Should we be anxious when assessing anxiety using the Beck Anxiety Inventory in clinical insomnia patients?

Carney, Colleen E.; Moss, Taryn G.; Harris, Andrea; Edinger, Jack D.; Krystal, Andrew D.

doi:10.1016/j.jpsychires.2011.03.011

Cited by 40 publications

(36 citation statements)

References 41 publications

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“…The total scores range from 0 to 63, higher scores indicating a more severe anxiety. The validity of this scale has been verified in several studies [44], [45].…”

Section: Methodsmentioning

confidence: 68%

Does abstinence resolve poor sleep quality in former methamphetamine dependents?

et al. 2016

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Background and objectiveAmong substances that have a significant effect on sleep are stimulants, including amphetamines. As there are few studies assessing sleep quality in methamphetamine withdrawal this study aims to evaluate changes in sleep quality of methamphetamine dependent patients during early remission period by controlling depression and anxiety as confounding variables.MethodsThis study was conducted in Mashhad, Iran. Ninety amphetamine dependent patients, who were admitted in residential centers during 2012–2014 and met our inclusion criteria, were chosen by purposive nonprobability sampling method. Sleep quality was assessed by Pittsburg sleep questionnaire, in the first, second, and after the fourth week of abstinence. Additionally all participants were assessed by Beck Depression Inventory-2 and Beck Anxiety Inventory for controlling depressive and anxiety symptoms.ResultsThe prevalence of improper quality of sleep was very high (97.8%) within the first week of withdrawal, but it reduced considerably four weeks after abstinence (52.2%), which was statistically significant (P=0.00). The variations of depression and anxiety levels within four weeks after quitting methamphetamine, have low impact on variation of patients' sleep quality (adjusted R2<0.5). Furthermore, the effectiveness of these two intervening variables on patients' quality of sleep was dwindled over time after abstinence.ConclusionsThis study showed that the patients' quality of sleep improved significantly four weeks after abstinence and its variation was independent from variations in anxiety and depressive symptoms.

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“…The total scores range from 0 to 63, higher scores indicating a more severe anxiety. The validity of this scale has been verified in several studies [44], [45].…”

Section: Methodsmentioning

confidence: 68%

Does abstinence resolve poor sleep quality in former methamphetamine dependents?

et al. 2016

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“…Fifth, clinical interview and BAI and BDI were used, instead of a structured interview, in the diagnosis of mental disorders in comorbid groups; the accuracy of the diagnosis might not be optimal. The usefulness of the BDI‐II for detecting clinically significant depression in those with insomnia has been evidenced in a study; however, using BAI in comorbid insomnia patients was shown to be suboptimal in sensitivity and specificity . The authors suggested a cautious attitude should be taken when applying BAI in this population.…”

Section: Discussionmentioning

confidence: 99%

Cognitive and behavioral factors in insomnia comorbid with depression and anxiety

Tsai

Chen

Cheng

et al. 2013

Sleep and Biological Rhythms

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Maladaptive sleep-related cognitions and behaviors have been recognized as important etiological factors for primary insomnia. The contribution of these factors in insomnia comorbid with mood disturbances, however, is controversial. This study compared sleep-related beliefs and sleep hygiene practices among primary insomnia and insomnia comorbid with depression and/or anxiety. A total of 292 participants, including 97 good sleepers (GS), 73 primary insomnia patients (PI), 17 insomnia patients with anxiety (AI), 39 insomnia patients with depression (DI), and 66 insomnia patients with anxiety and depression (ADI) were included in the study. All participants went through a clinical interview and completed a package of questionnaires, including the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) to assess anxiety and depression levels, as well as the Dysfunctional Belief and Attitude about Sleep Scale (DBAS) and the Sleep Hygiene Practice Scale (SHPS) to assess sleep-related cognitions and sleep hygiene practices. The results showed that there were no significant differences between PI group and the groups with comorbid mood disturbances on the DBAS and the SHPS scores, even with control of the influences of mood symptoms. The results suggest that patients with comorbid insomnia have similar dysfunctional sleep beliefs and maladaptive sleep hygiene practices as in those with primary insomnia. Sleep related cognition and behavior also play an important role in the pathology of comorbid insomnia. In addition to their mood symptoms, interventions targeting these factors might be helpful to alleviate the insomnia in comorbid populations.

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“…An extract of the sleep questionnaires is presented in Supplementary Table 1 (in the online-only Data Supplement). We also evaluated the patients using the Beck Depression Inventory (BDI), 17 Beck Anxiety Inventory (BAI), 18 and Athens Insomnia Scale (AIS). 19 BDI and BAI consist of 21 items, with each scored from 0 to 3, where a score of 3 is the worst, while AIS comprises 8 questions scored in the same way.…”

Section: Methodsmentioning

confidence: 99%

Sleep Perception in Obstructive Sleep Apnea: A Study Using Polysomnography and the Multiple Sleep Latency Test

et al. 2016

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Background and PurposezzDiscrepancies between objectively measured sleep and subjective sleep perception in patients with insomnia have been reported. However, few studies have investigated sleep-state misperception in patients with obstructive sleep apnea (OSA). We designed this study to 1) delineate the factors that could affect this discrepancy and 2) infer an underlying mechanism in patients with OSA.MethodszzWe recruited patients who visited our sleep clinic for the evaluation of their snoring and/or observed OSA. Participants completed a structured questionnaire and underwent overnight polysomnography. On the following day, five sessions of the multiple sleep latency test (MSLT) were applied. We divided the patients into two groups: normal sleep perception and abnormal perception. The abnormal-perception group included patients whose perceived total sleep time was less than 80% of that measured in polysomnography.ResultszzFifty OSA patients were enrolled from a university hospital sleep clinic. Excessive daytime sleepiness, periodic limb movement index (PLMI), and the presence of dreaming were positively associated with poor sleep perception. REM sleep near the sleep termination exerted important effects. Respiratory disturbance parameters were not related to sleep perception. There was a prolongation in the sleep latency in the first session of the MSLT and we suspected that a delayed sleep phase occurred in poor-sleep perceivers.ConclusionszzAs an objectively good sleep does not match the subjective good-sleep perception in OSA, physicians should keep in mind that OSA patients who perceive that they have slept well does not mean that their OSA is less severe.

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Should we be anxious when assessing anxiety using the Beck Anxiety Inventory in clinical insomnia patients?

Cited by 40 publications

References 41 publications

Does abstinence resolve poor sleep quality in former methamphetamine dependents?

Does abstinence resolve poor sleep quality in former methamphetamine dependents?

Cognitive and behavioral factors in insomnia comorbid with depression and anxiety

Sleep Perception in Obstructive Sleep Apnea: A Study Using Polysomnography and the Multiple Sleep Latency Test

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