Discrepancy Between Desired Time in Bed and Desired Total Sleep Time, Insomnia, Depression, and Dysfunctional Beliefs About Sleep Among the General Population
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초록
Objective The aim of this study was to explore the factors that can influence the severity of insomnia in the general population. We also aimed to examine whether sleep effort mediates the association between dysfunctional beliefs about sleep or the discrepancy between desired time in bed and desired total sleep time (DBST) and insomnia severity in individuals.Methods A total of 387 participants enrolled in this e-survey study. The symptoms were rated using the insomnia severity index (ISI), Patients Health Questionnaire-9 items, Dysfunctional Beliefs about Sleep-2 items, Glasgow Sleep Effort Scale, and Stress and Anxiety to Viral Epidemics-6 items. In addition, we defined a new sleep index named the DBST index. A linear regression analysis was performed to explore the factors predicting ISI scores, and mediation analysis was implemented to explore whether persistent preoccupation with sleep mediated the influence of dysfunctional beliefs about sleep and DBST on insomnia severity.Results A linear regression analysis investigated depression (β=0.17, p<0.001), sleep effort (β=0.50, p<0.001), dysfunctional beliefs about sleep (β=0.13, p=0.001), and DBST (β=0.09, p=0.014) (adjusted R<i>2</i>=0.50, F=65.7, p<0.001). Additionally, we observed that persistent preoccupation with sleep partially mediated the influence of dysfunctional beliefs about sleep and DBST on insomnia severity. Conclusion Depression, preoccupation with sleep, dysfunctional beliefs about sleep, and DBST influenced the insomnia severity of the general population. We also observed that a persistent preoccupation with sleep partially mediated the influence of dysfunctional beliefs about sleep and the DBST index on insomnia severity.Conclusion Depression, preoccupation with sleep, dysfunctional beliefs about sleep, and DBST influenced the insomnia severity of the general population. We also observed that a persistent preoccupation with sleep partially mediated the influence of dysfunctional beliefs about sleep and the DBST index on insomnia severity.
Abstract
Objective The aim of this study was to explore the factors that can influence the severity of insomnia in the general population. We also aimed to examine whether sleep effort mediates the association between dysfunctional beliefs about sleep or the discrepancy between desired time in bed and desired total sleep time (DBST) and insomnia severity in individuals.Methods A total of 387 participants enrolled in this e-survey study. The symptoms were rated using the insomnia severity index (ISI), Patients Health Questionnaire-9 items, Dysfunctional Beliefs about Sleep-2 items, Glasgow Sleep Effort Scale, and Stress and Anxiety to Viral Epidemics-6 items. In addition, we defined a new sleep index named the DBST index. A linear regression analysis was performed to explore the factors predicting ISI scores, and mediation analysis was implemented to explore whether persistent preoccupation with sleep mediated the influence of dysfunctional beliefs about sleep and DBST on insomnia severity.Results A linear regression analysis investigated depression (β=0.17, p<0.001), sleep effort (β=0.50, p<0.001), dysfunctional beliefs about sleep (β=0.13, p=0.001), and DBST (β=0.09, p=0.014) (adjusted R<i>2</i>=0.50, F=65.7, p<0.001). Additionally, we observed that persistent preoccupation with sleep partially mediated the influence of dysfunctional beliefs about sleep and DBST on insomnia severity. Conclusion Depression, preoccupation with sleep, dysfunctional beliefs about sleep, and DBST influenced the insomnia severity of the general population. We also observed that a persistent preoccupation with sleep partially mediated the influence of dysfunctional beliefs about sleep and the DBST index on insomnia severity.Conclusion Depression, preoccupation with sleep, dysfunctional beliefs about sleep, and DBST influenced the insomnia severity of the general population. We also observed that a persistent preoccupation with sleep partially mediated the influence of dysfunctional beliefs about sleep and the DBST index on insomnia severity.
