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It is unclear whether self\u2010reported somatic arousal is a marker of hyperarousal or co\u2010morbid clinical anxiety in individuals with insomnia. Participants included 196 young adults aged 20.2\u2005\u00b1\u20051.0\u2005years old who were predominantly females (75%). About 39% of the sample reported subthreshold insomnia, and about 8% reported clinically significant insomnia, based on their Insomnia Severity Index. Participants completed the Pre\u2010Sleep Arousal Scale, Beck Anxiety Inventory, Beck Depression Inventory, Arousal Predisposition Scale, and Ford Insomnia Response to Stress Test. Multivariable stepwise regression assessed which factors were independently associated with pre\u2010sleep cognitive (Pre\u2010Sleep Arousal Scale\u2010Cognitive) and somatic (Pre\u2010Sleep Arousal Scale\u2010Somatic) arousal. Receiver\u2010operating characteristic analysis assessed the predictive value to identify clinically significant anxiety (Beck Anxiety Inventory\u2005\u2265\u200520), insomnia (Insomnia Severity Index\u2005\u2265\u200515) and arousability (Arousal Predisposition Scale\u2005\u2265\u200532). Beck Anxiety Inventory (<jats:italic>\u03b2<\/jats:italic>\u2005=\u20050.42) was the best single correlate of Pre\u2010Sleep Arousal Scale\u2010Somatic, while Insomnia Severity Index (<jats:italic>\u03b2<\/jats:italic>\u2005=\u20050.33) was of Pre\u2010Sleep Arousal Scale\u2010Cognitive. A Pre\u2010Sleep Arousal Scale\u2010Somatic score of 12 or more identified those with clinically significant anxiety with 65% specificity and 65% sensitivity, while a cut\u2010off score of 14 increased its sensitivity (86%). Self\u2010reported pre\u2010sleep somatic arousal may be an index of co\u2010morbid clinical anxiety in individuals with insomnia. These findings aid clinicians with assessment and treatment, particularly in the absence of clinical guidelines indicating when somatically focused relaxation techniques should be included as part of multicomponent cognitive behavioural treatment of insomnia.<\/jats:p>","DOI":"10.1111\/jsr.12829","type":"journal-article","created":{"date-parts":[[2019,2,4]],"date-time":"2019-02-04T04:29:58Z","timestamp":1549254598000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Am I (hyper)aroused or anxious? Clinical significance of pre\u2010sleep somatic arousal in young adults"],"prefix":"10.1111","volume":"28","author":[{"given":"Kristina","family":"Puzino","sequence":"first","affiliation":[{"name":"Sleep Research &amp; Treatment Center Penn State Health Milton S. Hershey Medical Center College of Medicine Pennsylvania State University Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara S.","family":"Frye","sequence":"additional","affiliation":[{"name":"College of Education University of Arizona Tucson Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin A.","family":"LaGrotte","sequence":"additional","affiliation":[{"name":"College of Public Health Temple University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros N.","family":"Vgontzas","sequence":"additional","affiliation":[{"name":"Sleep Research &amp; Treatment Center Penn State Health Milton S. Hershey Medical Center College of Medicine Pennsylvania State University Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9584-6161","authenticated-orcid":false,"given":"Julio","family":"Fernandez\u2010Mendoza","sequence":"additional","affiliation":[{"name":"Sleep Research &amp; Treatment Center Penn State Health Milton S. 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