Effects of intrusive worry in primary insomnia sleep disorders. According to Medscape, primary insomnia is insomnia that is not attributable to a medical, psychiatric, or environmental cause. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), defines five diagnostic criteria for primary insomnia. The main symptom according to the DSM-IV-TR is difficulty falling or staying asleep, or non-restorative sleep, for at least one month. About.com defines intrusive thoughts as thoughts that are unwanted, uncontrollable, and often related to disturbing or distressing themes, such as: constantly worrying about something bad that is going to happen. Patients suffering from primary insomnia engage in a furious thought battle at night. These thought battles are likely to stimulate additional worrying behaviors and lead to sleep disturbances. A common response given by patients with an intrusive thought is “my mind keeps racing.” It is widely accepted that intrusive thought at bedtime characterizes primary insomnia (e.g. Borkovec, 1982). Despite the evidence of; sleep-disrupting mental events, patients with primary insomnia describe their pre-sleep thoughts as intrusive, uncontrollable, and negative (Harvey, 2000; Kuisk, Bertelson, & Walsh, 1989), and attribute sleep difficulties to intrusions (Broman et Hetta, 1994; Espie, Brooks, & Lindsay, 1989; Lichstein & Rosenthal, 1980; Nicassio, Mendlowitz, Fussell, & Petras, 1985), theoretical explanations of why intrusive thinking before sleep characterizes primary insomnia remain insufficient (Waine, Broomfiel...... middle of paper ...... psychiatric insomnia. Nordic Journal of Psychiatry, 38 (3), 203-207. Edinger, JD, Bonnet, MH, Bootzin, RR, Doghramji, K., Dorsey, CM, Espie, CA, et al. (2004). Derivation of research diagnostic criteria for insomnia. Harvey, AG (2000) British Journal of Clinical Psychology, 39,275-286. Harvey, AG, Greenall,E (2002). Worry catastrophizing in primary insomnia. Journal of BehaviorTherapy and Experimental Psychiatry, 34,11-23Waine, J., Broomfield, NM, Banham, S., Espie, CA (2008). Metacognitive beliefs in primary insomnia: development and validation of the metacognitive-insomnia questionnaire (MCQ-I). Journal of Behavior Therapy and Experimental Psychiatry, 40,15-23.Wells, A. (2000). Emotional disorders and innovative metacognitive therapy. Chichester: John Wiley and Sons, Ltd.

Essay / Effects of intrusive worry in primary insomnia sleep disorders. According to Medscape, primary insomnia is insomnia that is not attributable to a medical, psychiatric, or environmental cause. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), defines five diagnostic criteria for primary insomnia. The main symptom according to the DSM-IV-TR is difficulty falling or staying asleep, or non-restorative sleep, for at least one month. About.com defines intrusive thoughts as thoughts that are unwanted, uncontrollable, and often related to disturbing or distressing themes, such as: constantly worrying about something bad that is going to happen. Patients suffering from primary insomnia engage in a furious thought battle at night. These thought battles are likely to stimulate additional worrying behaviors and lead to sleep disturbances. A common response given by patients with an intrusive thought is “my mind keeps racing.” It is widely accepted that intrusive thought at bedtime characterizes primary insomnia (e.g. Borkovec, 1982). Despite the evidence of; sleep-disrupting mental events, patients with primary insomnia describe their pre-sleep thoughts as intrusive, uncontrollable, and negative (Harvey, 2000; Kuisk, Bertelson, & Walsh, 1989), and attribute sleep difficulties to intrusions (Broman et Hetta, 1994; Espie, Brooks, & Lindsay, 1989; Lichstein & Rosenthal, 1980; Nicassio, Mendlowitz, Fussell, & Petras, 1985), theoretical explanations of why intrusive thinking before sleep characterizes primary insomnia remain insufficient (Waine, Broomfiel...... middle of paper ...... psychiatric insomnia. Nordic Journal of Psychiatry, 38 (3), 203-207. Edinger, JD, Bonnet, MH, Bootzin, RR, Doghramji, K., Dorsey, CM, Espie, CA, et al. (2004). Derivation of research diagnostic criteria for insomnia. Harvey, AG (2000) British Journal of Clinical Psychology, 39,275-286. Harvey, AG, Greenall,E (2002). Worry catastrophizing in primary insomnia. Journal of BehaviorTherapy and Experimental Psychiatry, 34,11-23Waine, J., Broomfield, NM, Banham, S., Espie, CA (2008). Metacognitive beliefs in primary insomnia: development and validation of the metacognitive-insomnia questionnaire (MCQ-I). Journal of Behavior Therapy and Experimental Psychiatry, 40,15-23.Wells, A. (2000). Emotional disorders and innovative metacognitive therapy. Chichester: John Wiley and Sons, Ltd.

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