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Cognitive approaches to insomnia.

Allison G Harvey1, Nicole K Y Tang, Lindsay Browning

  • 1Department of Psychology, University of California, Berkeley 94720-1650, USA. aharvey@berkeley.edu

Clinical Psychology Review
|June 28, 2005
PubMed
Summary

Cognitive processes significantly impact insomnia. Beyond intrusive thoughts, beliefs, expectations, and attention are crucial for understanding and treating sleep disorders.

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Area of Science:

  • Cognitive Psychology
  • Sleep Science
  • Behavioral Medicine

Background:

  • Insomnia is a prevalent sleep disorder.
  • Cognition, encompassing mental activities, plays a role in various psychological conditions.
  • Previous research has primarily focused on cognitive arousal in insomnia.

Purpose of the Study:

  • To synthesize research on the multifaceted role of cognition in insomnia.
  • To highlight the importance of various cognitive processes beyond intrusive thoughts.
  • To discuss treatment implications and future research directions.

Main Methods:

  • Literature review of major research findings.
  • Synthesis of studies examining cognitive factors in insomnia.
  • Analysis of cognitive processes including beliefs, attributions, expectations, perception, and attention.

Main Results:

  • A broad range of cognitive processes are integral to understanding insomnia.
  • Cognitive arousal (unwanted intrusive thoughts) is one aspect, but not the sole cognitive contributor.
  • Beliefs, attributions, expectations, perception, and attention are also key cognitive factors.

Conclusions:

  • A comprehensive understanding of insomnia requires considering diverse cognitive functions.
  • Cognitive factors offer potential targets for novel insomnia treatments.
  • Further research is needed to fully elucidate the cognitive underpinnings of insomnia and optimize interventions.

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