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Association between Sleep Disturbances and Depression among Firefighters

Title: The Association between Sleep Disturbances and Depression among Firefighters: Emotion Dysregulation as an Explanatory Factor.
Name(s): Hom, Melanie A, author
Stanley, Ian H, author
Rogers, Megan L, author
Tzoneva, Mirela, author
Bernert, Rebecca A, author
Joiner, Thomas E, author
Type of Resource: text
Genre: Journal Article
Date Issued: 2016-02-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: To investigate emotion regulation difficulties in association with self-reported insomnia symptoms, nightmares, and depression symptoms in a sample of current and retired firefighters. A total of 880 current and retired United States firefighters completed a web-based survey of firefighter behavioral health. Self-report measures included the Center for Epidemiologic Studies Depression Scale, Insomnia Severity Index, PTSD Checklist, and Difficulties in Emotion Regulation Scale. A notable portion of participants reported clinically significant depression symptoms (39.6%) and insomnia symptoms (52.7%), as well as nightmare problems (19.2%), each of which demonstrated a strong association with emotion regulation difficulties (rs = 0.56-0.80). Bootstrapped mediation analyses revealed that the indirect effects of overall emotion regulation difficulties were significant both for the relationship between insomnia and depression (95% CI: 0.385-0.566) and nightmares and depression (95% CI: 1.445-2.365). Limited access to emotion regulation strategies emerged as the strongest, significant indirect effect for both relationships (insomnia 95% CI: 0.136-0.335; nightmares 95% CI: 0.887-1.931). Findings extend previous affective neuroscience research by providing evidence that insomnia and nightmares may influence depression symptoms specifically through the pathway of explicit emotion regulation difficulties. Sleep disturbances may impair the ability to access and leverage emotion regulation strategies effectively, thus conferring risk for negative affect and depression.
Identifier: FSU_pmch_26350604 (IID), 10.5664/jcsm.5492 (DOI), PMC4751428 (PMCID), 26350604 (RID), 26350604 (EID), jc-00300-15 (PII)
Keywords: Depression, Emotion regulation, Insomnia, Nightmares, Sleep
Grant Number: K23MH093490
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at
Subject(s): Adolescent
Aged, 80 and over
Middle Aged
Psychiatric Status Rating Scales
Sleep Wake Disorders/etiology
Sleep Wake Disorders/psychology
Surveys and Questionnaires
Young Adult
Persistent Link to This Record:
Host Institution: FSU
Is Part Of: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.
Issue: iss. 2, vol. 12

Choose the citation style.
Hom, M. A., Stanley, I. H., Rogers, M. L., Tzoneva, M., Bernert, R. A., & Joiner, T. E. (2016). The Association between Sleep Disturbances and Depression among Firefighters: Emotion Dysregulation as an Explanatory Factor. Journal Of Clinical Sleep Medicine : Jcsm : Official Publication Of The American Academy Of Sleep Medicine. Retrieved from