Does 'acceptance' have a role to play in managing idiopathic insomnia? : a group comparison of beliefs, coping style and treatment acceptance in idiopathic insomnia and psychophysiological insomnia and clinical research portfolio

Barrie, Laura (2008) Does 'acceptance' have a role to play in managing idiopathic insomnia? : a group comparison of beliefs, coping style and treatment acceptance in idiopathic insomnia and psychophysiological insomnia and clinical research portfolio. D Clin Psy thesis, University of Glasgow.

Abstract

Primary Insomnia is a complex and heterogeneous disorder. The International Classification of Sleep Disorders (ICSD-2) recognises the heterogeneity of this condition and distinguishes between psychophysiological insomnia (PI), idiopathic insomnia (II) and paradoxical insomnia. Regardless of subtype, patients with insomnia are currently managed in the same way. This study aimed to examine potential differences in the way adults with PI and adults with II conceptualise their sleep difficulties, and to consider the wider implications for the clinical management of insomnia subtypes. It was hypothesised that adults with II would perceive their insomnia to be more permanent and uncontrollable than adults with PI. It was hypothesised that higher levels of insomnia acceptance would be present in adults with II. It was also expected that adults with II would be more accepting of an acceptance-based approach to managing their insomnia. The present study was a cross sectional between-groups design. Participants were volunteers who responded to an e-mail I poster campaign for normal sleepers (n = 31), PI (n = 31) and II (n = 30). The primary dependent variables were: the timeline perceptions domain of the Illness Perception Questionnaire-Revised; the acceptance subscale of the Illness Cognition Questionnaire, the personal control sub scale and treatment control sub scale of the Illness Perception Questionnaire-Revised; the Brief COPE; and the Treatment Acceptability Scale. Data were examined using one-way ANOVA, Chi-squared tests, Independent and Related Samples t tests and Correlation analyses. Adults with II perceived their insomnia to have more permanency than adults with PI. Whilst both groups rated behavioural therapy as more acceptable than a pharmacological or acceptance-based approach, adults with II rated an acceptance-based approach as more acceptable than adults with PI. Methodological limitations and possibilities for future research are discussed.

• Item Type: Thesis (D Clin Psy)
• Qualification Level: Doctoral
• Keywords: Acceptance and Commitment Therapy, systematic review, ACT, intervention, third wave.
• Subjects: B Philosophy. Psychology. Religion > BF Psychology
• Colleges/Schools: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Supervisor's Name: Espie, Prof. Colin
• Date of Award: 2008
• Depositing User: Mrs Marie Cairney
• Unique ID: glathesis:2008-82323
• Copyright: Copyright of this thesis is held by the author.
• Date Deposited: 13 Jul 2021 14:55
• Last Modified: 13 Jul 2021 14:56
• Thesis DOI: 10.5525/gla.thesis.82323
• URI: https://theses.gla.ac.uk/id/eprint/82323