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Cited by 346

The DOI matches its Crossref record; 75 of the 75 references it cites were found in a registry or an index.

Stress and Sleep Reactivity: A Prospective Investigation of the Stress-Diathesis Model of Insomnia

Open access
Drake, Christopher L., Pillai, Vivek, Roth, Thomas·2014·Sleep

Abstract

STUDY OBJECTIVES: To prospectively assess sleep reactivity as a diathesis of insomnia, and to delineate the interaction between this diathesis and naturalistic stress in the development of insomnia among normal sleepers. DESIGN: Longitudinal. SETTING: Community-based. PARTICIPANTS: 2,316 adults from the Evolution of Pathways to Insomnia Cohort (EPIC) with no history of insomnia or depression (46.8 ± 13.2 y; 60% female). INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Participants reported the number of stressful events they encountered at baseline (Time 1), as well as the level of cognitive intrusion they experienced in response to each stressor. Stressful events (OR = 1.13; P < 0.01) and stress-induced cognitive intrusion (OR = 1.61; P < 0.01) were significant predictors of risk for insomnia one year hence (Time 2). Intrusion mediated the effects of stressful events on risk for insomnia (P < 0.05). Trait sleep reactivity significantly increased risk for insomnia (OR = 1.78; P < 0.01). Further, sleep reactivity moderated the effects of stress-induced intrusion (P < 0.05), such that the risk for insomnia as a function of intrusion was significantly higher in individuals with high sleep reactivity. Trait sleep reactivity also constituted a significant risk for depression (OR = 1.67; P < 0.01) two years later (Time 3). Insomnia at Time 2 significantly mediated this effect (P < 0.05). CONCLUSIONS: This study suggests that premorbid sleep reactivity is a significant risk factor for incident insomnia, and that it triggers insomnia by exacerbating the effects of stress-induced intrusion. Sleep reactivity is also a precipitant of depression, as mediated by insomnia. These findings support the stress-diathesis model of insomnia, while highlighting sleep reactivity as an important diathesis. CITATION: Drake CL, Pillai V, Roth T. Stress and sleep reactivity: a prospective investigation of the stress-diathesis model of insomnia.

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Research works printed but not linked: 5

  1. Rosenthal, 1970, Genetic theory and abnormal behavior
  2. Hobson, 1998, Stressful life events: A revision and update of the Social Readjustment Rating Scale, Int J Stress Manag, 5, 1, 10.1023/A:1022978019315 · doi:10.1023/a:1022978019315
  3. Hobson, 2001, National norms and life-event frequencies for the revised Social Readjustment Rating Scale, Int J Stress Manag, 8, 299, 10.1023/A:1017565632657 · doi:10.1023/a:1017565632657
  4. Morin, 2003, Current status of cognitive-behavior therapy for insomnia: Evidence for treatment effectiveness and feasibility
  5. Staner, 2010, Comorbidity of insomnia and depression, Sleep Med Rev, 14, 35, 10.1016/j.smrv.2009.09.003 · DOI · Paper page

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Metadata

Authors
Drake, C. L., Pillai, V., & Roth, T.
Venue
Sleep
Published
2014-08-01
Volume
37
Issue
8
Pages
1295-1304
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
OpenAlex
W2319798593
Cited by
346
References
75
FWCI
22.18
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Stress and Sleep Reactivity: A Prospective Investigation of the Stress-Diathesis Model of Insomnia. https://app.cochat.ai/papers/10.5665/sleep.3916
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Drake, C. L., Pillai, V., & Roth, T. (2014). Stress and Sleep Reactivity: A Prospective Investigation of the Stress-Diathesis Model of Insomnia. Sleep. https://doi.org/10.5665/sleep.3916

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