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The problematic nature of subjective disorders: the case of insomnia
Journal Title: RICERCHE DI PSICOLOGIA  
Author/s: Cristiano Violani, Alessandra Devoto 
Year:  2015 Issue: 3 Language: Italian 
Pages:  18 Pg. 559-576 FullText PDF:  189 KB
DOI:  10.3280/RIP2015-003008
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Insomnia is a widely diffused multifactorial sleep disorder. It can be an independent condition or comorbid with other somatic or mental disturbances. It is characterized by difficulties in initiating and maintaining sleep and by negative diurnal consequences. Its main feature is the subjective perception of sleep symptoms as well as of fatigue and other negative consequences on cognitive and affective functioning. The subjective nature of the disorder is recognized by the current diagnostic classifications and by the guidelines for its management. The main method for the diagnostic assessment of insomnia is the clinical interview, supported by self report instruments, while markers and objective measures are reserved to particular cases. Due to the subjective nature of insomnia its diagnosis and treatment are complex, also because of comorbilities, cognitive distortions, faulty and affectively charged representations of the pattern and quality of sleep. Sleep diary is the crucial tool to reduce subjective and faulty perceptions about the actual sleep disturbance and play an important role both in the diagnosis and treatment of insomnia. Sleep diary allows a diagnosis referred to the present condition, by comparing the current sleep pattern, and discloses both the factors involved in the disorder and the daytime consequences of insomnia during treatment.
Keywords: Insomnia, subjective disorder, clinical interview, sleep logs.

