Skip to main content
SpringerLink
Log in

Anxiety Disorders and Accompanying Insomnia

  • Chapter
  • First Online:
Insomnia and Anxiety

Part of the book series: Series in Anxiety and Related Disorders ((SARD))

Abstract

In this chapter, we discuss the different manifestations (both subjective and objective) of sleep disturbance within anxiety disorders. We discuss the associated features of the anxiety disorder and focus especially on those anxiety conditions presumed to have higher comorbidity with insomnia. We also consider whether there are any disorder-specific special insomnia treatment considerations within each diagnostic category. We argue that there appears to be no real impediment to treating the insomnia of those with anxiety disorders, although there may be some special treatment considerations for panic disorder (i.e., allowing for a less conservative time-in-bed restriction) and PTSD (i.e., addressing nightmares). We review the evidence that treating the comorbid anxiety disorder only (and thus ignoring the insomnia) may limit the degree of anxiety disorder treatment response and/or result in residual insomnia, and the evidence for a combined approach (i.e., treating the insomnia and anxiety problem concurrently).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • American Academy of Sleep Medicine. (2005). International classification of sleep disorders- second edition (ICSD-2). International Classification of Sleep Disorders Steering Committee, P. J. Hauri (Chairman). Chicago.

    Google Scholar 

  • American Psychiatric Association. (1997). Diagnostic and Statistical Manual of Mental Disorders, 4th Edition,Text Revision (DSM-IV-TR) (4th ed.). Washington: DC: American Psychiatric Association.

    Google Scholar 

  • Angst, J., Gamma, A., Endrass, J., Goodwin, R., Ajdacic, V., Eich, D., et al. (2004). European Archives of Psychiatry and Clinical Neuroscience, 254(3), 156–164.

    PubMed  Google Scholar 

  • Antony, M., ‖ Barlow, D. H. (2002). Specific phobias. In D. H. Barlow (Ed.), Anxiety and Its Disorders (Vol. 2, pp. 380–417). New York: The Guilford Press.

    Google Scholar 

  • Beesdo, K., Bittner, A., Pine, D., Stein, M., Höfler, M., Lieb, R., et al. (2007). Incidence of social anxiety disorder and the consistent risk for secondary depression in the first three decades of life. Archives of General Psychiatry, 64(8), 903–912.

    Article  PubMed  Google Scholar 

  • Belanger, L., Morin, C. M., Langlois, F., ‖ Ladouceur, R. (2004). Insomnia and generalized anxiety disorder: Effects of cognitive behavior therapy for GAD on insomnia symptoms. Journal of Anxiety Disorders, 18, 561–571.

    Article  PubMed  Google Scholar 

  • Borkovec, T. D. (1982). Insomnia. Journal of Consulting and Clinical Psychology, 50, 880–895.

    Article  PubMed  Google Scholar 

  • Breslau, N., Roth, T., Burduvali, E., Kapke, A., Schultz, L., ‖ Roehrs, T. (2004). Sleep in lifetime posttraumatic stress disorder: a community-based polysomnographic study. Archives of General Psychiatry, 61, 508–516.

    Article  PubMed  Google Scholar 

  • Brown, T., Black, B., ‖ Uhde, T. (1994). The sleep architecture of social phobia. Biological Psychiatry, 35(6), 420–421.

    Article  PubMed  Google Scholar 

  • Brown, T. M., ‖ Uhde, T. W. (2003). Sleep panic attacks: a micro-movement analysis. Depression and Anxiety, 18, 214–220.

    Article  PubMed  Google Scholar 

  • Buysse, D., Ancoli-Israel, S., Edinger, J., Lichstein, K., ‖ Morin, C. (2006). Recommendations for a standard research assessment of insomnia. Sleep, 29(9), 1155–1173.

    PubMed  Google Scholar 

  • 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, 193–213.

    Article  PubMed  Google Scholar 

  • Cairney, J., McCabe, L., Veldhuizen, S., Corna, L., Streiner, D., ‖ Herrmann, N. (2007). Epidemiology of social phobia in later life. American Journal of Psychiatry, 15(3), 224–233.

