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    题名: Cognitive and behavioral factors in insomnia comorbid with depression and anxiety.
    作者: 楊建銘
    Yang,Chien-Ming
    Tsai, Yun-Lin
    Chen, Chang-Wei
    Cheng,Hsiu-Chu
    Chang,Chieh-Hsing
    Chen, Chung-Ying
    贡献者: 心理系
    关键词: chronic insomnia;comorbidity;depression;sleep cognition;sleep hygiene
    日期: 2013.08
    上传时间: 2013-12-26 17:24:05 (UTC+8)
    摘要: Maladaptive sleep-related cognitions and behaviors have been recognized as important etiological factors for primary insomnia. The contribution of these factors in insomnia comorbid with mood disturbances, however, is controversial. This study compared sleep-related beliefs and sleep hygiene practices among primary insomnia and insomnia comorbid with depression and/or anxiety. A total of 292 participants, including 97 good sleepers (GS), 73 primary insomnia patients (PI), 17 insomnia patients with anxiety (AI), 39 insomnia patients with depression (DI), and 66 insomnia patients with anxiety and depression (ADI) were included in the study. All participants went through a clinical interview and completed a package of questionnaires, including the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) to assess anxiety and depression levels, as well as the Dysfunctional Belief and Attitude about Sleep Scale (DBAS) and the Sleep Hygiene Practice Scale (SHPS) to assess sleep-related cognitions and sleep hygiene practices. The results showed that there were no significant differences between PI group and the groups with comorbid mood disturbances on the DBAS and the SHPS scores, even with control of the influences of mood symptoms. The results suggest that patients with comorbid insomnia have similar dysfunctional sleep beliefs and maladaptive sleep hygiene practices as in those with primary insomnia. Sleep related cognition and behavior also play an important role in the pathology of comorbid insomnia. In addition to their mood symptoms, interventions targeting these factors might be helpful to alleviate the insomnia in comorbid populations.
    關聯: Sleep and Biological Rhythms, 11(4), 237-244
    数据类型: article
    DOI 連結: http://dx.doi.org/10.1111/sbr.12030
    DOI: 10.1111/sbr.12030
    显示于类别:[心理學系] 期刊論文

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