Strategies for Controlling Unwanted Intrusive Thoughts and Insomnia Severity in Urban-Residing Young Adult African Americans

Overview

Journal Behav Sleep Med

Publisher Routledge

Date 2022 Apr 1

PMID 35362345

Authors

Alicia Stokes

Milan Poindexter

Kimberly Bell

Thomas A Mellman

Affiliations

Soon will be listed here.

Abstract

Introduction: Poor sleep is common in our society, particularly for African Americans, and is associated with adverse mental and physical health outcomes. Unwanted, intrusive thoughts contribute to sleep disturbances and can be engendered by living in stressful urban environments, which are disproportionately inhabited by African Americans. Studies of other populations have shown that cognitive coping strategies to manage intrusive thoughts vary in their adaptiveness.

Objective: To examine the relationship between thought control strategies and insomnia severity in urban residing young-adult African Americans.

Method: Sixty-four young adult African Americans completed a demographic questionnaire, the Thought Control Questionnaire for Insomnia-revised, and the Insomnia Severity Index.

Results: There were moderate to strong positive correlations of aggressive suppression, worry, behavioral distraction, and social avoidance with ISI scores. Poor sleepers endorsed greater use of worry and aggressive suppression than good sleepers. Results from a multiple linear regression analysis revealed that aggressive suppression, social avoidance, and behavioral distraction significantly predicted insomnia severity, and aggressive suppression was the strongest predictor in the model.

Conclusions: These results extend findings of aggressive suppression as a correlate of insomnia severity to an urban-residing young adult African American sample. Future research should identify adaptive approaches and the utility of modifying maladaptive strategies.

References

Kingsbury J, Buxton O, Emmons K . Sleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease. Curr Cardiovasc Risk Rep. 2013; 7(5). PMC: 3824366. DOI: 10.1007/s12170-013-0330-0. View

Grandner M, Williams N, Knutson K, Roberts D, Jean-Louis G . Sleep disparity, race/ethnicity, and socioeconomic position. Sleep Med. 2015; 18:7-18. PMC: 4631795. DOI: 10.1016/j.sleep.2015.01.020. View

Redeker N, Jeon S, Muench U, Campbell D, Walsleben J, Rapoport D . Insomnia symptoms and daytime function in stable heart failure. Sleep. 2010; 33(9):1210-6. PMC: 2938862. DOI: 10.1093/sleep/33.9.1210. View

Biddle D, Hermens D, Lallukka T, Aji M, Glozier N . Insomnia symptoms and short sleep duration predict trajectory of mental health symptoms. Sleep Med. 2018; 54:53-61. DOI: 10.1016/j.sleep.2018.10.008. View

Lichstein K, Rosenthal T . Insomniacs' perceptions of cognitive versus somatic determinants of sleep disturbance. J Abnorm Psychol. 1980; 89(1):105-7. DOI: 10.1037//0021-843x.89.1.105. View

Mezick E, Matthews K, Hall M, Strollo Jr P, Buysse D, Kamarck T . Influence of race and socioeconomic status on sleep: Pittsburgh SleepSCORE project. Psychosom Med. 2008; 70(4):410-6. PMC: 2887747. DOI: 10.1097/PSY.0b013e31816fdf21. View

Ree M, Harvey A, Blake R, Tang N, Shawe-Taylor M . Attempts to control unwanted thoughts in the night: development of the thought control questionnaire-insomnia revised (TCQI-R). Behav Res Ther. 2005; 43(8):985-98. DOI: 10.1016/j.brat.2004.07.003. View

Bastien C, Vallieres A, Morin C . Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001; 2(4):297-307. DOI: 10.1016/s1389-9457(00)00065-4. View

Morin C, LeBlanc M, Daley M, Gregoire J, Merette C . Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Med. 2006; 7(2):123-30. DOI: 10.1016/j.sleep.2005.08.008. View

10.

Taylor D, Lichstein K, Heith Durrence H, Reidel B, Bush A . Epidemiology of insomnia, depression, and anxiety. Sleep. 2005; 28(11):1457-64. DOI: 10.1093/sleep/28.11.1457. View

11.

Hall M, Buysse D, Nowell P, Nofzinger E, Houck P, Reynolds 3rd C . Symptoms of stress and depression as correlates of sleep in primary insomnia. Psychosom Med. 2000; 62(2):227-30. DOI: 10.1097/00006842-200003000-00014. View

12.

Schmidt R, Gay P, Ghisletta P, Van der Linden M . Linking impulsivity to dysfunctional thought control and insomnia: a structural equation model. J Sleep Res. 2009; 19(1 Pt 1):3-11. DOI: 10.1111/j.1365-2869.2009.00741.x. View

13.

Bethea T, Zhou E, Schernhammer E, Castro-Webb N, Cozier Y, Rosenberg L . Perceived racial discrimination and risk of insomnia among middle-aged and elderly Black women. Sleep. 2019; 43(1). PMC: 6955644. DOI: 10.1093/sleep/zsz208. View

14.

Ohayon M . Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2003; 6(2):97-111. DOI: 10.1053/smrv.2002.0186. View

15.

Profant J, Ancoli-Israel S, Dimsdale J . Are there ethnic differences in sleep architecture?. Am J Hum Biol. 2002; 14(3):321-6. DOI: 10.1002/ajhb.10032. View

16.

Hale L, Do D . Racial differences in self-reports of sleep duration in a population-based study. Sleep. 2007; 30(9):1096-103. PMC: 1978399. DOI: 10.1093/sleep/30.9.1096. View

17.

Wells A, Davies M . The Thought Control Questionnaire: a measure of individual differences in the control of unwanted thoughts. Behav Res Ther. 1994; 32(8):871-8. DOI: 10.1016/0005-7967(94)90168-6. View

18.

Roth T, Ancoli-Israel S . Daytime consequences and correlates of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. II. Sleep. 1999; 22 Suppl 2:S354-8. View

19.

Ellis J, Cropley M . An examination of thought control strategies employed by acute and chronic insomniacs. Sleep Med. 2003; 3(5):393-400. DOI: 10.1016/s1389-9457(02)00039-4. View

20.

Morin C, Belleville G, Belanger L, Ivers H . The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011; 34(5):601-8. PMC: 3079939. DOI: 10.1093/sleep/34.5.601. View