    Article  Google Scholar 

  • Calhoun, P., Bosworth, H., Grambow, S., Dudley, T., ‖ Beckham, J. (2002). Medical service utilization by veterans seeking help for posttraumatic stress disorder. American Journal of Psychiatry, 159, 2081–2086.

    Article  PubMed  Google Scholar 

  • Cameron, O. G., ‖ Thyer, B. A. (1985). Treatment of pavor nocturnus with alprazolam. Journnal of Clinical Psychology, 46, 405.

    Google Scholar 

  • Cervena, K., Matousek, M., Prasko, J., Brunovsky, M., ‖ Paskova, B. (2005). Sleep disturbances in patients treated for panic disorder. Sleep Medicine Reviews, 6, 149–153.

    Article  Google Scholar 

  • Craske, M. G., ‖ Barlow, D. H. (1989). Nocturnal panic. Journal of Nervous and Mental Disease, 177, 160–167.

    Article  PubMed  Google Scholar 

  • Craske, M. G., Lang, A. J., Aikins, D., ‖ Mystkowski, J. L. (2005). Behavior Therapy, 36, 43–54.

    Article  Google Scholar 

  • Craske, M. G., Lang, A. J., Mystkowski, J. L., Zucker, B. G., Bystritsky, A., ‖ Yan-Go, F. (2002). Does nocturnal panic represent a more severe form of panic disorder? Journal of Nervous and Mental Disease, 190, 611–618.

    Article  PubMed  Google Scholar 

  • Craske, M. G., Lang, A. J., ‖ Rowe, M. (2002). Pre-sleep attributions about arousal during sleep. Journal of Abnormal Psychology, 111, 53–62.

    Article  PubMed  Google Scholar 

  • Craske, M. G., Lang, A. J., Tsao, J. C. I., Mystkowski, J. L., ‖ Rowe, M. K. (2001). Reactivity to interoceptive cues in nocturnal panic. Journal of Behavior Therapy and Experimental Psychiatry, 32, 173–190.

    Article  PubMed  Google Scholar 

  • Culpepper, L. (2002). Generalized anxiety disorder in primary care: emerging issues in management and treatment. The Journal of Clinical Psychiatry, 63(Suppl. 8), 35–42.

    PubMed  Google Scholar 

  • Dagan, Y., Lavie, P., ‖ Bleich, A. (1991). Elevated awakening thresholds in sleep stage 3–4 in war-related post-traumatic stress disorder. Biological Psychiatry, 30, 618–622.

    Article  PubMed  Google Scholar 

  • Dow, B. M., Kelsoe, J., ‖ Gillin, J. (1996). Sleep and dreams in Vietnam PTSD and depression. Biological Psychiatry, 39, 42–50.

    Article  PubMed  Google Scholar 

  • Edinger, J. D., Bonnet, M., Bootzin, R. R., Doghramji, K., Dorsey, C. M., Espie, C. A., et al. (2004). Derivation of research diagnostic criteria for insomnia: Report on an American Academy of Sleep Medicine work group. Sleep, 27, 1567–1596.

    PubMed  Google Scholar 

  • Edinger, J. D., ‖ Radtke, R. A. (1993). Use of in vivo desensitization to treat a patient’s claustrophobic response to nasal CPAP. Sleep, 16(7), 678–680.

    PubMed  Google Scholar 

  • Eisen, J., Goodman, W., Keller, M., Warshaw, M., DeMarco, L., Luce, D., et al. (1999). Patterns of remission and relapse in obsessive-compulsive disorder: a 2-year prospective study. Journal of Clinical Psychiatry, 60(5), 346–351.

    Article  PubMed  Google Scholar 

  • Espie, C., Broomfield, N., MacMahon, K., Macphee, L., ‖ Taylor, L. M. (2006). The attention-intention-effort pathway in the development of psychophysiologic insomnia: a theoretical review. Sleep Medicine Reviews, 10(4), 215–245.

