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Rumination Predicts Longer Sleep Onset Latency After an Acute Psychosocial Stressor
Abstract
OBJECTIVES: Rumination has been linked to self-reported sleep quality. However, whether rumination is related to an objective sleep parameter has not been tested. This study examined whether rumination predicts sleep onset latency (SOL) on the night after an acute psychosocial stressor. We hypothesized that those who ruminate (assessed with both trait and stressor-specific measures) would have longer SOL (assessed with objective and subjective methods). METHODS: Seventy participants delivered a 5-minute speech in front of an evaluative panel during an afternoon laboratory session. Trait rumination was assessed before the stressor. Stressor-specific rumination was captured with the frequency of task-related thoughts participants experienced during a 10-minute rest period after the stressor. Participants wore actigraphs on their wrists on the night after the laboratory session to measure objective sleep onset latency (SOL-O). Subjective sleep onset latency was estimated by participants on the subsequent morning. RESULTS: Consistent with hypotheses, trait and stressor-specific rumination predicted longer SOL-O and subjective sleep onset latency, respectively. In addition, trait and stressor-specific rumination interacted to predict longer SOL-O. SOL-O was longest among those who engaged in more stressor-specific rumination and had greater trait rumination scores. Neither rumination measure was related to sleep duration or wakefulness after sleep onset. CONCLUSIONS: The findings from this study are consistent with previous research linking rumination to subjective sleep quality. The results also suggest that post-stressor ruminative thought may predict delayed sleep onset for those with a propensity for rumination.
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“The association between sleep maintenance problems and these experiences is less clear (i.e., either a weaker relationship or no relationship, see [49, 51–53]).”
From A structural equation model of the relationship between insomnia, negative affect, and paranoid thinking (2017) · cites this paper as [53]
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“[17] employed a similar paradigm in which they assessed the association between state rumination following a stressor and actigraphy-based sleep in a sample of college students.”
BackgroundMethodResultInfluentialRepetitive Thought and Self-Reported Sleep Disturbance
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“Indeed, these findings build on previous research suggesting that trait and state rumination is associated with longer objective and subjective markers of sleep onset latency [80], as well findings that individuals with insomnia are more likely than good sleepers to report higher levels of rumination and worry [11,58].”
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“Although inducing stress and state rumination prolongs objective sleep latency [31], it is possible that difficulty falling asleep leads to rumination as the inability to sleep can trigger negative schema that provide content for rumination [74,75].”
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Carciofo, R., Du, F., Song, N., & Zhang, K. (2014) · PLoS ONE · doi:10.1371/journal.pone.0091285 · Cited by 107
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BackgroundMind-wandering while driving: The impact of fatigue, task length, and sustained attention abilities
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“Recent work also demonstrated that rumination could serve as a potential mediator between stressful life events and sleep problems [32,33], and post-stressor rumination predicted longer sleep-onset latency [34].”
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“In subjects with sleep difficulties, however, who have a higher tendency to ruminate and bias to perceived internal and external threats to sleep (Zoccola et al. 2009; Harris et al. 2015), high dispositional awareness or cultivation of attention monitoring skills/awareness alone may exacerbate rumination and attention…”
BackgroundFontanellaz-Castiglione, C. E. G., Schaufler, S., Wild, S., Hamann, C., Kaess, M., & Tarokh, L. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13865 · Cited by 84
“5–3 h (Zoccola et al., 2009) later as adolescents attempt to catch up on the sleep lost during the school week (Anderson et al.”
InfluentialRepetitive Thought Impairs Sleep Quality: An Experience Sampling Study
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Diurnal variation in rumination.
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“In addition, a number of studies document a relationship between RNT and reductions in sleep duration or quality (Fairholme et al. 2013; Guastella and Moulds 2007; Harvey 2002; Thomsen et al. 2003; Zoccola et al. 2009).”
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BackgroundDaily rumination about stress, sleep, and diurnal cortisol activity
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“…studies have not found relations between rumination and sleep duration (Tang & Harvey, 2004; Zoccola et al., 2009), suggesting that rumination may be more closely linked with subjective sleep quality than activity-based measures of sleep quantity (Guastella & Moulds, 2007; Zoccola et al., 2009).”
BackgroundMethodInfluentialPre-sleep Arousal as a Mediator of Relationships Among Worry, Rumination, and Sleep Quality
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“Cognitive and affective factors, including intrusive thoughts, negative affect, worry, and perception of threat, lead to a state of prolonged arousal or vigilance, delaying sleep onset (Dahl and Lewin, 2002; Hall et al., 1998; Kalmbach et al., 2014; Tang and Harvey, 2004; Wicklow and Espie, 2000; Wuyts et al., 2012; Z…”
BackgroundTrait and state perseverative cognition and the cortisol awakening response
Zoccola, P. M., Dickerson, S. S., & Yim, I. S. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.10.004 · Cited by 52
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“A second hypothesis is based on literature suggesting people who ruminate tend to sleep worse.(80,81) Mindfulness-based practices may facilitate sleep by helping individuals ruminate less.”
BackgroundChanges in Sleep Difficulties During the Transition to Statutory Retirement
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“Although nocturnal rumination can impede sleep onset [30, 52, 53], the failure to fall/remain asleep can also trigger cognitive arousal, thus creating a positive feedback cycle.”
