An examination of thought control strategies employed by acute and chronic insomniacs.
OBJECTIVE
Theoretical accounts of the progression of insomnia from acute to chronic are lacking. A framework is proposed and tested to examine differences in cognitive coping styles between acute and chronic insomniacs and the relation of cognitive processing and sleep hygiene to causal attributions of insomnia.


METHODS
In a cross-sectional design, the relationship among sleep disturbance, causal attributions and various psychological and behavioural variables was examined in a convenience sample of acute and chronic insomniacs from the general population (N=308).


RESULTS
Negative appraisals and the cognitive coping styles 'Worry' and 'Punishment' were found to be associated with both acute and chronic insomnia, whereas 'Distraction' as a cognitive coping strategy significantly reduced reports of chronic insomnia. The results are discussed in relation to multi-level interventions and future directions in theory, research and application.
Department of Psychology, University of Surrey, Guildford, Surrey GU2 7XH, UK. j.ellis@surrey.ac.uk
Jason
J
Ellis
Mark
M
Cropley