The DOI matches its Crossref record; 99 of the 100 references it cites were found in a registry or an index.
The association between worry and rumination with sleep in non-clinical populations: a systematic review and meta-analysis
Abstract
Associations have been found between perseverative cognition (PC: worry and rumination) and somatic markers of ill-health. Further studies have reported associations between sleep and both PC and poorer health. As such, sleep disturbance may represent a pathway between PC and ill-health. Therefore, studies assessing the relationship between PC and sleep in non-clinical populations were synthesised. Meta-analyses (k = 55) revealed small- to medium-sized associations between higher PC and poorer sleep quality (SQ, r = −0.28), shorter total sleep time (TST, r = −0.15) and longer sleep onset latency (SOL, r = −0.16). Variations included associations between SQ and rumination (r = −.33) and worry (r = −.23). Associations were stronger in studies measuring SQ via self-report rather than actigraphy, and where SOL and TST outcomes were cross-sectional. Associations with SOL were stronger when outcomes were from non-diary studies and when trait, rather than state PC, was measured, but weaker where studies incorporated more measures of PC. Effect sizes were generally larger where studies were higher quality and being female may act as a protective factor between PC and longer SOL. Therefore, there is a consistent association between PC and sleep which may partially explain the link between PC and ill-health.
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“Cognitive processes play a major role in the onset and maintenance of sleep onset anxiety, particularly through pa erns of rumination and worry [10].”
From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [10]
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“worry, which involves perseverative thinking about future threats [95,96]”
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“Rumination and worry are the two best-known aspects of repetitive thought (43), that have significant associations with polysomnographic indices of disrupted sleep (44), and sleep disturbances, both in healthy people (45), and in insomnia patients (46).”
From The contribution of transdiagnostic vulnerability factors in patients with chronic insomnia (2023) · cites this paper as [45]
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Metadata
- Authors
- Clancy, F., Prestwich, A., Caperon, L., Tsipa, A., & O’Connor, D. B.
- Affiliations
- University of Leeds (GB)
- School of Psychology, Faculty of Medicine and Health, The University of Leeds, Leeds, UK
- Corresponding author
- Clancy, F.
- Venue
- Health Psychology Review
- Publisher
- Informa UK Limited
- Published
- 2020-01-20
- Volume
- 14
- Issue
- 4
- Pages
- 427-448
- ISSN
- 1743-7199 (ISSN-L)
- 1743-7202
- OpenAlex
- W2999483757
- Cited by
- 165
- References
- 100
- Citations by year
- 2026: 33 · 2025: 37 · 2024: 23 · 2023: 24 · 2022: 28 · 2021: 12 · 2020: 7
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Funders
- Economic and Social Research Council (1497400)
- 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 › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- worry, rumination, perseverative cognition, sleep quality, total sleep time, sleep latency, sleep disorders, non-clinical population, sex differences, health outcomes
- MeSH terms
- Rumination, Cognitive, Anxiety, Humans, Sleep, Sleep Wake Disorders, Stress, Psychological
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