First night effect and reverse first night effect in older adults with primary insomnia: does anxiety play a role?
Identifieur interne : 004703 ( Main/Exploration ); précédent : 004702; suivant : 004704First night effect and reverse first night effect in older adults with primary insomnia: does anxiety play a role?
Auteurs : B W. Riedel [États-Unis] ; C F. Winfield ; K L. LichsteinSource :
- Sleep medicine [ 1878-5506 ] ; 2001.
Abstract
Objective: The main objective was to examine first night effect (FNE) and reverse first night effect (RFNE) in older insomniacs and the role played by anxiety in these processes.Background: RFNE has been documented in a middle-aged sample of insomniacs, but little research has been done on RFNE or FNE in older insomniacs. Also, a relationship between anxiety and FNE has not been established.Methods: Participants were 77 older adults with primary insomnia (57 females, 20 males). Two consecutive nights of polysomnography (PSG) were conducted, and the state form of the State-Trait Anxiety Inventory was completed each night. Sleep diaries were completed the morning after each (PSG) and for 2 weeks at home.Results: Most participants exhibited a FNE (57%) rather than a RFNE (26%). State anxiety was elevated on PSG night 1 relative to PSG night 2 in the FNE group but not the RFNE group, and the FNE group reported greater home total sleep time. Among FNE participants, self-reported total sleep and sleep efficiency were significantly higher on PSG night 2 than at home.Conclusions: Most older insomniacs show a FNE, but a portion exhibit a RFNE. Elevated anxiety on PSG night 1 may play a role in FNE.
DOI: 10.1016/s1389-9457(00)00054-x
PubMed: 11226861
Affiliations:
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Lichstein</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:11226861</idno><idno type="pmid">11226861</idno><idno type="doi">10.1016/s1389-9457(00)00054-x</idno><idno type="wicri:Area/Main/Corpus">004800</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">004800</idno><idno type="wicri:Area/Main/Curation">004800</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">004800</idno><idno type="wicri:Area/Main/Exploration">004800</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">First night effect and reverse first night effect in older adults with primary insomnia: does anxiety play a role?</title><author><name sortKey="Riedel, B W" sort="Riedel, B W" uniqKey="Riedel B" first="B W." last="Riedel">B W. Riedel</name><affiliation wicri:level="1"><nlm:affiliation>University of Memphis Center for Community Health, 5350 Poplar Avenue, Suite 550, TN 38119, Memphis, USA</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Memphis Center for Community Health, 5350 Poplar Avenue, Suite 550, TN 38119, Memphis</wicri:regionArea><wicri:noRegion>Memphis</wicri:noRegion></affiliation></author><author><name sortKey="Winfield, C F" sort="Winfield, C F" uniqKey="Winfield C" first="C F." last="Winfield">C F. Winfield</name></author><author><name sortKey="Lichstein, K L" sort="Lichstein, K L" uniqKey="Lichstein K" first="K L." last="Lichstein">K L. Lichstein</name></author></analytic><series><title level="j">Sleep medicine</title><idno type="eISSN">1878-5506</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: The main objective was to examine first night effect (FNE) and reverse first night effect (RFNE) in older insomniacs and the role played by anxiety in these processes.Background: RFNE has been documented in a middle-aged sample of insomniacs, but little research has been done on RFNE or FNE in older insomniacs. Also, a relationship between anxiety and FNE has not been established.Methods: Participants were 77 older adults with primary insomnia (57 females, 20 males). Two consecutive nights of polysomnography (PSG) were conducted, and the state form of the State-Trait Anxiety Inventory was completed each night. Sleep diaries were completed the morning after each (PSG) and for 2 weeks at home.Results: Most participants exhibited a FNE (57%) rather than a RFNE (26%). State anxiety was elevated on PSG night 1 relative to PSG night 2 in the FNE group but not the RFNE group, and the FNE group reported greater home total sleep time. Among FNE participants, self-reported total sleep and sleep efficiency were significantly higher on PSG night 2 than at home.Conclusions: Most older insomniacs show a FNE, but a portion exhibit a RFNE. Elevated anxiety on PSG night 1 may play a role in FNE.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">11226861</PMID><DateRevised><Year>2019</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1878-5506</ISSN><JournalIssue CitedMedium="Internet"><Volume>2</Volume><Issue>2</Issue><PubDate><Year>2001</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Sleep medicine</Title><ISOAbbreviation>Sleep Med</ISOAbbreviation></Journal><ArticleTitle>First night effect and reverse first night effect in older adults with primary insomnia: does anxiety play a role?</ArticleTitle><Pagination><MedlinePgn>125-133</MedlinePgn></Pagination><Abstract><AbstractText>Objective: The main objective was to examine first night effect (FNE) and reverse first night effect (RFNE) in older insomniacs and the role played by anxiety in these processes.Background: RFNE has been documented in a middle-aged sample of insomniacs, but little research has been done on RFNE or FNE in older insomniacs. Also, a relationship between anxiety and FNE has not been established.Methods: Participants were 77 older adults with primary insomnia (57 females, 20 males). Two consecutive nights of polysomnography (PSG) were conducted, and the state form of the State-Trait Anxiety Inventory was completed each night. Sleep diaries were completed the morning after each (PSG) and for 2 weeks at home.Results: Most participants exhibited a FNE (57%) rather than a RFNE (26%). State anxiety was elevated on PSG night 1 relative to PSG night 2 in the FNE group but not the RFNE group, and the FNE group reported greater home total sleep time. Among FNE participants, self-reported total sleep and sleep efficiency were significantly higher on PSG night 2 than at home.Conclusions: Most older insomniacs show a FNE, but a portion exhibit a RFNE. 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