SLEEP DEPRIVATION AND ITS IMPACT ON COGNITIVE FUNCTIONING AND EMOTIONAL REGULATION IN PAKISTANI ADULTS WITH GENERALIZED ANXIETY DISORDER
DOI:
https://doi.org/10.63878/aaj1500Abstract
This paper investigated the association between sleep deprivation, cognitive functioning, and emotional regulation in Pakistani adults likely suffering from Generalized Anxiety Disorder (GAD). The study paid special attention to the mediating role of cognitive functioning. Data were collected from an estimated sample of 200 adults aged 18 and above through purposive sampling, using a quantitative, cross-sectional correlational design. Standardized tools such as the Pittsburgh Sleep Quality Index (PSQI), Cognitive Failures Questionnaire (CFQ), and Emotion Regulation Questionnaire (ERQ) were utilized. The findings revealed that sleep deprivation had a significant positive correlation with cognitive failures and maladaptive emotional regulation strategies, particularly expressive suppression. Conversely, it showed a negative correlation with adaptive strategies like cognitive reappraisal (p < .05). Regression analyses identified cognitive impairment and emotional regulation outcomes as significant predictors of sleep deprivation. Mediation analysis further demonstrated that sleep deprivation and emotional regulation strategies are significantly related, with cognitive functioning acting as a mediator. These results suggest that poor sleep impacts executive functioning, which subsequently leads to emotional regulation difficulties among GAD patients. The paper highlights the need for sleep-focused interventions in anxiety treatment and provides culturally relevant empirical findings, as such studies are scarce in the Pakistani context.
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References
Alhola, P., & Polo-Kantola, P. (2007). Sleep deprivation: Impact on cognitive performance. Neuropsychiatric Disease and Treatment, 3(5), 553–567.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Baum, K. T., Desai, A., Field, J., Miller, L. E., Rausch, J., & Beebe, D. W. (2014). Sleep restriction worsens mood and emotion regulation in adolescents. Journal of Child Psychology and Psychiatry, 55(2), 180–190. https://doi.org/10.1111/jcpp.12125
Ben Simon, E., Rossi, A., Harvey, A. G., & Walker, M. P. (2020). Overanxious and underslept. Nature Human Behaviour, 4(1), 100–110. https://doi.org/10.1038/s41562-019-0754-8
Broadbent, D. E., Cooper, P. F., FitzGerald, P., & Parkes, K. R. (1982). The Cognitive Failures Questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21(1), 1–16. https://doi.org/10.1111/j.2044-8260.1982.tb01421.x
Brown, R., Short, M. A., & Lovato, N. (2018). Sleep deprivation and anxiety: A meta-analysis. Sleep Medicine Reviews, 41, 1–12. https://doi.org/10.1016/j.smrv.2018.01.002
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Cox, R. C., & Olatunji, B. O. (2019). Sleep in the anxiety-related disorders. Sleep Medicine Clinics, 14(1), 1–14. https://doi.org/10.1016/j.jsmc.2018.10.002
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
Edinger, J. D., & Means, M. K. (2020). Cognitive–behavioral therapy for primary insomnia. Clinical Psychology Review, 30(2), 183–198. https://doi.org/10.1016/j.cpr.2009.10.001
Eysenck, M. W., Derakshan, N., Santos, R., & Calvo, M. G. (2007). Anxiety and cognitive performance: Attentional control theory. Emotion, 7(2), 336–353. https://doi.org/10.1037/1528-3542.7.2.336
Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). SAGE Publications.
Fortier-Brochu, É., Beaulieu-Bonneau, S., Ivers, H., & Morin, C. M. (2012). Insomnia and daytime cognitive performance: A meta-analysis. Sleep Medicine Reviews, 16(1), 83–94. https://doi.org/10.1016/j.smrv.2011.03.008
Goldstein, A. N., & Walker, M. P. (2014). The role of sleep in emotional brain function. Annual Review of Clinical Psychology, 10, 679–708. https://doi.org/10.1146/annurev-clinpsy-032813-153716
Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1–26. https://doi.org/10.1080/1047840X.2014.940781
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348
Harrison, Y., & Horne, J. A. (2000). The impact of sleep deprivation on decision making. Journal of Experimental Psychology: Applied, 6(3), 236–249. https://doi.org/10.1037/1076-898X.6.3.236
Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40(8), 869–893. https://doi.org/10.1016/S0005-7967(01)00061-4
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). Guilford Press.
