1. Psychological processes associated with insomnia in patients with multiple sclerosis
- Author
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Marie-Christine Gély-Nargeot, Clarisse Carra-Dalliere, Pierre Labauge, Jeanne Bernard, Vanessa Schellaert, Jean-Baptiste Blache, Sophie Bayard, Khaalid Hassan Maudarbocus, Cindy Lebrun, Xavier Ayrignac, Dynamique des capacités humaines et des conduites de santé (EPSYLON), Université de Montpellier (UM)-Université Paul-Valéry - Montpellier 3 (UPVM)-Université Montpellier 1 (UM1), Département de neurologie [Montpellier], Hôpital Gui de Chauliac [Montpellier]-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Université Montpellier 1 (UM1)-Université de Montpellier (UM), Université de Montpellier (UM), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), CHU Montpellier, Euromov (EuroMov), ONERA - The French Aerospace Lab [Châtillon], Université Paris Saclay (COmUE)-ONERA, Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Gui de Chauliac [Montpellier]-Université de Montpellier (UM), and Université Montpellier 1 (UM1)-Université Paul-Valéry - Montpellier 3 (UM3)-Université de Montpellier (UM)
- Subjects
Adult ,Male ,Multiple Sclerosis ,[SDV]Life Sciences [q-bio] ,media_common.quotation_subject ,medicine.medical_treatment ,Emotions ,Neurological examination ,Comorbidity ,Neurological disorder ,Anxiety ,03 medical and health sciences ,0302 clinical medicine ,Sleep Initiation and Maintenance Disorders ,Physiology (medical) ,mental disorders ,medicine ,Safety behaviors ,Humans ,030212 general & internal medicine ,ComputingMilieux_MISCELLANEOUS ,media_common ,medicine.diagnostic_test ,business.industry ,Cognition ,Middle Aged ,medicine.disease ,nervous system diseases ,3. Good health ,Cognitive behavioral therapy ,Cross-Sectional Studies ,[SCCO.PSYC]Cognitive science/Psychology ,Female ,Self Report ,Neurology (clinical) ,Worry ,medicine.symptom ,Sleep ,Arousal ,business ,030217 neurology & neurosurgery ,Clinical psychology - Abstract
International audience; Study Objectives: Despite the high comorbidity of insomnia disorder (ID) with multiple sclerosis (MS), the relevance of psychological processes involved in the maintenance of insomnia is yet to be established in this neurological disorder. This study aimed to ascertain to what extent the suggested emotional, cognitive, and behavioral processes maintaining insomnia are relevant in people with insomnia and MS. Methods: A between-subjects design was used to compare 26 patients with insomnia and MS, with 31 patients with MS only, and with 26 matched neurological disease-free individuals with insomnia. All patients participated in a standardized clinical interview and completed a battery of self-reported measures of cognitive and somatic presleep arousal experienced at bedtime, sleep- or insomnia-related unhelpful beliefs, and sleep-related safety behaviors. All patients with MS underwent a neurological examination. Results: ID comorbid to MS was strongly associated with increased levels of cognitive and somatic arousal, higher endorsement of dysfunctional beliefs about the consequences of insomnia on daytime functioning, and worry about insomnia and more frequent engagement in sleep-related safety behaviors. Patients with MS with ID did not differ from neurological disease-free individuals with insomnia on these measures. No link was found between MS clinical peculiarities and ID diagnosis. Conclusions: ID comorbid to MS is associated with the classical psychological factors perpetuating ID in neurological disease-free individuals with insomnia. Primary care providers and neurologists should consider target-oriented therapies like cognitive behavioral therapy for chronic insomnia as a treatment approach for ID comorbid to MS.
- Published
- 2018