The DOI matches its Crossref record; 84 of the 84 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
The International Classification of Sleep Disorders
Daroff, R. B. (1991) · Neurology · doi:10.1212/wnl.41.1.160 · Cited by 5,023
The dimensions of perfectionism
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990) · Cognitive Therapy and Research · doi:10.1007/bf01172967 · Cited by 4,279
Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.262.11.1479 · Cited by 2,440
Epidemiologic Study of Sleep Disturbances and Psychiatric Disorders: An Opportunity for Prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.1989.03430110069030 · Cited by 2,252
Wegner, D. M., & Zanakos, S. (1994) · Journal of Personality · doi:10.1111/j.1467-6494.1994.tb00311.x · Cited by 1,245
Insomnia and Its Treatment: Prevalence and Correlates
Mellinger, G. D. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790260019002 · Cited by 1,071
Progress in Behavior Modification
Hersen, M., & Eisler, R. M. (1983) · Cited by 1,020
Treatment of Chronic Insomnia by Restriction of Time in Bed
(1987) · Sleep · doi:10.1093/sleep/10.1.45 · Cited by 948
Prevalence of sleep disorders in the Los Angeles metropolitan area
Bixler, E. O., Kales, A., Soldatos, C. R., Kales, J. D., & Healey, S. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.10.1257 · Cited by 889
Perkowski, R., & Perkowski, A. (2000) · Cited by 889
The phenomenology of the pre-sleep state: the development of the pre-sleep arousal scale
Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90004-x · Cited by 704
Rachman, S. (1980) · Behaviour Research and Therapy · doi:10.1016/0005-7967(80)90069-8 · Cited by 657
Psychological and physiological differences between good and poor sleepers.
Monroe, L. J. (1967) · Journal of Abnormal Psychology · doi:10.1037/h0024563 · Cited by 637
24-Hour Metabolic Rate in Insomniacs and Matched Normal Sleepers
Bonnet, M. H., & Arand, D. L. (1995) · Sleep · doi:10.1093/sleep/18.7.581 · Cited by 557
Morin, C. M., Stone, J., Trinkle, D. B., Mercer, J., & al, E. (1993) · Psychology and Aging · doi:10.1037//0882-7974.8.3.463 · Cited by 490
Worrying: Perspectives on theory, assessment and treatment.
Davey, G. C. L., & Tallis, F. (1994) · Wiley eBooks · Cited by 451
Chronic insomnia and activity of the stress system
Vgontzas, A. N., Tsigos, C., Bixler, E. O., Stratakis, C. A., Zachman, K., Kales, A., Vela-Bueno, A., & Chrousos, G. P. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00302-4 · Cited by 401
Sleep Fragmentation and Daytime Sleepiness
Stepanski, E. J., Lamphere, J. K., Badia, P., Zorick, F. J., & Roth, T. G. (1984) · SLEEP · doi:10.1093/sleep/7.1.18 · Cited by 347
Onset of Insomnia: Role of Life-Stress Events1
Healey, S. E., Kales, A., Monroe, L. J., Bixler, E. O., Chamberlin, K., & Soldatos, C. R. (1981) · Psychosomatic Medicine · doi:10.1097/00006842-198110000-00007 · Cited by 337
Mental activity at sleep onset.
Foulkes, D., & VOGEL, G. (1965) · Journal of Abnormal Psychology · doi:10.1037/h0022217 · Cited by 320
Daytime Alertness in Patients with Chronic Insomnia Compared with Asymptomatic Control Subjects
Stepanski, E. J., Zorick, F. J., Roehrs, T., Young, D. K., & Roth, T. G. (1988) · SLEEP · doi:10.1093/sleep/11.1.54 · Cited by 306
Recorded and Reported Sleep in Chronic Primary Insomnia
Frankel, B. L. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770050067011 · Cited by 297
Malcolm, R. J., & Gross, J. A. (1984) · Postgraduate Medicine · doi:10.1080/00325481.1984.11698665 · Cited by 290
Insomniacs’ perceptions of cognitive versus somatic determinants of sleep disturbance
Lichstein, K. L., & Rosenthal, T. L. (1980) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.89.1.105 · Cited by 239
Caffeine Use as a Model of Acute and Chronic Insomnia
Bonnet, M. H., & Arand, D. L. (1992) · SLEEP · doi:10.1093/sleep/15.6.526 · Cited by 236
Lichstein, K. L., Means, M. K., Noe, S. L., & Aguillard, R. N. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00029-6 · Cited by 233
Worrying—Perspectives on theory, assessment and treatment
Ito, L. M. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(95)90103-5 · Cited by 232
Fanning old flames: Emotional and cognitive effects of suppressing thoughts of a past relationship.
