PSYCHOLOGICAL FACTORS OF INSOMNIA PERPETUATION: APPROACH OF THE BODY FUNCTIONS REGULATION MODEL
Keywords:
insomnia, the model of body functions regulation, dysfunctional beliefs about sleep, pre-sleep cognitive activity, self-restrictive behavior, sleep hygiene
Abstract
Contemporary cognitive approach considers both dysfunctional beliefs about sleep, pre-sleep thoughts and behavior as key factors in the insomnia prepetuation, along with emotional factors such as anxiety and depression. The question remains whether the contribution of each of these factors is independent or whether any of these factors dominate or complement each other. The aim of the study was to compare the contribution of cognitive and behavioral factors to the subjective and objective quality of sleep in patients with chronic insomnia. 37 patients with primary chronic insomnia participated in 1-night polysomnographic recording of sleep and psychological observation. According to the results of hierarchical regression analysis and moderation analysis, the negative effects of dysfunctional beliefs, disturbances in sleep hygiene and pre-sleep thoughts are irreducible to each other, and only the effect of thoughts can be explained by the emotional state of patients. Self-restrictive behavior is associated with difficulties in transition to deep sleep and longer wakefulness at night. The results of moderation analysis suggest that the disturbance of sleep hygiene is so important that it is prominent, the effect of dysfunctional beliefs is not so obvious. Self-restrictive behavior can amplify the negative effect of pre-sleep cognitions on subjective sleep.Downloads
Download data is not yet available.
References
Инсомния: современные диагностиче-ские и лечебные подходы / под ред. Я.И. Леви-на. – М.: Медпрактика, 2005.
Ковров, Г.В. Стресс и сон у человека / Г.В. Ковров, А.М. Вейн. – М.: Нейро-медиа, 2004.
Николаева, В.В. Личность в условиях хронического соматического заболевания / В.В. Николаева // Особенности личности при пограничных расстройствах и соматических заболеваниях / Е.Т. Соколова, В.В. Николаева. – М.: SvR-Аргус, 1995. – С. 207–245.
Посохов, С.И. Клинико-физиологи¬ческий анализ нарушений сна при неврозах: дис. … канд. мед. наук / С.И. Посохов. – М., 1986.
Рассказова, Е.И. Клиническая психоло-гия сна и его нарушений / Е.И. Рассказова, А.Ш. Тхостов. – М.: Смысл, 2012.
Сыропятов, О.Г. Ранняя диагностика и лечение депрессии в общей медицинской практике / О.Г. Сыропятов, Н.А. Дзеружин-ская, Ю.Н. Астапов, Г.В. Иванцова. – Киев: Гелариум-тест, 2003.
Тхостов, А.Ш. Психология телеснос-ти / А.Ш. Тхостов. – М.: Смысл, 2002.
Carney, C.E. Symptom-focused rumina-tion and sleep disturbance / C.E. Carney, J.D. Edinger, B. Meyer, L. Lindman, T. Istre // Behavioral Sleep Medicine. – 2006. – Vol. 4 (4). – P. 228–241.
Griffiths, M.F. Risk factors for chronic insomnia following hospitalization / M.F. Grif-fiths, A. Peterson // Journal of Advanced Nurs-ing. – 2005. – Vol. 49 (3). – P. 245–253.
Iber, C. The AASM Manual for the Scor-ing of Sleep and Associated Events: Rules, Ter-minology and Technical Specifications/ C. Iber, S. Ancoli-Israel, A. Chesson et al. – 1st ed. – Westchester, Illinois: American Academy of Sleep Medicine, 2007.
Harvey, K. Development and prelimi-nary validation of the Glasgow content of thoughts inventory (GCTI): A new measure for the assessment of pre-sleep cognitive activity / K. Harvey, C. Espie // British Journal of Clinical Psychology. – 2004. – Vol. 43. – P. 409–420.
Leventhal, H. The common-sense model of self-regulation of health and illness / H. Lev-enthal, I. Brissette, E. Leventhal // L.D. Cameron, H. Leventhal (Eds). The self-regulation of health and illness behavior. – N.Y.: Routledge, 2003. – P. 42–65.
McDonald, S. Avoidant safety behaviors and catastrophizing: shared cognitive-behavioral process and consequences in co-morbid pain and sleep disorders / S. McDonald, S.J. Linton, M. Jansson-Froejmark // International Journal of Behavioral Medicine. – 2008. – Vol. 15. – P. 201–210.
Morin, C.M. Insomnia: psychological assessment and management / C.M. Morin. – N.Y.: Guilford Press, 1993.
Nelson, J. An exploration of pre-sleep cognitive activity in insomnia: imagery and ver-bal thoughts / J. Nelson, A.G. Harvey // British Journal of Clinical Psychology. – 2003. – Vol. 42. – P. 271–288.
Perlis, M. Models of Insomnia / M. Per-lis, P.J. Shaw, G. Cano, C.A. Espie // M. Kryger, T. Ross and W. Dement (Eds.) Principles and Practice of Sleep Medicine. – Elsevier Saunders: Philadelphia, PA, 2011. – P. 850–865.
