The presence of a perseverative iterative style in poor vs. good sleepers

J Behav Ther Exp Psychiatry. 2010 Mar;41(1):18-23. doi: 10.1016/j.jbtep.2009.08.003. Epub 2009 Aug 18.

Abstract

Catastrophizing is present in worriers and poor sleepers. This study investigates whether poor sleepers possess a 'perseverative iterative style' which predisposes them to catastrophize any topic, regardless of content or affective valence, a style previously found to occur more commonly in worriers as compared to others. Poor (n=23) and good sleepers (n=37) were distinguished using the Pittsburgh Sleep Quality Index (PSQI), from a sample of adults in the general population. Participants were required to catastrophize 2 topics: worries about sleep, and a current personal worry; and to iterate the positive aspects of a hypothetical topic. Poor sleepers catastrophized/iterated more steps to a greater extent than good sleepers to these three interviews, (F(1, 58)=7.35, p<.05). However, after controlling for anxiety and worry, this effect was reduced to non-significance for the 'sleep' and 'worry' topics, suggesting that anxiety may mediate some of the association between catastrophizing and sleep. However there was still a tendency for poor sleepers to iterate more steps to the 'hypothetical' topic, after controlling for anxiety and worry, which also suggests that poor sleepers possess a cognitive style which may predispose them to continue iterating consecutive steps to open-ended tasks regardless of anxiety and worry. Future research should examine whether the presence of this cognitive style is significant in leading to or maintaining insomnia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Anxiety / epidemiology*
  • Anxiety / psychology*
  • Chi-Square Distribution
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Personality Assessment
  • Psychiatric Status Rating Scales
  • Reference Values
  • Self Concept*
  • Severity of Illness Index
  • Sleep Wake Disorders / epidemiology*
  • Sleep Wake Disorders / psychology*
  • Statistics as Topic
  • Surveys and Questionnaires
  • Young Adult