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Insomnia as an interaction between sleep-interfering and sleep-interpreting processes
Abstract
The present paper reviews theories and empirical research concerning the role of psychological processes in insomnia. It is argued that two kinds of psychological processes are involved in insomnia: sleep-interfering processes and sleep-interpreting processes. A theoretical model is sketched, where it is argued that psychological vulnerability factors may predispose the individual to (1) respond with sleep-interfering processes to stressful life events, and to (2) engage in dysfunctional sleep-interpreting processes. Examples of the first kind of variables are arousability, slow recuperation after stress, worrying, and emotional conflicts in relation to significant others; examples of the latter are sleep-related beliefs, attitudes, and perfectionistic standards.
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Metadata
- Authors
- Lundh, L.-G., & Broman, J.-E.
- Affiliations
- Stockholm University (SE)
- Uppsala University Hospital (SE)
- Corresponding author
- Lundh, Lars-Gunnar
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2000-11
- Volume
- 49
- Issue
- 5
- Pages
- 299-310
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2113109759
- Cited by
- 263
- References
- 84
- Citations by year
- 2026: 10 · 2025: 23 · 2024: 24 · 2023: 16 · 2022: 25 · 2021: 13 · 2020: 7 · 2019: 13 · 2018: 11 · 2017: 11 · 2016: 10 · 2015: 13 · 2014: 16 · 2013: 9 · 2012: 12
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- 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
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Keywords
- insomnia, psychological vulnerability, life events, arousability, worry, emotional conflict, dysfunctional attitudes
- MeSH terms
- Adult, Affect, Arousal, Cognition, Female, Humans, Sleep Initiation and Maintenance Disorders, Life Change Events, Male, Psychological Theory, Sleep, Sleep Deprivation
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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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