[en] Insomnia and emotion dysregulation are intricately related, yet their aggregate association across different domains of emotion dysregulation and the effect of moderating factors including health-related status, age, and gender remain unclear. This systematic review and meta-analysis synthesized data from 57 studies, pooling 119 effect sizes from correlational and 55 effect sizes from group comparison studies. By separate analyses, we assessed both the strength of the association and whether clinically significant insomnia symptoms exacerbate difficulty in regulating emotion. Correlational analyses revealed a significant association between insomnia symptoms and emotion dysregulation, primarily in individuals with serious health-related conditions (Fisher Zno-serious condition = 0.22, Fisher Zserious-conditions = 0.37, p < 0.00001). Group comparison analyses indicated that clinically significant insomnia symptoms present worse emotion dysregulation regardless of health-related status (Hedges' g = 0.99, p = 0.01). The reliance on maladaptive emotion regulation strategies and difficulties in dispositional domains of emotion regulation, particularly impulsivity, were more strongly associated with insomnia than challenges related to adaptive strategies. Age and gender did not impact these associations in either type of study. These findings underscore a robust link between insomnia and emotion dysregulation, suggesting the potential benefits of integrating emotion regulation skills into insomnia management to improve therapeutic outcomes.
Disciplines :
Neurosciences & behavior
Author, co-author :
Samea, Fateme; Institute of Neuroscience and Medicine, Brain, and Behaviour (INM-7), Research Centre Jülich, Jülich, Germany, Institute for Systems Neuroscience, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany, Institute of Medical Science and Technology, Shahid Beheshti University, Tehran, Iran
Reimann, Gerion M; Institute of Neuroscience and Medicine, Brain, and Behaviour (INM-7), Research Centre Jülich, Jülich, Germany, Institute for Systems Neuroscience, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany, Department of Neurology, RWTH Aachen University, Aachen, Germany
Ebneabbasi, Amir; Department of Clinical Neurosciences, University of Cambridge, Biomedical Campus, Cambridge, CB2 0QQ, UK, Cambridge University Hospitals NHS Trust, Cambridge, CB2 0SZ, UK
Zarei, Mojtaba; Institute of Medical Science and Technology, Shahid Beheshti University, Tehran, Iran, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
Khazaie, Habibolah; Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
Goldstein-Piekarski, Andrea N; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
Spiegelhalder, Kai; Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Baglioni, Chiara; Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, Department of Human Sciences, University G. Marconi, Rome, Italy
Sepehry, Amir A; Clinical Psychology Programs, Adler University, Vancouver, British Columbia, Canada
Tahmasian, Masoud ; Institute of Neuroscience and Medicine, Brain, and Behaviour (INM-7), Research Centre Jülich, Jülich, Germany, Institute for Systems Neuroscience, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany, Department of Nuclear Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany. Electronic address: m.tahmasian@fz-juelich.de
Language :
English
Title :
Insomnia and emotion dysregulation: a meta-analytical perspective integrating regulatory strategies and dispositional difficulties.
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