According to Spielman's influential 3P model, disturbed sleep is influenced by various
predisposing, precipitating, and perpetuating factors. These may be behavioral, biological,
environmental, or psychological in nature.
1.
Personality is considered a predisposing, and potentially perpetuating, factor. Indeed,
literature concurs disturbed sleep to be associated with increased neuroticism, internalization,
anxious concerns, and perfectionism.
2.
The experience of multidimensional perfectionism (ie, disposition for excessive critical
self-evaluation and high standards for oneself) appears to be the most frequently
examined, and most prominent personality characteristic associated with poor sleep.
The recently published work in Sleep Health by Stricker et al
3.
provides a systematic review of evidenced bivariate associations between multidimensional
perfectionism and poor sleep. This work expands on the recent 2021 review from the
same group
- Stricker J.
- Kröger L.
- Johann A.F.
- Küskens A.
- Gieselmann A.
- Pietrowsky R.
Multidimensional perfectionism and poor sleep: a meta-analysis of bivariate associations.
Sleep Health. 2022; ([ePub ahead of print])https://doi.org/10.1016/j.sleh.2022.09.015
4.
with the inclusion of pooled effect sizes for perfectionistic strivings and concerns.
While each review addresses the same topic, several limitations, concerns, and inconsistencies
should be noted.Abbreviations:
ISI (Insomnia Severity Index), PSQI (Pittsburgh Sleep Quality Index), CBTi (Cognitive Behavioural Therapy for Insomnia)To read this article in full you will need to make a payment
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References
- A behavioural perspective on insomnia treatment.Psychiatr Clin North Am. 1987; 10: 541-543
- The role of personality traits in insomnia.Sleep Med Rev. 2010; 14: 61-68
- Multidimensional perfectionism and poor sleep: a meta-analysis of bivariate associations.Sleep Health. 2022; ([ePub ahead of print])https://doi.org/10.1016/j.sleh.2022.09.015
- No perfect sleep! A systematic review of the link between multidimensional perfectionism and sleep disturbance.J Sleep Res. 2022; : e13548
- Does perfectionism increase the risk for dropout from cognitive behavioral therapy for insomnia?.J Clin Sleep Med. 2018; 14: 487-488
- The effects of cognitive behavioral therapy for insomnia on multidimensional perfectionism.Behav Ther. 2022; ([ePub ahead of print])https://doi.org/10.1016/j.beth.2022.10.001
- Dysfunctional sleep-related cognition and anxiety mediate the relationship between multidimensional perfectionism and insomnia symptoms.Cognit Process. 2020; 21: 141-148
Article info
Publication history
Published online: February 27, 2023
Accepted:
January 3,
2023
Received:
November 18,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
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- Multidimensional perfectionism and poor sleep: A meta-analysis of bivariate associationsSleep Health: Journal of the National Sleep Foundation
- PreviewThe link between perfectionism and poor sleep has been intensively debated, and previous studies on perfectionism-sleep associations have yielded mixed results. Recent research suggests that the two-dimensional perfectionism model, differentiating perfectionistic concerns (centered around concerns over imperfections) and perfectionistic strivings (centered around excessively high personal standards), may reconcile previously inconclusive findings, as both dimensions might be differentially related to sleep.
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