    Article  PubMed  Google Scholar 

  • Fireman, B., Koran, L., Leventhal, J., ‖ Jacobson, A. (2001). The prevalence of clinically recognized obsessive-compulsive disorder in a large health maintenance organization. American Journal of Psychiatry, 158(11), 1904–1910.

    Article  PubMed  Google Scholar 

  • Fisk, J. D., Ritvo, P. G., Ross, L., Haase, D. A., Marrie, T. J., ‖ Schlech, W. F. (1994). Measuring the functional impact of fatigue: Initial Validation of the Fatigue Impact Scale. Clinical Infectious Diseases, 18(Suppl 1), S79-S83.

    PubMed  Google Scholar 

  • Forbes, D., Phelps, A., ‖ McHugh, T. (2001). Treatment of combat-related nightmares using imagery rehearsal therapy: a pilot study. Journal of Traumatic Stress, 14(2), 433–442.

    Article  PubMed  Google Scholar 

  • Fuller, K. H., Waters, W. F., Binks, P. G., ‖ Anderson, T. (1997). Generalized anxiety and sleep architecture: a polysomnographic investigation. Sleep, 20, 370–376.

    PubMed  Google Scholar 

  • Grant, B., Hasin, D., Blanco, C., Stinson, F., Chou, S., Goldstein, R., et al. (2005). The epidemiology of social anxiety disorder in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66(11), 1351.

    Article  PubMed  Google Scholar 

  • Grillon, C., Pellowski, M., Merikangas, K. R., ‖ Davis, M. (1997). Darkness facilitates the acoustic startle reflex in humans. Biological Psychiatry, 42(6), 453–460.

    Article  PubMed  Google Scholar 

  • Gross, R., ‖ Borkovec, T. (1982). Effects of cognitive intrusion manipulation on the sleep onset latency of good sleepers. Behaviour Therapy, 13, 112–116.

    Article  Google Scholar 

  • Hantouche, E., Bouhassira, M., Lancrenon, S., Ravily, V., ‖ Bourgeois, M. (1995). Prevalence of obsessive-compulsive disorders in a large French patient population in psychiatric consultation. Encephale, 21(5), 571–580.

    PubMed  Google Scholar 

  • Harvey, A. G., ‖ Greenall, E. (2003). Catastrophic worry in primary insomnia. Journal of Behavior Therapy Experimental Psychiatry, 34(1), 11–23.

    Article  Google Scholar 

  • Hoge, C. W., Castro, C., Messer, S., McGurk, D., Cotting, D., ‖ Koffman, R. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13–22.

    Article  PubMed  Google Scholar 

  • Hohagen, F., Lis, S., Krieger, S., Winkelmann, G., Riemann, D., Fritsch-Montero, R., et al. (1994). Sleep EEG of patients with obsessive-compulsive disorder. European Archives of Psychiatry and Clinical Neuroscience, 243(5), 273–278.

    Article  PubMed  Google Scholar 

  • Hurwitz, T., Mahowald, M., Kuskowski, M., ‖ Engdahl, B. (1998). Polysomnographic sleep is not clinicall impaired in Vietnam combat verterans with chronic posttraumatic stress disorder. Biological Psychiatry, 44, 1066–1073.

    Article  PubMed  Google Scholar 

  • Insel, T., Gillin, J., Moore, A., Mendelson, W., Loewenstein, R., ‖ Murphy, D. (1982). The sleep of patients with obsessive-compulsive disorder. Archives of General Psychiatry, 39(12), 1372–1377.

    PubMed  Google Scholar 

  • Kamath, P., Reddy, Y. C., ‖ Kandavel, T. (2007). Suicidal behavior in obsessive-compulsive disorder. Journal of Clinical Psychiatry, 68(11), 1741–1750.

    Article  PubMed  Google Scholar 

  • Kessler, R., Berglund, P., Bruce, M., Koch, J., Laska, E., Leaf, P., et al. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36, 987–1007.

    PubMed  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., ‖ Walters, E. E. (2005). Lifetime prevalence and age of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  PubMed  Google Scholar 

  • Kluge, M., Schüssler, P., Dresler, M., Yassouridis, A., ‖ Steiger, A. (2007). Sleep onset REM periods in obsessive compulsive disorder. Psychiatry Research, 152(1), 29–35.

