Coping strategies in chronic insomnia and sleep quality: subjective and objective correlatesстатьяТезисы
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Дата последнего поиска статьи во внешних источниках: 8 февраля 2017 г.
Аннотация:Objectives: Sleep hygiene disturbances and self-restrictive behavior
are well-known factors of insomnia perpetuation (Perlis et al., 2011,
Harvey, 2002, Morgan, 2003). However, in Russian normative
sample people depreciate the efficacy of activity and sleep hygiene
in coping with insomnia and rely on relaxation and self-care
(Rasskazova, 2008) suggesting that the risk of behavioral factors in
insomnia perpetuation is high in Russia. The aim was to study
strategies of coping with illness in patients with chronic insomnia and
their relationship with subjective and objective sleep quality.
Methods: 82 patients with chronic insomnia (25 males, mean age
46 13 years old) were interviewed about their coping with insomnia,
filled Insomnia Severity Index, Dysfunctional Beliefs about Sleep
Scale and participated in 1-night polysomnography record.
Results: 72.2% of patients have disturbed sleep hygiene that is
related to poorer subjective sleep but paradoxically longer deltasleep.
Self-restrictive behavior (46.8%) is related to longer insomnia
duration and tends to correlate with longer awaking during night and
shorter delta-sleep. “Ritual” (30.6%) as a routine before sleep is
related to more dysfunctional beliefs about sleep but not sleep
quality.
Conclusion: Results support the important role of self-restrictive
behavior and passivity in insomnia perpetuation in Russia that are
possibly related to cultural beliefs about sleep. Sleep hygiene
disturbances are extremely frequent and related to subjectively poor
sleep. However, relationships between sleep hygiene and “ritual” and
objective sleep in insomnia seem to be ambiguous.
Disclosure: Research was supported by the Russian Foundation for
Humanities, project 14-36-01277.