ArticleSleep2021
The natural history of insomnia: predisposing, precipitating, coping, and perpetuating factors over the early developmental course of insomnia.
Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Global perspectives on the Sleep Condition Indicator for DSM-5 insomnia disorder: a COSMIN and STARD systematic review of psychometric and diagnostic performance.BMC medicine · 2025Pooled it
- Epidemiology of insomnia disorder in older persons according to the Diagnostic and Statistical Manual of Mental Disorders: a systematic review and meta-analysis.European geriatric medicine · 2023Pooled it
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- Biopsychosocial barriers and facilitators in the everyday lives of patients with restless legs syndrome: a qualitative study.Annals of medicine · 2026Article
- Sleep Quality in Spanish Adult Women: Associations with Sociodemographic Variables and Pre-Sleep Habits.Healthcare (Basel, Switzerland) · 2026Article
- Comparison of workplace impairment and daily activity impairment in acute and chronic insomnia disorder: a study of Chinese adults.Journal of Zhejiang University. Science. B · 2026Article
- Elevating sleep to a global health priority: The One Sleep Health framework.Cell reports. Medicine · 2026Review
- Insomnia as a Public Health Issue: Sociomedical Determinants in the Adult Population of Serbia.Medicina (Kaunas, Lithuania) · 2026Article
- Cognitive behavioral therapy for menopausal insomnia in perimenopausal and postmenopausal women with insomnia and nocturnal hot flashes: a randomized-controlled pilot trial.Menopause (New York, N.Y.) · 2026Article
- At-Home Sleep Electroencephalography Assessment in Young and Older Adults Using a Novel Wireless Soft Electronics Sleep Monitoring System: Experimental Study.JMIR formative research · 2026Article
- Insomnia disorder.Nature reviews. Disease primers · 2026Review
- Everyday life experiences of family members of individuals with restless legs syndrome: a qualitative interview study.Journal of research in nursing : JRN · 2026Article
- Developing a Cognitive Behavioural Therapy for Insomnia Intervention for Adolescents With Co-Morbid Mental Health Using an Iterative Expert Consultation Process.Journal of sleep research · 2026Article
- Sleep architecture and rapid eye movement sleep without atonia in post-COVID-19 insomnia.Sleep · 2026Article
- Bedtime procrastination as the missing link between chronotype and insomnia.Scientific reports · 2026Article
- Sleep disturbances and Alzheimer's disease: a multiscale approach from exposome to neurobiology and precision medicine.GeroScience · 2026Review
- Age of Onset in Insomnia: A Latent Profile Analysis.Journal of sleep research · 2026Article
- The protective role of resilience-related strength in the association between sleep reactivity and insomnia symptoms among young Chinese male university students: a moderated network approach.Frontiers in psychiatry · 2026Article
- Experiences of sleep problems, subsequent daytime consequences, and self-care activities used to improve sleep among patients with restless legs syndrome: a qualitative content analysis.Journal of research in nursing : JRN · 2025Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While there is an extensive literature on predisposing, precipitating, coping, and perpetuating factors in those with chronic insomnia, very little work has been undertaken to evaluate these factors over the early developmental course of insomnia. The present aim was to determine whether several hypothesized factors in each domain (predisposing, precipitating, coping, and perpetuating), assessed during an episode of acute insomnia (AI), are related to its persistence or remission to normal sleep. Participants comprised n = 140 people with AI and n = 737 normal sleepers (NS) recruited from the general public. Participants completed measures assessing predisposing characteristics (personality traits, arousal predisposition, and insomnia vulnerability), precipitating events and outcomes (life events, perceived stress, anxiety, and depression), coping styles (thought control strategies and coping styles), and perpetuating factors (sleep preoccupation, pre-sleep arousal, dysfunctional beliefs, and fatigue). Additionally, insomnia status (from AI at baseline to its persistence or natural remission [NR]) was assessed 1 month later (n = 129). Baseline differences between NS and individuals with AI were observed in each domain with increasing age, lower openness to experience and conscientiousness, higher insomnia severity, levels of anxiety, and affective sleep preoccupation significantly predicting AI status. Further, a previous episode of insomnia, higher depression scores, and affective sleep preoccupation scores significantly predicted its persistence, as opposed to its NR. Results are discussed with reference to the conceptualization of insomnia and how the findings may influence the design of preventative interventions to circumvent the transition from acute to chronic insomnia.
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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.