title: Trying to fall asleep while catastrophising: what sleep-disordered adolescents think and feel.
abstract: OBJECTIVE
  Catastrophising is a repetitive cognitive process related to sleep disturbance in adult insomnia patients. More recently catastrophising has been associated with increased sleep disturbances in community samples of children and adolescents, with this association mediated by anxiety and depression. However, there currently is no evidence of these processes outside of community samples; impeding our ability to draw clinical conclusions. Knowledge on such dysfunctional cognitive processes in adolescents experiencing sleep disturbance would be clinically beneficial in aetiology and intervention. Our research examined the link between catastrophising, anxiety, depression and sleep latency in a sample of sleep-disordered adolescents. We also explored specific catastrophising themes which may impact the sleep latency of these adolescents.
  
  
  METHODS
  Forty adolescents (age=15.1±1.5 years, 53% boys) diagnosed with delayed sleep phase disorder completed a 7-day sleep diary, along with measures of anxiety and depression and a catastrophising interview with a trained sleep therapist.
  
  
  RESULTS
  Several catastrophisation themes were generated, the most common concerning interpersonal and performance aspects of school. Bootstrapping analyses showed depression did not mediate the relationship between catastrophising and sleep; however, an indirect relationship was found between catastrophising, anticipatory anxiety, and sleep latency.
  
  
  CONCLUSIONS
  These findings have implications for the role of dysfunctional thinking in prolonging sleep onset for adolescents and providing a clinical framework for health professionals when assessing and treating adolescents with delayed sleep timing.
authors: Flinders University, School of Psychology, Adelaide, SA, Australia.
authors: Rachel M
authors: RM
authors: Hiller
authors: Flinders University, School of Psychology, Adelaide, SA, Australia.
authors: Nicole
authors: N
authors: Lovato
authors: Flinders University, School of Psychology, Adelaide, SA, Australia. Electronic address: michael.gradisar@flinders.edu.au.
authors: Michael
authors: M
authors: Gradisar
authors: Flinders University, School of Psychology, Adelaide, SA, Australia.
authors: Mike
authors: M
authors: Oliver
authors: Flinders University, School of Psychology, Adelaide, SA, Australia.
authors: Amy
authors: A
authors: Slater
mesh_terms: D000293:Adolescent; D000339:Affect; D001007:Anxiety / Q000523:psychology; D058443:Catastrophization / Q000523:psychology*; D003863:Depression / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D000297:Psychology, Adolescent; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology*; D013850:Thinking
keywords: Adolescents; Catastrophising; Delayed sleep phase disorder; Depression; Sleep; Sleep anticipatory anxiety