The associations between repetitive negative thinking, insomnia symptoms, and sleep quality in adults with a history of trauma.

Autor: Arditte Hall KA; Department of Psychology and Philosophy, Framingham State University, Framingham, MA, USA., McGrory CM; Women's Health Sciences Division, National Center for PTSD at VA Boston Healthcare System, Boston, MA, USA.; Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA., Snelson AM; Women's Health Sciences Division, National Center for PTSD at VA Boston Healthcare System, Boston, MA, USA., Pineles SL; Women's Health Sciences Division, National Center for PTSD at VA Boston Healthcare System, Boston, MA, USA.; Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Anxiety, stress, and coping [Anxiety Stress Coping] 2024 May; Vol. 37 (3), pp. 394-405. Date of Electronic Publication: 2024 Feb 29.
DOI: 10.1080/10615806.2024.2324266
Abstrakt: Background: Posttraumatic stress disorder (PTSD) and sleep disturbance are highly comorbid and repetitive negative thinking (RNT) is associated with both sleep disturbance and PTSD. However, few studies have examined the association between RNT and sleep disturbance in individuals exposed to trauma, with and without PTSD.
Method: Associations between trait-level and trauma-related RNT, insomnia, and sleep quality were investigated in a trauma-exposed MTurk ( N  = 342) sample. Additionally, PTSD symptom severity was tested as a moderator of the associations between RNT and insomnia and sleep quality.
Results: Trait-level RNT predicted poorer sleep quality and greater insomnia, regardless of PTSD severity. Trauma-related RNT was also associated with greater insomnia, though the effect was moderated by PTSD severity such that it was significant for participants with low and moderate, but not severe, PTSD. Both trait- and trauma-related RNT were associated with several specific aspects of sleep quality, including: sleep disturbances, daytime dysfunction, use of sleep medications, sleep onset latency, and subjective sleep quality.
Conclusions: This study demonstrates significant associations linking RNT with insomnia and sleep disturbance in trauma-exposed individuals. Clinically, results suggest that it may be helpful to target both general and trauma-related RNT in sleep interventions for trauma-exposed individuals with insomnia.
Databáze: MEDLINE