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Onset of Insomnia: Role of Life-Stress Events1
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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“[13] revealed that the most frequent stressful events reported by people with poor sleep are related to illness and loss and it may be that ruminating about daily stressors or FMS symptoms may delay sleep onset or lead to disrupted sleep.”
BackgroundInsomnia With Short Sleep Duration
Vgontzas, A. N., & Fernández‐Mendoza, J. (2013) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2013.04.009 · Cited by 75
Sexual orientation and sleep difficulties: a review of research
Patterson, C. J., & Potter, E. C. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.02.004 · Cited by 73
Lentiviral infection, immune response peptides and sleep
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Rogojanski, J., Carney, C. E., & Monson, C. M. (2012) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.02.003 · Cited by 72
Angst, J., & Dobler-Mikola, A. (1984) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf00432879 · Cited by 74
Trait anxiety and sleep-onset insomnia
Viens, M., Koninck, J. D., Mercier, P., St-Onge, M., & Lorrain, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00568-8 · Cited by 67
“Several studies have linked insomnia with the presence of increased general trait anxiety [20–22].”
BackgroundStressful life events, insomnia and suicidality in a large sample of Chinese adolescents
Liu, B.-P., Wang, X., Liu, Z., Wang, Z.-Y., Liu, X., & Jia, C.-X. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.02.047 · Cited by 63
Life Events in the Year Preceding the Onset of Narcolepsy
Orellana, C., Villemin, E., Tafti, M., et al. (1994) · SLEEP · doi:10.1093/sleep/17.suppl_8.s50 · Cited by 63
Zhao, F.-Y., Zheng, Z., Fu, Q.-Q., Conduit, R., Xu, H. M., Wang, H., Huang, Y., Jiang, T. X., Zhang, W., & Kennedy, G. A. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1120567 · Cited by 60
Sleep and allostatic load: A systematic review and meta-analysis
Christensen, D. S., Zachariae, R. H., Amidi, A., & Wu, L. M. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101650 · Cited by 71
Management of Insomnia in Hospitalized Patients
Berlin, R. M. (1984) · Annals of Internal Medicine · doi:10.7326/0003-4819-100-3-398 · Cited by 55
Meaklim, H., Saunders, W. J., Byrne, M. L., Junge, M. F., Varma, P., Finck, W. A., & Jackson, M. L. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.11.021 · Cited by 55
Schizophrenia: the role of sleep and circadian rhythms in regulating dopamine and psychosis
Yates, N. J. (2016) · Reviews in the Neurosciences · doi:10.1515/revneuro-2016-0030 · Cited by 55
“For example, stressors can disrupt sleep (Healey et al., 1981; Morin et al., 2003), produce sensitization of mesocorticolimbic dopamine systems (Deroche et al.”
Background
Metadata
- 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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