ArticleThe British journal of clinical psychology2022
The relationship between repetitive negative thinking, sleep disturbance, and subjective fatigue in women with Generalized Anxiety Disorder.
Article in The British journal of clinical psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 31 citations in OpenAlex.
- Negative interpretation bias and repetitive negative thinking as mechanisms in the association between insomnia and depression in young adults.The British journal of clinical psychology · 2026Article
- Depression and anxiety symptom severity correlates with subjective fatigue characteristics in individuals with anxiety and mood disorders.BMC psychiatry · 2026Article
- Examining the Contrast Avoidance Model to Understand the Association between Generalized Anxiety Disorder and Sleep Difficulties.The Psychiatric quarterly · 2026Article
- Effects of sleep quality on the default mode network and on anxiety-depression symptoms in premenstrual syndrome.BMC psychiatry · 2025Article
- Burnout and quality of life among medical students in a conflict affected-region: a cross-sectional study.BMC medical education · 2025Article
- Psychometric properties of the repetitive thinking questionnaire among Iranian patients with heart disease: validity and reliability assessment.BMC psychology · 2025Article
- The Role of Rumination and Worry in the Bidirectional Relationship Between Stress and Sleep Quality in Students.International journal of environmental research and public health · 2025Article
- Brain Fog and Cognitive Dysfunction in Posttraumatic Stress Disorder: An Evidence-Based Review.Psychology research and behavior management · 2025Review
- Poor Sleep Quality Worsens Static and Dynamic Balance Control in Individuals With Chronic Low Back Pain: A Cross-Sectional Study.Pain research & management · 2025Article
- Subjective fatigue in individuals with anxiety and mood disorders correlates with specific traits of obsessive-compulsive personality disorder.Neuroscience applied · 2024Article
- Thalamo-cortical circuits associated with trait- and state-repetitive negative thinking in major depressive disorder.Journal of psychiatric research · 2023Article
- The Role of Job Insecurity, Social Media Exposure, and Job Stress in Predicting Anxiety Among White-Collar Employees.Psychology research and behavior management · 2023Article
- Brain-predicted age difference mediates the association between PROMIS sleep impairment, and self-reported pain measure in persons with knee pain.Aging brain · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
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Abstract
objectivesFatigue is a prominent symptom of Generalized Anxiety Disorder (GAD). However, the pathways contributing to elevated fatigue in GAD are poorly understood. Sleep disturbance, also prominent in GAD, only partially explains elevated fatigue in GAD. Repetitive negative thinking (RNT) is a cognitive feature of both GAD and sleep disturbance, and RNT has recently also been associated with elevated fatigue. Therefore, this study assessed whether elevated fatigue in GAD is accounted for by a combination of sleep quality and RNT.
designBetween-group, correlational design in 64 primarily university-educated women with and without a GAD diagnosis.
methodsWomen completed self-report questionnaires assessing RNT experienced in the past few days, previous night's sleep quality, and current physical and mental fatigue. Hierarchical linear regressions were conducted to assess whether the relationship between GAD status and fatigue is accounted for by RNT and sleep quality.
resultsWomen with GAD reported lower sleep quality, and higher RNT and physical and mental fatigue, compared to women without GAD. Sleep quality partly accounted for group differences in both types of fatigue (β's > -0.4), whereas RNT fully accounted for group differences in both types of fatigue (β's > 0.29). The relationship between RNT and both types of fatigue was fully accounted for by sleep quality (β's > -0.39).
conclusionsThese findings indicate that heightened RNT amongst women with GAD may be associated with elevated physical and mental fatigue via its detrimental effects on sleep quality. Interventions that reduce RNT may help to alleviate fatigue symptoms in women with GAD. PRACTITIONER POINTS: Women with Generalized Anxiety Disorder (GAD) have elevated fatigue and repetitive negative thinking (RNT), and poorer self-reported sleep quality, relative to women without GAD. Whereas sleep quality only partially accounts for elevated fatigue in GAD, RNT fully accounts for elevated fatigue, and the relationship between RNT and fatigue is fully accounted for by sleep quality. These findings provide novel evidence that women with GAD may have elevated fatigue because of the detrimental effects of RNT on sleep. These findings suggest that targeting RNT in treatment for GAD may help to reduce fatigue in GAD, by improving sleep quality.
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