomnia may be useful.
为评估失眠症患者（93例）和一组健康对照者（30例）中与压力相关的睡眠反应性和关于睡眠的元认知信念之间的关系，使用了一组变量，包括福特失眠应激反应测试（FIRST）和失眠元认知问卷（MCQ-I）。研究了意大利语版FIRST的内部一致性。还进行了单变量相关性分析、回归分析和主成分分析。意大利语版FIRST显示出良好的内部一致性和区分效度。女性的睡眠反应性更高（p < 0.05），在失眠症中，男女两性的睡眠反应性均与关于睡眠的元认知信念呈正相关（p < 0.01）。在失眠症中，元认知信念可能在调节睡眠反应性方面起关键作用。选择性作用于元认知以降低失眠症中与压力相关的睡眠反应性的治疗策略可能是有用的。