    Article  PubMed  Google Scholar 

  • Kluge, M., Schüssler, P., Künzel, H., Dresler, M., Yassouridis, A., ‖ Steiger, A. (2007). Increased nocturnal secretion of ACTH and cortisol in obsessive compulsive disorder. Journal of Psychiatry Research, 41(11), 928–933.

    Article  Google Scholar 

  • Kobayashi, I., Boarts, J. M., ‖ Delahanty, D. L. (2007). Polysomnographically measured sleep abnormalities in PTSD: A meta-analytic review. Psychophysiology, 44(4), 660–669.

    Article  PubMed  Google Scholar 

  • Krakow, B., Hollifield, M., Schrader, R., Koss, M., Tandberg, D., ‖ Lauriello, J. (2000). A controlled study of imargery rehearsal for chronic nightmares in sexual assault survivors with PTSD: a preliminary report. Journal of Traumatic Stress, 13(4), 589–609.

    Article  PubMed  Google Scholar 

  • Krakow, B., Johnston, L., Melendrez, D., Hollifield, M., Warner, T. D., Chavez-Kennedy, D., et al. (2001). An open-label trial of evidence-based cognitive behavior therapy for nightmares and insomnia in crime victims with PTSD. American Journal of Psychiatry, 158(12), 2043–2047.

    Article  PubMed  Google Scholar 

  • Kuch, K., ‖ Cox, B. (1992). Symptoms of PTSD in 124 survivors of the Holocaust. American Journal of Psychiatry, 149(3), 337–340.

    PubMed  Google Scholar 

  • Lavie, P., ‖ Hertz, G. (1979). Increased sleep motility and respiration rates in combat neurotic patients. Biological Psychiatry, 14, 983–987.

    PubMed  Google Scholar 

  • Lavie, P., Katz, N., Pillar, G., ‖ Zinger, Y. (1998). Elevated awakening thresholds during sleep: characteristics of chronic war-related posttraumatic stress disorder patients. Biological Psychiatry, 44, 1060–1065.

    Article  PubMed  Google Scholar 

  • Lineberger, M., Carney, C., Edinger, J., ‖ Means, M. (2006). Defining Insomnia: Quantitative criteria for insomnia severity and frequency. Sleep, 29, 479–485.

    PubMed  Google Scholar 

  • Means, M. K., ‖ Edinger, J. D. (2007). Graded exposure therapy for addressing claustrophobic reactions to continuous positive airway pressure: a case series report. Behavioral Sleep Medicine, 5(2), 105–116.

    PubMed  Google Scholar 

  • Mellman, T., Kulick-Bell, R., Ashlock, L., ‖ Nolan, B. (1995). Sleep events among veteran with posttraumatic stress disorder. American Journal of Psychiatry, 152, 110–115.

    PubMed  Google Scholar 

  • Mellman, T., Nolan, B., Hebding, J., ‖ Kulick-Bell, R. (1997). A polysomnographic comparison of veterans with combat-related PTSD, depressed mean and non-ill controls. Sleep, 20, 46–51.

    PubMed  Google Scholar 

  • Mellman, T. A., Kuman, A., Kulick-Bell, R., Kuman, M., ‖ Nolan, B. (1995). Nocturnal/daytime urine noradrenergic measures and sleep in combat-related PTSD. Biological Psychiatry, 38, 174–179.

    Article  PubMed  Google Scholar 

  • Mellman, T. A., ‖ Uhde, T. W. (1989). Sleep panic attacks: New clinical findings and theoretical implications. American Journal of Psychiatry, 146, 1024–1027.

    Google Scholar 

  • Mellman, T. A., ‖ Uhde, T. W. (1990). Patients with frequent sleep panic: Clinical findings and response to medication treatment. Journal of Clinical Psychiatry, 51(12), 513–516.

