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Sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research

Cox, Rebecca C., Olatunji, Bunmi O.·2020·Sleep Medicine Reviews

Abstract

Although sleep disturbance is implicated in psychopathology, its role in anxiety-related disorders remains unclear. The present meta-analysis characterizes sleep disturbance in anxiety-related disorders collectively and individually. Subjective measures of total sleep time and sleep continuity were included with objective measures. Results indicate a large effect for increased subjective sleep disturbance (g = 2.16), medium effects for decreased total sleep time (g = -.40) and sleep continuity (g = -.49), and a small effect for decreased sleep depth (g = -.20) in anxiety-related disorders compared to healthy controls. Each anxiety-related disorder exhibited a distinct sleep disturbance pattern, suggesting that sleep may facilitate identification of unique biopsychological underpinnings. Effects were not moderated by comorbid depression and were similar in magnitude to those found for depression. Sleep disturbances, particularly decreased sleep continuity, may be a key pathology in the anxiety-related disorders that could highlight novel etiological mechanisms and intervention targets.

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Metadata

Authors
Cox, R. C., & Olatunji, B. O.
Venue
Sleep Medicine Reviews
Publisher
Elsevier BV
Published
2020-06
Volume
51
Pages
101282
ISSN
1087-0792 (ISSN-L)
OpenAlex
W3005810421
Cited by
227
References
46
FWCI
4.66
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. https://app.cochat.ai/papers/10.1016/j.smrv.2020.101282
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Cox, R. C., & Olatunji, B. O. (2020). Sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. Sleep Medicine Reviews. https://doi.org/10.1016/j.smrv.2020.101282

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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