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Anxiety and sleep problems: emerging concepts and theoretical treatment implications.

Thomas W Uhde, Bernadette M Cortese, Andrei Vedeniapin

Current Psychiatry Reports August 1, 2009 DOI: 10.1007/s11920-009-0039-4 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Anxiety
Keywords Humans Sleep paralysis Hypnotics and sedatives Anti-anxiety agents Anxiety disorders Stress disorders, post-traumatic Behavior therapy Comorbidity Models, theoretical Sleep wake disorders
Key findings Argues that the high prevalence and comorbidity of anxiety and sleep problems, especially insomnia, point to an important underlying relationship, and presents two theoretical models to explain this co-occurrence. Reviews sleep problems in generalized anxiety disorder, post-traumatic stress disorder, and panic disorder, and explores sleep paralysis as an anxiety-sleep event, aiming to inform diagnosis, treatment, and future research.

Abstract

The high prevalence and comorbidity of anxiety and sleep problems, especially insomnia, suggest an important underlying relationship between these disorders. In this article, we highlight two theoretical models explaining this co-occurrence, provide a brief update on the association between anxiety-insomnia and anxiety-cataplexy in general, and review more specifically sleep problems in generalized anxiety, post-traumatic stress disorder, and panic disorder. We also explore sleep paralysis as an anxiety-sleep event. Our goal with this examination of selective anxiety-sleep problems is to provide clues about diagnostic and treatment approaches and frame strategies for future research.

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