Document Type
Article
Journal/Book Title/Conference
Journal of Cognitive Psychotherapy
Publisher
Springer Publishing Company
Publication Date
7-2024
Journal Article Version
Accepted Manuscript
First Page
1
Last Page
32
Abstract
Emerging research suggests that psychological inflexibility may be a factor contributing to the development and maintenance of insomnia. However, less is known about the potential cognitive pathways that may explain this relationship. In this study, we investigated the serial mediating effects of psychological inflexibility and daytime insomnia related rumination on the association between dysfunctional beliefs and attitudes about sleep (DBAS) and insomnia symptoms. The sample included 490 college students who underwent assessments at two time points over a one-month period. The results of our mediational tests yielded significant indirect effects, supporting the prediction that psychological inflexibility and daytime insomnia rumination serially mediate the relationship between DBAS and insomnia. The study provides insights into potential mechanisms for insomnia, emphasizing the role of psychological inflexibility in perpetuating maladaptive cognitive processes associated with insomnia. Future researchers should explore other maladaptive responses to insomnia related concerns and distress, such as worry and safety behaviors, and replicate findings in clinically elevated insomnia samples.
Recommended Citation
San Miguel, Guadalupe G., Woolley, Mercedes G., Lee, Eric B., Smith, Brooke M., Culianos, Demi, Levin, Michael E., Twohig, Michael P.; "Serial Meditation Analysis of Psychological Inflexibility and Daytime Insomnia Rumination in the Relationship Between Dysfunctional Beliefs About Sleep and Insomnia in College Students". Journal of Cognitive Psychotherapy, 2024 DOI: 10.1891/JCP-2024-0002