Aldahadha Basim, Karaki Wejdan
Department of Counseling and Special Education, Mutah University, Mutah, Al-karak 61710 Jordan.
J Ration Emot Cogn Behav Ther. 2022;40(1):40-60. doi: 10.1007/s10942-021-00398-z. Epub 2021 May 14.
Individuals suffer from insomnia through the presence of extraneous thoughts. Furthermore, there are cognitive and behavioral aspects, which afflict a person when they have insomnia. In this context, there are strategies to address these thoughts. The Thought Control Questionnaire: Insomnia-Revised (TCQI-R) is a self-reporting instrument that aims to evaluate the strategies used by individuals to control their thoughts when suffering from insomnia. This study aimed to translate and adapt the TCQI-R to the Jordanian society. In this study, the questionnaire was applied to a sample of 361 participants aged between 19 and 61 years, of which 210 were women (58%). The principal component analysis determined five components: reappraisal, cognitive distraction, aggressive suppression, worry, and behavioral distraction. Each of the total scores of the questionnaire (α = 0.90) and its five components (Cronbach's α between 0.75 and 0.83) demonstrated high internal consistency. The results of the triple analysis of variance established that the instrument can distinguish between depressed and non-depressed people, anxious and non-anxious people, and people who suffer from insomnia and those who do not. Additionally, the results revealed significant statistical correlations between each of the total scores of the questionnaire and its five components as well as with the related scales. Finally, multiple regression analysis demonstrated the ability of the TCQI-R to predict depression, anxiety, and insomnia, and the prediction ratio for the overall score were 32.4%, 36.6%, and 42.6%, respectively. This indicates that worry and cognitive distraction were the most powerful strategies in dealing with insomnia. This instrument has the ability to assess and diagnose intrusive thoughts and adjust the strategies used to overcome insomnia.
个体因存在杂念而饱受失眠之苦。此外,当人们患有失眠症时,还会出现认知和行为方面的问题。在这种情况下,有应对这些杂念的策略。《思维控制问卷:失眠修订版》(TCQI-R)是一种自我报告工具,旨在评估个体在患失眠症时用于控制其思维的策略。本研究旨在将TCQI-R翻译并改编以适用于约旦社会。在本研究中,该问卷应用于361名年龄在19至61岁之间的参与者样本,其中210名是女性(58%)。主成分分析确定了五个成分:重新评估、认知分散、攻击性抑制、担忧和行为分散。问卷总分(α = 0.90)及其五个成分(克朗巴哈α系数在0.75至0.83之间)的每一项都显示出高内部一致性。方差三重分析结果表明,该工具能够区分抑郁和非抑郁人群、焦虑和非焦虑人群以及患失眠症和未患失眠症的人群。此外,结果显示问卷总分及其五个成分中的每一项与相关量表之间均存在显著的统计相关性。最后,多元回归分析表明TCQI-R能够预测抑郁、焦虑和失眠,总体得分的预测率分别为32.4%、36.6%和42.6%。这表明担忧和认知分散是应对失眠最有效的策略。该工具能够评估和诊断侵入性思维,并调整用于克服失眠的策略。