Abstract：
STUDY OBJECTIVES:Theoretical accounts of the progression of insomnia from acute to chronic are lacking. A framework is proposed and tested to examine differences in cognitive coping styles between acute and chronic insomniacs and the relation of cognitive processing and sleep hygiene to causal attributions of insomnia. METHOD:In a cross-sectional design, the relationship among sleep disturbance, causal attributions and various psychological and behavioural variables was examined in a convenience sample of acute and chronic insomniacs from the general population (N=308). RESULTS:Negative appraisals and the cognitive coping styles 'Worry' and 'Punishment' were found to be associated with both acute and chronic insomnia, whereas 'Distraction' as a cognitive coping strategy significantly reduced reports of chronic insomnia. The results are discussed in relation to multi-level interventions and future directions in theory, research and application.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Ellis J,Cropley Mdoi
10.1016/s1389-9457(02)00039-4keywords:
subject
Has Abstractpub_date
2002-09-01 00:00:00pages
393-400issue
5eissn
1389-9457issn
1878-5506pii
S1389945702000394journal_volume
3pub_type
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