Preoccupation with sleep and dysfunctional beliefs about sleep mediate the influence of psychological inflexibility on insomnia in the older adult population
Introduction This study aimed to explore whether the Discrepancy between the desired time in Bed and the desired total Sleep Time (DBST) index influences insomnia severity in the older adult population and examined the potential role of psychological inflexibility in this association. Methods An onl...
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| creator | Ahn, Junseok Cho, Eulah Cho, Inn-Kyu Lee, Dongin Kim, Jiyoung Chung, Seockhoon |
| description | Introduction
This study aimed to explore whether the Discrepancy between the desired time in Bed and the desired total Sleep Time (DBST) index influences insomnia severity in the older adult population and examined the potential role of psychological inflexibility in this association.
Methods
An online survey study was conducted for older individuals aged ≥ 65 via a survey company between January and February 2023. A total of 300 responses and data without personally identifiable information were delivered to the researchers. The survey questionnaires include the DBST, Glasgow Sleep Effort Scale (GSES), Insomnia Severity Index (ISI), Dysfunctional Beliefs about Sleep-2 items (DBS-2), and Acceptance and Action Questionnaire-II (AAQ-II).
Results
The analysis included 295 older adult participants. The DBST index was significantly correlated with all questionnaires. Linear regression revealed the DBST index was predicted only by the ISI (β = 0.26,
p
= 0.003). Mediation analysis showed that the GSES (Z = 2.92,
p
= 0.003) and DBS-2 (Z = 2.17,
p
= 0.030) mediated the effect of the DBST index on the ISI, while the AAQ-II did not. Path analysis showed that the DBST could be directly predicted by the ISI (Z = 2.94,
p
= 0.003), GSES (Z = 2.75,
p
= 0.006), and DBS2 (Z = 2.71,
p
= 0.007) but not by the AAQ-II itself. However, the AAQ-II exerted a significant indirect effect on the ISI through the DBS-2 (Z = 2.21,
p
= 0.027) and GSES (z = 2.24,
p
= 0.025).
Conclusions
Our study showed that preoccupation and dysfunctional beliefs about sleep may mediate the relationship between the DBST index and insomnia severity in the older adult population. We opine that psychological inflexibility might play a significant role in insomnia severity via preoccupation with and dysfunctional beliefs about sleep. |
| doi_str_mv | 10.1007/s11325-024-03128-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3087698830</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3112659787</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-7ef038f8d01972cb24d96e0da7aa336c8abde68a6bece6f43c1558097a721fa63</originalsourceid><addsrcrecordid>eNp9kctuFDEURFsIRELCD7BAltiwaeJHtx9LFIWHFIksyNpy29cZRx67abcF8zH8K54HILFg5SvVqbrWra57RfA7grG4KoQwOvaYDj1mhMpePunOyUhpTwRWTw8z7tVI6Fn3opRHjMkgFXnenTGFFR8YPu9-3i2Qra2zWUNO6HtYN6hEgBmZ5JDbFV-T3UsmogliAF-QmXJdT9QWXDAroHUDKCQfKyQLKHs0l53d5Jgfgm3WvQQ_whRiWHeoLQqp5G0Kpg0Hb44OFmRcjSua81zj4T-X3TNvYoGXp_eiu_9w8_X6U3_75ePn6_e3vaUjX3sBHjPppcNECWonOjjFATsjjGGMW2kmB1waPoEF7gdmyThKrIQRlHjD2UX39pg7L_lbhbLqbSgWYjQJci2aYSm4kpLhhr75B33MdWnnaRQhlI9KSNEoeqTskktZwOt5CVuz7DTBel-ePpanW3n6UJ6WzfT6FF2ndtc_lt9tNYAdgdKk9ADL393_if0F8oCo5g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3112659787</pqid></control><display><type>article</type><title>Preoccupation with sleep and dysfunctional beliefs about sleep mediate the influence of psychological inflexibility on insomnia in the older adult population</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ahn, Junseok ; Cho, Eulah ; Cho, Inn-Kyu ; Lee, Dongin ; Kim, Jiyoung ; Chung, Seockhoon</creator><creatorcontrib>Ahn, Junseok ; Cho, Eulah ; Cho, Inn-Kyu ; Lee, Dongin ; Kim, Jiyoung ; Chung, Seockhoon</creatorcontrib><description>Introduction
This study aimed to explore whether the Discrepancy between the desired time in Bed and the desired total Sleep Time (DBST) index influences insomnia severity in the older adult population and examined the potential role of psychological inflexibility in this association.
Methods
An online survey study was conducted for older individuals aged ≥ 65 via a survey company between January and February 2023. A total of 300 responses and data without personally identifiable information were delivered to the researchers. The survey questionnaires include the DBST, Glasgow Sleep Effort Scale (GSES), Insomnia Severity Index (ISI), Dysfunctional Beliefs about Sleep-2 items (DBS-2), and Acceptance and Action Questionnaire-II (AAQ-II).
