Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study
Abstract Insomnia is the most prevalent sleep disorder in women. Sociodemographic, cognitive, and psychological factors may contribute to its severity. This study evaluated factors associated with severe insomnia in women with insomnia complaints. We evaluated 530 women aged 18–59 (mean = 40.5, SD =...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | Psicologia: Reflexão e Crítica |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41155-022-00243-x |
| _version_ | 1797977301307097088 |
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| author | Renatha El Rafihi-Ferreira Marwin Machay Indio do Brasil do Carmo Lucas Bassolli Rosa Hasan Isabela Mayumi Nishino Aizawa Andrea Cecilia Toscanini |
| author_facet | Renatha El Rafihi-Ferreira Marwin Machay Indio do Brasil do Carmo Lucas Bassolli Rosa Hasan Isabela Mayumi Nishino Aizawa Andrea Cecilia Toscanini |
| author_sort | Renatha El Rafihi-Ferreira |
| collection | DOAJ |
| description | Abstract Insomnia is the most prevalent sleep disorder in women. Sociodemographic, cognitive, and psychological factors may contribute to its severity. This study evaluated factors associated with severe insomnia in women with insomnia complaints. We evaluated 530 women aged 18–59 (mean = 40.5, SD = 10.2), who experienced insomnia complaints, using self-report instruments. Severe insomnia was defined as a score above 21 on the Insomnia Severity Index. Age, marital status, educational level, depression and anxiety, psychological inflexibility, and beliefs about sleep were assessed as potential factors associated with severe insomnia. Simple and multivariate analyses were conducted using binary logistic regression. Low education level (odds ratio; OR = 1.85 [1.27–2.69]), depression (OR = 2.17 [1.27–3.81]), psychological inflexibility (OR = 1.05 [1.02–1.08]), and dysfunctional beliefs about sleep (OR = 1.04 [1.02–1.06]) were factors associated with severe insomnia scores in the multiple logistic regression model. These findings are important from a public health perspective, because behavioral strategies designed to treat insomnia with a focus on cognitive and psychological factors are low-cost treatments and may help improve sleep quality in women, which also influences mental health. |
| first_indexed | 2024-04-11T05:05:47Z |
| format | Article |
| id | doaj.art-e4389eb357aa401bb6b55715683d787a |
| institution | Directory Open Access Journal |
| issn | 1678-7153 |
| language | English |
| last_indexed | 2024-04-11T05:05:47Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Psicologia: Reflexão e Crítica |
| spelling | doaj.art-e4389eb357aa401bb6b55715683d787a2022-12-25T12:26:36ZengSpringerOpenPsicologia: Reflexão e Crítica1678-71532022-12-0135111110.1186/s41155-022-00243-xCognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional studyRenatha El Rafihi-Ferreira0Marwin Machay Indio do Brasil do Carmo1Lucas Bassolli2Rosa Hasan3Isabela Mayumi Nishino Aizawa4Andrea Cecilia Toscanini5Instituto de Psiquiatria, Universidade de São PauloInstituto de Psiquiatria, Universidade de São PauloHospital das Clínicas, Faculdade de Medicina, Universidade de São PauloInstituto de Psiquiatria, Universidade de São PauloInstituto de Psiquiatria, Universidade de São PauloInstituto de Psiquiatria, Universidade de São PauloAbstract Insomnia is the most prevalent sleep disorder in women. Sociodemographic, cognitive, and psychological factors may contribute to its severity. This study evaluated factors associated with severe insomnia in women with insomnia complaints. We evaluated 530 women aged 18–59 (mean = 40.5, SD = 10.2), who experienced insomnia complaints, using self-report instruments. Severe insomnia was defined as a score above 21 on the Insomnia Severity Index. Age, marital status, educational level, depression and anxiety, psychological inflexibility, and beliefs about sleep were assessed as potential factors associated with severe insomnia. Simple and multivariate analyses were conducted using binary logistic regression. Low education level (odds ratio; OR = 1.85 [1.27–2.69]), depression (OR = 2.17 [1.27–3.81]), psychological inflexibility (OR = 1.05 [1.02–1.08]), and dysfunctional beliefs about sleep (OR = 1.04 [1.02–1.06]) were factors associated with severe insomnia scores in the multiple logistic regression model. These findings are important from a public health perspective, because behavioral strategies designed to treat insomnia with a focus on cognitive and psychological factors are low-cost treatments and may help improve sleep quality in women, which also influences mental health.https://doi.org/10.1186/s41155-022-00243-xSleepInsomniaBeliefs about sleepPsychological inflexibilityWomen |
| spellingShingle | Renatha El Rafihi-Ferreira Marwin Machay Indio do Brasil do Carmo Lucas Bassolli Rosa Hasan Isabela Mayumi Nishino Aizawa Andrea Cecilia Toscanini Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study Psicologia: Reflexão e Crítica Sleep Insomnia Beliefs about sleep Psychological inflexibility Women |
| title | Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study |
| title_full | Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study |
| title_fullStr | Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study |
| title_full_unstemmed | Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study |
| title_short | Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study |
| title_sort | cognitive and psychological factors associated with severe insomnia in brazilian women a cross sectional study |
| topic | Sleep Insomnia Beliefs about sleep Psychological inflexibility Women |
| url | https://doi.org/10.1186/s41155-022-00243-x |
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