A test of the somnolent mentation theory and the cognitive shuffle insomnia treatment

Insomnia affects about 33% of Americans according to Harvey & Tang (2003) who called for new cognitive treatments. We will report preliminary results from a test of (a) the Somnolent Mentation theory (SMT) of sleep onset (SO) and (b) a new cognitive treatment for insomnia, the cognitive shuffle (CS), derived from the SMT (Beaudoin, 2013, 2014). According to SMT, incoherent mentation characteristic of SO is not merely a side-effect of the SO period but promotes it, meaning it is somnolent. The SMT identifies several types of insomnolent mentation, which involve sense making (e.g., problem solving). SMT postulates counter-insomnolent mentation, thought patterns that interfere with insomnolent mentation. The CS is predicted to be both somnolent and counter-insomnolent (super-somnolent). Participants either engage in constructive worry Carney & Waters (2006) or in the CS using SomnoTest an iOS app developed by CogSci Apps Corp. (led by Beaudoin) based on mySleepButton®.&nbsp

Serial diverse imagining task: A new remedy for bedtime complaints of worrying and other sleep-disruptive mental activity

Introduction: A racing mind, worries, and uncontrollable thoughts are common bedtime complaints among poor sleepers. Beaudoin created a Serial Diverse Imagining task (SDIT) that can be used at bedtime to divert attention away from sleep interfering thoughts, An app randomly presents recordings of relatively concrete words one at a time with an 8-second interval between recordings during which the person creates and maintains a mental image of the word until the next recording prompts the next image and so on. Our study is an experimental test of SDIT compared to the standard treatment of Structured Problem-solving (SP) and to the combination of both treatments. A key feature of SP is that it must be done earlier than bedtime and requires about 15 minutes to do it.  SDIT, which is done at bedtime, does not have those constraints.  Method: 154 university students (137 female) who complained of excessive cognitive pre-sleep arousal were randomly assigned to receive SDIT, SP, or both.  At baseline, they completed Pre-Sleep Arousal Scale (Somatic and Cognitive), Sleep Quality Scale, Glasgow Sleep Effort Scale and Sleep Hygiene Index.  Depending on the measure, participants redid it one week and/or one month after starting the intervention.  (They also completed sleep diaries and appraisals of the interventions, which are omitted due to space). Results: Repeated measures ANOVAs indicated that cognitive and somatic pre-sleep arousal , sleep effort, and sleep quality improved significantly relative to baseline (p  < .001; Partial η2 = .43 to .71) even though sleep hygiene worsened ( p  < .001; Partial η2 =  .23). The latter finding is not unexpected because the baseline was done at the start of the academic term before the onset of academic pressures. The fact that we found sleep and arousal improvements in this context are notable. Conclusion: Beaudoin’s Serial Diverse  Imagining Task (SDIT) was as effective as Structured Problem-Solving (SP) in reducing pre-sleep arousal, sleep effort, and poor sleep quality.  One advantage of SDIT is that it can be done at bedtime, unlike SP.&nbsp

The separateness of social and emotional loneliness in childhood

Much of the childhood loneliness research is misleading because it confounds objective and subjective measures of loneliness. The overall aim of this research was to examine the relationship between social isolation and emotional loneliness. Method: Three extreme groups were identified in a sample of 640 4-9-year-old children. There were two ('rejected' [Nˆ60] and 'lonely' [Nˆ146]) in which social and emotional loneliness were unrelated. The first were socially isolated (rejected) but they did not feel lonely. The second group felt lonely but they were not socially isolated. The third group ('rejected/ lonely') consisted of 61 children who were rejected and also felt lonely. Results: Felt loneliness and social rejection were experienced together by 61 children, but 206 children experienced either one or the other, but not both. The fourth and largest group [Nˆ374] were neither rejected nor lonely. Differences between the groups were found on direct observation measures of solitariness, sociability, and aggression; peer reports of shyness, aggression, prosocial behaviour, disruptive behaviour and inability to take teasing; self-reports of self-worth and competence, self-reports of supportive relationships; and measures of language use

Assessment of chronotype in four- to eleven-year-old children: reliability and validity of the Children's Chronotype Questionnaire (CCTQ)

Individual differences in circadian phase preference ("chronotype") are linked to sleep schedule variability, psychosocial functioning, and specific properties of the circadian clock. While much is known about the development, distribution, and variability of chronotype in adolescents and adults, assessment in prepubertal children has been hindered by a lack of appropriate, reliable, and valid measures. This study presents a detailed description of the assessment of children's chronotype by the Children's ChronoType Questionnaire (CCTQ). The CCTQ is a parent-report, 27-item mixed-format questionnaire resulting in multiple measures of chronotype in 4- to 11-yr-old children: the midsleep point on free days (MSF), a morningness/eveningness scale (M/E) score, and a five-point chronotype (CT) score. The study provides validity data using actigraphy as well as test-retest reliability data for all three chronotype measures and sleep/wake parameters. Overall, the findings indicate moderate to strong agreement between the three measures, adequate associations between chronotype measures and sleep/wake parameters assessed by actigraphy, and excellent temporal stability (reliability)