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	Ford Insomnia Response to Stress Test	Scala dell'Iperattivazione
Campo	Medicina del sonno	Medicina del sonno
Famiglia	Process / pipeline	Process / pipeline
Anno di origine	1990	2020
Ideatore	Ford, D. E., Kamerow, D. B.	Riemann, D., Krone, L. B., Wulff, K., Nissen, C.
Tipo	Self-report	Self-report; physiologic measurement
Fonte seminale	Ford, D. E., Kamerow, D. B., & Uretsky, G. (1990). Epidemiologic study of sleep disturbances and psychiatric disorders: An opportunity for prevention? JAMA, 262(11), 1479-1484.	Riemann, D., Krone, L. B., Wulff, K., & Nissen, C. (2020). Sleep, insomnia, and depression. Neuropsychopharmacology, 45(1), 74-89.
Alias	FIRST, Ford Insomnia Response to Stress Test	Hyperarousal Scale, Sleep-Related Hyperarousal
Correlati	3	3
Sintesi	The Ford Insomnia Response to Stress Test (FIRST) is a brief self-report measure designed to identify individuals with heightened vulnerability to insomnia in response to psychological stress. Developed by Ford and Kamerow in 1990, it captures the tendency to experience sleep disruption during periods of worry, work pressure, or major life events. The FIRST is useful in identifying which individuals are at risk for insomnia during transitions or stressful periods, and in understanding individual differences in stress-related sleep reactivity.	The Hyperarousal Scale is an assessment tool measuring elevated physiologic and cognitive activation during sleep and wakefulness in insomnia patients. Rooted in contemporary understanding of insomnia as a disorder of hyperarousal (excessive vigilance, elevated muscle tension, racing thoughts, heightened startle response), the scale quantifies the degree to which increased arousal level contributes to insomnia. Hyperarousal is increasingly recognized as a core mechanism underlying insomnia, distinguishing insomnia from simple sleep deprivation.