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Bacaro, Valeria; Meneo, Debora; Curati, Sara; Buonanno, Carlo; Bartolo, Paola De; Riemann, Dieter; Mancini, Francesco; Martoni, Monica; Baglioni, Chiara
The impact of COVID-19 on Italian adolescents’ sleep and its association with psychological factors Journal Article
In: Journal of Sleep Research, vol. 1, no 8, 2022.
Abstract | Links | BibTeX | Tag: adolescents, COVID-19, health, insomnia, psychology, sleep
@article{Bacaro2022,
title = {The impact of COVID-19 on Italian adolescents’ sleep and its association with psychological factors},
author = {Valeria Bacaro and Debora Meneo and Sara Curati and Carlo Buonanno and Paola De Bartolo and Dieter Riemann and Francesco Mancini and Monica Martoni and Chiara Baglioni},
editor = {Wiley Online Library},
url = {https://apc.it/2022-mancini-the-impact-of-covid%e2%80%9019-on-italian-adolescents-sleep-and-its-association-with-2/},
doi = {doi.org/10.1111/jsr.13689},
year = {2022},
date = {2022-07-13},
journal = {Journal of Sleep Research},
volume = {1},
number = {8},
abstract = {Insomnia and circadian dysregulation during adolescence represent important risk factors for emotional and psychological problems. Recent studies have shown that the coronavirus disease 2019 (COVID-19) pandemic has been linked to a high prevalence of behavioural sleep problems in the general population. This study aimed to provide two pictures of two different time points of the pandemic regarding the prevalence of sleep problems in adolescents and their association with psychological health variables. Two different independent large samples of Italian adolescents aged 13–17 years were recruited at two pandemic time points. A total of 1,146 adolescents at Time 1 (T1; April 2020) and 1,406 at Time 2 (T2; April 2021) took part in the study. Measures of insomnia symptoms, sleep hygiene, chronotype, psychological distress and emotion regulation were collected. Prevalence of insomnia was 12.13% at T1 and 23.19% at T2. Furthermore, high levels of poor sleep habits (late bedtime, poor sleep hygiene, use of electronic devices at bedtime) were also detected at both time points. Insomnia symptoms strongly correlated with poor sleep hygiene, higher psychological distress, and emotional suppression at both time points. Results highlighted an alarming picture for two large samples at two different time points of the pandemic that showed a potential negative impact of the COVID-19 pandemic, in both the first outbreak and in the later phase of the pandemic, on sleep habits, psychological distress and insomnia symptoms in adolescents. This strongly suggests the need for monitoring these variables and their interaction in the post-pandemic period and to develop and promote interventions for insomnia and circadian disturbances during adolescence.},
keywords = {adolescents, COVID-19, health, insomnia, psychology, sleep},
pubstate = {published},
tppubtype = {article}
}
Albanese, Marzia; Liotti, Marianna; Cornacchia, Lucia; Mancini, Francesco
Nightmare Rescripting: Using Imagery Techniques to Treat Sleep Disturbances in Post-traumatic Stress Disorder Journal Article
In: Frontiers in Psychiatry, 2022.
Abstract | Links | BibTeX | Tag: imagery rehearsal therapy, imagery rescripting, insomnia, nightmares, post-traumatic stress disorder, trauma
@article{Albanese2022,
title = {Nightmare Rescripting: Using Imagery Techniques to Treat Sleep Disturbances in Post-traumatic Stress Disorder},
author = {Marzia Albanese and Marianna Liotti and Lucia Cornacchia and Francesco Mancini},
url = {https://apc.it/2022-mancini-nightmare-rescripting/},
doi = {doi: 10.3389/fpsyt.2022.866144},
year = {2022},
date = {2022-04-04},
journal = {Frontiers in Psychiatry},
abstract = {Besides affecting 8% of the general population, nightmares are one of the most frequent symptoms of traumatized individuals. This can be a significant factor in the treatment of post-traumatic disorders; indeed, several studies demonstrated its strong predictive and prognostic value. Sleep disorders, nightmares in particular, could be very distressing for individuals and need targeted interventions, especially if they are associated with a PTSD diagnosis. To date, the best technique for the treatment of traumatic sleep disturbances seems to be Imagery Rehearsal Therapy (IRT), an empirically supported method. Through a review of the literature on this matter, this article aims to outline the incidence and consequences of nightmares in PTSD, illustrate how IRT could prove useful in their treatment, and investigate its clinical applications.
