Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia?

Abstract:

:Dysfunctional beliefs and attitudes about sleep are presumed to play an important mediating role in perpetuating insomnia. The present study evaluated the impact of cognitive-behavioral and pharmacological treatments for insomnia on sleep-related beliefs and attitudes and the relationship between those changes and sleep improvements. The participants were older adults with chronic and primary insomnia. They received cognitive-behavior therapy (CBT), pharmacotherapy (PCT), combined CBT+PCT (COMB), or a medication placebo (PLA). In addition to daily sleep diaries and sleep laboratory measures, the participants completed the dysfunctional beliefs and attitudes about sleep scale (DBAS) at baseline and posttreatment, and at 3-, 12- and 24-month follow-up assessments. The results showed that CBT and COMB treatments produced greater improvements of beliefs and attitudes about sleep at posttreatment than PCT and PLA. Reductions of DBAS scores were significantly correlated with improvements of sleep efficiency as measured by daily sleep diaries and by polysomnography. In addition, more adaptive beliefs and attitudes about sleep at posttreatment were associated with better maintenance of sleep improvements at follow-ups. These findings highlight the importance of targeting sleep-related beliefs and attitudes in the treatment of insomnia.

journal_name

Behav Res Ther

authors

Morin CM,Blais F,Savard J

doi

10.1016/s0005-7967(01)00055-9

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

741-52

issue

7

eissn

0005-7967

issn

1873-622X

pii

S0005-7967(01)00055-9

journal_volume

40

pub_type

临床试验,杂志文章,随机对照试验
  • The influence of data-driven processing on perceptions of memory quality and intrusive symptoms in children following traumatic events.

    abstract::Ehlers and Clark [(2000). A cognitive model of post-traumatic stress disorder. Behaviour Research and Therapy, 38, 319-345] cognitive model of post-traumatic stress disorder (PTSD) has been relatively untested with children. Seventy-five children (7-16 years) were interviewed within 4 weeks of an injury that led to ho...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2008.02.008

    authors: McKinnon AC,Nixon RD,Brewer N

    更新日期:2008-06-01 00:00:00

  • Early avoidance of traumatic stimuli predicts chronicity of intrusive thoughts following burn injury.

    abstract::The role of avoidance behavior in perpetuating the experience of intrusive thoughts among burn survivors was investigated. The Impact of Events Scale (IES), which has subscales that measure the frequency of intrusive thoughts and avoidance behavior, was administered to burn survivors (n = 23) upon discharge and four m...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/0005-7967(96)00019-8

    authors: Lawrence JW,Fauerbach J,Munster A

    更新日期:1996-08-01 00:00:00

  • Understanding the relationship between PTSD and social support: the role of negative network orientation.

    abstract::Network orientation is conceptualized as an individual's attitudes and expectations regarding the usefulness of support networks in coping with stress. The present research examined the potential for network orientation to explicate the well documented association between post-traumatic stress disorder (PTSD) and atte...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2008.12.006

    authors: Clapp JD,Gayle Beck J

    更新日期:2009-03-01 00:00:00

  • Offspring of anxious parents: reactivity, habituation, and anxiety-proneness.

    abstract::Reactivity and habituation patterns were examined in the offspring of anxious and non-anxious parents. Although no differences emerged for magnitude of response to either fear-relevant visual or auditory stimuli, offspring of anxious parents displayed significantly more electrodermal activity during resting baseline a...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2004.09.005

    authors: Turner SM,Beidel DC,Roberson-Nay R

    更新日期:2005-10-01 00:00:00

  • Improving access to psychological therapy: Initial evaluation of two UK demonstration sites.

    abstract::Recently the UK Government announced an unprecedented, large-scale initiative for Improving Access to Psychological Therapies (IAPT) for depression and anxiety disorders. Prior to this development, the Department of Health established two pilot projects that aimed to collect valuable information to inform the national...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2009.07.010

    authors: Clark DM,Layard R,Smithies R,Richards DA,Suckling R,Wright B

    更新日期:2009-11-01 00:00:00

  • Outcome predictors in guided and unguided self-help for social anxiety disorder.

    abstract::Internet-based self-help with therapist guidance has shown promise as an effective treatment and may increase access to evidence-based psychological treatment for social anxiety disorder (SAD). Although unguided self-help has been suggested primarily as a population-based preventive intervention, some studies indicate...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2011.10.009

    authors: Nordgreen T,Havik OE,Ost LG,Furmark T,Carlbring P,Andersson G

    更新日期:2012-01-01 00:00:00

  • Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety.