Savard, M.-H. Empirical validation of the Insomnia severity index in cancer patients / M.-H. Savard, J. Savard, S. Simard, H. Ivers // Psycho-Oncology. – 2005. – Vol. 14. – P. 429–441.
Zigmond, A.S. The hospital anxiety and depression scale/ A.S. Zigmond, R.P. Snaith // Acta Psychiatria Scandinavia. – 1983. – Vol. 67. – P. 361–370.
Ковров, Г.В. Стресс и сон у человека / Г.В. Ковров, А.М. Вейн. – М.: Нейро-медиа, 2004.
Николаева, В.В. Личность в условиях хронического соматического заболевания / В.В. Николаева // Особенности личности при пограничных расстройствах и соматических заболеваниях / Е.Т. Соколова, В.В. Николаева. – М.: SvR-Аргус, 1995. – С. 207–245.
Посохов, С.И. Клинико-физиологи¬ческий анализ нарушений сна при неврозах: дис. … канд. мед. наук / С.И. Посохов. – М., 1986.
Рассказова, Е.И. Клиническая психоло-гия сна и его нарушений / Е.И. Рассказова, А.Ш. Тхостов. – М.: Смысл, 2012.
Сыропятов, О.Г. Ранняя диагностика и лечение депрессии в общей медицинской практике / О.Г. Сыропятов, Н.А. Дзеружин-ская, Ю.Н. Астапов, Г.В. Иванцова. – Киев: Гелариум-тест, 2003.
Тхостов, А.Ш. Психология телеснос-ти / А.Ш. Тхостов. – М.: Смысл, 2002.
Carney, C.E. Symptom-focused rumina-tion and sleep disturbance / C.E. Carney, J.D. Edinger, B. Meyer, L. Lindman, T. Istre // Behavioral Sleep Medicine. – 2006. – Vol. 4 (4). – P. 228–241.
Griffiths, M.F. Risk factors for chronic insomnia following hospitalization / M.F. Grif-fiths, A. Peterson // Journal of Advanced Nurs-ing. – 2005. – Vol. 49 (3). – P. 245–253.
Iber, C. The AASM Manual for the Scor-ing of Sleep and Associated Events: Rules, Ter-minology and Technical Specifications/ C. Iber, S. Ancoli-Israel, A. Chesson et al. – 1st ed. – Westchester, Illinois: American Academy of Sleep Medicine, 2007.
Harvey, K. Development and prelimi-nary validation of the Glasgow content of thoughts inventory (GCTI): A new measure for the assessment of pre-sleep cognitive activity / K. Harvey, C. Espie // British Journal of Clinical Psychology. – 2004. – Vol. 43. – P. 409–420.
Leventhal, H. The common-sense model of self-regulation of health and illness / H. Lev-enthal, I. Brissette, E. Leventhal // L.D. Cameron, H. Leventhal (Eds). The self-regulation of health and illness behavior. – N.Y.: Routledge, 2003. – P. 42–65.
McDonald, S. Avoidant safety behaviors and catastrophizing: shared cognitive-behavioral process and consequences in co-morbid pain and sleep disorders / S. McDonald, S.J. Linton, M. Jansson-Froejmark // International Journal of Behavioral Medicine. – 2008. – Vol. 15. – P. 201–210.
Morin, C.M. Insomnia: psychological assessment and management / C.M. Morin. – N.Y.: Guilford Press, 1993.
Nelson, J. An exploration of pre-sleep cognitive activity in insomnia: imagery and ver-bal thoughts / J. Nelson, A.G. Harvey // British Journal of Clinical Psychology. – 2003. – Vol. 42. – P. 271–288.
Perlis, M. Models of Insomnia / M. Per-lis, P.J. Shaw, G. Cano, C.A. Espie // M. Kryger, T. Ross and W. Dement (Eds.) Principles and Practice of Sleep Medicine. – Elsevier Saunders: Philadelphia, PA, 2011. – P. 850–865.
Savard, M.-H. Empirical validation of the Insomnia severity index in cancer patients / M.-H. Savard, J. Savard, S. Simard, H. Ivers // Psycho-Oncology. – 2005. – Vol. 14. – P. 429–441.
Zigmond, A.S. The hospital anxiety and depression scale/ A.S. Zigmond, R.P. Snaith // Acta Psychiatria Scandinavia. – 1983. – Vol. 67. – P. 361–370.
References on translit
Published
2019-04-18
How to Cite
Rasskazova, E. (2019). PSYCHOLOGICAL FACTORS OF INSOMNIA PERPETUATION: APPROACH OF THE BODY FUNCTIONS REGULATION MODEL. Psychology. Psychophysiology, 10(4), 94-102. https://doi.org/10.14529/psy170409
Issue
Section
Brief reports
Copyright (c) 2019 Psychology and psychophysiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
