TY - JOUR PY - 2019// TI - A correlational analysis of the relationships among intolerance of uncertainty, anxiety sensitivity, subjective sleep quality, and insomnia symptoms JO - International journal of environmental research and public health A1 - Lauriola, Marco A1 - Carleton, R. Nicholas A1 - Tempesta, Daniela A1 - Calanna, Pierpaolo A1 - Socci, Valentina A1 - Mosca, Oriana A1 - Salfi, Federico A1 - De Gennaro, Luigi A1 - Ferrara, Michele SP - e16183253 EP - e16183253 VL - 16 IS - 18 N2 - In this study, we used structural equation modeling to investigate the interplay among Intolerance of Uncertainty (IU), Anxiety Sensitivity (AS), and sleep problems. Three hundred undergraduate students completed the Intolerance of Uncertainty Scale, the Intolerance of Uncertainty Inventory, the Anxiety Sensitivity Index, the Beck Depression Inventory, the State-Trait Anxiety Inventory, the Pittsburgh Sleep Quality Index and the Insomnia Severity Index. 68% and 40% of the students reported poor sleep quality or sub-threshold insomnia problems, respectively. Depression and anxiety levels were above the cut-off for about one-fourth of the participants. Structural equation modeling revealed that IU was strongly associated with AS, in turn influencing both insomnia severity and sleep quality via depression and anxiety. Significant indirect effects revealed that an anxious pathway was more strongly associated with insomnia severity, while a depression pathway was more relevant for worsening the quality of sleep. We discussed the results in the frameworks of cognitive models of insomnia. Viewing AS and IU as antecedents of sleep problems and assigning to AS a pivotal role, our study suggested indications for clinical interventions on a population at risk for sleep disorders.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph16183253 ID - ref1 ER -