ArticleSleep medicine2020
Nocturnal cognitive arousal is associated with objective sleep disturbance and indicators of physiologic hyperarousal in good sleepers and individuals with insomnia disorder.
Article in Sleep medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- Cognitive behavioral therapy for insomnia in neurodegenerative disorders-targeting sleep disturbances in Alzheimer's and Parkinson's disease: a scoping review.Frontiers in psychology · 2025Pooled it
- Gender correlation between sleep duration and risk of coronary heart disease: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2025Pooled it
- Number, Duration, and Distribution of Wake Bouts in Patients with Insomnia Disorder: Effect of Daridorexant and Zolpidem.CNS drugs · 2023Trial
- Effects of alcohol on sleep and nocturnal heart rate: Relationships to intoxication and morning-after effects.Alcoholism, clinical and experimental research · 2022Trial
- Treatment of chronic primary sleep onset insomnia with Kundalini yoga: a randomized controlled trial with active sleep hygiene comparison.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Trial
- Objective sleep disturbance is associated with poor response to cognitive and behavioral treatments for insomnia in postmenopausal women.Sleep medicine · 2020Trial
- A randomized controlled trial of digital cognitive behavioral therapy for insomnia in pregnant women.Sleep medicine · 2020Trial
- Sleep hygiene and sleep control mediate the relationship between cognitive fusion and insomnia severity.The British journal of clinical psychology · 2026Article
- Bedtime Audiobook Listening Motives and Insomnia Status: Survey Study.JMIR formative research · 2026Article
- The Interplay Between Emotion Dysregulation and Repetitive Thoughts in Insomnia Disorder: The Impact of Worry, Rumination and REM Sleep Instability.Journal of sleep research · 2026Article
- Fear of hypoglycaemia and parent sleep disturbance in families of young children with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Sleep Reactivity Amplifies the Impact of Pre-Sleep Cognitive Arousal on Sleep Disturbances.Journal of sleep research · 2026Article
- Insomnia contributes to paranoid thoughts through mechanisms involving anxiety and non-constructive rumination.Scientific reports · 2026Article
- Conditional Probability of Observing a Poor Night According to Sleep Depth Among Individuals With Insomnia.Journal of sleep research · 2026Article
- Understanding poor sleep in emerging adulthood: the role of pre-sleep cognitive processes in daily life.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Dysfunctional cognitions and insomnia symptoms in pregnant women: the serial mediation roles of pre-sleep arousal and maladaptive habits.BMC psychiatry · 2025Article
- Anticipation of Stress and Relaxation Dynamically Impacts Sleep.Clocks & sleep · 2025Article
- Subjective sleep quality, but not objective sleep measures, mediates the relationship between pre-sleep worrying and affective wellbeing.Journal of sleep research · 2025Article
- Within-person associations of daily activity to sleep actigraphy following trauma: Explicating a novel index of risk for major depressive disorder and posttraumatic stress disorder.Journal of psychopathology and clinical science · 2025Article
- The Future of Insomnia Research-There's Still Work to Be Done.Journal of sleep research · 2025Review
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundCognitive arousal is central to models of sleep disturbance and insomnia, but findings remain mixed regarding whether cognitive arousal is associated with objective sleep disturbance and physiologic hyperarousal. This study explored associations of objective nocturnal wakefulness and indicators of physiologic hyperarousal with cognitive arousal in healthy sleepers and individuals with insomnia.
methodsIn sum, 52 adults (51.9% women; 18 with insomnia disorder, 34 healthy sleepers) underwent two overnight polysomnography (PSG) studies (adaptation + baseline nights) and a multiple sleep latency test (MSLT). Baseline depression was assessed and presleep cognitive arousal and somatic arousal were recorded for each night. Multivariate regression was used to evaluate associations of PSG sleep parameters with insomnia, cognitive arousal, and somatic arousal.
resultsAnalyses showed that high levels of nocturnal cognitive arousal were associated with prolonged sleep latency, lower sleep efficiency, and shorter total sleep time by PSG on both nights. An association between nocturnal cognitive arousal and wake after sleep onset was observed on night one only. Moreover, greater nocturnal cognitive arousal was associated with greater likelihood of obtaining short sleep and with longer MSLT sleep latencies. Insomnia diagnosis, depression, and somatic arousal were not associated with PSG sleep parameters or MSLT latency.
conclusionsHeightened cognitive arousal at night is linked to objective sleep disturbances and indicators of physiologic hyperarousal at night and during the day. For patients with insomnia, cognitive arousal may contribute to the 24-hr physiologic hyperarousal. Cognitive arousal may be a critical therapeutic target for severe or treatment-resistant sleep disturbance.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.