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Cognitive-behavioural factors that predict sleep disturbance 4years later.
MedLine Citation:
PMID:  23148809     Owner:  NLM     Status:  Publisher    
OBJECTIVE: Cognitive models have identified a number of factors that maintain sleep disturbance. It is unknown whether similar factors lead to initial onset. This study tested whether three cognitive-behavioural factors: ruminative style, somatic sensitivity, and behavioural avoidance predicted sleep disturbance onset at four-year follow-up. METHODS: Participants (n=4,042) were assessed using a) a composite measure of Somatic Sensitivity, b) the Ruminative Style Scale, c) the Behavioural Inhibition Scale of the BISBAS and d) sleep-related items from the Goldberg Depression and Anxiety Scale. RESULTS: Sleep disturbance at 4years was significantly predicted by all three cognitive-behavioural factors - somatic sensitivity, ruminative style and behavioural avoidance - and, in the final analysis, was independently predicted by somatic sensitivity (OR=1.427, p<0.001) and ruminative style (OR=1.035, p=0.002). CONCLUSION: This study tested whether three cognitive-behavioural factors: ruminative style, somatic sensitivity, and behavioural avoidance were predictive of the onset of sleep disturbance after 4years. Although all three factors were significantly associated with the onset of sleep disturbance, only ruminative style and somatic sensitivity were found to independently predict sleep disturbance, supporting these constructs as predisposing cognitive-behavioural risk factors.
John A Gosling; Philip J Batterham; Helen Christensen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-26
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  73     ISSN:  1879-1360     ISO Abbreviation:  J Psychosom Res     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  424-429     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Centre for Mental Health Research, The Australian National University, Canberra, Australia. Electronic address:
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