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Conceptual Framework for Insomnia: A Cognitive Model in Practice

Insomnia is a widespread neuropsychological sleep-related disorder known to result in various predicaments including cognitive impairments, emotional distress, negative thoughts, and perceived sleep insufficiency besides affecting the incidence and aggravation of other medical disorders. Despite the...

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Autores principales: Vaziri, Zahra, Nami, Mohammad, Leite, João Pereira, Delbem, Alexandre Cláudio Botazzo, Hyppolito, Miguel Angelo, Ghodratitoostani, Iman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339273/
https://www.ncbi.nlm.nih.gov/pubmed/34366767
http://dx.doi.org/10.3389/fnins.2021.628836
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author Vaziri, Zahra
Nami, Mohammad
Leite, João Pereira
Delbem, Alexandre Cláudio Botazzo
Hyppolito, Miguel Angelo
Ghodratitoostani, Iman
author_facet Vaziri, Zahra
Nami, Mohammad
Leite, João Pereira
Delbem, Alexandre Cláudio Botazzo
Hyppolito, Miguel Angelo
Ghodratitoostani, Iman
author_sort Vaziri, Zahra
collection PubMed
description Insomnia is a widespread neuropsychological sleep-related disorder known to result in various predicaments including cognitive impairments, emotional distress, negative thoughts, and perceived sleep insufficiency besides affecting the incidence and aggravation of other medical disorders. Despite the available insomnia-related theoretical cognitive models, clinical studies, and related guidelines, an evidence-based conceptual framework for a personalized approach to insomnia seems to be lacking. This study proposes a conceptual cognitive framework (CCF) providing insight into cognitive mechanisms involved in the predisposition, precipitation, and perpetuation of insomnia and consequent cognitive deficits. The current CCF for insomnia relies on evaluative conditional learning and appraisal which generates negative valence (emotional value) and arousal (cognitive value). Even with the limitations of this study, the suggested methodology is well-defined, reproducible, and accessible can help foster future high-quality clinical databases. During clinical insomnia but not the neutral one, negative mood (trait-anxiety) causes cognitive impairments only if mediating with a distorted perception of insomnia (Ind-1 = 0.161, 95% CI 0.040–0.311). Further real-life testing of the CCF is intended to formulate a meticulous, decision-supporting platform for clinical interventions. Furthermore, the suggested methodology is expected to offer a reliable platform for CCF-development in other cognitive impairments and support the causal clinical data models. It may also improve our knowledge of psychological disturbances and complex comorbidities to help design rehabilitation interventions and comprehensive frameworks in line with the “preventive medicine” policies.
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spelling pubmed-83392732021-08-06 Conceptual Framework for Insomnia: A Cognitive Model in Practice Vaziri, Zahra Nami, Mohammad Leite, João Pereira Delbem, Alexandre Cláudio Botazzo Hyppolito, Miguel Angelo Ghodratitoostani, Iman Front Neurosci Neuroscience Insomnia is a widespread neuropsychological sleep-related disorder known to result in various predicaments including cognitive impairments, emotional distress, negative thoughts, and perceived sleep insufficiency besides affecting the incidence and aggravation of other medical disorders. Despite the available insomnia-related theoretical cognitive models, clinical studies, and related guidelines, an evidence-based conceptual framework for a personalized approach to insomnia seems to be lacking. This study proposes a conceptual cognitive framework (CCF) providing insight into cognitive mechanisms involved in the predisposition, precipitation, and perpetuation of insomnia and consequent cognitive deficits. The current CCF for insomnia relies on evaluative conditional learning and appraisal which generates negative valence (emotional value) and arousal (cognitive value). Even with the limitations of this study, the suggested methodology is well-defined, reproducible, and accessible can help foster future high-quality clinical databases. During clinical insomnia but not the neutral one, negative mood (trait-anxiety) causes cognitive impairments only if mediating with a distorted perception of insomnia (Ind-1 = 0.161, 95% CI 0.040–0.311). Further real-life testing of the CCF is intended to formulate a meticulous, decision-supporting platform for clinical interventions. Furthermore, the suggested methodology is expected to offer a reliable platform for CCF-development in other cognitive impairments and support the causal clinical data models. It may also improve our knowledge of psychological disturbances and complex comorbidities to help design rehabilitation interventions and comprehensive frameworks in line with the “preventive medicine” policies. Frontiers Media S.A. 2021-07-22 /pmc/articles/PMC8339273/ /pubmed/34366767 http://dx.doi.org/10.3389/fnins.2021.628836 Text en Copyright © 2021 Vaziri, Nami, Leite, Delbem, Hyppolito and Ghodratitoostani. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Vaziri, Zahra
Nami, Mohammad
Leite, João Pereira
Delbem, Alexandre Cláudio Botazzo
Hyppolito, Miguel Angelo
Ghodratitoostani, Iman
Conceptual Framework for Insomnia: A Cognitive Model in Practice
title Conceptual Framework for Insomnia: A Cognitive Model in Practice
title_full Conceptual Framework for Insomnia: A Cognitive Model in Practice
title_fullStr Conceptual Framework for Insomnia: A Cognitive Model in Practice
title_full_unstemmed Conceptual Framework for Insomnia: A Cognitive Model in Practice
title_short Conceptual Framework for Insomnia: A Cognitive Model in Practice
title_sort conceptual framework for insomnia: a cognitive model in practice
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339273/
https://www.ncbi.nlm.nih.gov/pubmed/34366767
http://dx.doi.org/10.3389/fnins.2021.628836
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