참고문헌 (31)
- Chung Seockhoon, "The Prevalence and Incidence of Insomnia in Korea during 2005 to 2013", PSYCHIATRY INVESTIGATION, 17(6), pp.533~540 (2020), 대한신경정신의학회[DOI]
- Harvey AG, "A cognitive model of insomnia", Behav Res Ther, 40, pp.869~893 (2002)
- Morin CM, "Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints", Psychol Aging, 8, pp.463~467 (1993)
- Espie CA, "Insomnia: conceptual issues in the development, persistence, and treatment of sleep disorder in adults", Annu Rev Psychol, 53, pp.215~243 (2002)
- Borbély AA, "A two process model of sleep regulation", Hum Neurobiol, 1, pp.195~204 (1982)
- Borbély AA, "The two-process model of sleep regulation: a reappraisal", J Sleep Res, 25, pp.131~143 (2016)
- Seockhoon Chung, "Are You Asking What Time Did Your Patients Go to Bed?: Getting the Short Sleep Onset Latency", sleep medicine research, 9(1), pp.58~62 (2018), 대한수면학회[DOI]
- Eysenbach G, "Improving the quality of web surveys: the checklist for reporting results of internet E-surveys (CHERRIES)", J Med Internet Res, 6, pp.e34~ (2004)
- Cohen J, "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates Inc
- Chung S, "Sleeping pill administration time and patient subjective satisfaction", J Clin Sleep Med, 12, pp.57~62 (2016)
- Morin CM, "The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response", Sleep, 34, pp.601~608 (2011)
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- Kroenke K, "The PHQ-9: validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
- Broomfield NM, "Towards a valid, reliable measure of sleep effort", J Sleep Res, 14, pp.401~407 (2005)
- 김무경, "한국판 글라스고 수면 노력 척도의 타당화 연구", 인지행동치료, 14(2), pp.319~337 (2014), 한국인지행동치료학회
- Chung S, "Assessment of cancer-related dysfunctional beliefs about sleep for evaluating sleep disturbance in cancer patients", Sleep Med Res, 8, pp.98~101 (2017)
- Chung S, "The stress and anxiety to viral epidemics-6 items (SAVE-6) scale: a new instrument for assessing the anxiety response of general population to the viral epidemic during the COVID-19 pandemic", Front Psychol, 12, pp.669606~ (2021)
- Staner L, "Comorbidity of insomnia and depression", Sleep Med Rev, 14, pp.35~46 (2010)
- Plante DT, "The evolving nexus of sleep and depression", Am J Psychiatry, 178, pp.896~902 (2021)
- Morin CM, "Insomnia, anxiety, and depression during the COVID-19 pandemic:an international collaborative study", Sleep Med, 87, pp.38~45 (2021)
- Wang S, "A nationwide evaluation of the prevalence of and risk factors associated with anxiety, depression and insomnia symptoms during the return-to-work period of coronavirus disease 2019 in China", Soc Psychiatry Psychiatr Epidemiol, 56, pp.2275~2286 (2021)
- Halsøy Ø, "Insomnia symptoms in the general population during the COVID-19 pandemic", Front Psychiatry, 12, pp.762799~ (2021)
- Meaklim H, "Pre-existing and post-pandemic insomnia symptoms are associated with high levels of stress, anxiety, and depression globally during the COVID-19 pandemic", J Clin Sleep Med, 17, pp.2085~2097 (2021)
- Kim Dong Min, "The Prevalence of Depression, Anxiety and Associated Factors among the General Public during COVID-19 Pandemic: a Cross-sectional Study in Korea", Journal of Korean Medical Science, 36(29), pp.1~9 (2021), 대한의학회[DOI]
- Bacaro V, "Insomnia in the Italian population during Covid-19 outbreak:a snapshot on one major risk factor for depression and anxiety", Front Psychiatry, 11, pp.579107~ (2020)
- Sella E, "Self-reported sleep quality and dysfunctional sleep-related beliefs in young and older adults: changes in times of COVID-19 lockdown", Sleep Med, 81, pp.127~135 (2021)
- Okajima I, "Validation of the Japanese version of stress and anxiety to viral epidemics-9 (SAVE-9) and relationship among stress, insomnia, anxiety, and depression in healthcare workers exposed to coronavirus disease 2019", Sleep Med, 84, pp.397~402 (2021)
- Kikyoung Yi, "Assessing the Sleep-wake Pattern in Cancer Patients for Predicting a Short Sleep Onset Latency", Clinical Psychopharmacology and Neuroscience, 20(2), pp.364~372 (2022), 대한정신약물학회[DOI]
- Soyoung Youn, "Time to Take Sleeping Pills and Subjective Satisfaction among Cancer Patients", PSYCHIATRY INVESTIGATION, 17(3), pp.249~255 (2020), 대한신경정신의학회[DOI]
- Morin CM, "Insomnia: psychological assessment and management" (1993), Guildford Press
- Perlis ML, "Psychophysiological insomnia: the behavioural model and a neurocognitive perspective", J Sleep Res, 6, pp.179~188 (1997)