Wegner, D. M., & Gold, D. B. (1995) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.68.5.782 · Cited by 227
The distribution and clinical significance of sleep time misperceptions among insomniacs
Edinger, J. D., & Fins, A. I. (1995) · SLEEP · doi:10.1093/sleep/18.4.232 · Cited by 226
Estimating sleep parameters: A multitrait-multimethod analysis.
Coates, T. J., Killen, J. D., George, J., Marchini, E., Silverman, S., & Thoresen, C. E. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.3.345 · Cited by 211
Nocturnal Determinants of Daytime Sleepiness
Carskadon, M. A., & Dement, W. C. (1982) · SLEEP · doi:10.1093/sleep/5.s2.s73 · Cited by 204
Insomniacs' perceptions of cognitive versus somatic determinants of sleep disturbance.
Lichstein, K. L., & Rosenthal, T. L. (1980) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.89.1.105 · Cited by 199
(1991) · Springer eBooks · doi:10.1007/978-1-4757-9586-8 · Cited by 199
Physiological and psychological differences between good and poor sleepers
Adam, K., Tomeny, M., & Oswald, I. (1986) · Journal of Psychiatric Research · doi:10.1016/0022-3956(86)90033-6 · Cited by 195
Effects of a cognitive intrusion manipulation on the sleep-onset latency of good sleepers
Gross, R. T., & Borkovec, T. D. (1982) · Behavior Therapy · doi:10.1016/s0005-7894(82)80054-3 · Cited by 192
Behavioral Treatments for Insomnia
Bootzin, R. R., & Nicassio, P. M. (1978) · Progress in behavior modification · doi:10.1016/b978-0-12-535606-0.50007-9 · Cited by 192
Physiological and psychological factors in sleep-onset insomnia.
Freedman, R. R., & Sattler, H. L. (1982) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.91.5.380 · Cited by 181
Physiological Activation in Patients With Sleep State Misperception
Bonnet, M. H., & Arand, D. L. (1997) · Psychosomatic Medicine · doi:10.1097/00006842-199709000-00011 · Cited by 181
Personality measures and evoked responses in chronic insomniacs.
Coursey, R. D., Buchsbaum, M. S., & Frankel, B. L. (1975) · Journal of Abnormal Psychology · doi:10.1037/h0076716 · Cited by 179
Sleep onset: Normal and abnormal processes.
(1994) · American Psychological Association eBooks · doi:10.1037/10166-000 · Cited by 177
Kales, A., Caldwell, A. B., Soldatos, C. R., Bixler, E. O., & Kales, J. D. (1983) · Psychosomatic Medicine · doi:10.1097/00006842-198308000-00008 · Cited by 170
The experience of insomnia and daytime and nightime functioning
Mendelson, W. B., Garnett, D., Gillin, J. C., & Weingartner, H. (1984) · Psychiatry Research · doi:10.1016/0165-1781(84)90029-5 · Cited by 166
Lamarche, C. H., & Ogilvie, R. D. (1997) · SLEEP · doi:10.1093/sleep/20.9.726 · Cited by 160
Seidel, W. F., Stephen, B., Cohen, S. A., Patterson, N., Yost, D., & Dement, W. C. (1984) · SLEEP · doi:10.1093/sleep/7.3.230 · Cited by 159
Borkovec, T. D. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.6.880 · Cited by 150
The effects of presleep stress on sleep-onset insomnia.
