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Sleep Initiation and Maintenance Disorders: HELP
Articles by Evelyn Behar
Based on 2 articles published since 2009
(Why 2 articles?)

Between 2009 and 2019, Evelyn Behar wrote the following 2 articles about Sleep Initiation and Maintenance Disorders.
+ Citations + Abstracts
1 Article Examining the Relationship Between Worry and Sleep: A Daily Process Approach. 2016

McGowan, Sarah Kate / Behar, Evelyn / Luhmann, Maike. ·University of Illinois at Chicago. Electronic address: sarahkate.mcgowan@gmail.com. · University of Illinois at Chicago. · University of Illinois at Chicago; University of Cologne. ·Behav Ther · Pubmed #27423163.

ABSTRACT: There is growing evidence suggesting that worry and sleep are intimately linked. However, the relationship between these two phenomena over the course of a day remains largely unstudied. It is possible that (a) worry predicts sleep disturbance that night, (b) sleep disturbance predicts worry the following day, or (c) there is a bidirectional relationship between worry and sleep disturbance. The present study examined the daily relationship between worry (both during the day and immediately prior to sleep onset) and sleep in 50 high trait worriers who were randomly assigned to one of two interventions aimed at reducing worry as part of a larger study. A daily process approach was utilized wherein participants completed daily reports of sleep and worry during a 7-day baseline period followed by a 14-day intervention period. Results of repeated measures multilevel modeling analyses indicated that worry experienced on a particular day predicted increased sleep disturbance that night during both the baseline and intervention weeks. However, there was no evidence of a bidirectional relationship as sleep characteristics did not predict worry the following day. Additionally, the type of intervention that participants engaged in did not affect the daily relationship between worry and sleep. Results of the present study are consistent with the cognitive model of insomnia (Harvey, 2002) and highlight the importance of addressing and treating worry among individuals with high trait worry and sleep disturbance.

2 Article A preliminary investigation of stimulus control training for worry: effects on anxiety and insomnia. 2013

McGowan, Sarah Kate / Behar, Evelyn. ·Univeristy of Illinois at Chicago, Chicago, IL 60607, USA. sarahkate.mcgowan@gmail.com ·Behav Modif · Pubmed #22977265.

ABSTRACT: For individuals with generalized anxiety disorder, worry becomes associated with numerous aspects of life (e.g., time of day, specific stimuli, environmental cues) and is thus under poor discriminative stimulus control (SC). In addition, excessive worry is associated with anxiety, depressed mood, and sleep difficulties. This investigation sought to provide preliminary evidence for the efficacy of SC procedures in reducing anxiety-, mood-, and sleep-related symptoms. A total of 53 participants with high trait worry were randomly assigned to receive 2 weeks of either SC training (consisting of a 30-min time- and place-restricted worry period each day) or a control condition called focused worry (FW; consisting of instructions to not avoid naturally occurring worry so that worry and anxiety would not paradoxically increase). At post-training, SC was superior to FW in producing reductions on measures of worry, anxiety, negative affect, and insomnia, but not on measures of depression or positive affect. Moreover, SC was superior to FW in producing clinically significant change on measures of worry and anxiety. Results provide preliminary support for the use of SC training techniques in larger treatment packages for individuals who experience high levels of worry.