Cited by 165Sleep and related disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion Interventions

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The association between worry and rumination with sleep in non-clinical populations: a systematic review and meta-analysis

Clancy, F., Prestwich, A., Caperon, L., Tsipa, A., O’Connor, D. B.·2020·Health Psychology Review

DOI 10.1080/17437199.2019.1700819

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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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See all 165

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.
ORCID: Clancy, F.
Prestwich, A.
Caperon, L.
Tsipa, A.
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
DOI: 10.1080/17437199.2019.1700819
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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The association between worry and rumination with sleep in non-clinical populations: a systematic review and meta-analysis

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