Abstract
<p><strong>OBJECTIVE: </strong>This study aimed to analyze the deviation in normal personality development in chronic insomnia patients.</p><p><strong>MATERIAL &amp; METHODS:</strong> Eighty-one patients with chronic insomnia and 290 healthy controls were assessed with Wang’s Memory Tracing Personality Development Inventory (WMPI). Differences between the two groups were explored to identify developmental characteristics.</p><p><strong>RESULTS:</strong> Significant differences were found in three phases. During the chronological ages of 3-6 years old, the differences are relatively minor, and manifest in a lower independence level in patients (p&lt;0.05). In older individuals, personality development deficits present mainly as abnormal thinking, excessive interpersonal anxiety, and less independence (p&lt;0.05). Subjects of different ages present with their own developmental characteristics. Generally, patients younger than 36 years of age had a lower developmental level in independence and across emotional dimensions. In summary, there are significant differences in personality development between primary insomniacs and healthy controls (p&lt;0.05).</p><p><strong>CONCLUSION: </strong>Individuals are prone to develop chronic insomnia in adulthood if they exhibit a deviation from normal, or expected, personality development while in childhood. Abnormal development of personality correlates with the incidence of chronic insomnia. Subjects with lower independence in self-cognition tend to pursue perfectionism which may associate with a predisposition for chronic insomnia. Patients at different ages present different characteristics in personality development.</p>
Highlights
There are several patterns to explain the mechanism of insomnia
Abnormal development of personality correlates with the incidence of chronic insomnia
Subjects with lower independence in self-cognition tend to pursue perfectionism which may associate with a predisposition for chronic insomnia
Summary
There are several patterns to explain the mechanism of insomnia. For example, in the 1980s, Dr Art Spielman brought the 3 P’s model into research on poor sleep. Others report insomniacs as exhibiting a more neurotic and anxious symptomatology than exhibited by control subjects (Shealy, Lowe, & Ritzler, 1980) These personality traits are typically associated with perfectionism (Lundh, Broman, Hetta, & Saboonchi, 1994; Vincent & Walker, 2000; Besser, Flett, Hewitt, & Guez, 2008), with an excessive effort on initiating sleep and putting high requirements on sleep quality. They consider personality as the predisposing factor in the development of a vicious cycle
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