scholarly journals Sleep‐related monitoring on awakening mediates the relationship between insomnia‐related interpretive bias and insomnia symptoms using the insomnia ambiguity paradigm

2021 ◽  
Author(s):  
Umair Akram ◽  
Eleanor Bickle ◽  
Carley Howell ◽  
Vildan Ozhan ◽  
Jessica Williamson ◽  
...  
Keyword(s):  
Interpretive Bias ◽  
The Relationship ◽  
Insomnia Symptoms

Abstract P196: Insomnia Symptoms And Ideal Cardiovascular Health In Older Women: Data From The Women’S Health Study

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Cameron Hicks ◽  
Jonathan Butler ◽  
Natalie B Slopen ◽  
David Williams ◽  
Dayna A Johnson ◽  
...  
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Older Women ◽  
Sleep Duration ◽  
Cardiovascular Health ◽  
Health Study ◽  
Lower Odds ◽  
Ideal Cardiovascular Health ◽  
The Relationship ◽  
Insomnia Symptoms

Introduction: While insomnia is associated with an increased risk of incident cardiovascular disease (CVD), its relationship with ideal cardiovascular health (ICH) is less certain. Given that sleep disturbances increase with age, we examined the relationship between insomnia symptoms and ICH in older women. Methods: Among women participating in the ongoing Women’s Health Study stress cohort with no apparent history of CVD [N= 2588; Mean age= 72.5 ± 6.3], insomnia symptoms were characterized as self-reported difficulty falling asleep or waking up multiple times a night, three or more times per week. Ideal cardiovascular health, as defined by the American Heart Association’s 2020 Impact goals, included standard optimal targets for blood pressure, total cholesterol, glucose, body mass index, physical activity, diet, and smoking. We examined the relationship between insomnia symptoms and ICH using logistic regression, adjusting for clinical and demographic variables. Results: Of the 26588 participants, 52% reported insomnia symptoms, and 38% had ICH. Women with insomnia symptoms had significantly lower odds of ICH after full adjustment for age, race/ethnicity, education, income, depression/anxiety, marital status, and sleep duration (OR [95% CI]: 0.73 [0.64-0.83]). Moreover, compared to women without insomnia symptoms, those with insomnia symptoms were significantly more likely to have hypertension, diabetes, hypercholesterolemia, depression, anxiety, currently smoke, drink one or more alcoholic beverages per day, have a BMI >30, or exercise less frequently. Conclusion: In older women, insomnia symptoms were significantly associated with lower odds of ideal cardiovascular health even after adjusting for socioeconomic status, psychosocial factors, and sleep duration. These results suggest insomnia screening may be an important component of cardiovascular health promotion in this patient population. Further research is needed to evaluate the effects of sleep behavioral interventions on improving ICH.

scholarly journals The relationship between insomnia symptoms and the dark triad personality traits

2018 ◽  
Vol 131 ◽  
pp. 212-215 ◽  
Author(s):  
Umair Akram ◽  
Sarah Allen ◽  
Kristofor McCarty ◽  
Maria Gardani ◽  
Alice Tan ◽  
...  
Keyword(s):  
Personality Traits ◽  
Dark Triad ◽  
The Relationship ◽  
Insomnia Symptoms

scholarly journals Neural Reward Processing Mediates the Relationship between Insomnia Symptoms and Depression in Adolescence

SLEEP ◽  
2016 ◽  
Vol 39 (2) ◽  
pp. 439-447 ◽  
Author(s):  
Melynda D. Casement ◽  
Kate E. Keenan ◽  
Alison E. Hipwell ◽  
Amanda E. Guyer ◽  
Erika E. Forbes
Keyword(s):  
Reward Processing ◽  
The Relationship ◽  
Insomnia Symptoms

scholarly journals Insomnia in the context of short sleep increases suicide risk

SLEEP ◽  
2020 ◽  
Author(s):  
Hedström Anna Karin ◽  
Ola Hössjer ◽  
Rino Bellocco ◽  
Weimin Ye ◽  
Lagerros Ylva Trolle ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Suicide Risk ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
Total Effect ◽  
P Value ◽  
Short Sleep ◽  
Cox Proportional Hazards Models ◽  
The Relationship ◽  
Insomnia Symptoms

Abstract Study Objectives The relationship between insomnia and suicide risk is not completely understood. We aimed to investigate the influence of insomnia on suicide risk, taking both sleep duration and depression into consideration. Methods The present study is based on a Swedish prospective cohort study of 38,786 participants with a mean follow-up time of 19.2 years. Cox proportional hazards models with attained age as time-scale were used to estimate hazard ratios (HRs) of death by suicide with 95% confidence intervals (CI) for participants categorized by frequency of insomnia symptoms. Causal mediation analysis was performed to assess to what extent the relationship between insomnia and suicide risk is mediated by depression. Results Insomnia was only associated with suicide risk among short sleepers, whereas no significant association was observed among those who slept 7 h/night or more. The total effect of insomnia in the context of short sleep on suicide risk, expressed on the HR scale, was 2.85 (95% CI 1.42–5.74). The direct effect was 2.25 (95% CI 1.12–4.54) and the indirect effect, mediated by depression, was 1.27 (95% CI 1.05–1.53). Of the total effect, 32% was mediated by depression. The association between insomnia and suicide risk became more pronounced with decreasing depressive symptoms (p value for trend <0.05). Conclusions Insomnia in the context of short sleep increases suicide risk, both directly and indirectly by affecting the risk of depression. Abnormalities of sleep duration and insomnia symptoms should be evaluated when assessing suicide risk.

