Ralph Erich Schmidt

Linking impulsivity to dysfunctional thought control and insomnia: a structural equation model

According to cognitive models of insomnia, excessive mental activity at bedtime may be viewed as an important impediment to the process of falling asleep. A further assumption of these models is that ‘cognitive arousal’ may be perpetuated and exacerbated by counterproductive strategies of thought management. As yet, little is known about factors that may predispose people to rely on these strategies when confronted with thoughts that keep them awake at night. This study examined the relations between impulsivity, use of different thought‐control strategies and insomnia severity. A sample of 391 university students completed the UPPS Impulsive Behavior Scale, the Thought Control Questionnaire Insomnia‐Revised and the Insomnia Severity Index. Correlation analyses revealed that two facets of impulsivity (urgency and lack of perseverance), two strategies of thought control (aggressive suppression and worry) and insomnia severity were positively associated. Follow‐up structural equation modeling analyses showed that the two mentioned thought‐control strategies mediated the effects of the two facets of impulsivity on sleep problems. These findings extend existing cognitive accounts of insomnia by suggesting how predisposing and perpetuating factors may be related: specific personality traits may incline individuals to respond with dysfunctional thought‐control strategies to unwanted mental activity at night.

The aftermath of rash action: Sleep-interfering counterfactual thoughts and emotions.

A consistent body of evidence suggests that excessive cognitive activity at bedtime is a key factor in insomnia. It is generally assumed that sleep-interfering cognitions are affect laden, but still little is known about the precise nature of the affective processes that are involved. The present study sought to explore the role of counterfactual thinking and counterfactual emotions (regret, shame, and guilt) in insomnia as a function of impulsivity. It was hypothesized that when retiring for the night, individuals scoring high on urgency review their rash daytime behavior and are therefore likely to engage in counterfactual thinking and to experience associated feelings of regret, shame, and guilt. A sample of 101 undergraduate students completed three questionnaires: the UPPS Impulsive Behavior Scale, the Bedtime Counterfactual Processing Questionnaire, and the Insomnia Severity Index. Results indicated that both urgency and counterfactual processing were related to insomnia severity and that the effect of urgency on insomnia was mediated by counterfactual processing. These findings reveal for the first time that impulsivity relates to counterfactual cognitive-affective processing and that this type of processing contributes to sleep disturbances.

Facets of Impulsivity Are Differentially Linked to Insomnia: Evidence From an Exploratory Study

This study investigated the association between insomnia and four facets of impulsivity as distinguished by Whiteside and Lynam (2001): urgency, (lack of) premeditation, (lack of) perseverance, and sensation seeking. A sample of 233 university students completed the UPPS Impulsive Behavior Scale, the Insomnia Severity Index, and a short questionnaire on sleep-related mentation. Correlational analyses revealed that urgency was related to insomnia severity and insomnia-related impairments in daytime functioning, and that lack of perseverance was related to insomnia-related impairments in daytime functioning. Follow-up analyses showed that the frequency of disturbing thoughts and visions during the pre-sleep period partially mediated the relation between urgency and sleep-initiation problems, and that the frequency of disturbing dreams and nightmares partially mediated the relation between urgency and sleep-maintenance problems. These findings suggest that the facets of impulsivity are differentially linked to insomnia and that urgency is associated with sleep-interfering nighttime mentation.

Young poor sleepers mobilize extra effort in an easy memory task: evidence from cardiovascular measures

Insomniacs often complain of memory deficits, yet objective measures have not consistently corroborated their subjective impressions. A possible explanation for the partial gap between self‐report and behavioral measures of memory impairment is that insomniacs recruit extra effort to compensate for the consequences of poor sleep. The present study investigated whether subjective insomnia severity would predict objective effort mobilization, as indexed by cardiovascular measures, in an easy memory task. Seventy‐seven university students, mostly women, with a mean age of 22 years were asked to memorize four strings of four random letters in 5 min while cardiovascular measures were obtained. After taking an immediate recall test, participants completed the Insomnia Severity Index, the Multidimensional Fatigue Inventory, and a questionnaire on last night’s sleep and today’s fatigue. Finally, they were given a surprise delayed recall test. Analyses indicated that self‐reported insomnia severity was associated with an increase in systolic blood pressure during the learning phase. Regarding memory performance, insomnia severity was unrelated to immediate recall but related to a decrement in delayed recall. These findings reveal for the first time that subjective insomnia severity predicts objective effort mobilization in an easy memory task, suggesting that young poor sleepers recruit extra resources to cope with everyday cognitive challenges.

