Safety behaviors and sleep effort predict sleep disturbance and fatigue in an outpatient sample with anxiety and depressive disorders
Safety behaviors and sleep effort predict sleep disturbance and fatigue in an outpatient sample with anxiety and depressive disorders
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DOI：
10.1016/j.jpsychores.2014.01.001
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发表时间：
2014-03-01
影响因子：
4.7
通讯作者：
Manber, Rachel
中科院分区：
文献类型：
--
作者：
Fairholme, Christopher P.;Manber, Rachel
目的：功能失调性信念、安全行为和睡眠努力增加在失眠维持中的作用的理论和实证支持已经开始积累。目前尚不清楚这些因素如何预测在焦虑和情绪障碍的情况下发生的睡眠障碍和疲劳。假设在调整了焦虑和抑郁的当前症状以及神经质和外向性的特征水平后，这三个特定于失眠的认知行为因素将与情绪障碍患者的失眠和疲劳有独特的关联。方法：63例患有焦虑或情绪障碍的门诊患者完成睡眠功能障碍信念量表（DBAS）、睡眠相关安全行为问卷（SRBQ）、格拉斯哥睡眠努力量表（GSES）、匹兹堡睡眠质量指数（PSQI）、NEO五因素量表（FFI）和21项抑郁、焦虑和压力量表（DASS）等自我报告。多变量路径分析用于评估研究假设。结果：SRBQ (B = 0.60,p
Objective: Theoretical and empirical support for the role of dysfunctional beliefs, safety behaviors, and increased sleep effort in the maintenance of insomnia has begun to accumulate. It is not yet known how these factors predict sleep disturbance and fatigue occurring in the context of anxiety and mood disorders. It was hypothesized that these three insomnia-specific cognitive-behavioral factors would be uniquely associated with insomnia and fatigue among patients with emotional disorders after adjusting for current symptoms of anxiety and depression and trait levels of neuroticism and extraversion.Methods: Outpatients with a current anxiety or mood disorder (N = 63) completed self-report measures including the Dysfunctional Beliefs About Sleep Scale (DBAS), Sleep-Related Safety Behaviors Questionnaire (SRBQ), Glasgow Sleep Effort Scale (GSES), Pittsburgh Sleep Quality Index (PSQI), NEO Five-Factor Inventory (FFI), and the 21-item Depression Anxiety and Stress Scale (DASS). Multivariate path analysis was used to evaluate study hypotheses. Results: SRBQ (B =.60,p