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

Autor(es)

El Rafihi-Ferreira, Renatha ; do Carmo, Marwin Machay Indio do Brasil ; Bassolli, Lucas ; Hasan, Rosa ; Aizawa, Isabela Mayumi Nishino ; Toscanini, Andrea Cecilia

• Tipo de documento: Artigo Científico
• Fonte: PSICOLOGIA-REFLEXAO E CRITICA; v. 35, n. 1, p. 11-pg., 2022-12-23.

Resumo

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. (AU)

• Processo FAPESP: 21/05573-5 - Adaptação transcultural e validação das escalas crenças e atitudes disfuncionais sobre o sono e questionário de aceitação dos problemas de sono
• Beneficiário: Marwin Machay Indio do Brasil do Carmo
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 18/19506-5 - Terapia de aceitação e compromisso para insônia
• Beneficiário: Renatha El Rafihi Ferreira
• Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores
• Processo FAPESP: 21/01872-8 - Terapia de aceitação e compromisso para insônia
• Beneficiário: Isabela Mayumi Nishino Aizawa
• Modalidade de apoio: Bolsas no Brasil - Programa Capacitação - Treinamento Técnico
• Processo FAPESP: 19/25537-3 - Terapia de aceitação e compromisso para insônia
• Beneficiário: Renatha El Rafihi Ferreira
• Modalidade de apoio: Bolsas no Brasil - Jovens Pesquisadores