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

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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

DOI 10.1097/00006842-198110000-00007

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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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Authors: Healey, S. E., Kales, A., Monroe, L. J., Bixler, E. O., Chamberlin, K., & Soldatos, C. R.
Affiliations: Pennsylvania State University (US)
ORCID: Soldatos, Constantin R.
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1981-10
Volume: 43
Issue: 5
Pages: 439-451
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-198110000-00007
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

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 ›

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Onset of Insomnia: Role of Life-Stress Events1

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Citations

Cited by

Related

Metadata

Record

About these checks