Although the number and types of stressors individuals experience can play a role in the initiation of insomnia, the way individuals cope with those stressors can alter its duration. A recent article reported in Psychosomatic Medicine (January-February 2006) describes the results of a study on coping styles and the maintenance of insomnia. Individuals encounter 2 types of stressorsthose they can control and those they cannot control. The well-adjusted coping style for stressors that can be controlled is monitoring, which involves seeking information. The well-adjusted coping style for stressors that cannot be controlled is blunting, which involves distracting oneself from the stressor.
In this study, a significantly greater proportion of the patients with insomnia exhibited a monitoring coping style, whereas significantly more of the good sleepers exhibited a blunting coping style. Surprisingly, the poor sleepers often practiced better sleep hygiene, compared with good sleepers.
Although the annual HIV diagnosis rate between 2010 and 2014 decreased for black individuals by 16.2%, blacks remain disproportionately affected by HIV/AIDS.
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