    abstract::Many patients with chronic pain also exhibit elevated levels of health anxiety. This study examined the effect of health anxiety on the use of safety-seeking behaviors (SSBs) in pain-provoking situations. Participants were 20 chronic back pain patients with high health anxiety (Group H), 20 with low health anxiety (Gr...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2007.05.004

    authors: Tang NK,Salkovskis PM,Poplavskaya E,Wright KJ,Hanna M,Hester J

    更新日期:2007-12-01 00:00:00

  • Intolerance of uncertainty is associated with reduced attentional inhibition in the absence of direct threat.

    abstract::Intolerance of uncertainty (IU) is a dispositional tendency to find uncertain situations aversive. There is limited understanding as to how IU may bias attention to uncertainty in the absence of direct threat. Here we examined the extent to which uncertain distractors and individual differences in IU impacted eye-move...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2019.03.011

    authors: Morriss J,McSorley E

    更新日期:2019-07-01 00:00:00

  • Family-based exposure and response prevention therapy for preschool-aged children with obsessive-compulsive disorder: a pilot randomized controlled trial.

    abstract:AIMS:To examine the feasibility, acceptability and preliminary efficacy of family-based exposure/response prevention therapy (E/RP) versus treatment as usual (TAU) in a cohort of very young children with early onset obsessive-compulsive disorder (OCD). METHODS:Thirty-one children ages 3-8 years (M = 5.8 years) with a ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2014.02.001

    authors: Lewin AB,Park JM,Jones AM,Crawford EA,De Nadai AS,Menzel J,Arnold EB,Murphy TK,Storch EA

    更新日期:2014-05-01 00:00:00

  • Stress reactivity and perception of pain among tension headache sufferers.

    abstract::Twenty-one tension headache sufferers and 21 control subjects were exposed to a series of psychological stressors and an ischemic pain task, involving a tourniquet around the arm. Compared to control subjects, headache patients showed higher heart rates and evidence of more prolonged vasoconstriction in the hands and ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(09)80008-9

    authors: Lehrer PM,Murphy AI

    更新日期:1991-01-01 00:00:00

  • The observer perspective: biased imagery in social phobia, agoraphobia, and blood/injury phobia.

    abstract::Clark and Wells' (1995): 'A cognitive model of social phobia'. In Social phobia: Diagnosis, assessment, and treatment (pp. 69-93), R. G. Heimberg, M. R. Liebowitz, D. A. & F. R. Hope (eds.); cognitive model of social phobia proposes that social phobics generate a negative impression of how they appear to others. This ...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0005-7967(98)00150-8

    authors: Wells A,Papageorgiou C

    更新日期:1999-07-01 00:00:00

  • Memory transfer for emotionally valenced words between identities in dissociative identity disorder.

    abstract::The present study aimed to determine interidentity retrieval of emotionally valenced words in dissociative identity disorder (DID). Twenty-two DID patients participated together with 25 normal controls and 25 controls instructed to simulate DID. Two wordlists A and B were constructed including neutral, positive and ne...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.brat.2006.07.001

    authors: Huntjens RJ,Peters ML,Woertman L,van der Hart O,Postma A

    更新日期:2007-04-01 00:00:00

  • A randomised controlled trial of the effectiveness of writing as a self-help intervention for traumatic injury patients at risk of developing post-traumatic stress disorder.

    abstract::The study investigated the effects of writing and self-help information on severity of psychological symptoms in traumatic injury patients at risk for developing post-traumatic stress disorder (PTSD). Patients attending Accident and Emergency (A & E), were screened for Acute Stress Disorder and randomised to an inform...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2008.10.006

    authors: Bugg A,Turpin G,Mason S,Scholes C

    更新日期:2009-01-01 00:00:00

  • Anxiety sensitivity, catastrophic misinterpretations and panic self-efficacy in the prediction of panic disorder severity: towards a tripartite cognitive model of panic disorder.

    abstract::The present study examined the contribution of three main cognitive factors (i.e., anxiety sensitivity, catastrophic misinterpretations of bodily symptoms, and panic self-efficacy) in predicting panic disorder (PD) severity in a sample of patients with a principal diagnosis of panic disorder. It was hypothesized that ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2015.01.005

    authors: Sandin B,Sánchez-Arribas C,Chorot P,Valiente RM

    更新日期:2015-04-01 00:00:00

  • Psychophysiological and subjective reactions of social phobics and normals to facial stimuli.

