Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Cogito, ergo insomnis: I think, therefore I am sleepless
Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.ORCID iD: 0000-0003-2008-0784
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Insomnia is a common health complaint that often becomes a persistent problem. The theoretical frameworks for understanding and treating insomnia have mostly been behavioural, yet the importance of cognitive processes has received greater attention over the years. The overall aim of this dissertation was to expand the knowledge on the processes from the Cognitive Model of Insomnia by investigating them in novel contexts. Study I examined the outcomes from cognitive therapy for insomnia on adolescents. Study II explored the relationship between cognitive processes and the association with remission and persistence of insomnia in the general population. Lastly, Study III investigated if cognitive processes mediated between cognitive behavioural therapy for insomnia (CBT-I) and outcomes of insomnia and depressive severity in a sample of people with insomnia comorbid with depressive problems.

The findings show that cognitive therapy for insomnia affected sleep for adolescents, thus this is a promising treatment option for this age group. Further, it was found that cognitive processes distinguished between adults with normal sleep and persistent insomnia. For people with insomnia, elevated sleep-related worry at baseline increased the risk of reporting persistent insomnia later on, whereas a lowering of selective attention and monitoring, and safety behaviours over time increased the likelihood of remission from insomnia. This has clinical implications for insomnia assessment and treatment, as well as theoretical implications, and warrants further research. CBT-I was associated with greater reductions in dysfunctional beliefs and sleep-related safety behaviours compared to control treatment. Dysfunctional beliefs mediated between CBT-I and insomnia severity and depressive severity respectively. This supports the importance of negative thought content in both insomnia and depression.

Place, publisher, year, edition, pages
Örebro: Örebro university , 2014. , p. 96
Series
Örebro Studies in Psychology, ISSN 1651-1328 ; 30
Keywords [en]
insomnia, CBT, cognitive therapy, worry, dysfunctional beliefs, arousal, selective attention, safety behaviours
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-38376ISBN: 978-91-7529-035-5 (print)OAI: oai:DiVA.org:kau-38376DiVA, id: diva2:868862
Public defence
2014-10-03, Långhuset, Hörsal 2, Örebro universitet, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2017-12-06 Created: 2015-11-12 Last updated: 2017-12-06Bibliographically approved

Open Access in DiVA

fulltext(15936 kB)10 downloads
File information
File name FULLTEXT01.pdfFile size 15936 kBChecksum SHA-512
3d946bb82f114d1b0b75005c87fcb2983132eb505fa887b9557cde2db89782e87474f5539e3140cdc37d492eb80095b9606467dfdb03766d100b31a373844183
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Norell-Clarke, Annika
Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 10 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 45 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf