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14-10-2023 | Original Article
The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients with Insomnia Disorder: A Path Model
Auteurs: Kutlu Kağan Türkarslan, Deniz Canel Çınarbaş, Lampros Perogamvros
Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2025
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Abstract
Purpose
Researchers have proposed that multiple factors such as hyperarousal, conditioning, worrying, or cortical arousal play roles in the predisposition to, initiation, and perpetuation of insomnia disorder. Previously, only a few studies investigated the differential effects of intrusive visual imagery (IVI) and intrusive verbal thoughts (IVT) on pre-sleep arousal or insomnia severity. The aim of the current cross-sectional study was to examine these effects as well as the moderator role of visual imagery ability (VIA) on the relationship between IVI and pre-sleep arousal.
Methods
A path model comprising the variables of IVI, IVT, pre-sleep arousal, and insomnia severity was tested with 166 of 1444 participants (Mage = 25.5, SD = 5.26) who were identified as having insomnia disorder based on a 12-question form corresponding to DSM-5 criteria for insomnia disorder and Insomnia Severity Index scores (≥ 8). The moderator role of VIA on the relationship between IVI and pre-sleep arousal was evaluated with a moderation analysis.
Results
It was found that IVI (β = 0.44, p < .001), but not IVT (β = 0.15, p = .12), significantly predicted pre-sleep arousal and pre-sleep arousal (β = 0.44, p < .001) significantly predicted insomnia severity. In addition, the indirect effect of IVI via pre-sleep arousal (IE = 0.19, p < .001) on insomnia severity was significant. Finally, the moderator role of VIA on the relationship between IVI and pre-sleep arousal (p = .07) was not significant.
Conclusions
IVI may play a more important role in insomnia disorder than IVT. Interventions targeting pre-sleep visual imagery can help poor sleepers alleviate insomnia severity.
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Metagegevens
- Titel
- The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients with Insomnia Disorder: A Path Model
- Auteurs
-
Kutlu Kağan Türkarslan
Deniz Canel Çınarbaş
Lampros Perogamvros
- Publicatiedatum
- 14-10-2023
- Uitgeverij
- Springer US
- Gepubliceerd in
-
Cognitive Therapy and Research
/ Uitgave 1/2025
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819 - DOI
- https://doi.org/10.1007/s10608-023-10442-0