Huang, Y., Zhu, M., & Chen, X. (2019). Sleep deprivation and cognitive impairment in anxiety disorders. Journal of Anxiety Disorders, 62, 1–8. https://doi.org/10.1016/j.janxdis.2018.12.004
Irwin, M. R. (2015). Why sleep is important for health. Psychiatric Clinics of North America, 38(4), 553–570. https://doi.org/10.1016/j.psc.2015.07.002
Khan, A. A., Khan, A., & Khan, M. (2020). Sleep quality and mental health among Pakistani adults. Pakistan Journal of Medical Sciences, 36(7), 159–164.
Killgore, W. D. S. (2010). Effects of sleep deprivation on cognition. Progress in Brain Research, 185, 105–129. https://doi.org/10.1016/B978-0-444-53702-7.00007-5
Krause, A. J., Simon, E. B., Mander, B. A., Greer, S. M., Saletin, J. M., Goldstein-Piekarski, A. N., & Walker, M. P. (2017). The sleep-deprived human brain. Nature Reviews Neuroscience, 18(7), 404–418. https://doi.org/10.1038/nrn.2017.55
Lim, J., & Dinges, D. F. (2010). A meta-analysis of the impact of short-term sleep deprivation. Psychological Bulletin, 136(3), 375–389. https://doi.org/10.1037/a0018883
Mauss, I. B., Troy, A. S., & LeBourgeois, M. K. (2013). Poorer sleep quality is associated with lower emotion-regulation ability. Cognition & Emotion, 27(3), 465–474. https://doi.org/10.1080/02699931.2012.727783
Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of GAD. Behaviour Research and Therapy, 43(10), 1281–1310. https://doi.org/10.1016/j.brat.2004.08.008
Motomura, Y., Kitamura, S., Nakazaki, K., Oba, K., Katsunuma, R., Terasawa, Y., & Mishima, K. (2017). Sleep debt elicits negative emotional reactions. Scientific Reports, 7, Article 1686. https://doi.org/10.1038/s41598-017-01728-5
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). McGraw-Hill.
Ochsner, K. N., & Gross, J. J. (2005). The cognitive control of emotion. Trends in Cognitive Sciences, 9(5), 242–249. https://doi.org/10.1016/j.tics.2005.03.010
Palmer, C. A., & Alfano, C. A. (2017). Sleep and emotion regulation. Current Opinion in Psychology, 17, 55–59. https://doi.org/10.1016/j.copsyc.2017.06.006
Pires, G. N., Bezerra, A. G., Tufik, S., & Andersen, M. L. (2016). Effects of sleep deprivation on anxiety. Psychiatry Research, 245, 31–37. https://doi.org/10.1016/j.psychres.2016.08.015
Scott, A. J., Rowse, G., & Webb, T. L. (2021). Improving sleep to reduce anxiety. Journal of Anxiety Disorders, 78, 102356. https://doi.org/10.1016/j.janxdis.2021.102356
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing GAD. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
Staner, L. (2003). Sleep and anxiety disorders. Dialogues in Clinical Neuroscience, 5(3), 249–258.
Thomas, M., Sing, H., Belenky, G., Holcomb, H., Mayberg, H., Dannals, R., & Redmond, D. (2000). Neural basis of alertness after sleep deprivation. Nature, 408(6812), 691–692. https://doi.org/10.1038/35047184
Tononi, G., & Cirelli, C. (2014). Sleep and synaptic homeostasis. Neuron, 81(1), 12–34. https://doi.org/10.1016/j.neuron.2013.12.025
Walker, M. P. (2017). Why we sleep: Unlocking the power of sleep and dreams. Scribner.
Yoo, S. S., Gujar, N., Hu, P., Jolesz, F. A., & Walker, M. P. (2007). The human emotional brain without sleep. Current Biology, 17(20), R877–R878. https://doi.org/10.1016/j.cub.2007.08.007
Zhou, J., Wang, M., & Dong, Y. (2021). Gender differences in sleep and emotion regulation. Sleep Health, 7(2), 181–187. https://doi.org/10.1016/j.sleh.2021.01.004
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