Indian Journal of Sleep Medicine

Register      Login

VOLUME 10 , ISSUE 4 ( October-December, 2015 ) > List of Articles

ORIGINAL ARTICLE

Dysfunctional thought-behavior evaluation: effectiveness in differentiating psychophysiological insomnia from co-morbid insomnia

M Behari, Garima Shukla, Vinay Goyal, Anupama Gupta, Shivani Poornima, Achal Srivastava

Keywords : Insomnia, Dysfunctional thoughts, Differentiating co-morbid with Psychophysiological insomnia, Behavioral outcome.

Citation Information : Behari M, Shukla G, Goyal V, Gupta A, Poornima S, Srivastava A. Dysfunctional thought-behavior evaluation: effectiveness in differentiating psychophysiological insomnia from co-morbid insomnia. Indian Sleep Med 2015; 10 (4):154-158.

DOI: 10.5958/0974-0155.2015.00021.2

License: CC BY-SA 4.0

Published Online: 01-10-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Dysfunctional thinking has been seen as one of the major factors in the maintenance of insomnia; however, there is no literature to elaborate on the differences in thought processes in different insomnia subtypes. The aim of the present study was to assess if we could differentiate psychophysiological insomnia from co-morbid insomnia by noting specific pre-sleep issues relating to dysfunctional thought and behavior. Methods: Dysfunctional thought was noted for insomnia patients seen in Comprehensive Sleep Disorders Clinic at AIIMS, using a structured telephonic interview questionnaire. Later they were divided into two groups - patients with psychophysiological insomnia and patients with co-morbid insomnia. Responses were then analyzed using Fisher Exact test in STATA 11.0. Results: There was no significant difference found between the two groups, for most of the dysfunctional statements given in the questionnaire. However, a significant difference was found in response for one of the statements concerned with the effect on next day\'s behavior of the patient as a result of dysfunctional thinking. Conclusion: In this preliminary research, we found that patients with psychophysiological and co-morbid insomnia are similar in thoughts and behavior that are attributed to the maintenance of insomnia. However, the only difference noted was that patients with comorbid insomnia had significantly greater ‘worry about next day\'s functioning’ as a result of poor sleep and hence, affecting their behavior for the next day with regard to social and occupational functioning.


PDF Share
  1. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: Penguin.
  2. Nicole K Y Tang, A G Harvey. (2004). Correcting distorted perception of sleep in insomnia: a novel behavioral experiment? Behaviour Research and Therapy 42, 27-39.
  3. A G Harvey. (2002). A cognitive model of insomnia. Behaviour Research and Therapy 40, 869-893.
  4. Colin A. Espie. (2007). Understanding insomnia through cognitive modeling. Sleep Medicine 8 Suppl.4, 53-58.
  5. Markus Janson, Steven J. Linton. (2007). Psychological mechanisms in the maintenance of insomnia: Arousal, distress, and sleep-related beliefs. Behavior research and therapy 45, 511-521.
  6. Susan C Bolge et al. (2009). Association of insomnia with quality of life, work productivity, and activity impairment. Quality of life research 18, 415-422.
  7. Morin CM. Dysfunctional beliefs and attitudes about sleep: Preliminary scale development and description. The Behavior Therapist 1994; Summer: 163-4.
  8. Morin CM, Vallières A, Ivers H. Dysfunctional Beliefs and Attitudes about Sleep (DBAS): Validation of a Brief Version (DBAS-16). SLEEP 2007;30(11):1547-1554.
  9. Crönlein T, Wagner S, Langguth B, Geisler P, Eichhammer P, Wetter TC. Are dysfunctional attitudes and beliefs about sleep unique to primary insomnia? Sleep Med. 2014 Dec;15(12):1463-7. doi: 10.1016/ j.sleep.2014.06.018. Epub 2014 Aug 27.
  10. Jesus L T Hidalgo et al. (2007). Functional status in elderly with insomnia. Quality of Life Research 16, 279-286.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.