Psychological management of insomnia: A clinical replication series with 100 patients

Morin, Charles M.; Stone, Jackie; McDonald, Kathy; Jones, Susan

doi:10.1016/s0005-7894(05)80289-8

Cited by 104 publications

(60 citation statements)

References 23 publications

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“…Detailed sleep information was gathered with the 19-item Pittsburgh Sleep Quality Index (PSQI), 17 which yields a reliable and stable total score that is 90% sensitive and 87% specific for probable insomnia, as well as subscales reflecting subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, medication use, and daytime dysfunction. Beliefs about sleep were measured with the Dysfunctional Beliefs About Sleep (DBAS) scale, 18 which assesses misconceptions about insomnia causes, misattributions about its consequences, excessive expectations of sleep amount, control over and predictability of sleep, and erroneous beliefs about insomnia remediation. The Epworth Sleepiness Scale (ESS) 19 was used to assess propensity for unintended dozing in several daytime situations; this widely used 8-item instrument has acceptable validity, test-retest reliability, and internal consistency.…”

Section: Procedures and Measuresmentioning

confidence: 99%

Help-Seeking for Insomnia among Adult Patients in Primary Care

Aikens¹,

Rouse²

2005

The Journal of the American Board of Family Medicine

104

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Objective: To clarify the patient characteristics associated with seeking medical help for insomnia.Methods: A consecutive sample (n ‫؍‬ 700) of adults attending a nonurgent primary care appointment was screened for sleep problems. A follow-up mailed survey then assessed insomnia symptoms, daytime impairment, beliefs about sleep, medication use, sleepiness and fatigue, and medical help-seeking.Results: Fifty-two percent of patients with probable insomnia reported discussing this with a physician. Multivariate logistic regression analyses indicated that discussing one's probable insomnia with a physician was independently associated with having a greater number of medical conditions ( Approximately 40% of community-dwelling adults and 69% of primary care patients report sleep problems in the form of difficulty falling asleep, discontinuous sleep, and/or nonrestorative sleep.

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Section: Procedures and Measuresmentioning

confidence: 99%

Help-Seeking for Insomnia among Adult Patients in Primary Care

Aikens¹,

Rouse²

2005

The Journal of the American Board of Family Medicine

104

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“…Using a large prospective cohort of older drivers, we are able to support their conclusion. (Morin et al 1994). For most of the other drivers, the reported sleep problem was either minimal or mild as estimated by SII.…”

Section: Discussionmentioning

confidence: 97%

“…with a dichotomous response, yes or no. Participants who responded "yes" were also asked to complete the Sleep Impairment Index (SII) questionnaire, a self-report instrument that elicits the subject's perception of the level of severity, distress and impairment of daytime functioning associated with his or her sleep problems (Morin et al, 1994). In clinical use, the SII has demonstrated adequate psychometric properties: adequate internal consistency (0.74), reliability and validity (Bastien et al, 2001;Morin & Azrin, 1988).…”

Section: Sleep Impairmentmentioning

confidence: 99%

The impact of subclinical sleep problems on self-reported driving patterns and perceived driving abilities in a cohort of active older drivers

Hickey¹,

Weegar²,

Kadulina³

et al. 2013

Accident Analysis & Prevention

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The present study sought to investigate the influence of subclinical sleep disturbances on driving practices and driver perceptions in a large cohort of healthy older drivers. Participants from the Candrive II prospective cohort study were investigated. Self-reported measures of sleep problems were used to determine the influence of sleep disturbance on self-reported driving practices and perceived driving abilities, as measured by the Situational Driving Frequency, Situational Driving Avoidance, and Perceived Driving Abilities scales. Hierarchical regression analyses were used to estimate whether mild self-reported sleep problems were predictive of driving restrictions and perceived abilities, while controlling for a variety of health-related factors and demographic variables known to mediate sleep problems or to impact driving.Cross-sectional analysis of baseline data from the Candrive II study suggests that subclinical sleep problems do not significantly influence self-reported driving patterns or perceived driving abilities in older drivers once control variables are considered. The relationship between sleep problems, driving frequency, avoidance and perceived abilities is better explained by mediating demographic, health, and cognitive factors. Further research examining sleep disturbances and driving should include objective measures of driving practices (exposure, patterns) and outcomes (crashes, violations) and should take in consideration the severity of sleep problems.

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“…schlafinkompatible Kognitionen (z.B. die Angst vor dem Nicht-schlafen-Können; Druck, einschlafen zu müssen; Antizipation negativer und unangenehmer Konsequenzen; unrealistische Erwartungen) bestimmen einen bedeutenden Teil der Kognitionen von Insomnie-Betroffenen und können das Hyperarousal verstärken [Morin und Espie 2004;Morin et al, 1994;Riemann et al, 2007] die Richtigkeit der dysfunktionalen Kognitionen überprüft wird [Harvey, 2002a, b;Ree und Harvey, 2004b] [Morin, 1993]. Die «Stimulus-Kontrolle», das Aufstehen nach einer bestimmten Zeit des Nichtschlafens, und die Bettzeitrestriktion helfen den Patienten, sich von grüblerischen und ängstlichen Gedanken abzulenken [Lichstein und Fischer, 1985;Zwart und Lisman, 1979] [Wegner, 1994].…”

Section: Intrusive Kognitionenunclassified

“…Ein bedeutender Teil der Patienten scheint nicht oder nicht im angestrebten Ausmaß von der angebotenen Behandlung zu profitieren. Nur 20-30% erlangt eine volle Remission; die Mehrheit der Insomniker behält Residualsymptome [Espie et al, 2001;Lacks und Powlishta, 1989;Morin et al, 1994].…”

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Eine kognitive Perspektive auf die Insomnie: Theorie und Behandlung

2009

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Schlafstörungen gehören zu den häufigsten psychischen Störungen und führen zu erheblichem Leidensdruck und zu erheblichen Kosten. In der vorliegenden Übersicht wird zunächst ein kurzer Überblick über Bedeutung, Ätiologie und Interventionen von (primärer) Insomnie gegeben: Neuere Ansätze beziehen kognitive Theorien und Therapiemethoden insbesondere aus dem Bereich der Angststörungen für das Verständnis und die Behandlung der Schlafstörungen ein. Es werden die Ansätze von Harvey (2002), Espie (2002) sowie Lundh und Broman (2000) und Lundh (1998) dargestellt. Als bewährte Behandlungsmethoden sind neben pharmakotherapeutischen Ansätzen vor allem kognitivbehaviorale Ansätze zu nennen. Im deutschen Sprachraum liegen einige evaluierte kognitiv-behaviorale Programme vor.

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Psychological management of insomnia: A clinical replication series with 100 patients

Cited by 104 publications

References 23 publications

Help-Seeking for Insomnia among Adult Patients in Primary Care

Help-Seeking for Insomnia among Adult Patients in Primary Care

The impact of subclinical sleep problems on self-reported driving patterns and perceived driving abilities in a cohort of active older drivers

Eine kognitive Perspektive auf die Insomnie: Theorie und Behandlung

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