Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study

Springer Science and Business Media LLC - Tập 35 - Trang 1-11 - 2022
Renatha El Rafihi-Ferreira1, Marwin Machay Indio do Brasil do Carmo1, Lucas Bassolli2, Rosa Hasan1, Isabela Mayumi Nishino Aizawa1, Andrea Cecilia Toscanini1
1Instituto de Psiquiatria, Universidade de São Paulo, São Paulo, Brazil
2Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil

Tóm tắt

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.

Tài liệu tham khảo

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