Sleep-related metacognitions in inpatients with mental disorders

Background Sleep difficulties are a well-known issue among patients with mental disorders. Sleep related metacognitions often play a role in the etiology of sleep disturbances. This study examined the role of sleep-related metacognitions in a sample of psychiatric inpatients. Methods A total of 75 p...

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Main Authors: Anzenberger, Elisabeth (Author) , Schredl, Michael (Author) , Schilling, Claudia (Author)
Format: Article (Journal)
Language:English
Published: 5 August 2025
In: European archives of psychiatry and clinical neuroscience

ISSN:1433-8491
DOI:10.1007/s00406-025-02073-1
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00406-025-02073-1
Verlag, lizenzpflichtig, Volltext: http://link.springer.com/article/10.1007/s00406-025-02073-1
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Author Notes:Elisabeth Anzenberger, Michael Schredl, Claudia Schilling

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520 |a Background Sleep difficulties are a well-known issue among patients with mental disorders. Sleep related metacognitions often play a role in the etiology of sleep disturbances. This study examined the role of sleep-related metacognitions in a sample of psychiatric inpatients. Methods A total of 75 patients admitted to the psychiatric clinic of the Central Institute of Mental Health (CIMH) in Mannheim, Germany, were included in the study. The participants completed a series of psychometric questionnaires, including the Metacognitive Questionnaire for Insomnia (MCQ-I 20), the Patient Health Questionnaire (PHQ-9) and the Insomnia Severity Index (ISI). Results The psychiatric patient sample exhibited significantly elevated scores on the MCQ-I 20 when compared to a healthy control group and demonstrated comparable scores to a group of insomnia patients. Sleep-related metacognitions in the psychiatric patient sample correlated significantly with increased depression levels and insomnia symptoms. Conclusions The findings of this study provide evidence that sleep-related metacognitions play a role in the etiology of sleep problems in patients with mental disorders. 
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