Sleep dysfunction in social anxiety disorder.

IF 3.8 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology Pub Date : 2025-03-26 DOI:10.1111/bjc.12541

Roni Oren-Yagoda, Adi Tene, Idan M Aderka

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Abstract

Background: Anxiety disorders frequently co-occur with sleep disturbances, and social anxiety disorder (SAD) is no exception (Journal of affective disorders, 2020, 260, 200).

Aims: The present study examined differences in sleep dysfunction between individuals with and without SAD as well as the temporal relationship between reported sleep quality and anxiety in individuals' daily lives.

Materials & methods: Eighty-seven participants took part in the study: 44 met diagnostic criteria for SAD and 43 did not. Both groups completed a daily diary measurement to assess the levels of experienced anxiety and sleep quality every day for 21 consecutive days.

Results: Individuals with SAD reported significantly poorer sleep across all measured variables compared with those without SAD. Hierarchical linear modelling (HLM) analyses showed reciprocal effects between sleep duration and anxiety, with both variables predicting each other on subsequent days. In addition, sleep quality and time to fall asleep predicted subsequent anxiety but not vice versa.

Discussion: The findings suggest that sleep could play an important role in the maintenance of social anxiety.

Conclusion: Sleep interventions targeting duration, quality, and time to fall asleep may be beneficial for improving SAD symptoms.

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社交焦虑障碍中的睡眠障碍。

背景：焦虑障碍经常与睡眠障碍共存，社交焦虑障碍（SAD）也不例外（Journal of affective disorders, 2020,260,200）。目的：本研究考察了患有和未患有SAD的个体在睡眠功能障碍方面的差异，以及个体日常生活中报告的睡眠质量与焦虑之间的时间关系。材料与方法：87名参与者参加了这项研究：44名符合SAD的诊断标准，43名不符合。两组都完成了一项每日日记测量，以评估连续21天每天经历的焦虑水平和睡眠质量。结果：与没有SAD的人相比，患有SAD的人在所有测量变量中都报告了明显较差的睡眠。层次线性模型（HLM）分析显示了睡眠时间和焦虑之间的相互影响，这两个变量在接下来的日子里相互预测。此外，睡眠质量和入睡时间预示着随后的焦虑，反之则不然。讨论：研究结果表明，睡眠可能在维持社交焦虑方面发挥重要作用。结论：针对睡眠持续时间、质量和入睡时间的睡眠干预可能有助于改善SAD症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.80

自引率

3.20%

发文量

期刊介绍： The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups