Sleep disturbance and emotion dysregulation as transdiagnostic processes in a comorbid sample

Sleep disturbance and emotion dysregulation have been identified as etiologic and maintaining factors for a range of psychopathology and separate literatures support their relationships to anxiety, depression, PTSD, and alcohol dependence (AD) symptom severity. Previous studies have examined these r...

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Bibliographic Details
Published in:Behaviour research and therapy 2013-09, Vol.51 (9), p.540-546
Main Authors: Fairholme, Christopher P., Nosen, Elizabeth L., Nillni, Yael I., Schumacher, Julie A., Tull, Matthew T., Coffey, Scott F.
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Affective Symptoms - epidemiology
Affective Symptoms - psychology
Alcohol dependence
Alcoholism
Alcoholism - epidemiology
Anxiety - epidemiology
Anxiety disorders. Neuroses
Anxiety-Depression
Biological and medical sciences
Comorbidity
Depression - epidemiology
Difficulties in Emotion Regulation Scale
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Emotion regulation
Emotional Intelligence
Emotional regulation
Emotions
Female
Humans
Insomnia
Male
Medical sciences
Models, Psychological
Nervous system (semeiology, syndromes)
Neurology
Post traumatic stress disorder
Posttraumatic stress disorder
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology
Psychopathology. Psychiatry
PTSD
Self control
Severity
Severity of Illness Index
Sleep
Sleep Initiation and Maintenance Disorders - epidemiology
Sleep Initiation and Maintenance Disorders - psychology
Stress Disorders, Post-Traumatic - epidemiology
Substance Abuse Treatment Centers
Surveys and Questionnaires
Symptoms
Transdiagnostic
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Summary:Sleep disturbance and emotion dysregulation have been identified as etiologic and maintaining factors for a range of psychopathology and separate literatures support their relationships to anxiety, depression, PTSD, and alcohol dependence (AD) symptom severity. Previous studies have examined these relationships in isolation, failing to account for the high rates of comorbidity among disorders. It is not yet known whether these processes uniquely predict symptom severity in each of these domains. Participants were 220 patients in residential substance abuse treatment, who had experienced a potentially traumatic event and exceeded screening cutoffs for probable PTSD and problematic alcohol use. Controlling for emotion dysregulation and the interrelationships among the outcome variables, insomnia was uniquely associated with anxiety (B = .27, p 
ISSN:0005-7967
1873-622X
DOI:10.1016/j.brat.2013.05.014