The role of beliefs about sleep in nightly perceptions of sleep quality across a depression continuum.
The role of beliefs about sleep in nightly perceptions of sleep quality across a depression continuum.
复制标题
DOI：
10.1016/j.jad.2022.05.092
复制
发表时间：
2022-08-15
影响因子：
6.6
通讯作者：
Roecklein, Kathryn A.
中科院分区：
文献类型：
--
作者：
Carney, Alison E.;Wescott, Delainey L.;Carmona, Nicole E.;Carney, Colleen E.;Roecklein, Kathryn A.
睡眠质量差在抑郁症中很常见，但睡眠质量差的投诉并不一定与客观睡眠有关，睡眠质量的构成仍然知之甚少。以前的研究表明，对睡眠的信念可能会影响睡眠质量的评估，就像夜间睡眠的变化一样。我们测试了关于睡眠的信念是否能预测日常睡眠质量评级，而不仅仅是在多个晚上的活动记录和日记评估睡眠的夜间变化。88名年龄在18-65岁之间的抑郁连续体参与者完成了睡眠日记，并报告了他们每天早上的睡眠质量和情绪;其中67名参与者还完成了活动记录。多水平模型被用来测试前一天晚上的总睡眠时间和睡眠效率作为自我报告的睡眠质量（VAS-SQ）和情绪（VAS-M）的预测因子，以及关于睡眠的无益信念是否预测VAS-SQ和VAS-M超过睡眠变量。抑郁连续体中对睡眠有更大无益信念的个体报告睡眠质量更差，醒来时情绪更差，即使考虑到腕动记录或日记评估的总睡眠时间和睡眠效率的夜间变化。这些结果表明，人们在判断睡眠质量和情绪时会受到无益的睡眠信念的影响，无论他们前一天晚上睡得多好。因此，在认知行为疗法中使用这些无益的睡眠信念可以促进抑郁症患者更好的睡眠和情绪。
Poor sleep quality is common in depression, but complaints of poor sleep quality are not necessarily tied to objective sleep, and the construct of sleep quality remains poorly understood. Previous work suggests that beliefs about sleep may influence sleep quality appraisals, as might sleep variability from night to night. We tested whether beliefs about sleep predict daily sleep quality ratings above and beyond nightly variability of actigraphy and diary-assessed sleep over the course of multiple nights. Eighty-eight participants aged 18–65 years across a depressive continuum completed sleep diaries and reported their sleep quality and mood each morning; actigraphy was also completed for 67 of those participants. Multilevel models were used to test previous night’s total sleep time and sleep efficiency as predictors of self-reported sleep quality (VAS-SQ) and mood (VAS-M), and whether unhelpful beliefs about sleep predicted VAS-SQ and VAS-M above and beyond the sleep variables. Individuals across a depression continuum with greater unhelpful beliefs about sleep reported worse sleep quality and worse mood upon awakening, even when accounting for nightly variation in actigraphy or diary assessed total sleep time and sleep efficiency. These results suggest that people are influenced by unhelpful sleep beliefs when making judgements about sleep quality and mood, regardless of how well they slept the previous night. Working with these unhelpful sleep beliefs in cognitive behavioral therapy can thus promote better sleep and mood in people across the depressive continuum.
登录
查看更多内容
影响因子：
4.7
作者：
Carney, Colleen E.;Edinger, Jack D.;Segal, Zindel V.
通讯作者：
Segal, Zindel V.
影响因子：
4.4
作者：
Akerstedt, Torbjorn;Anund, Anna;Kecklund, Goran
通讯作者：
Kecklund, Goran
影响因子：
7.4
作者：
Carney, Colleen E.;Harris, Andrea L.;Segal, Zindel V.
通讯作者：
Segal, Zindel V.
影响因子：
3.7
作者：
Lemola S;Ledermann T;Friedman EM
通讯作者：
Friedman EM
影响因子：
4.4
作者：
MONK, TH;REYNOLDS, CF;RITENOUR, AM
通讯作者：
RITENOUR, AM