Results
The analysis included 295 older adult participants. The DBST index was significantly correlated with all questionnaires. Linear regression revealed the DBST index was predicted only by the ISI (β = 0.26,
p
= 0.003). Mediation analysis showed that the GSES (Z = 2.92,
p
= 0.003) and DBS-2 (Z = 2.17,
p
= 0.030) mediated the effect of the DBST index on the ISI, while the AAQ-II did not. Path analysis showed that the DBST could be directly predicted by the ISI (Z = 2.94,
p
= 0.003), GSES (Z = 2.75,
p
= 0.006), and DBS2 (Z = 2.71,
p
= 0.007) but not by the AAQ-II itself. However, the AAQ-II exerted a significant indirect effect on the ISI through the DBS-2 (Z = 2.21,
p
= 0.027) and GSES (z = 2.24,
p
= 0.025).
Conclusions
Our study showed that preoccupation and dysfunctional beliefs about sleep may mediate the relationship between the DBST index and insomnia severity in the older adult population. We opine that psychological inflexibility might play a significant role in insomnia severity via preoccupation with and dysfunctional beliefs about sleep.</description><identifier>ISSN: 1520-9512</identifier><identifier>ISSN: 1522-1709</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-024-03128-8</identifier><identifier>PMID: 39096430</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Dentistry ; Female ; Humans ; Insomnia ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Neurology ; Otorhinolaryngology ; Pediatrics ; Pneumology/Respiratory System ; Population studies ; Questionnaires ; Sleep ; Sleep Breathing Physiology and Disorders • Original Article ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - epidemiology ; Sleep Initiation and Maintenance Disorders - psychology ; Surveys ; Surveys and Questionnaires</subject><ispartof>Sleep & breathing, 2024-10, Vol.28 (5), p.2117-2125</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-7ef038f8d01972cb24d96e0da7aa336c8abde68a6bece6f43c1558097a721fa63</cites><orcidid>0000-0002-9798-3642</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-024-03128-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-024-03128-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39096430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahn, Junseok</creatorcontrib><creatorcontrib>Cho, Eulah</creatorcontrib><creatorcontrib>Cho, Inn-Kyu</creatorcontrib><creatorcontrib>Lee, Dongin</creatorcontrib><creatorcontrib>Kim, Jiyoung</creatorcontrib><creatorcontrib>Chung, Seockhoon</creatorcontrib><title>Preoccupation with sleep and dysfunctional beliefs about sleep mediate the influence of psychological inflexibility on insomnia in the older adult population</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Introduction
This study aimed to explore whether the Discrepancy between the desired time in Bed and the desired total Sleep Time (DBST) index influences insomnia severity in the older adult population and examined the potential role of psychological inflexibility in this association.
Methods
An online survey study was conducted for older individuals aged ≥ 65 via a survey company between January and February 2023. A total of 300 responses and data without personally identifiable information were delivered to the researchers. The survey questionnaires include the DBST, Glasgow Sleep Effort Scale (GSES), Insomnia Severity Index (ISI), Dysfunctional Beliefs about Sleep-2 items (DBS-2), and Acceptance and Action Questionnaire-II (AAQ-II).
Results
The analysis included 295 older adult participants. The DBST index was significantly correlated with all questionnaires. Linear regression revealed the DBST index was predicted only by the ISI (β = 0.26,
p
= 0.003). Mediation analysis showed that the GSES (Z = 2.92,
p
= 0.003) and DBS-2 (Z = 2.17,
p
= 0.030) mediated the effect of the DBST index on the ISI, while the AAQ-II did not. Path analysis showed that the DBST could be directly predicted by the ISI (Z = 2.94,
p
= 0.003), GSES (Z = 2.75,
p
= 0.006), and DBS2 (Z = 2.71,
p
= 0.007) but not by the AAQ-II itself. However, the AAQ-II exerted a significant indirect effect on the ISI through the DBS-2 (Z = 2.21,
p
= 0.027) and GSES (z = 2.24,
p
= 0.025).
