Although sleep disturbance is implicated in psychopathology, its role in anxiety-related disorders remains unclear. The present meta-analysis characterizes sleep disturbance in anxiety-related disorders collectively and individually. Subjective measures of total sleep time and sleep continuity were included with objective measures. Results indicate a large effect for increased subjective sleep disturbance (g = 2.16), medium effects for decreased total sleep time (g = −.40) and sleep continuity (g = −.49), and a small effect for decreased sleep depth (g = −.20) in anxiety-related disorders compared to healthy controls. Each anxiety-related disorder exhibited a distinct sleep disturbance pattern, suggesting that sleep may facilitate identification of unique biopsychological underpinnings. Effects were not moderated by comorbid depression and were similar in magnitude to those found for depression. Sleep disturbances, particularly decreased sleep continuity, may be a key pathology in the anxiety-related disorders that could highlight novel etiological mechanisms and intervention targets.

尽管睡眠障碍与精神病理学有关，但其在焦虑相关疾病中的作用仍不清楚。目前的荟萃分析可集体和单独地描述与焦虑相关的疾病中的睡眠障碍。总的睡眠时间和睡眠连续性的主观指标包括在客观指标中。结果表明，对主观睡眠障碍增加的影响较大（g  = 2.16），对减少总睡眠时间（g  = -.40）和睡眠连续性（g  = -.49）的影响中等，而对减少睡眠深度的影响较小（G = -.20）与健康对照组相比，与焦虑相关的疾病。每种与焦虑相关的疾病都表现出独特的睡眠障碍模式，表明睡眠可能有助于识别独特的生物心理学基础。合并抑郁症并没有减轻这种影响，其程度与抑郁症相似。睡眠障碍，特别是睡眠连续性下降，可能是焦虑相关疾病的关键病理，可能突出新的病因机制和干预目标。