Interactions between insomnia, sleep duration and emotional processes: An ecological momentary assessment of longitudinal influences combining self-report and physiological measures.
dynamic of affect
ecological momentary assessment
emotion regulation
insomnia disorder
sleep restriction
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
revised:
15
06
2023
received:
10
03
2023
accepted:
28
06
2023
medline:
18
3
2024
pubmed:
26
7
2023
entrez:
26
7
2023
Statut:
ppublish
Résumé
Previous studies indicated that further investigation is needed to understand how insomnia disorder interacts with emotional processes. The present study is an ecological momentary assessment evaluating the link between emotional and sleep alterations in patients with insomnia. Physiological (heart rate and heart rate variability) and subjective (sleep and emotions) indices were observed for 5 days in patients with insomnia disorder (n = 97), good sleepers under self-imposed sleep restriction (n = 41), and good sleepers with usual amount of sleep (n = 45). We evaluated differences in emotion regulation strategies and in valence and variability of emotional experiences. Over 5 days, patients with insomnia showed increased sleep and emotional difficulties compared with both control groups. Independent from group allocation, days with more negative emotions were associated with higher sleep alterations. Longer wake episodes at night and higher diurnal heart rate were associated with increased variations in emotion experienced during the day. Only in patients with insomnia, use of adaptive emotion regulation strategies was associated with higher sleep efficiency. Our data showed that alterations in sleep and emotional processes are closely linked. A combination of strategies targeting both sleep and emotional processes appears promising in the prevention and treatment of insomnia disorder.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14001Subventions
Organisme : Deutsche Forschungsgemeinschaft
ID : DFG BA 5261/2-1
Informations de copyright
© 2023 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.
Références
Aldao, A., Gee, D. G., De Los Reyes, A., & Seager, I. (2016). Emotion regulation as a transdiagnostic factor in the development of internalizing and externalizing psychopathology: Current and future directions. Development and Psychopathology, 28(4pt1), 927-946. https://doi.org/10.1017/S0954579416000638
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237. https://doi.org/10.1016/j.cpr.2009.11.004
American Academy of Sleep Medicine. (2014). The international classification of sleep disorders: Diagnostic & coding manual. (3rd ed.). American Academy of Sleep Medicine.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, DSM-5 (5th ed.). American Psychiatric Publishing.
Baglioni, C. (2022). Mindfulness and insomnia disorder. In C. Baglioni, C. A. Espie, & D. Riemann (Eds.), Cognitive-behavioural therapy for insomnia (CBT-I) across the life span. Wiley-Blackwell. https://doi.org/10.1002/9781119891192.ch17
Baglioni, C., Lombardo, C., Bux, E., Hansen, S., Salveta, C., Biello, S., Violani, C., & Espie, C. A. (2010). Psychophysiological reactivity to sleep-related emotional stimuli in primary insomnia. Behaviour Research and Therapy, 48, 467-475.
Baglioni, C., Nissen, C., Spiegelhalder, K., & Riemann, D. (2013). Future directions in insomnia diagnosis and treatment. In C. Kushida (Ed.), Encyclopedia of sleep (pp. 354-361). Elsevier.
Baglioni, C., Spiegelhalder, K., Lombardo, C., & Riemann, D. (2010). Sleep and emotions: A focus on insomnia. Sleep Medicine Reviews, 14(4), 227-238. https://doi.org/10.1016/j.smrv.2009.10.007
Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307. https://doi.org/10.1016/s1389-9457(00)00065-4
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory-II (BDI-II). APA PsycTests.
Broomfield, N. M., & Espie, C. A. (2005). Towards a valid, reliable measure of sleep effort. Journal of Sleep Research, 14(4), 401-407. https://doi.org/10.1111/j.1365-2869.2005.00481.x
Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
Carpenter, R. W., & Trull, T. J. (2013). Components of emotion dysregulation in borderline personality disorder: A review. Current Psychiatry Reports, 15(1), 335. https://doi.org/10.1007/s11920-012-0335-2
Clifford, G. D., McSharry, P. E., & Tarassenko, L. (2002). Characterizing artefact in the normal human 24-hour RR time series to aid identification and artificial replication of circadian variations in human beat to beat heart rate using a simple threshold. In Computers in cardiology (pp. 129-132). IEEE. https://doi.org/10.1109/cic.2002.1166724
Drake, C., Richardson, G., Roehrs, T., Scofield, H., & Roth, T. (2004). Vulnerability to stress-related sleep disturbance and hyperarousal. Sleep, 27(2), 285-291. https://doi.org/10.1093/sleep/27.2.285
Ebner-Priemer, U. W., Houben, M., Santangelo, P., Kleindienst, N., Tuerlinckx, F., Oravecz, Z., Verleysen, G., Van Deun, K., Bohus, M., & Kuppens, P. (2015). Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence. Journal of Abnormal Psychology, 124(1), 186-198. https://doi.org/10.1037/abn0000021
Espie, C. A. (2002). Insomnia: Conceptual issues in the development, persistence, and treatment of sleep disorder in adults. Annual Review of Psychology, 53, 215-243.
