Sleep and Anxiety Disorders

Mellman, Thomas A.

doi:10.1016/j.jsmc.2008.01.010

Cited by 70 publications

(30 citation statements)

References 76 publications

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“…Poor sleep in patients with certain anxiety disorders such as posttraumatic stress disorder (Kobayashi et al 2007) may contribute to poor maintenance of emotional homeostasis (Mellman 2008). One way in which this may occur is that anxiety disorders patients remain physiologically reactive to any possibility, based upon declarative memory, that harm may re-occur.…”

Section: Discussionmentioning

confidence: 99%

Interactions of time of day and sleep with between-session habituation and extinction memory in young adult males

et al. 2014

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Within-session habituation and extinction learning co-occur as do subsequent consolidation of habituation (i.e., between-session habituation) and extinction memory. We sought to determine if, as we predicted: (1) between-session habituation is greater across a night of sleep vs. a day awake; (2) time-of-day accounts for differences; (3) between-session habituation predicts consolidation of extinction memory; (4) sleep predicts between-session habituation and/or extinction memory. Participants (N=28) completed 4–5 sessions alternating between mornings and evenings over 3 successive days (2 nights) with session 1 in either the morning (N=13) or evening (N=15). Twelve participants underwent laboratory polysomnography. During 4 sessions, participants completed a loud-tone habituation protocol while skin-conductance response (SCR), blink-startle electromyography (EMG), heart-rate acceleration (HRA) and deceleration (HRD) were recorded. For sessions 1 and 2, between-session habituation of EMG, SCR and HRD was greater across sleep. SCR and HRD were generally lower in the morning. Between-session habituation of SCR for sessions 1 and 2 was positively related to intervening (first night) slow wave sleep. In the evening before night 2, participants also underwent fear conditioning and extinction learning phases of a second protocol. Extinction recall was tested the following morning. Extinction recall was predicted only by between-session habituation of SCR across the same night (second night) and by intervening REM. We conclude that: 1) sleep augments between-session habituation, as does morning testing; 2) extinction recall is predicted by concurrent between-session habituation; and 3) both phenomena may be influenced by sleep.

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Section: Discussionmentioning

confidence: 99%

Interactions of time of day and sleep with between-session habituation and extinction memory in young adult males

et al. 2014

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“…The physical health consequences of sleep deprivation (failing to get enough sleep [American Academy of Sleep Medicine, 2008]) include type 2 diabetes (Cappuccio, D'Elia, Strazzullo, & Miller, 2010a; Spiegel, Leproult, & Van Cauter, 1999) increased cardiovascular risk (Chien et al, 2010), obesity (Van Cauter, Spiegel, Tasali, & Leproult, 2008), impaired immune functioning (Spiegel, Sheridan, & Van Cauter, 2002), and death (Cappuccio, D'Elia, Strazzullo, & Miller, 2010b). Sleep deprivation is also an antecedent and consequence of poor mental health, including depression (Franzen & Buysse, 2008) and anxiety disorders (Mellman, 2008). For incarcerated women, many of whom enter prison in poor health (Braithwaite, Treadwell, & Arriola, 2005), chronic sleep deprivation might exacerbate existing health issues and contribute to the development of new health concerns.…”

Section: Review Of Literaturementioning

confidence: 99%

Sleep Quality and Risk for Sleep Apnea in Incarcerated Women

Harner

Budescu²

2014

Nursing Research

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Background Little is known about characteristics of women's sleep during incarceration. Objectives The study objectives were to: describe incarcerated women's sleep quality; document incarcerated women's risk for sleep apnea; and identify other factors that contribute to poor sleep quality during incarceration. Methods This cross-sectional descriptive exploratory investigation was conducted in a maximum security women's prison in the United States. Incarcerated women's sleep quality and their risk for sleep apnea was assessed by using the Pittsburgh Sleep Quality Index (PSQI) and the Multivariable Apnea Prediction Score (MAPS), respectively. Results Four hundred thirty-eight incarcerated women participated in this investigation. Results indicate that 72% of the sample met the PSQI criteria for “poor sleepers.” Poor sleepers were significantly more likely to report sleep disturbances, and scored significantly higher on the risk for sleep apnea scale compared to women who did not meet the poor sleep threshold. Approximately 10% of the sample had a probability for sleep apnea higher than .50. Factors that contributed to poor sleep included: (a) “racing thoughts/worry/thinking about things”; (b) environmental noise and other factors; (c) physical health conditions/pain; (d) nightmares and flashbacks; and (e) not taking sleep medication. Discussion Most participants reported poor sleep quality during incarceration. Poor sleep might exacerbate existing health conditions and contribute to the development of new health problems for incarcerated women. Furthermore, poor sleep quality may reduce a woman's ability to fully participate in beneficial prison programming. This investigation provides a first look at how women sleep in prison and offers recommendations for future research.

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“…The symptoms and signs of anxiety and sleep disorders frequently overlap. The sleep disorder may be a preliminary indication of anxiety, as well as a risk factor for developing an anxiety disorder 4 . In recent years there has been a shift towards assessing the overall impact of illness on the aspects of quality of life (QoL).…”

Section: Introductionmentioning

confidence: 99%

Assessment of sleep quality of patients with panic disorder and generalized anxiety disorder during remission: a case-control study

Hacımusalar

Karaaslan

2020

Arch. Clin. Psychiatry (São Paulo)

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Background: Sleep disorders are common in psychiatric diseases. Panic disorder (PD) and generalized anxiety disorder (GAD) are two major anxiety disorders that are associated with sleep disorders. Objective: We hypothesized that poor sleep quality continues in PD and GAD during remission. Therefore, in this study we aimed to compare the sleep quality of patients with PD and GAD to that of healthy controls. Methods: The study included patients with PD (n = 42) and GAD (n = 40) who had been in remission for at least 3 months and healthy control volunteers (n = 45). The patients were administered the Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). Results: The total PSQI scores of the GAD group were significantly increased in comparison to those of the PD (p = 0.009) and control (p < 0.001) groups. The rate of poor sleep quality in GAD during remission (77.5%) was greater than that of the PD (47.6%) and control (51.1%) groups (p = 0.011). Discussion: GAD is a chronic and recurrent disease. In this study, it was found that the deterioration in sleep quality of patients with GAD may continue during remission. In the follow-up and treatment of patients, it is appropriate to question about sleep symptoms and to plan interventions according to these symptoms.

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Sleep and Anxiety Disorders

Cited by 70 publications

References 76 publications

Interactions of time of day and sleep with between-session habituation and extinction memory in young adult males

Interactions of time of day and sleep with between-session habituation and extinction memory in young adult males

Sleep Quality and Risk for Sleep Apnea in Incarcerated Women

Assessment of sleep quality of patients with panic disorder and generalized anxiety disorder during remission: a case-control study

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