Affective state dependence and relative trait stability of perfectionism in sleep disturbances

Maia, B.; Soares, M.J.; Pereira, A.T.; Marques, Mariana; Bos, Sandra; Gomes, Ana Allen; Valente, J.; Azevedo, Maria Helena Pinto de; Macedo, A.

doi:10.1590/s1516-44462011000300008

Cited by 13 publications

(14 citation statements)

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“…or adjustment and mental health problems [53], interventions targeting perfectionism are rare and often produce only small effects [54]. Given the relatively high stability of perfectionism across age [55], it is possible that perfectionism is difficult to modify with a brief web-based intervention.…”

Section: Discussionmentioning

confidence: 99%

Targeted Prevention of Common Mental Health Disorders in University Students: Randomised Controlled Trial of a Transdiagnostic Trait-Focused Web-Based Intervention

et al. 2014

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BackgroundA large proportion of university students show symptoms of common mental disorders, such as depression, anxiety, substance use disorders and eating disorders. Novel interventions are required that target underlying factors of multiple disorders.AimsTo evaluate the efficacy of a transdiagnostic trait-focused web-based intervention aimed at reducing symptoms of common mental disorders in university students.MethodStudents were recruited online (n = 1047, age: M = 21.8, SD = 4.2) and categorised into being at high or low risk for mental disorders based on their personality traits. Participants were allocated to a cognitive-behavioural trait-focused (n = 519) or a control intervention (n = 528) using computerised simple randomisation. Both interventions were fully automated and delivered online (trial registration: ISRCTN14342225). Participants were blinded and outcomes were self-assessed at baseline, at 6 weeks and at 12 weeks after registration. Primary outcomes were current depression and anxiety, assessed on the Patient Health Questionnaire (PHQ9) and Generalised Anxiety Disorder Scale (GAD7). Secondary outcome measures focused on alcohol use, disordered eating, and other outcomes.ResultsStudents at high risk were successfully identified using personality indicators and reported poorer mental health. A total of 520 students completed the 6-week follow-up and 401 students completed the 12-week follow-up. Attrition was high across intervention groups, but comparable to other web-based interventions. Mixed effects analyses revealed that at 12-week follow up the trait-focused intervention reduced depression scores by 3.58 (p<.001, 95%CI [5.19, 1.98]) and anxiety scores by 2.87 (p = .018, 95%CI [1.31, 4.43]) in students at high risk. In high-risk students, between group effect sizes were 0.58 (depression) and 0.42 (anxiety). In addition, self-esteem was improved. No changes were observed regarding the use of alcohol or disordered eating.ConclusionsThis study suggests that a transdiagnostic web-based intervention for university students targeting underlying personality risk factors may be a promising way of preventing common mental disorders with a low-intensity intervention.Trial RegistrationControlledTrials.com ISRCTN14342225

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Section: Discussionmentioning

confidence: 99%

Targeted Prevention of Common Mental Health Disorders in University Students: Randomised Controlled Trial of a Transdiagnostic Trait-Focused Web-Based Intervention

et al. 2014

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“…Recent studies have shown relationships between personality traits/disorders and insomnia particularly those of Clusters C and B. Obsessive compulsive personality disorder and the OCPD trait of perfectionism have been associated with difficulties in falling asleep and other sleep disturbance 50–53 in student and general adult samples. Persons with borderline personality disorder have been found to have a poorer overall quality of sleep, and traits have been linked to sleep duration, sleep latency, subjective sleep quality, and also to daytime dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Association between personality traits and DSM-IV diagnosis of insomnia in peri- and postmenopausal women

et al. 2014

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Objective The aim of this study was to determine the role of personality factors in the development of DSM-IV insomnia coincident with perimenopause. Method Perimenopausal women (35 with DSM-IV insomnia and 28 with self-reported normal sleep) underwent clinical assessments and completed menopause-related questionnaires, the NEO-FFI, and the Structured Interview for DSM-IV Personality (SID-P). Logistic regressions determined whether personality factors and hot flash-related interference were associated with an insomnia diagnosis concurrent with the menopause transition. Results Women with insomnia reported higher neuroticism, lower agreeableness, and lower conscientiousness than controls on the NEO-FFI. Moreover, women with insomnia were more likely to meet DSM-IV criteria for Cluster C personality disorders, particularly obsessive compulsive personality disorder, on the SID-P. Women with insomnia were more likely to have had a past depressive episode and history of severe premenstrual symptoms. Findings from regressions revealed that higher neuroticism and greater interference from hot flashes were associated with insomnia classification even after controlling for history of depression, suggesting that sensitivity to hot flashes and a greater degree of neuroticism are independent contributors toward establishing which women are most likely to have sleep problems during perimenopause. Conclusions Findings show the relevance of personality factors, particularly neuroticism and obsessive-compulsive personality, in influencing a woman’s experience of insomnia as she goes through the menopause transition.

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“…Cox and Enns' (2003) study of patients with current and remitted depression revealed relative stability across the three HFMPS trait dimensions. Further evidence of temporal stability emerged from a recent longitudinal study of perfectionism and sleep with university students in Portugal (see Maia, Soares, & Pereira, 2011).…”

Section: Testàretestmentioning

confidence: 98%

Measures of Perfectionism

Flett

Hewitt

2015

Measures of Personality and Social Psychological Constructs

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Affective state dependence and relative trait stability of perfectionism in sleep disturbances

Cited by 13 publications

References 20 publications

Targeted Prevention of Common Mental Health Disorders in University Students: Randomised Controlled Trial of a Transdiagnostic Trait-Focused Web-Based Intervention

Targeted Prevention of Common Mental Health Disorders in University Students: Randomised Controlled Trial of a Transdiagnostic Trait-Focused Web-Based Intervention

Association between personality traits and DSM-IV diagnosis of insomnia in peri- and postmenopausal women

Measures of Perfectionism

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