Post-traumatic stress disorder (PTSD) is a mental health condition, which in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders [DSM-5; (1)] has been included in a new category, “Trauma and Stressor Related Disorders.” PTSD is characterized by the appearance of a wide array of symptoms after experiencing “death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence” [(1), p. 271], in the following ways: direct exposure to the event; witnessing the event; learning that a close one was exposed to a traumatic event; indirect exposure to details of the trauma.
PTSD diagnosis was added–not without many controversies–only in the third edition of the DSM [DSM-III; (2)], after noticing the development of post-traumatic symptoms among many veteran soldiers. However, it is possible to identify some descriptions ascribable to this disorder already at the beginning of the twentieth century, when many authors spoke of “war neurosis,” “soldier's heart,” and “shell shock” to describe the physio-psychological consequences of being exposed to war situations [for a historical overview, see (3)]. Shortly after the diagnosis of PTSD was introduced in the DSM, clinicians began to notice that there were other individuals–victims of sexual or physical abuse, for example–whose symptoms largely corresponded with those observed in soldiers. Today we know that the traumatic events that can give rise to PTSD are numerous and of various kinds. They produce lasting effects, which the DSM-5 describes as follows, dividing them into four clusters:
1) Re-experience of the traumatic event (intrusion symptoms) through distressing memories, dreams and nightmares, flashbacks, and dissociative reactions.
2) Avoidance of stimuli associated with the traumatic event.
3) Negative alterations in cognition and mood (e.g., amnesia, negative beliefs and expectations, distorted cognitions, feelings of detachment).
4) Marked alterations in arousal and reactivity (e.g., irritability, self-destructive behaviors, hypervigilance, difficulties in concentrating, sleep disturbances).
According to the DSM-5, in the United States PTSD affects ~5% of men and 10% of women (1). In Italy, epidemiological studies show that about 56.1% of the general population is exposed to at least one traumatic event (with an average of 4 traumatic events experienced during the lifespan); the risk of experiencing PTSD following exposure to a traumatic event(s) is assessed to be between 0.8 and 12.2% (4). These data highlight the significance of a better understanding of the complex symptoms that are often associated with PTSD to develop targeted and effective intervention techniques.},
keywords = {imagery rehearsal therapy, imagery rescripting, insomnia, nightmares, post-traumatic stress disorder, trauma},
pubstate = {published},
tppubtype = {article}
}
Post-traumatic stress disorder (PTSD) is a mental health condition, which in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders [DSM-5; (1)] has been included in a new category, “Trauma and Stressor Related Disorders.” PTSD is characterized by the appearance of a wide array of symptoms after experiencing “death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence” [(1), p. 271], in the following ways: direct exposure to the event; witnessing the event; learning that a close one was exposed to a traumatic event; indirect exposure to details of the trauma.
PTSD diagnosis was added–not without many controversies–only in the third edition of the DSM [DSM-III; (2)], after noticing the development of post-traumatic symptoms among many veteran soldiers. However, it is possible to identify some descriptions ascribable to this disorder already at the beginning of the twentieth century, when many authors spoke of “war neurosis,” “soldier's heart,” and “shell shock” to describe the physio-psychological consequences of being exposed to war situations [for a historical overview, see (3)]. Shortly after the diagnosis of PTSD was introduced in the DSM, clinicians began to notice that there were other individuals–victims of sexual or physical abuse, for example–whose symptoms largely corresponded with those observed in soldiers. Today we know that the traumatic events that can give rise to PTSD are numerous and of various kinds. They produce lasting effects, which the DSM-5 describes as follows, dividing them into four clusters:
1) Re-experience of the traumatic event (intrusion symptoms) through distressing memories, dreams and nightmares, flashbacks, and dissociative reactions.