  1. American Academy of Sleep Medicine (2005). International Classification of Sleep Disorders. Diagnostic and Coding Manual - 2° Edition, ICSD-2
  2. (AASM). Westchester, Illnois.
  3. American Psychiatric Association (2013). Manuale Diagnostico e Statistico dei Disturbi Mentali- quinta edizione-DSM-5. Milano Raffaello Cortina Editore, 2014.
  4. Bastien, C.H., Vallieres, A., & Morin, C.M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2, 297-307.
  5. Breslau, N., Roth, T., Rosenthal, L., & Andereski, P. (1996). Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biological Psichiatry, 39, 411-18.
  6. Buysse, D.J., Reynold, C.F.III, Monk, T., Hoch, C., Yeager, A., & Kupfer, D. (1988). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and psychiatry research. Psychiatry Research, 28, 193-213.
  7. Buysse, D.J., Ancoli-Israel, S., Edinger, J.D.., Lichstein, K.L.., & Morin, C. (2006). Reccomendations for a standard research assessment of insomnia. Sleep, 29, 1155-73.
  8. Morin, C.M., & Espie, C.A. (2004). Insonnia. Guida alla valutazione e all’intervento psicologico. Edizione italiana a cura di D. Coradeschi e C. Sica. Milano: McGraw Hill.
  9. National Institutes of Health (2005). National Institutes of Health State of Science Conference Statement. Manifestation and management of chronic insomnia in adult. Sleep, 28, 1049-57.
  10. Camey, C.E., Buysse, D.J., Ancoli-Israel, S., Edinger, J., Kristal, A., Lichstein, K.L., & Morin, C. (2012) The Consensus Sleep Diary: standardizing prospective sleep self-monitoring. Sleep, 35; 287-302., DOI: 10.5665/sleep.1642.Carskadon,M.A.,Dement,W.C.,Mitler,M.M.,Guilleminault,C.,Zarcone,V.P.,&Spiegel,R.(1976).Self-ReportsVersusSleepLaboratoryFindingsin122Drug-FreeSubjectswithComplaintsofChronicInsomnia.AmericanJournalofPsychiatry,133,1382-1388
  11. Coradeschi, D., & Devoto, A. (Eds.) (2012). Insonnia. Strumenti di valutazione Psicologica. In Quaderni di Psicoterapia Cognitiva e Comportamentale. Trento: Erickson Edizioni.
  12. Devoto, A., Manganelli, S., Lucidi, F., Lombardo, C., Russo, P.M., & Violani, C. (2005). Quality of sleep and P300 amplitude in primary insomnia: a preliminary study. Sleep, 28, 859-863.
  13. Devoto, A., & Violani, C. (2009). Curare l’insonnia senza farmaci. Metodi di valutazione e intervento cognitivo-comportamentale. Roma: Carocci Faber.
  14. Devoto, A., & Lombardo, C. (2012). Intervista semistrutturata sull’insonnia. In D. Coradeschi & A. Devoto (Eds.), Insonnia. Strumenti di valutazione Psicologica (pp. 33-57). Trento: Erickson edizioni.
  15. Edinger, J.D., & Means, M.K. (2005). Cognitive-behavioral therapy for primary insomnia. Clinical Psychology Review, 25, 539-558.
  16. Harvey, A.G. (2001). Insomnia: Symptom or diagnosis? Clinical Psychology Review, 21, 1037-1059.
  17. Jansson-Frojmark, M., & Lindblom, K. (2008). A bidirectional relationship between anxiety and depression, and insomnia? A prospective study in the general population. Journal of Psychosomatic Research, 64, 41-50., DOI: 10.1016/j.jpsychores.2007.10.016
  18. Lacks, P. (1987). Behavioral treatment for persistent insomnia. New York: Pergamon Press.
  19. LeBlanc, M., Mérette, C., Savard, J., Ivers, H., Baillargeon, L., Morin, C.M. (2009). Incidence and risk factors of insomnia in a population-based sample. Sleep, 32, 1027-37.
  20. Littner, M., Hirshkowitz, M., Kramer, M., Kapen, S., Anderson, W.M., Bailey, D., Berry, R.B., Davila, D., Johnson, S., Kushida, C., Loube, D.I., Wise, M., Woodson, B.T., & American Academy of Sleep Medicine; Standards of Practice Committee (2003). Practice parameters for using polysomnigraphy to evaluate insomnia: un update. Sleep, 26, 754-60.
  21. Lombardo, C., Baglioni, C., Devoto, A., Russo, P.M., Lucidi, F., & Violani, C. (2006). Quale rappresentazione sintomatologica riporta l’insonne nel primo colloquio clinico? Psicoterapia Cognitiva e Comportamentale, 11, 251-263.
  22. Min, Y.H., Lee, J.W, Shin, Y.W., Jo, M.W., et al. (2014). Daily collection of selfreporting sleep disturbance data via a smartphone app in breast cancer patients receiving chemotherapy: a feasibility study. Journal of Medicine and Internet Research, 23, 16(5), e135.
  23. Morgenthaler, T., Kramer, M., Alessi, C., Friedman, L., Boehlecke, B., Brown, T., Coleman, J., Kapur, V., Lee-Chiong, T., Owens, J., Pancer, J., Swick, T. & American Academy of Sleep Medicine (2006). Practice parameters for the psychological and behavioral treatment of insomnia: un update. Sleep, 29,
  24. 1415-19. Morin, C.M., Le Blanc, M., Daley, M., Gregoire, J.P., & Merette, C. (2006). Epidemilogy of insomnia: prevalence self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Medicine, 7, 123-30.
  25. Morin, C. (2010) Chronic Insomnia: Recent Advances and Innovations in Treatment Developments and Dissimination. Canadian Psychology, 51, 31-39.
  26. Morin, C., & Benca, R. (2012) Chronic Insomnia. Lancet, 379, 1129-41.
  27. Ohayon, M.M. (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews, 6, 97-111.
  28. Perlis, M., Smith, M.T., & Pigeon, W.R. (2005a). Etiology and pathophysiology of insomnia. In M.H. Krygher, T. Roth, W.C. Dement (Eds.), Principles and practice of sleep medicine. 4th edition (pp. 714-25). Philadelphia: Elsevier Saunders.
  29. Perlis, M.L., Jungquist, C.R., Smith, M.T., & Posner, D. (2005b) Il trattamento cognitivo-comportamentale dell’insonnia. Linee guida per la pratica clinica.
  30. Edizione italiana a cura di L. Palagini, L. Bontempelli, A. Gemignani & M. Guazzelli, Milano: FrancoAngeli, 2012.
  31. Rechtschaffen, A., & Kales, A.A. (1968). Manual of Standardized Terminology, Techniques, and Scoring System for Sleep Stages of Human Subjects. Washington DC: Washington Public Health Service, US Government Printing Office.
  32. Reite, M., Buysse, D., Reynolds, C., & Mendelson, W. (1995). The use of polysomnography in the evaluation of insomnia. Sleep, 18, 58-70.
  33. Reynolds, C.F., & Redline, S. (2010). The DSM-5 sleep-wake nosology: An update and invitation to the sleep community. Sleep, 33, 10-11.
  34. Riemann, D. (2007) Insomnia and comorbid psychiatric disorders. Sleep Medicine, 8, Suppl 4, S15-20., DOI: 10.1016/S1389-9457(08)70004-2
  35. Roth, T., Jaeger, S., Jin, R., Kalsekar, A., Stang, P.E, & Kessler, R.C. (2006). Sleep problems, comorbid mental disorders, and role funcioning in the national comorbity survey replication. Biological Psychiatry, 60, 1364-71.
  36. Sánchez-Ortuño, M., & Edinger, J.D. (2012) Cognitive-behavioral therapy for the management of insomnia comorbid with mental disorders. Current Psychiatry Reports, 14, 519-28., DOI: 10.1007/s11920-012-0312-9
  37. Shutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008). Clinical Guidline for Evaluation and Management of Chronic Insomnia in Adults. Journal of Clinical Sleep Medicine, 4, 487-504.
  38. Smith, M.T., & Perlis, M.L. (2006). Who is a candidate for cognitive-behavioral therapy for insomnia?, Health Psychology. 25, 15-19.
  39. Spielman, A.J., Nunes, J., & Glovinsky, P.B. (1996) Insomnia. Neurologic Clinics, 14, 513-543. Violani, C., Devoto, A., Lucidi, F., Lombardo, C., & Russo, P. (2004). Validity of a Short Insomnia Questionnaire: the SDQ. Brain Research Bulletin, 63, 415-421.

Cristiano Violani, Alessandra Devoto, The problematic nature of subjective disorders: the case of insomnia in "RICERCHE DI PSICOLOGIA " 3/2015, pp. 559-576, DOI:10.3280/RIP2015-003008

   

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