A randomized clinical trial examining the effects of an anxiety sensitivity intervention on insomnia symptoms: Replication and extension
Open accessAbstract
Insomnia disorder is impairing and prevalent, particularly among individuals with comorbid anxiety disorders. Despite the availability of effective computerized treatments for insomnia, there are few that target both insomnia as well as co-occurring anxiety symptoms. The current study tests the efficacy of a computerized treatment for anxiety sensitivity cognitive concerns, a transdiagnostic risk factor for anxiety, mood, and insomnia symptoms, against a repeated contact control, on reducing insomnia symptoms. Hypotheses were tested in a mixed clinical sample of community individuals presenting for a treatment study (n = 151) who were followed up 1-, 3- and 6-months after treatment. Results indicated that the anxiety sensitivity intervention resulted in reductions in insomnia symptoms and clinically significant insomnia scores at 3- and 6-month follow-ups. These reductions remained significant when covarying for concurrent reductions in depression and anxiety. Models accounted for 15-54% of the variance in follow-up insomnia symptoms. Current findings add to a growing body of literature suggesting anxiety sensitivity may play a causal role in insomnia symptoms. Results also suggest that targeting anxiety sensitivity may be an effective way to reduce insomnia symptoms in a brief and portable intervention that also reduces symptoms commonly comorbid with insomnia disorder.
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In a randomized clinical trial of 151 patients, computerized treatment for anxiety sensitivity resulted in significant reductions in insomnia symptoms at three- and six-month follow-up, even when controlling for reductions in depression and anxiety.
“In a randomized clinical trial, the efficacy of treating anxiety sensitivity on reducing insomnia symptoms was investigated in 151 patients. The findings demonstrated that computerized treatment for anxiety sensitivity resulted in significant reductions in insomnia symptoms at three- and six-month follow-up periods, even when controlling for reductions in depression and anxiety [107].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [107]
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- Authors
- Short, N. A., Boffa, J. W., King, S., Albanese, B. J., Allan, N. P., & Schmidt, N. B.
- Affiliations
- Florida State University (US)
- Ohio University (US)
- Corresponding author
- Schmidt, Norman B.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2017-12
- Volume
- 99
- Pages
- 108-116
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC6397652
- OpenAlex
- W2763305681
- Cited by
- 22
- References
- 67
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Behaviour Research and Therapy (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Military Suicide Research Consortium
- Department of Defense (W81XWH-10-2-0181)
- VISN 19 Mental Illness Research, Education
- Clinical Center
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- anxiety sensitivity, insomnia symptoms, insomnia, transdiagnostic risk factors, anxiety comorbidity, depression
- MeSH terms
- Adolescent, Adult, Aged, Anxiety, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Therapy, Computer-Assisted, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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