Espie, C. A. (2022). Standard CBT-I protocol for the treatment of insomnia disorder. In C. Baglioni, C. A. Espie, & D. Riemann (Eds.), Cognitive-Behavioural Therapy For Insomnia (CBT-I) across the life span (pp. 17-41). Wiley-Blackwell. https://doi.org/10.1002/9781119891192.ch2
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271-299.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348-362. https://doi.org/10.1037/0022-3514.85.2.348
Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3-24). The Guilford Press.
Gruber, R., & Cassoff, J. (2014). The interplay between sleep and emotion regulation: Conceptual framework empirical evidence and future directions. Current Psychiatry Reports, 16(11), 500. https://doi.org/10.1007/s11920-014-0500-x
Hamilton, P. (2002). Open source ECG analysis. In Computers in cardiology (pp. 101-104). IEEE. https://doi.org/10.1109/cic.2002.1166717
Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40, 869-893.
Harvey, A. G., Murray, G., Chandler, R. A., & Soehner, A. (2011). Sleep disturbance as transdiagnostic: Consideration of neurobiological mechanisms. Clinical Psychology Review, 31, 225-235.
Hertenstein, E., Trinca, E., Wunderlin, M., Schneider, C. L., Züst, M. A., Fehér, K. D., Su, T., Straten, A. V., Berger, T., Baglioni, C., Johann, A., Spiegelhalder, K., Riemann, D., Feige, B., & Nissen, C. (2022). Cognitive behavioral therapy for insomnia in patients with mental disorders and comorbid insomnia: A systematic review and meta-analysis. Sleep Medicine Reviews, 62, 101597. https://doi.org/10.1016/j.smrv.2022.101597
Houben, M., Van Den Noortgate, W., & Kuppens, P. (2015). The relation between short-term emotion dynamics and psychological well-being: A meta-analysis. Psychological Bulletin, 141(4), 901-930. https://doi.org/10.1037/a0038822
Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep, 14(6), 540-545. https://doi.org/10.1093/sleep/14.6.540
Kuppens, P., Oravecz, Z., & Tuerlinckx, F. (2010). Feelings change: Accounting for individual differences in the temporal dynamics of affect. Journal of Personality and Social Psychology, 99(6), 1042-1060. https://doi.org/10.1037/a0020962
Lecrubier, Y., Weiller, E., & Hergueta, T. (1999). MINI international neuropsychiatric interview (MINI) 5.0. 0 German version DSM-IV. University of South Florida.
Mauss, I. B., Levenson, R. W., McCarter, L., Wilhelm, F. H., & Gross, J. J. (2005). The tie that binds? Coherence among emotion experience, behavior, and physiology. Emotion (Washington, D.C.), 5(2), 175-190. https://doi.org/10.1037/1528-3542.5.2.175
Morin, C. M., Vallières, A., & Ivers, H. (2007). Dysfunctional beliefs and attitudes about sleep (DBAS): Validation of a brief version (DBAS-16). Sleep, 30(11), 1547-1554. https://doi.org/10.1093/sleep/30.11.1547
Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985). The phenomenology of the pre-sleep state: The development of the pre-sleep arousal scale. Behaviour Research and Therapy, 23(3), 263-271. https://doi.org/10.1016/0005-7967(85)90004-x
Ong, J. C., Xia, Y., Smith-Mason, C. E., & Manber, R. (2018). A randomized controlled trial of mindfulness meditation for chronic insomnia: Effects on daytime symptoms and cognitive-emotional arousal. Mindfulness, 9(6), 1702-1712. https://doi.org/10.1007/s12671-018-0911-6
Palmer, C. A., & Alfano, C. A. (2017). Sleep and emotion regulation: An organizing, integrative review. Sleep Medicine Reviews, 31, 6-16. https://doi.org/10.1016/j.smrv.2015.12.006
Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., & Nissen, C. (2010). The hyperarousal model of insomnia: A review of the concept and its evidence. Sleep Medicine Reviews, 14, 19-31.
Shiffman, S., Stone, A. A., & Hufford, M. R. (2008). Ecological momentary assessment. Annual Review of Clinical Psychology, 4, 1-32. https://doi.org/10.1146/annurev.clinpsy.3.022806.091415
Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017). Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical Psychology Review, 57, 141-163. https://doi.org/10.1016/j.cpr.2017.09.002
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Consulting Psychologists Press.
Trull, T. J., Lane, S. P., Koval, P., & Ebner-Priemer, U. W. (2015). Affective dynamics in psychopathology. Emotion Review: Journal of the International Society for Research on Emotion, 7(4), 355-361. https://doi.org/10.1177/1754073915590617
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. https://doi.org/10.1037//0022-3514.54.6.1063
Webb, T. L., Miles, E., & Sheeran, P. (2012). Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological Bulletin, 138(4), 775-808. https://doi.org/10.1037/a0027600
Wichers, M., Wigman, J. T. W., & Myin-Germeys, I. (2015). Micro-level affect dynamics in psychopathology viewed from complex dynamical system theory. Emotion Review, 7(4), 362-367. https://doi.org/10.1177/1754073915590623