    PubMed  Google Scholar 

  • Monti, J. M., ‖ Monti, D. (2000). Sleep disturbance in generalized anxiety disorder and its treatment. Sleep Medicine Reviews, 4(3), 263–276.

    Article  PubMed  Google Scholar 

  • Morin, C., Bootzin, R., Buysse, D., Edinger, J., Espie, C., ‖ Lichstein, K. (2006). Psychological and behavioral treatment of insomnia: update of the recent evidence (1998–2004). Sleep, 29(11), 1398–1414.

    PubMed  Google Scholar 

  • Neylan, T., Marmar, C., Metzler, T., Weiss, D., Zatzick, D., ‖ Delucchi, K. (1998). Sleep disturbances in the Vietnam generation: Findings from a nationally representative sample of male Vietnam Veterans. American Journal of Psychiatry, 155, 929–933.

    PubMed  Google Scholar 

  • Papadimitriou, G., ‖ Linkowski, P. (2005). Sleep disturbance in anxiety disorders. International Review of Psychiatry, 17(4), 229–236.

    Article  PubMed  Google Scholar 

  • Papadimitriou, G. N., Kerkhofs, M., Kempenaers, C., ‖ Mendlewicz, J. (1988). EEG sleep studies in patients with generalized anxiety disorder. Psychiatry Research, 26, 183–190.

    Article  PubMed  Google Scholar 

  • Pillar, G., Harder, L., ‖ Malhotra, A. (2006). Trauma and post-traumatic stress disorder. In T. Lee-Chiong (Ed.), Sleep: A comprehensive handbook (pp. 857–866). Hoboken, NJ: John Wiley ‖ Sons.

    Google Scholar 

  • Pollack, M. H., Kinrys, G., Krystal, A. D., McCall, V. W., Roth, T., Schaefer, K., et al. (2008). Eszopiclone coadministered with escitalopram in patients with insomnia and comorbid generalized anxiety disorder. Archives of General Psychiatry, 65(5), 551–562.

    Article  PubMed  Google Scholar 

  • Reynolds, C. F., III, Shaw, D. H., Newton, T. F., Coble, P. A., ‖ Kupfer, D. J. (1983). EEG sleep in outpatients with generalized anxiety: a preliminary comparison with depressed outpatients. Psychiatry Research, 8, 81–89.

    Article  PubMed  Google Scholar 

  • Robinson, D., Walsleben, J., Pollack, S., ‖ Lerner, G. (1998). Nocturnal polysomnography in obsessive-compulsive disorder. Psychiatry Reseach, 80(3), 257–263.

    Article  Google Scholar 

  • Rosa, R. R., Bonnet, M. H., ‖ Kramer, M. (1983). The relationship of sleep and anxiety in anxious subjects. Biological Psychology, 16, 119–126.

    Article  PubMed  Google Scholar 

  • Ross, R., Ball, W., Sullivan, K., ‖ Caroff, S. (1989). Sleep disturbance as a hallmark of posttraumatic stress disorder. American Journal of Psychiatry, 146, 697–707.

    PubMed  Google Scholar 

  • Roy-Byrne, P. P., Uhde, T. W., ‖ Post, R. M. (1986). Effects of one night’s sleep deprivation on mood and behavior in panic disorder: Patients with panic disorder compared with depressed patients and normal controls. Archives of General Psychiatry, 43(9), 895–899.

    PubMed  Google Scholar 

  • Smith, M. T., Huang, M. I., ‖ Manber, R. (2005). Cognitive Behavior Therapy for chronic insomnia occuring within the context of medical and psychiatric disorders. Clinical Psychology Review, 25, 559–592.

    Article  PubMed  Google Scholar 

  • Stein, M., Kroft, C., ‖ Walker, J. (1993). Sleep impairment in patients with social phobia. Psychiatry Research, 49(3), 251–256.

    Article  PubMed  Google Scholar 

  • Stein, M., ‖ Mellman, T. (2005). Anxiety Disorders. In M. Kyrger, T. Roth, ‖ W. Dement (Eds.), Principles and practice of sleep medicine (4th ed., pp. 1297–1310). Philadelphia: Elsevier Saunders.

