Insomnia and Anxiety
The statistics show that as much as twenty percent of the population suffers from chronic insomnia—and one-fourth of those with the condition eventually develop an anxiety disorder. As comorbid conditions, they contribute to any number of physical and soc
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Series in Anxiety and Related Disorders Series Editor: Martin M. Antony, Professor, Department of Psychology, Ryerson University, Toronto, Ontario, Canada
For other titles published in this series, go to www.springer.com/series/6926
Colleen E. Carney Jack D. Edinger ●
Insomnia and Anxiety
Colleen E. Carney Department of Psychology Ryerson University Toronto ON Canada [email protected]
Jack D. Edinger Department of Psychiatry and Behavioral Sciences Duke University Medical Center Durham, NC USA [email protected]
ISBN 978-1-4419-1433-0 e-ISBN 978-1-4419-1434-7 DOI 10.1007/978-1-4419-1434-7 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010922365 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
For Shannon and Sydney Colleen E. Carney In loving memory of my parents who always encouraged my best efforts and to my wife Wanda who tolerated those well over the years. Jack D. Edinger
Acknowledgements
We would like to thank our students for their help with this manuscript and for inspiring us to write it.
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Contents
1 Anxiety and Insomnia: An Overview....................................................... What is Insomnia?........................................................................................ Diagnostic Considerations for Insomnias.................................................... The Case of Comorbid Insomnia: More Nosological Issues....................... Cognitive Behavioral Model of Insomnia and Anxiety........................... Summary...................................................................................................... References....................................................................................................
1 2 3 4 7 9 9
2 Considerations for Assessment................................................................. Assessment of Sleep.................................................................................... Actigraphic Measurement of Sleep.............................................................. Subjective Assessment of Sleep................................................................... Clinical Interview............................................................
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