Haynes, S. N., Adams, A., & Franzen, M. D. (1981) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.90.6.601 · Cited by 146
The Consequences of a Week of Insomnia
Bonnet, M. H., & Arand, D. L. (1996) · SLEEP · doi:10.1093/sleep/19.6.453 · Cited by 140
Subjective and psychophysiologic insomnia: An examination of sleep tendency and personality
Dorsey, C. M., & Bootzin, R. R. (1997) · Biological Psychiatry · doi:10.1016/0006-3223(95)00659-1 · Cited by 135
Daytime alertness in subjective and objective insomnia: Some preliminary findings
Sugerman, J. L., Stern, J. A., & Walsh, J. K. (1985) · Biological Psychiatry · doi:10.1016/0006-3223(85)90153-2 · Cited by 134
Schneider-Helmert, D. (1986) · SLEEP · doi:10.1093/sleep/10.5.452 · Cited by 129
Coren, S. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90076-9 · Cited by 127
The Psychological Treatment of Insomnia
Espie, C. A. (1991) · Medical Entomology and Zoology · Cited by 113
Handbook of Clinical Behavior Therapy with Adults
Hersen, M., & Bellack, A. S. (1985) · Springer eBooks · doi:10.1007/978-1-4613-2427-0 · Cited by 110
Relationship Between Sleep Habits, Adrenocortical Activity and Personality
Johns, M. W., Gay, T., Masterton, J. P., & Bruce, D. W. (1971) · Psychosomatic Medicine · doi:10.1097/00006842-197111000-00003 · Cited by 109
THE PSYCHOLOGICAL TREATMENT OF INSOMNIA
Freeman, G. (1991) · Europe PMC (PubMed Central) · Cited by 108
Attention, Stress and Negative Emotion in Persistent Sleep-Onset and Sleep-Maintenance Insomnia
Waters, W. F., Adams, S. G., Binks, P. G., & Varnado, P. J. (1993) · SLEEP · doi:10.1093/sleep/16.2.128 · Cited by 106
Insomnia: Sleep patterns and anxiety level
Haynes, S. N., Follingstad, D. R., & McGowan, W. T. (1974) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(74)90069-5 · Cited by 102
McCarthy-Larzelere, M., & Waters, W. F. (1997) · SLEEP · doi:10.1093/sleep/20.2.115 · Cited by 96
Presleep cognitions and attributions in sleep-onset insomnia
Egeren, L. V., Haynes, S. N., Franzen, M. D., & Hamilton, J. (1983) · Journal of Behavioral Medicine · doi:10.1007/bf00845382 · Cited by 87
Borkovec, T. D., Lane, T. W., & VanOot, P. H. (1981) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.90.6.607 · Cited by 83
Prediction of physiological arousability: a validation of the Arousal Predisposition Scale
Coren, S., & Mah, K. B. (1993) · Behaviour Research and Therapy · doi:10.1016/0005-7967(93)90076-7 · Cited by 78
Alert insomniacs: Are they really sleep deprived?
Chambers, M. J. (1993) · Clinical Psychology Review · doi:10.1016/0272-7358(93)90031-g · Cited by 78
Lundh, L.-G., Broman, J.-E., Hetta, J., & Saboonchi, F. (1994) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506079409455949 · Cited by 76
Self-citationPre-sleep cognitive intrusions and treatment of onset-insomnia
Sanavio, E. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90139-8 · Cited by 70
The Consequences of a Week of Insomnia II: Patients with Insomnia
Bonnet, M. H., & Arand, D. L. (1998) · SLEEP · doi:10.1093/sleep/21.4.359 · Cited by 69
Borkovec, T. D., & Hennings, B. L. (1978) · Behaviour Research and Therapy · doi:10.1016/0005-7967(78)90085-2 · Cited by 65
Subjective and Objective Performance in Patients with Persistent Insomnia
Broman, J., Lundh, L., Aleman, K., & Hetta, J. E. (1992) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506079209455903 · Cited by 53
Self-citationThoughts During Awake Times in Older Good and Poor Sleepers—The Self-Statement Test:60+
Fichten, C. S., Libman, E., Creti, L., Amsel, R., Tagalakis, V., & Brender, W. (1998) · Cognitive Therapy and Research · doi:10.1023/a:1018756618012 · Cited by 48
Cognitive bias and memory performance in patients with persistent insomnia
Lundh, L., Froding, A., Gyllenhammar, L., Broman, J., & Hetta, J. E. (1997) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506079708412033 · Cited by 45
