Oct. 09, 2023
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Predisposing factors for developing insomnia may include traits such as chronic hyperarousal and proneness to worry or rumination. Precipitating factors are events or acute stressors that interact with predisposing factors to cause acute insomnia symptoms. Perpetuating factors are maladaptive coping behaviors that are adopted to relieve transient insomnia symptoms but ultimately serve to maintain insomnia. (From: Spielman A, Caruso L, Glovinsky P. A behavioral perspective on insomnia treatment. Psychiatr Clin North Am 1987;10(4):541-53.)