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Updated: Sep 12, 2025

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
Sleep-related metacognitions in inpatients with mental disorders
Elisabeth Anzenberger1, Michael Schredl2,3, Claudia Schilling1
1Sleep laboratory, Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Background:
Sleep difficulties are a well-known issue among patients with mental disorders. Sleep related metacognitions often play a role in the etiology of sleep disturbances. This study examined the role of sleep-related metacognitions in a sample of psychiatric inpatients.
Methods:
A total of 75 patients admitted to the psychiatric clinic of the Central Institute of Mental Health (CIMH) in Mannheim, Germany, were included in the study. The participants completed a series of psychometric questionnaires, including the Metacognitive Questionnaire for Insomnia (MCQ-I 20), the Patient Health Questionnaire (PHQ-9) and the Insomnia Severity Index (ISI).
Results:
The psychiatric patient sample exhibited significantly elevated scores on the MCQ-I 20 when compared to a healthy control group and demonstrated comparable scores to a group of insomnia patients. Sleep-related metacognitions in the psychiatric patient sample correlated significantly with increased depression levels and insomnia symptoms.
Conclusions:
The findings of this study provide evidence that sleep-related metacognitions play a role in the etiology of sleep problems in patients with mental disorders.
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