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J Caring Sci. 2020;9(2): 87-92. doi: 10.34172/JCS.2020.013
PMID: 32626670        PMCID: PMC7322408

Original Article

The Comparison of Emotional Dysregulation and Experiential Avoidance in Patients with Insomnia and Non-Clinical Population

Ali Zakiei 1, Habibolah Khazaie 2 ORCID, Soheyla Reshadat 1 ORCID, Mohsen Rezaei 1 ORCID, Saeid Komasi 1 * ORCID

Cited by CrossRef: 10

1- Zakiei A, Korani D, Sahraei Z, Rostampour M, Khazaie H. Predicting sleep quality and insomnia severity using the components of the acceptance and commitment therapy (ACT) model: A new perspective. Journal of Contextual Behavioral Science. 2022;26:227 [Crossref]
2- Habibi Asgarabad M, Doos Ali Vand H, Salehi Yegaei P, Hooman F, Ahmadi R, Baglioni C, Moradi S. The contribution of transdiagnostic vulnerability factors in patients with chronic insomnia. Front Psychiatry. 2023;14 [Crossref]
3- Sarani Yaztappeh J, Mousavi S, Shahkaram H, Kianimoghadam A, Bakhtiari M, Didar F, Emami A, Rajabi M, Masjedi Arani A. Prediction of Emotional Disorders Based on Neuroticism with Emotion Regulation, Experiential Avoidance, and Repetitive Negative Thinking. Int J High Risk Behav Addict. 2023;12(2) [Crossref]
4- Vargas I, Dickens H, Assar A. From Better Sleep to Improved Mood: A Review of the Biopsychosocial Pathways for Cognitive Behavioral Therapy for Insomnia’s Antidepressant Effects. Curr Sleep Medicine Rep. 2026;12(1) [Crossref]
5- Sosic-Vasic Z, Bergmann M, Kroener J. Acceptance and commitment therapy for psychiatric inpatients diagnosed with depression and insomnia: a multiple-baseline single-case study. Front Psychiatry. 2026;16 [Crossref]
6- Lebrun C, Charras P, Bayard S. Sleep-related attentional bias in insomnia: The mediating role of arousal. Journal of Behavior Therapy and Experimental Psychiatry. 2024;83:101943 [Crossref]
7- Lancel M, Boersma G, Kamphuis J. Insomnia disorder and its reciprocal relation with psychopathology. Current Opinion in Psychology. 2021;41:34 [Crossref]
8- El Rafihi-Ferreira R, do Brasil do Carmo M, Bassolli L, Hasan R, Aizawa I, Toscanini A. Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study. Psicol Refl Crít. 2022;35(1) [Crossref]
9- Norouzi E, Rezaie L, Bender A, Khazaie H. Mindfulness plus physical activity reduces emotion dysregulation and insomnia severity among people with major depression. Behavioral Sleep Medicine. 2024;22(1):1 [Crossref]
10- Aghaei Bajestan S, Rasouli A, Sørensen L, Doosalivand H. The impact of ADHD symptoms on insomnia severity in adolescents: the mediating role of emotion dysregulation, self-compassion, and experiential avoidance. BMC Psychiatry. 2026;26(1) [Crossref]
11- Meneo D, Samea F, Tahmasian M, Baglioni C. The emotional component of insomnia disorder: A focus on emotion regulation and affect dynamics in relation to sleep quality and insomnia. Journal of Sleep Research. 2023;32(6) [Crossref]
12- Huang M, Pan Y, Shen J. Sleeping the mind before the body: Mechanisms of psychological inflexibility on sleep quality among Chinese college students. JPA. 2025;35(3):369 [Crossref]
13- Khazaie H, Sharafkhaneh A, Zakiei A, Crew E. A clinical algorithm for diagnosis and treatment of insomnia in adults: an updated review. CNS Spectr. 2024;29(5):463 [Crossref]
14- Zakiei A, Khazaie H, Rostampour M, Moradi M, Rezaie L, Komasi S, Rafihi-Ferreira R. Associations Between Six Core Processes of Psychological Flexibility with Poor Sleep Outcomes: A Systematic Review and Meta-Analysis. Curr Sleep Medicine Rep. 2024;10(2):257 [Crossref]
15- Emami K, Nazari S, Bender A, Hossini R, Norouzi E. The Effectiveness of a Sleep Optimization Program on Insomnia, Anxiety, Perceived Stress, and Emotion Dysregulation Among Football Players With Sleep Complaints. 2025;19(1):58 [Crossref]
16- Boiko D, Mats O, Shkidchenko O. SLEEP QUALITY AND AVOIDANCE BEHAVIOR IN COMBATANTS WITH POST-TRAUMATIC STRESS DISORDER. Act Probl of the Modern Med. 2024;24(2):4 [Crossref]
17- Zakiei A, Nikzadi H, Komasi S. Associations between Psychological Flexibility–Inflexibility Spectrum Proposed by the Acceptance and Commitment Therapy and Anxiety and Insomnia Symptoms in Young Adults. 2026; [Crossref]
18- Pantesco E, Schanke M. Pre-sleep arousal and poor sleep quality link experiential avoidance to depressive symptoms in young adults. J Health Psychol. 2025;30(9):2308 [Crossref]
19- Carlson G, Gold A, Erickson A, Kelly M, Mitchell M, Josephson K, Carlson K, McGowan S, MacCabe C, Zeidler M, Fung C, Alessi C, Yano E, Neylan T, Martin J. Experiential Avoidance is Associated with Insomnia Symptoms and Related Consequences Among Veterans with Posttraumatic Stress Disorder. Behavioral Sleep Medicine. 2026;:1 [Crossref]
20- Zakiei A, Khazaie H, Alimoradi M, El Rafihi‐Ferreira R, Moradi M, Komasi S. Personality and Sleep Psychopathology: Associations Between the DSM‐5 Maladaptive Trait Domains and Multiple Sleep Problems in an Adult Population. Personality & Mental Health. 2025;19(1) [Crossref]