2) Avoidance of stimuli associated with the traumatic event.
3) Negative alterations in cognition and mood (e.g., amnesia, negative beliefs and expectations, distorted cognitions, feelings of detachment).
4) Marked alterations in arousal and reactivity (e.g., irritability, self-destructive behaviors, hypervigilance, difficulties in concentrating, sleep disturbances).
According to the DSM-5, in the United States PTSD affects ~5% of men and 10% of women (1). In Italy, epidemiological studies show that about 56.1% of the general population is exposed to at least one traumatic event (with an average of 4 traumatic events experienced during the lifespan); the risk of experiencing PTSD following exposure to a traumatic event(s) is assessed to be between 0.8 and 12.2% (4). These data highlight the significance of a better understanding of the complex symptoms that are often associated with PTSD to develop targeted and effective intervention techniques.
Bacaro, Valeria; Chiabudini, Marco; Buonanno, Carlo; Bartolo, Paola De; Riemann, Dieter; Mancini, Francesco; Baglioni, Chiara
SLEEP CHARACTERISTICS IN ITALIAN CHILDREN DURING HOME CONFINEMENT DUE TO COVID-19 OUTBREAK Journal Article
In: Clinical Neuropsychiatry , vol. 18, no 1, pp. 13-27, 2021.
Abstract | Links | BibTeX | Tag: children, COVID-19, Emotions, health, home confinement, insomnia, sleep, sleep hygiene
@article{Bacaro2021,
title = {SLEEP CHARACTERISTICS IN ITALIAN CHILDREN DURING HOME CONFINEMENT DUE TO COVID-19 OUTBREAK},
author = {Valeria Bacaro and Marco Chiabudini and Carlo Buonanno and Paola De Bartolo and Dieter Riemann and Francesco Mancini and Chiara Baglioni},
editor = {Franco Angeli Editore},
url = {https://apc.it/2021-sleep-characteristics-in-italian-children-clinical21_1_bacaroetal-2/},
doi = {doi.org/10.36131/ cnfioritieditore20210102},
year = {2021},
date = {2021-02-01},
journal = {Clinical Neuropsychiatry },
volume = {18},
number = {1},
pages = {13-27},
abstract = {Objective: Italy faced one of the first large clusters of COVID-19 infections worldwide. Home confinement and social distancing could have negatively impacted sleep habits and prevalence of sleep disorders in children, which may be also linked with altered emotional processes. The present study focused on clinical aspects related
to sleep, insomnia and emotions in Italian children aged 0-to-12 years during home confinement due to COVID-19 outbreak.
Method: An online survey was systematically distributed in all Italian territories by contacting regional offices of the Italian Ministry of Instruction, University and Research (MIUR) and schools with available contact. All respondents had to be parents of at least one child aged 0 to 12 years old. Information on sociodemographic variables,
sleep habits, sleep health behaviors, sleep disorders and mood were collected.
Results: Parents of 2361 children (mean age: 8.1 ± 2.62 years; 1148 females; 1213 males) answered the survey. 1.2% of children was between 0 and 2 years old; 15.3% within 3 to 5 years and 83.3% within 6 and 12 years. In all group ages, late bedtime was observed (most of them after 9 p.m.). 59.4% of all children presented at least one
clinical diagnostic criterion for childhood insomnia. Logistic regression model showed that presence of at least one criterion for childhood insomnia was associated to younger
age, negative mood, current parental insomnia, being the only child, presence of any other sleep disorder, and sleep hygiene behaviors.
Conclusions: Data indicate an alarming increase of prevalence of insomnia related problems in Italian children during home confinement with respect to previous data.