    Google Scholar 

  • Stein, M. B., Enns, M. W., ‖ Kryger, M. H. (1993). Sleep in nondepressed patients with panic disorder II: Polysomnographic assessment of sleep architecture and sleep continuity. Journal of Affective Disorders, 28, 1–6.

    Article  PubMed  Google Scholar 

  • Stengler-Wenzke, K., Krolla, M., Matschingera, H., ‖ Angermeyera, M. C. (2006). Quality of life of relatives of patients with obsessive-compulsive disorder. Comprehensive Psychiatry, 47(6), 523–527.

    Article  PubMed  Google Scholar 

  • Thase, M. E., Rush, A. J., Manber, R., Kornstein, S. G., Klein, D., ‖ Markowitz, J. C. (2002). Effects of nefazodone and cognitive behavioral analysis system of psychotherapy, singly and in combination, on insomnia associated with chronic depression. Journal of Clinical Psychiatry, 63(6), 493–500.

    PubMed  Google Scholar 

  • Todaro, J., Shen, B., Raffa, S., Tilkemeier, P., ‖ Niaura, R. (2007). Prevalence of anxiety disorders in men and women with established coronary heart disease. Journal of Cardiopulmonary Rehabilitation and Prevention, 27(2), 86–91.

    PubMed  Google Scholar 

  • Torres, A. R., Prince, M. J., Bebbington, P. E., Bhugra, D., Brugha, T. S., Farrell, M., et al. (2006). Obsessive-compulsive disorder: Prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000. The American Journal of Psychiatry, 163, 1978–1985.

    Article  PubMed  Google Scholar 

  • Tukel, R., Meteris, H., Koyuncu, A., Tecer, A., ‖ Yazici, O. (2006). The clinical impact of mood disorder comorbidity on obsessive-compulsive disorder. European Archives of Psychiatry and Clinical Neuroscience, 256, 240–245.

    Article  PubMed  Google Scholar 

  • Voderholzer, U., Riemann, D., Huwig-Poppe, C., Kuelz, A., Kordon, A., Bruestle, K., et al. (2007). Sleep in obsessive compulsive disorder: polysomnographic studies under baseline conditions and after experimentally induced serotonin deficiency. European Archives of Psychiatry and Clinical Neuroscience, 257(3), 173–182.

    Article  PubMed  Google Scholar 

  • Walker, E. A., Katon, W., Russo, J., Ciechanowski, P., Newman, E., ‖ Wagner, A. (2003). Health care costs associated with Posttraumatic Stress Disorder symptoms in women. Archives of General Psychiatry, 60, 369–374.

    Article  PubMed  Google Scholar 

  • Weissberg, M. (2006). Anxiety disorders and sleep. In T. Lee-Chiong (Ed.), Sleep: A comprehensive handbook (pp. 845–855). Hoboken, NJ: John Wiley ‖ Sons.

    Google Scholar 

  • Woodward, S., Friedman, M., ‖ Bliwise, D. (1996). Sleep and depression in combat-related PTSD inpatients. Biological Psychiatry, 39, 182–192.

    Article  PubMed  Google Scholar 

  • Woodward, S., Murburg, M., ‖ Bliwise, D. (2000). PTSD-related hyperarousal assessed during sleep. Physiology and Behavior, 70(1–2), 197–203.

    Article  PubMed  Google Scholar 

  • Zayfert, C., ‖ DeViva, J. C. (2004). Residual insomnia following cognitive behavioral therapy for PTSD. Journal of Traumatic Stress, 17(1), 69–73.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychology, Ryerson University, Toronto, ON, Canada

    Colleen E. Carney

  2. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

    Jack D. Edinger

Authors
  1. Colleen E. Carney
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jack D. Edinger
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Colleen E. Carney .

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Carney, C.E., Edinger, J.D. (2010). Anxiety Disorders and Accompanying Insomnia. In: Insomnia and Anxiety. Series in Anxiety and Related Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1434-7_3

Download citation

Publish with us

Policies and ethics

Search

Navigation