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Premenstrual Disorders and Rumination
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“inducing cognitive–emotional dysregulation triggers symptoms of insomnia [39, 53, 57] and depression [58]).”
BackgroundDaily reactivity to stress and sleep disturbances: unique risk factors for insomnia
Yoo, J., Slavish, D. C., Dietch, J. R., Kelly, K. S., Ruggero, C. J., & Taylor, D. J. (2022) · SLEEP · doi:10.1093/sleep/zsac256 · Cited by 42
Linking Sleep Disturbance and Maladaptive Repetitive Thought: The Role of Executive Function
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“In healthy individuals, poor sleep quality is associated with rumination after controlling for negative affect (Thomsen et al. 2003), and rumination following a stressful event predicts increased sleep onset latency (Zoccola et al. 2009) and decreased sleep quality (Guastella and Moulds 2007).”
BackgroundInfluentialDay-to-day relations between stress and sleep and the mediating role of perseverative cognition
Laethem, M. V., Beckers, D. G. J., van Hooff, M. L. M., Dijksterhuis, A., & Geurts, S. A. E. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2016.06.020 · Cited by 49
Stress dynamically reduces sleep depth: temporal proximity to the stressor is crucial
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“Cognitive arousal has been associated with subjective sleep quality and difficulties falling asleep (Zoccola et al. 2009; Takano et al. 2012; Pillai et al. 2014), with objective sleep disturbances as well as physiological hyperarousal during the day and night (Kalmbach et al. 2020).”
Sleep-Related Arousal Versus General Cognitive Arousal in Primary Insomnia
Spiegelhalder, K., Regen, W., Feige, B., Hirscher, V., Unbehaun, T., Nissen, C., Riemann, D. W., & Baglioni, C. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2040 · Cited by 38
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Is waiting bad for subjective health?
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Stewart, J. C., Rand, K. L., Hawkins, M. A. W., & Stines, J. A. (2011) · Personality and Individual Differences · doi:10.1016/j.paid.2010.12.004 · Cited by 35
“Second, rumination may be associated with some aspects of sleep quality, such as sleep latency, but not others (Zoccola et al., 2009).”
BackgroundWhat dreams may come: Emotional cascades and nightmares in borderline personality disorder.
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“Several experimental studies also showed that rumination had a detrimental impact on sleep quality for students high in rumination (e.g., Guastella and Moulds 2007; Zoccola et al. 2009).”
BackgroundKalmbach, D. A., Cheng, P., Roth, A., Roth, T. G., Swanson, L. M., O'Brien, L. M., Fresco, D. M., Harb, N. C., Cuamatzi-Castelan, A. S., Reffi, A. N., et al. (2022) · SLEEP Advances · doi:10.1093/sleepadvances/zpac006 · Cited by 33
“These findings are consistent with polysomnography and actigraphy data showing that individuals with high nocturnal cognitive arousal take about 45 minutes longer to fall asleep, and are awake for 44 minutes longer in the night relative to those with low cognitive arousal [62,63].”
ResultRumination decreases parental problem-solving effectiveness in dysphoric postnatal mothers
O’Mahen, H., Boyd, A., & Gashe, C. (2014) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2014.09.007 · Cited by 33
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“…S l ee p M e d i c i n e discrete constructs, 27 that rumination differentiates good and poor sleepers, 26 and that it contributes to sleep quality 47 ; but, it is also consistent with Manber and colleagues’ 22 suggestion that the efficacy of CBTI may be enhanced among individu - als with…”
Tang, W., Xu, D., Li, B., Lü, Y., & Xu, J. (2018) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2018.09.013 · Cited by 30
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Specific aspects of sleep disturbance associated with suicidal thoughts and attempts
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“A number of studies noted rumination is an important link between job stressors and both impaired sleep quality as well as problems with falling asleep (Cropley et al., 2006; Zoccola et al., 2009; Berset et al., 2011; Vahle-Hinz et al., 2014; Syrek et al., 2017).”
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Linking repetitive negative thinking and insomnia symptoms: A longitudinal trait-state model
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Anxiety in Residents in China: Prevalence and Risk Factors in a Multicenter Study
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“Involuntary engagement includes components such as physiological arousal and rumination, which have been shown in previous studies (outside of pandemic conditions) to be associated with impaired sleep (Y. Li et al., 2019; Tousignant et al., 2019; Zoccola et al., 2009).”
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Metadata
- Authors
- Zoccola, P. M., Dickerson, S. S., & Lam, S.
- Affiliations
- University of California, Irvine (US)
- Corresponding author
- Zoccola, Peggy M.
- Venue
- Psychosomatic Medicine
- Published
- 2009-09
- Volume
- 71
- Issue
- 7
- Pages
- 771-775
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2010137324
- Cited by
- 209
- References
- 29
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 12 · 2023: 16 · 2022: 23 · 2021: 13 · 2020: 22 · 2019: 18 · 2018: 14 · 2017: 19 · 2016: 13 · 2015: 9 · 2014: 11 · 2013: 8 · 2012: 9
- FWCI
- 5.91
- 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
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- rumination, sleep latency, acute psychosocial stress, trait rumination, sleep quality, speech stressor, actigraphy
- MeSH terms
- Acute Disease, Adolescent, Adult, Circadian Rhythm, Cognition, Data Collection, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Surveys and Questionnaires, Sleep, Speech, Stress, Psychological, Thinking, Wakefulness, Polysomnography
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