Stress Clinical Trial
Official title:
Stress and Insomnia: Investigating a Bidirectional Relation
Insomnia is characterized by rumination and worry over stressful events affecting nighttime
sleep. Emotional reactions while stressful events are ongoing have not often been
investigated in insomnia. In the current study stress reactions will be measured during a
real-life simulation experiment with stressful events and investigate not only how previous
sleep patterns affect emotional reactivity to the event but also how the emotional events
affect sleep patterns the following night.
Thirty-six female subjects (age 25-45 years) without sleep complaints (n=18) or with insomnia
(n=18) will enroll in a interventional study measuring the reaction to and effects of either
neutral or stressful events during driving. Through questionaires and intake polysomnography,
clinical levels of depression and anxiety will be excluded as well as sleep medication use
and alternative sleep disorders than insomnia. Stress levels will be measured through skin
conductance and heart rate variability during events and through nighttime polysomnography
(PSG). Effects on sleep architecture and arousal levels will be measured through nighttime
PSG.
Investigators hypothesize that subjects with insomnia, compared to subjects without sleep
complaints, show stronger emotional reactions to stressful events and stronger effects of
stress on sleep quality the following night. Results will facilitate a model for emotional
reactivity in chronic sleep disruption which may aid to prevent short term sleep disruption
converting into chronic insomnia and aid in developing customized insomnia treatment.
n/a
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