Self-citationThe Role of State-Trait Anxiety in Insomnia and Daytime Restedness
Chambers, M. J., & Kim, J. Y. (1993) · Behavioral Medicine · doi:10.1080/08964289.1993.9937564 · Cited by 44
The nature of insomnia: A descriptive summary of a sleep clinic population
Roth, T., KRAMER, M. L., & Lutz, T. (1976) · Comprehensive Psychiatry · doi:10.1016/0010-440x(76)90072-9 · Cited by 43
Perceived pre-sleep arousal in patients with persistent psychophysiologic and psychiatric insomnia
Broman, J., & Hetta, J. E. (1994) · Nordic Journal of Psychiatry · doi:10.3109/08039489409081360 · Cited by 41
Self-citationSleepiness in Insomnia: Evaluation and Treatment
Seidel, W. F., & Dement, W. C. (1982) · SLEEP · doi:10.1093/sleep/5.s2.s182 · Cited by 34
Electrodermal activity in patients with persistent insomnia
Broman, J., & Hetta, J. E. (1994) · Journal of Sleep Research · doi:10.1111/j.1365-2869.1994.tb00124.x · Cited by 32
Self-citationCognitive anxiety in insomnia: An analogue test
Lichstein, K. L., & Fanning, J. W. (1990) · Stress Medicine · doi:10.1002/smi.2460060110 · Cited by 31
Haynes, S. N., Fitzgerald, S. G., Shute, G. E., & O'Meary, M. (1985) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.94.3.338 · Cited by 30
Development of the sleep behavior self-rating scale
Kazarian, S. S., Howe, M. G., & Csapo, K. G. (1979) · Behavior Therapy · doi:10.1016/s0005-7894(79)80029-5 · Cited by 30
Lundh, L., Lundqvist, K., Broman, J., & Hetta, J. E. (1991) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506079109456289 · Cited by 24
Self-citationPersonality traits in patients with persistent insomnia
Lundh, L., Broman, J., & Hetta, J. E. (1995) · Personality and Individual Differences · doi:10.1016/0191-8869(94)00125-c · Cited by 24
Self-citationImpact of the level of physiological arousal on estimates of sleep latency.
Bonnet, M. H., & Arand, D. L. (1994) · American Psychological Association eBooks · doi:10.1037/10166-008 · Cited by 9
Pat‐Horenczyk, R. (1998) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246589826406x · Cited by 8
The Arousability Predisposition Scale: Validity and Determinants of Between-Subject Variability
Saliba, A. J., Henderson, R. D., Deane, F. P., & Mahar, D. (1998) · The Journal of General Psychology · doi:10.1080/00221309809595549 · Cited by 7
Performance satisfaction of depressives under high and low success conditions.
Sacco, W. P., & Hokanson, J. E. (1978) · Journal of Clinical Psychology · doi:10.1002/1097-4679(197810)34:4 · Cited by 3
Research works printed but not linked: 2
- Stepanski, 1986, Daytime alertness–sleepiness in patients with chronic insomnia, Sleep Res, 15, 174
- Stepanski, 1990, Effects of sleep deprivation on alertness in chronic insomnia, Sleep Res, 19, 297
Cited by
Sorted by citations
Jansson-Fröjmark, M., & Lindblom, K. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.10.016 · Cited by 646
Sleep and emotions: Bidirectional links and underlying mechanisms
Kahn, M., Sheppes, G., & Sadeh, A. (2013) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2013.05.010 · Cited by 550
Espie, C. A., Broomfield, N. M., MacMahon, K. M. A., Macphee, L. M., & Taylor, L. M. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2006.03.002 · Cited by 532
Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia
Ong, J. C., Ulmer, C. S., & Manber, R. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.08.001 · Cited by 376
Rumination—relationship with negative mood and sleep quality
Thomsen, D. K., Yung Mehlsen, M., Christensen, S., & Zachariae, R. (2003) · Personality and Individual Differences · doi:10.1016/s0191-8869(02)00120-4 · Cited by 326
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
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 ›
Are you an author, or do you see a problem with this page? Request a review