Beliefs about sleep in disorders characterized by sleep and mood disturbance
Beliefs about sleep in disorders characterized by sleep and mood disturbance
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DOI：
10.1016/j.jpsychores.2006.08.006
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发表时间：
2007-02-01
影响因子：
4.7
通讯作者：
Segal, Zindel V.
中科院分区：
文献类型：
--
作者：
Carney, Colleen E.;Edinger, Jack D.;Segal, Zindel V.
目的：适应不良的睡眠信念在原发性失眠中发挥着重要作用，但其在伴有睡眠中断的其他疾病中的作用却很少被探讨。因此，本研究调查了五组 (N=422) 失眠与睡眠信念之间的联系：原发性失眠 (PI)、睡眠质量良好 (GS)、纤维肌痛 (FM)、重度抑郁症 (MDD) 以及社区睡眠诊所共病失眠和情绪障碍 (CSC) 患者。方法：对睡眠信念和态度功能失调 (DBAS-16) 量表进行各组比较。结果：与 GS 组不同，MDD、FM 和 CSC 组的 DBAS-16 评分升高，与原发性失眠患者的评分相似或更病理性。在控制抑郁症后，只有部分差异被消除。结论：与原发性失眠患者一样，其他睡眠障碍患者群体也存在睡眠信念问题。抑郁症不足以解释所有信念的提升。这些患者存在适应不良的睡眠信念，这表明以信念为目标的治疗可能有助于缓解睡眠问题。 (c) 2007 年，爱思唯尔公司出版。
Objectives: Maladaptive sleep beliefs play an important role in primary insomnia, but their role in other disorders with concomitant sleep disruption has rarely been explored. Thus, this study investigated the link between insomnia and sleep beliefs in five groups (N=422): primary insomnia (PI), good sleepers (GS), fibromyalgia (FM), major depressive disorder (MDD), and Community Sleep Clinic patients with comorbid insomnia and mood disturbance (CSC). Method: Groups were compared on the Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16) scale. Results: Unlike the GS group, the MDD, FM, and CSC groups had elevated DBAS-16 scores that were similar to, or more pathological than, those of primary insomnia sufferers. Only some of the differences were removed after controlling for depression. Conclusion: Like primary insomnia patients, other sleep-disturbed patient groups have problematic sleep beliefs. Depression was not sufficient to account for all elevations in beliefs. The presence of maladaptive sleep beliefs in these patients suggests that belief-targeted treatment might be helpful in alleviating sleep complaints. (c) 2007 Published by Elsevier Inc.