Conclusions
Our study showed that preoccupation and dysfunctional beliefs about sleep may mediate the relationship between the DBST index and insomnia severity in the older adult population. We opine that psychological inflexibility might play a significant role in insomnia severity via preoccupation with and dysfunctional beliefs about sleep.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurology</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Population studies</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Sleep Breathing Physiology and Disorders • Original Article</subject><subject>Sleep disorders</subject><subject>Sleep Initiation and Maintenance Disorders - epidemiology</subject><subject>Sleep Initiation and Maintenance Disorders - psychology</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><issn>1520-9512</issn><issn>1522-1709</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctuFDEURFsIRELCD7BAltiwaeJHtx9LFIWHFIksyNpy29cZRx67abcF8zH8K54HILFg5SvVqbrWra57RfA7grG4KoQwOvaYDj1mhMpePunOyUhpTwRWTw8z7tVI6Fn3opRHjMkgFXnenTGFFR8YPu9-3i2Qra2zWUNO6HtYN6hEgBmZ5JDbFV-T3UsmogliAF-QmXJdT9QWXDAroHUDKCQfKyQLKHs0l53d5Jgfgm3WvQQ_whRiWHeoLQqp5G0Kpg0Hb44OFmRcjSua81zj4T-X3TNvYoGXp_eiu_9w8_X6U3_75ePn6_e3vaUjX3sBHjPppcNECWonOjjFATsjjGGMW2kmB1waPoEF7gdmyThKrIQRlHjD2UX39pg7L_lbhbLqbSgWYjQJci2aYSm4kpLhhr75B33MdWnnaRQhlI9KSNEoeqTskktZwOt5CVuz7DTBel-ePpanW3n6UJ6WzfT6FF2ndtc_lt9tNYAdgdKk9ADL393_if0F8oCo5g</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Ahn, Junseok</creator><creator>Cho, Eulah</creator><creator>Cho, Inn-Kyu</creator><creator>Lee, Dongin</creator><creator>Kim, Jiyoung</creator><creator>Chung, Seockhoon</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9798-3642</orcidid></search><sort><creationdate>20241001</creationdate><title>Preoccupation with sleep and dysfunctional beliefs about sleep mediate the influence of psychological inflexibility on insomnia in the older adult population</title><author>Ahn, Junseok ; Cho, Eulah ; Cho, Inn-Kyu ; Lee, Dongin ; Kim, Jiyoung ; Chung, Seockhoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-7ef038f8d01972cb24d96e0da7aa336c8abde68a6bece6f43c1558097a721fa63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurology</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Population studies</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Sleep Breathing Physiology and Disorders • Original Article</topic><topic>Sleep disorders</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Sleep Initiation and Maintenance Disorders - psychology</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahn, Junseok</creatorcontrib><creatorcontrib>Cho, Eulah</creatorcontrib><creatorcontrib>Cho, Inn-Kyu</creatorcontrib><creatorcontrib>Lee, Dongin</creatorcontrib><creatorcontrib>Kim, Jiyoung</creatorcontrib><creatorcontrib>Chung, Seockhoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahn, Junseok</au><au>Cho, Eulah</au><au>Cho, Inn-Kyu</au><au>Lee, Dongin</au><au>Kim, Jiyoung</au><au>Chung, Seockhoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoccupation with sleep and dysfunctional beliefs about sleep mediate the influence of psychological inflexibility on insomnia in the older adult population</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>28</volume><issue>5</issue><spage>2117</spage><epage>2125</epage><pages>2117-2125</pages><issn>1520-9512</issn><issn>1522-1709</issn><eissn>1522-1709</eissn><abstract>Introduction
This study aimed to explore whether the Discrepancy between the desired time in Bed and the desired total Sleep Time (DBST) index influences insomnia severity in the older adult population and examined the potential role of psychological inflexibility in this association.
Methods
An online survey study was conducted for older individuals aged ≥ 65 via a survey company between January and February 2023. A total of 300 responses and data without personally identifiable information were delivered to the researchers. The survey questionnaires include the DBST, Glasgow Sleep Effort Scale (GSES), Insomnia Severity Index (ISI), Dysfunctional Beliefs about Sleep-2 items (DBS-2), and Acceptance and Action Questionnaire-II (AAQ-II).
Results
The analysis included 295 older adult participants. The DBST index was significantly correlated with all questionnaires. Linear regression revealed the DBST index was predicted only by the ISI (β = 0.26,
p
= 0.003). Mediation analysis showed that the GSES (Z = 2.92,
p
= 0.003) and DBS-2 (Z = 2.17,
p
= 0.030) mediated the effect of the DBST index on the ISI, while the AAQ-II did not. Path analysis showed that the DBST could be directly predicted by the ISI (Z = 2.94,
p
= 0.003), GSES (Z = 2.75,
p
= 0.006), and DBS2 (Z = 2.71,
p
= 0.007) but not by the AAQ-II itself. However, the AAQ-II exerted a significant indirect effect on the ISI through the DBS-2 (Z = 2.21,
p
= 0.027) and GSES (z = 2.24,
p
= 0.025).
Conclusions
Our study showed that preoccupation and dysfunctional beliefs about sleep may mediate the relationship between the DBST index and insomnia severity in the older adult population. We opine that psychological inflexibility might play a significant role in insomnia severity via preoccupation with and dysfunctional beliefs about sleep.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>39096430</pmid><doi>10.1007/s11325-024-03128-8</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9798-3642</orcidid></addata></record> |
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| subjects | Aged Aged, 80 and over Dentistry Female Humans Insomnia Internal Medicine Male Medicine Medicine & Public Health Neurology Otorhinolaryngology Pediatrics Pneumology/Respiratory System Population studies Questionnaires Sleep Sleep Breathing Physiology and Disorders • Original Article Sleep disorders Sleep Initiation and Maintenance Disorders - epidemiology Sleep Initiation and Maintenance Disorders - psychology Surveys Surveys and Questionnaires |
| title | Preoccupation with sleep and dysfunctional beliefs about sleep mediate the influence of psychological inflexibility on insomnia in the older adult population |
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