Cited by 337Sleep and related disordersPsychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Onset of Insomnia: Role of Life-Stress Events1

Healey, Shevy E., Kales, Anthony, Monroe, Lawrence J., Bixler, Edward O., Chamberlin, Katherine, Soldatos, Constantin R.·1981·Psychosomatic Medicine

Abstract

During the year their insomnia began, chronic insomniacs experienced a greater number of stressful life events compared with previous or subsequent years and compared with good sleepers. In addition, among the life event categories assessed, insomniacs reported a greater number of undesirable events, particularly events related to losses and to ill health. They also had lifelong histories of more illnesses and somatic complaints, beginning with more childhood illnesses and more childhood problems related to eating and sleeping. During childhood, insomniacs reported more frequent discontent with their families, and prior to the onset of insomnia, they had less satisfying relationships with their parents as well as problems in other interpersonal relations and in their self-concepts. Currently, insomniacs felt considerably less satisfied with their lives, had lower self-concepts, and had greater difficulty with interpersonal relationships. Thus, stressful life events, mediated by certain predisposing factors of personal vulnerability, were found to be closely related to the onset of chronic insomnia.

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Crossref · 10.1097/00006842-198110000-00007

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Authors
Healey, S. E., Kales, A., Monroe, L. J., Bixler, E. O., Chamberlin, K., & Soldatos, C. R.
Affiliations
Pennsylvania State University (US)
Venue
Psychosomatic Medicine
Published
1981-10
Volume
43
Issue
5
Pages
439-451
ISSN
0033-3174 (ISSN-L)
OpenAlex
W2077568972
Cited by
337
References
0
Citations by year
2026: 2 · 2025: 6 · 2024: 2 · 2023: 8 · 2022: 11 · 2021: 16 · 2020: 9 · 2019: 12 · 2018: 8 · 2017: 8 · 2016: 7 · 2015: 10 · 2014: 10 · 2013: 14 · 2012: 13
FWCI
5.23
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
chronic insomnia, life events, childhood diseases, childhood sleep problems, parent-child relationship, self-concept, interpersonal relationships, life satisfaction, somatic symptoms, disease history
MeSH terms
Adult, Chronic Disease, Female, Humans, Sleep Initiation and Maintenance Disorders, Life Change Events, Male, Middle Aged, Personality, Retrospective Studies, Self Concept

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