Obsessive compulsive symptoms and sleep difficulties: Exploring the unique relationship between insomnia and obsessions

Kiara R Timpano, Julia Y. Carbonella, Rebecca A. Bernert, Norman B. Schmidt

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: Sleep complaints have been linked with Obsessive Compulsive Disorder (OCD), though there is a dearth of research exploring the association between a range of disturbed sleep indicators and obsessive compulsive symptoms (OCS). Two separate studies were conducted to rigorously investigate this relationship in further detail, considering a number of different sleep indices and also the heterogeneous nature of OCS. Methods: Study 1 (n = 167) examined the relationship between OCS and the gold standard self-report assessments for delayed bedtime, sleep quality, nightmares, and insomnia symptoms. Study 2 (n = 352) replicated the primary findings from Study 1 in an independent sample and with an alternative measure of OCD, which takes into account the different OCS dimensions. Results: Results revealed a significant, independent link between obsessions and insomnia symptoms, but not between insomnia and compulsions. When examining the different OCS dimensions, insomnia was again found to bear a specific relationship to obsessions, above and beyond that with the other dimensions. Although depression is often highly comorbid with both OCD and sleep disturbances, depressive symptoms did not explain the OCS-sleep relationship in either study, suggesting a unique association between obsessions and insomnia. Conclusions: Findings indicate that high levels of intrusive thoughts exhibit a specific association with insomnia symptoms-one that is not observed with other OCS. Future research may help elucidate the mechanisms and causal nature of this relationship.

Original languageEnglish
Pages (from-to)101-107
Number of pages7
JournalJournal of Psychiatric Research
Volume57
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Obsessive Behavior
Sleep Initiation and Maintenance Disorders
Sleep
Obsessive-Compulsive Disorder
Depression
Self Report
Obsessions
Research

Keywords

  • Insomnia
  • Obsessions
  • Obsessive-compulsive symptoms
  • Sleep

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Arts and Humanities (miscellaneous)

Cite this

Obsessive compulsive symptoms and sleep difficulties : Exploring the unique relationship between insomnia and obsessions. / Timpano, Kiara R; Carbonella, Julia Y.; Bernert, Rebecca A.; Schmidt, Norman B.

In: Journal of Psychiatric Research, Vol. 57, No. 1, 01.01.2014, p. 101-107.

Research output: Contribution to journalArticle

Timpano, Kiara R ; Carbonella, Julia Y. ; Bernert, Rebecca A. ; Schmidt, Norman B. / Obsessive compulsive symptoms and sleep difficulties : Exploring the unique relationship between insomnia and obsessions. In: Journal of Psychiatric Research. 2014 ; Vol. 57, No. 1. pp. 101-107.
@article{64b75de9c1ae49009ad5e6786a939ce8,
title = "Obsessive compulsive symptoms and sleep difficulties: Exploring the unique relationship between insomnia and obsessions",
abstract = "Background: Sleep complaints have been linked with Obsessive Compulsive Disorder (OCD), though there is a dearth of research exploring the association between a range of disturbed sleep indicators and obsessive compulsive symptoms (OCS). Two separate studies were conducted to rigorously investigate this relationship in further detail, considering a number of different sleep indices and also the heterogeneous nature of OCS. Methods: Study 1 (n = 167) examined the relationship between OCS and the gold standard self-report assessments for delayed bedtime, sleep quality, nightmares, and insomnia symptoms. Study 2 (n = 352) replicated the primary findings from Study 1 in an independent sample and with an alternative measure of OCD, which takes into account the different OCS dimensions. Results: Results revealed a significant, independent link between obsessions and insomnia symptoms, but not between insomnia and compulsions. When examining the different OCS dimensions, insomnia was again found to bear a specific relationship to obsessions, above and beyond that with the other dimensions. Although depression is often highly comorbid with both OCD and sleep disturbances, depressive symptoms did not explain the OCS-sleep relationship in either study, suggesting a unique association between obsessions and insomnia. Conclusions: Findings indicate that high levels of intrusive thoughts exhibit a specific association with insomnia symptoms-one that is not observed with other OCS. Future research may help elucidate the mechanisms and causal nature of this relationship.",
keywords = "Insomnia, Obsessions, Obsessive-compulsive symptoms, Sleep",
author = "Timpano, {Kiara R} and Carbonella, {Julia Y.} and Bernert, {Rebecca A.} and Schmidt, {Norman B.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1016/j.jpsychires.2014.06.021",
language = "English",
volume = "57",
pages = "101--107",
journal = "Journal of Psychiatric Research",
issn = "0022-3956",
publisher = "Elsevier Limited",
number = "1",