    abstract::Nine social phobics and 9 normal control subjects were exposed to slides of angry faces, happy faces, and neutral objects (i.e. flowers or mushrooms). Skin conductance responses (SCRs) to the stimuli and eyeblink rate (EBR) during stimulus exposure were recorded. In addition, subjects were asked to rate the stimuli in...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/0005-7967(89)90048-x

    authors: Merckelbach H,van Hout W,van den Hout MA,Mersch PP

    更新日期:1989-01-01 00:00:00

  • The relationship of attributional style to agoraphobia severity, depression, and treatment outcome.

    abstract::The present study examined the relationship of attributional style, as measured with a revised version of the Attributional Style Questionnaire (ASQ) and measures of agoraphobia severity, depression, and treatment outcome in 73 Ss who met DSM-III criteria for agoraphobia with panic attacks and participated in one of t...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Michelson LK,Bellanti CJ,Testa SM,Marchione N

    更新日期:1997-12-01 00:00:00

  • Obsessions, responsibility and guilt.

    abstract::Introduction of the concept of "inflated responsibility" into the so-called anatomy of obsessions gives rise to an elaborated analysis of obsessions, responsibility and guilt. The analysis touches on a range of phenomena including anger and guilt, control of thoughts, the fusion of thoughts and action, resistance to a...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,评审

    doi:10.1016/0005-7967(93)90066-4

    authors: Rachman S

    更新日期:1993-02-01 00:00:00

  • The emotional Stroop interference effect in anxiety: attentional bias or cognitive avoidance?

    abstract::Interference effects on threat words in anxious subjects on the emotional Stroop task have generally been interpreted as evidence for mood-congruent attentional bias in anxiety states. However, several recent studies have yielded results that run contrary to this attentional bias explanation. The most important of the...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/0005-7967(94)90128-7

    authors: de Ruiter C,Brosschot JF

    更新日期:1994-03-01 00:00:00

  • Cognitive-behaviour therapy for chronic fatigue syndrome: comparison of outcomes within and outside the confines of a randomised controlled trial.

    abstract::Outcomes for cognitive-behaviour therapy (CBT) in randomised controlled trials (RCTs) have rarely been compared to those in routine clinical practice. Taking the case of CBT for chronic fatigue syndrome (CFS), we evaluated the results of a successful RCT against those of the same treatment given in the same setting as...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2006.08.019

    authors: Quarmby L,Rimes KA,Deale A,Wessely S,Chalder T

    更新日期:2007-06-01 00:00:00

  • The convergent validity of the Phobia Origins Questionnaire (POQ): a review of the evidence.

    abstract::The Phobic Origins Questionnaire (POQ) [Ost, L.-G. & Hugdahl, K. (1981). Acquisition of phobias and anxiety response patterns in clinical patients. Behaviour Research and Therapy, 19, 439-447.] is the most commonly cited instrument for determining the origins of phobic anxiety and data obtained using this instrument s...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,评审

    doi:10.1016/s0005-7967(98)00067-9

    authors: Menzies RG,Kirkby K,Harris LM

    更新日期:1998-11-01 00:00:00

  • Clinical and treatment comparisons between adults with early- and late-onset obsessive-compulsive disorder.

    abstract::It is often suggested that early onset of disorders leads to higher severity and greater treatment refractoriness. Previous research has investigated whether there are clinical and demographic differences between groups of individuals who have experienced onset of obsessive-compulsive disorder (OCD) at an early or lat...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2008.10.015

    authors: Lomax CL,Oldfield VB,Salkovskis PM

    更新日期:2009-02-01 00:00:00

  • Endorphins stimulate approach behaviour, but do not reduce subjective fear. A pilot study.

    abstract::The present study explored whether endorphins have a short-term influence on behavioural approach to a phobic object and on the experience of fear. In a double-blind design, spider phobics (n = 30) received a placebo, a low dose (25 mg) or a high dose (100 mg) of naltrexone, an endorphin blocker. Approach to a spider ...

