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  • Article
    Citation - WoS: 5
    Citation - Scopus: 3
    The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients With Insomnia Disorder: a Path Model
    (Springer/plenum Publishers, 2023) Turkarslan, Kutlu Kagan; Cinarbas, Deniz Canel; Perogamvros, Lampros
    Purpose Researchers have proposed that multiple factors such as hyperarousal, conditioning, worrying, or cortical arousal play roles in the predisposition to, initiation, and perpetuation of insomnia disorder. Previously, only a few studies investigated the differential effects of intrusive visual imagery (IVI) and intrusive verbal thoughts (IVT) on pre-sleep arousal or insomnia severity. The aim of the current cross-sectional study was to examine these effects as well as the moderator role of visual imagery ability (VIA) on the relationship between IVI and pre-sleep arousal.Methods A path model comprising the variables of IVI, IVT, pre-sleep arousal, and insomnia severity was tested with 166 of 1444 participants (M-age = 25.5, SD = 5.26) who were identified as having insomnia disorder based on a 12-question form corresponding to DSM-5 criteria for insomnia disorder and Insomnia Severity Index scores (>= 8). The moderator role of VIA on the relationship between IVI and pre-sleep arousal was evaluated with a moderation analysis.Results It was found that IVI (beta = 0.44, p < .001), but not IVT (beta = 0.15, p = .12), significantly predicted pre-sleep arousal and pre-sleep arousal (beta = 0.44, p < .001) significantly predicted insomnia severity. In addition, the indirect effect of IVI via pre-sleep arousal (IE = 0.19, p < .001) on insomnia severity was significant. Finally, the moderator role of VIA on the relationship between IVI and pre-sleep arousal (p = .07) was not significant.Conclusions IVI may play a more important role in insomnia disorder than IVT. Interventions targeting pre-sleep visual imagery can help poor sleepers alleviate insomnia severity.
  • Article
    Citation - WoS: 5
    Citation - Scopus: 5
    The psychometric properties of the Turkish version of the Pre-sleep Arousal Scale
    (Springer Japan Kk, 2024) Turkarslan, Kutlu Kagan; Canel cinarbas, Deniz; Nicassio, Perry M.
    PurposeThe aim of the present study was to examine the psychometric properties of the Turkish version of the Pre-sleep Arousal Scale (PSAS), which measures pre-sleep arousal, a significant predictor of insomnia symptoms.Methods651 participants were recruited via social media and the Internet. Confirmatory factor analysis was conducted in the total sample (65.28% females; M-age1 = 28.09 & PLUSMN; 14.00). Convergent, divergent, incremental, and known-groups validity and internal consistency coefficients were assessed in a subsample of 556 participants (62.77% females; M-age2 = 29.25 & PLUSMN; 14.81). A second separate sample of 88 participants (80.68% females; M-age3 = 22.19 & PLUSMN; 4.98) was used to evaluate three-week test-retest reliability.ResultsThe results of factor analysis confirmed the two-factor structure of the Turkish PSAS with cognitive (PSAS-C) and somatic (PSAS-S), similar to the original scale. The correlations of the PSAS with convergent and divergent measures showed that the Turkish form had good convergent and acceptable divergent validity. PSAS-C and PSAS-S were able to explain an 18% additional variance in insomnia severity beyond depression and anxiety, an 18% additional variance in depression beyond insomnia severity, and a 35% additional variance in anxiety beyond insomnia severity. Moreover, insomnia patients had significantly higher PSAS-C and PSAS-S scores than good sleepers. Finally, the PSAS, PSAS-C, and PSAS-S had satisfactory internal consistency coefficients (& alpha; = 0.92, 0.91, and 0.86, respectively) and three-week test-retest correlations (ICC = 0.82, 0.82, and 0.71, respectively).ConclusionThe Turkish form of the PSAS was a valid and reliable measure of pre-sleep arousal and can be utilized in sleep studies.