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Hyperarousal and sleep reactivity in insomnia: current insights

Overview of attention for article published in Nature and science of sleep, July 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#35 of 629)
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

Mentioned by

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17 news outlets
twitter
12 X users
facebook
1 Facebook page

Citations

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195 Dimensions

Readers on

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246 Mendeley
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Title
Hyperarousal and sleep reactivity in insomnia: current insights
Published in
Nature and science of sleep, July 2018
DOI 10.2147/nss.s138823
Pubmed ID
Authors

David A Kalmbach, Andrea S Cuamatzi-Castelan, Christine V Tonnu, Kieulinh Michelle Tran, Jason R Anderson, Thomas Roth, Christopher L Drake

Abstract

Hyperarousal is a key component in all modern etiological models of insomnia disorder. Overall patterns in the literature suggest that over-active neurobiological and psychological systems contribute to difficulty sleeping. Even so, mixed results regarding the specific mechanisms linking hyperarousal to sleep disturbance limit current etiological conceptualizations. Similar basal arousal profiles between individuals with high vs low risk for insomnia in the absence of stress exposure suggest that dysregulated stress "response" rather than general hyperarousal may be a more pertinent marker of risk. In this report, we discuss evidence for hyperarousal in insomnia and explore the role of sleep reactivity. A trait characteristic, sleep reactivity is the degree to which stress disrupts sleep, manifesting as difficulty falling and staying asleep. Premorbid sleep reactivity has been shown to identify individuals at risk for future insomnia disorder, such as highly reactive sleepers (whose sleep systems are sensitive to stress) who are at elevated disease risk. Research points to genetics, family history of insomnia, gender, and environmental stress as factors that influence sleep reactivity. Importantly, stress-related cognitive-emotional reactivity (e.g., rumination, worry) may exploit the vulnerability of a highly reactive sleep system. We propose that sleep reactivity and cognitive-emotional reactivity may share a bidirectional relationship, conferring an insalubrious environment for sleep in response to stress. Future research on sleep reactivity is needed to identify its neurobiology, characterize its relationship with cognitive-emotional reactivity, and explore the potential clinical utility of sleep reactivity in treatment planning.

X Demographics

X Demographics

The data shown below were collected from the profiles of 12 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 246 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 246 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 36 15%
Student > Ph. D. Student 22 9%
Student > Master 20 8%
Student > Doctoral Student 16 7%
Researcher 15 6%
Other 43 17%
Unknown 94 38%
Readers by discipline Count As %
Psychology 41 17%
Medicine and Dentistry 35 14%
Neuroscience 19 8%
Nursing and Health Professions 10 4%
Engineering 5 2%
Other 27 11%
Unknown 109 44%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 131. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 February 2023.
All research outputs
#316,475
of 25,385,509 outputs
Outputs from Nature and science of sleep
#35
of 629 outputs
Outputs of similar age
#6,830
of 341,606 outputs
Outputs of similar age from Nature and science of sleep
#1
of 8 outputs
Altmetric has tracked 25,385,509 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 629 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 26.6. This one has done particularly well, scoring higher than 94% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 341,606 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them