}

TY - JOUR

T1 - Obsessive compulsive symptoms and sleep difficulties

T2 - Exploring the unique relationship between insomnia and obsessions

AU - Timpano, Kiara R

AU - Carbonella, Julia Y.

AU - Bernert, Rebecca A.

AU - Schmidt, Norman B.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Sleep complaints have been linked with Obsessive Compulsive Disorder (OCD), though there is a dearth of research exploring the association between a range of disturbed sleep indicators and obsessive compulsive symptoms (OCS). Two separate studies were conducted to rigorously investigate this relationship in further detail, considering a number of different sleep indices and also the heterogeneous nature of OCS. Methods: Study 1 (n = 167) examined the relationship between OCS and the gold standard self-report assessments for delayed bedtime, sleep quality, nightmares, and insomnia symptoms. Study 2 (n = 352) replicated the primary findings from Study 1 in an independent sample and with an alternative measure of OCD, which takes into account the different OCS dimensions. Results: Results revealed a significant, independent link between obsessions and insomnia symptoms, but not between insomnia and compulsions. When examining the different OCS dimensions, insomnia was again found to bear a specific relationship to obsessions, above and beyond that with the other dimensions. Although depression is often highly comorbid with both OCD and sleep disturbances, depressive symptoms did not explain the OCS-sleep relationship in either study, suggesting a unique association between obsessions and insomnia. Conclusions: Findings indicate that high levels of intrusive thoughts exhibit a specific association with insomnia symptoms-one that is not observed with other OCS. Future research may help elucidate the mechanisms and causal nature of this relationship.

AB - Background: Sleep complaints have been linked with Obsessive Compulsive Disorder (OCD), though there is a dearth of research exploring the association between a range of disturbed sleep indicators and obsessive compulsive symptoms (OCS). Two separate studies were conducted to rigorously investigate this relationship in further detail, considering a number of different sleep indices and also the heterogeneous nature of OCS. Methods: Study 1 (n = 167) examined the relationship between OCS and the gold standard self-report assessments for delayed bedtime, sleep quality, nightmares, and insomnia symptoms. Study 2 (n = 352) replicated the primary findings from Study 1 in an independent sample and with an alternative measure of OCD, which takes into account the different OCS dimensions. Results: Results revealed a significant, independent link between obsessions and insomnia symptoms, but not between insomnia and compulsions. When examining the different OCS dimensions, insomnia was again found to bear a specific relationship to obsessions, above and beyond that with the other dimensions. Although depression is often highly comorbid with both OCD and sleep disturbances, depressive symptoms did not explain the OCS-sleep relationship in either study, suggesting a unique association between obsessions and insomnia. Conclusions: Findings indicate that high levels of intrusive thoughts exhibit a specific association with insomnia symptoms-one that is not observed with other OCS. Future research may help elucidate the mechanisms and causal nature of this relationship.

KW - Insomnia

KW - Obsessions

KW - Obsessive-compulsive symptoms

KW - Sleep

UR - http://www.scopus.com/inward/record.url?scp=84905587662&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84905587662&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychires.2014.06.021

DO - 10.1016/j.jpsychires.2014.06.021

M3 - Article

C2 - 25038630

AN - SCOPUS:84905587662

VL - 57

SP - 101

EP - 107

JO - Journal of Psychiatric Research

JF - Journal of Psychiatric Research

SN - 0022-3956

IS - 1

ER -