    journal_title:Behaviour research and therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0005-7967(93)90097-e

    authors: Arntz A

    更新日期:1993-05-01 00:00:00

  • A test of the interactive effects of anxiety sensitivity and mindfulness in the prediction of anxious arousal, agoraphobic cognitions, and body vigilance.

    abstract::The present investigation sought to examine the interactive effects of anxiety sensitivity [AS; Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss, & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107-121). San Diego: Academic Press] and mindfulness [Brown, K. W., & Ryan, R. M...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2006.06.002

    authors: Vujanovic AA,Zvolensky MJ,Bernstein A,Feldner MT,McLeish AC

    更新日期:2007-06-01 00:00:00

  • Nighttime fears of children and adolescents: frequency, content, severity, harm expectations, disclosure, and coping behaviours.

    abstract::The present school-based study investigated the nighttime fears of 511 children and adolescents, aged 8-16 years. Participants were assessed using a structured interview about the frequency, content, severity, harm expectations, coping strategies, and disclosure of nighttime fears. Results indicated that nighttime fea...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2007.03.013

    authors: Gordon J,King N,Gullone E,Muris P,Ollendick TH

    更新日期:2007-10-01 00:00:00

  • What matters more? Common or specific factors in cognitive behavioral therapy for OCD: Therapeutic alliance and expectations as predictors of treatment outcome.

    abstract::CBT for obsessive-compulsive disorder (OCD) is a strong challenge to the contention that common factors explain most of the variance in outcomes in all therapies and all disorders, given that the treatment is focused and placebo response is low. In this study, the relative contributions of expectancy and therapeutic a...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2018.03.007

    authors: Strauss AY,Huppert JD,Simpson HB,Foa EB

    更新日期:2018-06-01 00:00:00

  • Changes in dyadic communication during and after integrative and traditional behavioral couple therapy.

    abstract::To examine changes in dyadic communication, as well as links between communication and long-term relationship outcomes, 134 distressed couples randomly assigned to either Traditional Behavioral Couple Therapy (TBCT; Jacobson & Margolin, 1979) or Integrative Behavioral Couple Therapy (IBCT; Jacobson & Christensen, 1998...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2014.12.004

    authors: Baucom KJ,Baucom BR,Christensen A

    更新日期:2015-02-01 00:00:00

  • Emotional processing deficits in Italian children with Disruptive Behavior Disorder: The role of callous unemotional traits.

    abstract::Research suggests that callous unemotional (CU) traits are associated with poor emotion recognition due to impairments in attention to relevant emotional cues. To further investigate the mechanisms that underlie CU traits, this study focused on the relationship between levels of CU and children's attention to, and rec...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2018.12.011

    authors: Billeci L,Muratori P,Calderoni S,Chericoni N,Levantini V,Milone A,Nocentini A,Papini M,Ruglioni L,Dadds M

    更新日期:2019-02-01 00:00:00

  • Preliminary evaluation of a self-directed video-based 1-2-3 Magic parenting program: a randomized controlled trial.

    abstract::The current study examined the effectiveness of a self-directed video-based format of the 1-2-3 Magic parenting program in reducing dysfunctional parenting and child problem behaviors. Eighty-four parents of children aged 2-10 were randomly assigned to either the intervention group (n = 43) or the waitlist control gro...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.brat.2015.01.003

    authors: Porzig-Drummond R,Stevenson RJ,Stevenson C

    更新日期:2015-03-01 00:00:00

  • Parental history, aversive exposure and the development of snake and spider phobia in women.

    abstract::Parental history and experiential factors in the development of snake and spider phobia were studied. Phobic women (DSM-IV, n = 158) reported on family history of animal phobia and whether direct (being frightened by the phobic object) or indirect (seeing someone else being frightened by and/or being warned of the pho...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/s0005-7967(96)00076-9

    authors: Fredrikson M,Annas P,Wik G

    更新日期:1997-01-01 00:00:00

  • Increased interoceptive awareness in fear of flying: sensitivity to suffocation signals.

    abstract::In flight phobia, particular environmental factors can facilitate a fear response. The current study aimed to explore the relationship between respiratory sensations and fear of flying: individuals with fear of flying may be more sensitive to suffocation signals and could experience more bodily sensations as a consequ...

    journal_title:Behaviour research and therapy

    pub_type: 杂志文章

    doi:10.1016/j.brat.2011.03.011

    authors: Vanden Bogaerde A,Derom E,De Raedt R

    更新日期:2011-06-01 00:00:00