Chronotype and anxiety are associated in patients with chronic primary insomnia
Giselle S Passos, Marcos G Santana, Dalva Poyares, Carolina V D'Aurea, Alexandre A Teixeira, Sergio Tufik, Marco T de Mello, Giselle S Passos, Marcos G Santana, Dalva Poyares, Carolina V D'Aurea, Alexandre A Teixeira, Sergio Tufik, Marco T de Mello
Abstract
Objective:: To assess the interaction of chronotype with anxiety in patients with chronic primary insomnia.
Methods:: Sixty-four patients (50 women) with mean age 43.9±8.1 years were investigated with the Horne and Östberg Morningness-Eveningness Questionnaire (MEQ) and State-Trait Anxiety Inventory (STAI).
Results:: Significant negative correlations of chronotype-MEQ score with STAI state-anxiety (r = -0.40, p < 0.05), STAI trait-anxiety (r = -0.40, p < 0.05), and STAI pre-sleep state anxiety (r = -0.30, p < 0.05) were observed. Eveningness preference was associated with higher trait, state, and pre-sleep state anxiety.
Conclusions:: These results suggest that chronotype may be an important parameter to identifying the origin and significance of a vicious anxiety-insomnia-depression cycle in patients with chronic primary insomnia.
Conflict of interest statement
The authors report no conflicts of interest.
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References
- American Academy of Sleep Medicine (AASM). The international classification of sleep disorders: diagnostic and coding manual. Westchester: Diagnostic Classification Steering Committee; 2005.
- American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Arlington: American Psychiatric Publishing; 1994.
- Lack LC, Bootzin RR. Circadian rhythm factors in insomnia and their treatment. In: Perlis ML, Lichstein KL, editors. Treating sleep disorders: principles and practice of behavioral sleep medicine. Hoboken: John Wiley & Sons; 2003.
- American Academy of Sleep Medicine (AASM). International Classification of Sleep Disorders. 3rd ed. Darien: AASM; 2014.
- Hidalgo MP, Caumo W, Posser M, Coccaro SB, Camozzato AL, Chaves ML. Relationship between depressive mood and chronotype in healthy subjects. Psychiatry Clin Neurosci. 2009;63:283–90.
- Fernandez-Mendoza J, Vela-Bueno A, Vgontzas AN, Olavarrieta-Bernardino S, Ramos-Platón MJ, Bixler EO, et al. Nighttime sleep and daytime functioning correlates of the insomnia complaint in young adults. J Adolesc. 2009;32:1059–74.
- Ong JC, Huang JS, Kuo TF, Manber R. Characteristics of insomniacs with self-reported morning and evening chronotypes. J Clin Sleep Med. 2007;3:289–94.
- Hasler BP, Germain A, Nofzinger EA, Kupfer DJ, Krafty RT, Rothenberger SD, et al. Chronotype and diurnal patterns of positive affect and affective neural circuitry in primary insomnia. J Sleep Res. 2012;21:515–26.
- American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington: American Psychiatric Publishing; 2013.
- Benedito-Silva AA, Menna-Barreto L, Marques N, Tenreiro S. A self-assessment questionnaire for the determination of morningness-eveningness types in Brazil. Prog Clin Biol Res. 1990;341B:89–98.
- Horne JA, Östberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4:97–110.
- Gorenstein C, Andrade L. Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Braz J Med Biol Res. 1996;29:453–7.
- Spielberger CD, Gorshusch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory ("Self-Evaluation Questionaire"). Palo Alto: Consulting Psychologist Press; 1970.
- Gaspar-Barba E, Calati R, Cruz-Fuentes CS, Ontiveros-Uribe MP, Natale V, De Ronchi D, et al. Depressive symptomatology is influenced by chronotypes. J Affect Disord. 2009;119:100–6.
Source: PubMed