scholarly journals Anxiety Mediates the Relationship between Perfectionism and Insomnia Symptoms: A Longitudinal Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0138865 ◽  
Author(s):  
Umair Akram ◽  
Jason G. Ellis ◽  
Nicola L. Barclay
Keyword(s):  
Longitudinal Study ◽  
The Relationship ◽  
Insomnia Symptoms

scholarly journals Altered Perception of Facially Expressed Tiredness in Insomnia

Perception ◽  
2017 ◽  
Vol 47 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Umair Akram ◽  
Rachel Sharman ◽  
Amy Newman
Keyword(s):  
Visual Analogue Scale ◽  
Analogue Scale ◽  
The Body ◽  
Significant Group ◽  
Facial Cues ◽  
Expression Intensity ◽  
The Relationship ◽  
Insomnia Symptoms

The present study compared normal sleepers and individuals displaying insomnia symptoms in their ratings for the expression intensity of tiredness and alertness whilst observing tired and neutral faces. Fifty-six normal sleepers and 58 individuals with insomnia symptoms observed 98 facial photographs (49 neutral, 49 tired). Using a visual analogue scale, participants were required to rate the extent to which each face appeared as tired and alert. Tired faces were created by manipulating neutral photographs to include previously identified facial tiredness cues. All participants rated sleep-related faces as more tired and less alert relative to neutral photographs. A significant Group × Face × Rating interaction demonstrated that, compared with normal sleepers, the insomnia symptoms group showed lower ratings for the expression of tiredness, but not alertness, whilst observing the tired faces. The findings suggest that the presence of insomnia symptoms is associated with reduced ratings of expression intensity for sleep-related facial photographs displaying tiredness. These outcomes add to the body of literature on how facial cues of tiredness are perceived by those with insomnia symptoms. Further work is required to elucidate the mechanisms underlying the relationship between insomnia symptoms and reduced perceptions of facially expressed tiredness.

scholarly journals A Longitudinal Study of Psychological Factors as Mediators of the Relationship Between Insomnia Symptoms and Suicidal Ideation Among Young Adults

2019 ◽  
Vol 15 (01) ◽  
pp. 55-63 ◽  
Author(s):  
Melanie A. Hom ◽  
Ian H. Stanley ◽  
Carol Chu ◽  
Michelle M. Sanabria ◽  
Kirsten Christensen ◽  
...  
Keyword(s):  
Young Adults ◽  
Longitudinal Study ◽  
Suicidal Ideation ◽  
Psychological Factors ◽  
The Relationship ◽  
Insomnia Symptoms

scholarly journals Sleep disturbance mediates the link between childhood trauma and clinical outcome in severe mental disorders

2020 ◽  
pp. 1-10
Author(s):  
Jannicke Fjæra Laskemoen ◽  
Monica Aas ◽  
Anja Vaskinn ◽  
Akiah Ottesen Berg ◽  
Synve Hoffart Lunding ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Sleep Disturbances ◽  
Clinical Symptoms ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Severe Mental Disorders ◽  
The Relationship ◽  
Insomnia Symptoms

Abstract Background The experience of childhood trauma is linked to more severe symptoms and poorer functioning in severe mental disorders; however, the mechanisms behind this are poorly understood. We investigate the relationship between childhood trauma and sleep disturbances in severe mental disorders including the role of sleep disturbances in mediating the relationship between childhood trauma and the severity of clinical symptoms and poorer functioning. Methods In total, 766 participants with schizophrenia-spectrum (n = 418) or bipolar disorders (n = 348) were assessed with the Childhood Trauma Questionnaire. Sleep disturbances were assessed through the sleep items in the self-reported Inventory of Depressive Symptoms. Clinical symptoms and functioning were assessed with The Positive and Negative Syndrome Scale and the Global Assessment of Functioning Scale. Mediation analyses using ordinary least squares regression were conducted to test if sleep disturbances mediated the relationship between childhood trauma and the severity of clinical symptoms and poorer functioning. Results Symptoms of insomnia, but not hypersomnia or delayed sleep phase, were significantly more frequent in participants with childhood trauma experiences compared to those without. Physical abuse, emotional abuse, and emotional neglect were significantly associated with insomnia symptoms. Insomnia symptoms partly mediate the relationship between childhood trauma and the severity of positive and depressive/anxiety symptoms, in addition to poorer functioning. Conclusion We found frequent co-occurrence of childhood trauma history and current insomnia in severe mental disorders. Insomnia partly mediated the relationship between childhood trauma and the severity of clinical symptoms and functional impairment.

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