This was found to be associated with poor sleep hygiene and negative mood. Clinical programs targeting insomnia, sleep health behaviors and emotional processes should be implemented in pediatric primary care in order to prevent the development of sleep problems in a post-pandemic situation.},
keywords = {children, COVID-19, Emotions, health, home confinement, insomnia, sleep, sleep hygiene},
pubstate = {published},
tppubtype = {article}
}
to sleep, insomnia and emotions in Italian children aged 0-to-12 years during home confinement due to COVID-19 outbreak.
Method: An online survey was systematically distributed in all Italian territories by contacting regional offices of the Italian Ministry of Instruction, University and Research (MIUR) and schools with available contact. All respondents had to be parents of at least one child aged 0 to 12 years old. Information on sociodemographic variables,
sleep habits, sleep health behaviors, sleep disorders and mood were collected.
Results: Parents of 2361 children (mean age: 8.1 ± 2.62 years; 1148 females; 1213 males) answered the survey. 1.2% of children was between 0 and 2 years old; 15.3% within 3 to 5 years and 83.3% within 6 and 12 years. In all group ages, late bedtime was observed (most of them after 9 p.m.). 59.4% of all children presented at least one
clinical diagnostic criterion for childhood insomnia. Logistic regression model showed that presence of at least one criterion for childhood insomnia was associated to younger
age, negative mood, current parental insomnia, being the only child, presence of any other sleep disorder, and sleep hygiene behaviors.
Conclusions: Data indicate an alarming increase of prevalence of insomnia related problems in Italian children during home confinement with respect to previous data.
This was found to be associated with poor sleep hygiene and negative mood. Clinical programs targeting insomnia, sleep health behaviors and emotional processes should be implemented in pediatric primary care in order to prevent the development of sleep problems in a post-pandemic situation.
Bacaro, Valeria; Chiabudini, Marco; Buonanno, Carlo; Bartolo, Paola De; Riemann, Dieter; Mancini, Francesco; Baglioni, Chiara
Insomnia in the Italian Population During Covid-19 Outbreak: A Snapshot on One Major Risk Factor for Depression and Anxiety Journal Article
In: Frontiers in Psychiatry, 2020.
Abstract | Links | BibTeX | Tag: Anxiety, COVID-19, depression, home confinement, insomnia, Italian, sleep
@article{Bacaro2020,
title = {Insomnia in the Italian Population During Covid-19 Outbreak: A Snapshot on One Major Risk Factor for Depression and Anxiety},
author = {Valeria Bacaro and Marco Chiabudini and Carlo Buonanno and Paola De Bartolo and Dieter Riemann and Francesco Mancini and Chiara Baglioni},
editor = {Frontiers in Psychiatry},
url = {https://apc.it/2020-mancini-insomnia-in-the-italian-population/},
doi = {https://doi.org/10.3389/fpsyt.2020.579107},
year = {2020},
date = {2020-12-15},
journal = {Frontiers in Psychiatry},
abstract = {Objectives: One of the largest clusters of Covid-19 infections was observed in Italy. The population was forced to home confinement, exposing individuals to increased risk for insomnia, which is, in turn, associated with depression and anxiety. Through a cross-sectional online survey targeting all Italian adult population (≥18 yrs), insomnia prevalence and its interactions with relevant factors were investigated.
Methods: The survey was distributed from 1st April to 4th May 2020. We collected information on insomnia severity, depression, anxiety, sleep hygiene behaviors, dysfunctional beliefs about sleep, circadian preference, emotion regulation, cognitive flexibility, perceived stress, health habits, self-report of mental disorders, and variables related to individual difference in life changes due to the pandemic's outbreak.