Anatomy of the White Bear Suppression Inventory (WBSI): A Review of Previous Findings and a New Approach

The White Bear Suppression Inventory (WBSI; Wegner & Zanakos, 1994) was originally designed to assess peoples inclination toward thought suppression. In this article, we provide a detailed review of previous findings on the structure of this instrument and present a study that took a new statistical approach. It involved an exploratory factor analysis of the French WBSI using the weighted least squares mean and variance estimator as well as parametric item response theory analyses. Results clearly supported a 2-factor structure with a “suppression” and an “intrusion” dimension. Follow-up regression analyses revealed that intrusion significantly predicted anxiety and depression scores, whereas suppression did not. *Both authors contributed equally.

A German Adaptation of the UPPS Impulsive Behavior Scale: Psychometric Properties and Factor Structure

Impulsivity occupies a prominent place in psychopathology, yet the precise nature of its implication in mental disorders is still poorly understood. This is partly due to inconsistencies among existing conceptualizations and measurements of impulsivity. In an attempt to overcome these inconsistencies, S. P. Whiteside and D. R. Lynam (2001) developed the UPPS Impulsive Behavior Scale, which distinguishes four facets of impulsivity: urgency, lack of premeditation, lack of perseverance, and sensation seeking. The present study examined the psychometric properties of a German adaptation of the UPPS Impulsive Behavior Scale by administering it to a sample of psychology students. Exploratory and confirmatory factor analyses of the responses of 310 native German speaking participants suggested a four-factor solution similar to that found in the original study. Results indicated that these four subscales possess very good internal consistency.

Regrets Associated with Providing Healthcare: Qualitative Study of Experiences of Hospital-Based Physicians and Nurses

Background Regret is an unavoidable corollary of clinical practice. Physicians and nurses perform countless clinical decisions and actions, in a context characterised by time pressure, information overload, complexity and uncertainty. Objective To explore feelings associated with regretted clinical decisions or interventions of hospital-based physicians and nurses and to examine how these regrets are coped with. Method Qualitative study of a volunteer sample of 12 physicians and 13 nurses from Swiss University Hospitals using semi-structured interviews and thematic analysis Results All interviewees reported at least one intense regret, which sometimes led to sleep problems, or taking sickness leave. Respondents also reported an accumulation effect of small and large regrets, which sometimes led to quitting ones unit or choosing another specialty. Respondents used diverse ways of coping with regrets, including changing their practices and seeking support from peers and family but also suppression of thoughts related to the situation and ruminations on the situation. Another coping strategy was acceptance of ones limits and of medicines limits. Physicians reported that they avoided sharing with close colleagues because they felt they could lose their credibility. Conclusions Since regret seems related to both positive and negative consequences, it is important to learn more about regret coping among healthcare providers and to determine whether training in coping strategies could help reduce negative consequences such as sleep problems, absenteeism, or turnover.

Dreaming of white bears: the return of the suppressed at sleep onset.

The present study examined the effects of thought suppression on sleep-onset mentation. It was hypothesized that the decrease of attentional control in the transition to sleep would lead to a rebound of a suppressed thought in hypnagogic mentation. Twenty-four young adults spent two consecutive nights in a sleep laboratory. Half of the participants were instructed to suppress a target thought, whereas the other half freely thought of anything at all. To assess target thought frequency, three different measures were used in the wake state and mentation reports were repeatedly prompted by a computer at sleep onset. In support of the hypothesis, results revealed a reversal of target thought frequency at sleep onset: Participants instructed to suppress reported fewer target thoughts than did controls before falling asleep, but more target thoughts afterwards.

Cognitive and Affective Control in Insomnia

Insomnia is a prevalent disabling chronic disorder. The aim of this paper is fourfold: (a) to review evidence suggesting that dysfunctional forms of cognitive control, such as thought suppression, worry, rumination, and imagery control, are associated with sleep disturbance; (b) to review a new budding field of scientific investigation – the role of dysfunctional affect control in sleep disturbance, such as problems with down-regulating negative and positive affective states; (c) to review evidence that sleep disturbance can impair next-day affect control; and (d) to outline, on the basis of the reviewed evidence, how the repetitive-thought literature and the affective science literature can be combined to further understanding of, and intervention for, insomnia.

Impulsivity and Intrusive Thoughts: Related Manifestations of Self-Control Difficulties?

Impulsive behaviors and intrusive thoughts are prominent in psychopathology. Two studies were conducted to explore their relationships. In Study 1, 250 participants completed the UPPS Impulsive Behavior Scale and the Thought Control Ability Questionnaire (TCAQ). In Study 2 involving a sample of 97 female students, the relations between impulsivity and different types of thought control difficulties were examined. Both negative urgency and lack of perseverance were significantly related to the tendency to experience intrusive thoughts as measured by the TCAQ, the Penn State Worry Questionnaire, the obsessing subscale of the Obsessive–Compulsive Inventory-Revised, and an intrusion subscale of the White Bear Suppression Inventory. Regression analyses revealed that negative urgency and lack of perseverance independently contributed to worries and thought control difficulties and that negative urgency was the strongest predictor of all types of intrusions. On the basis of these findings, the authors discuss cognitive processes and content that may be related the different facets of impulsivity.