Results: The final sample comprised 1,989 persons (38.4 ± 12.8 yrs). Prevalence of clinical insomnia was 18.6%. Results from multivariable linear regression showed that insomnia severity was associated with poor sleep hygiene behaviors [β = 0.11, 95% CI (0.07–0.14)]; dysfunctional beliefs about sleep [β = 0.09, 95% CI (0.08–0.11)]; self-reported mental disorder [β = 2.51, 95% CI (1.8–3.1)]; anxiety [β = 0.33, 95% CI (0.25–0.42)]; and depression [β = 0.24, 95% CI (0.16–0.32)] symptoms.
Conclusion: An alarming high prevalence of clinical insomnia was observed. Results suggest that clinical attention should be devoted to problems of insomnia in the Italian population with respect to both prevention and treatment.},
keywords = {Anxiety, COVID-19, depression, home confinement, insomnia, Italian, sleep},
pubstate = {published},
tppubtype = {article}
}
Methods: The survey was distributed from 1st April to 4th May 2020. We collected information on insomnia severity, depression, anxiety, sleep hygiene behaviors, dysfunctional beliefs about sleep, circadian preference, emotion regulation, cognitive flexibility, perceived stress, health habits, self-report of mental disorders, and variables related to individual difference in life changes due to the pandemic's outbreak.
Results: The final sample comprised 1,989 persons (38.4 ± 12.8 yrs). Prevalence of clinical insomnia was 18.6%. Results from multivariable linear regression showed that insomnia severity was associated with poor sleep hygiene behaviors [β = 0.11, 95% CI (0.07–0.14)]; dysfunctional beliefs about sleep [β = 0.09, 95% CI (0.08–0.11)]; self-reported mental disorder [β = 2.51, 95% CI (1.8–3.1)]; anxiety [β = 0.33, 95% CI (0.25–0.42)]; and depression [β = 0.24, 95% CI (0.16–0.32)] symptoms.
Conclusion: An alarming high prevalence of clinical insomnia was observed. Results suggest that clinical attention should be devoted to problems of insomnia in the Italian population with respect to both prevention and treatment.
Lombardo, Caterina; Battagliese, Gemma; David, Monica; Lorusso, Barbara; Baglioni, Chiara; Espie, Colin; Violani, Cristiano
Psychophysiological reactivity to symptom-related emotional stimuli in insomnia: A replication and extension to disordered eating Journal Article
In: Sleep and biological rhythms, vol. 11, pp. 20-28, 2013.
Abstract | Links | BibTeX | Tag: disordered eating, Emotions, facial EMG, insomnia
@article{Lombardo2013,
title = {Psychophysiological reactivity to symptom-related emotional stimuli in insomnia: A replication and extension to disordered eating},
author = {Caterina Lombardo and Gemma Battagliese and Monica David and Barbara Lorusso and Chiara Baglioni and Colin Espie and Cristiano Violani},
editor = {Wiley Online Library},
url = {https://apc.it/2013-david-psychophysiological-reactivity/},
doi = {doi:10.1111/j.1479-8425.2012.00587.x},
year = {2013},
date = {2013-01-01},
journal = {Sleep and biological rhythms},
volume = {11},
pages = {20-28},
abstract = {The present study examined psychophysiological reactivity to emotional stimuli in people with persistent insomnia alone or comorbid with disordered eating and in healthy controls. Female participants (39) were presented with 5 blocks of stimuli differing for valence (positive, negative or neutral) and for relatedness to the symptoms complied (sleep or food and body shape). Facial EMG over the corrugator and the zygomatic muscles, Heart Rate, Skin Conductance Level and subjective ratings of valence and arousal were recorded. Results confirmed that people complaining of symptoms of persistent insomnia show reduced activation of the corrugator muscle when exposed to positive stimuli related to sleep. This effect, interpreted as craving, was also found in the asymptomatic control group for the stimuli depicting fit bodies or healthy foods. An enhancement of the corrugator activity indicative of a worry effect was found in the healthy control group for negative sleep related stimuli and in the group with a mixed symptomatology for the negative stimuli related to food and body shape.},
keywords = {disordered eating, Emotions, facial EMG, insomnia},
pubstate = {published},
tppubtype = {article}
}

