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	Scala dell'Iperattivazione	Daytime Insomnia Symptom Scale
Campo	Medicina del sonno	Medicina del sonno
Famiglia	Process / pipeline	Process / pipeline
Anno di origine	2020	2007
Ideatore	Riemann, D., Krone, L. B., Wulff, K., Nissen, C.	Gentili, A., Weiner, D. K., et al.
Tipo	Self-report; physiologic measurement	Self-report
Fonte seminale	Riemann, D., Krone, L. B., Wulff, K., & Nissen, C. (2020). Sleep, insomnia, and depression. Neuropsychopharmacology, 45(1), 74-89.	Gentili, A., Weiner, D. K., Kuchibhatla, M., & Edinger, J. D. (2007). Factors that modify the relationship between pain and depression in older adults. Journal of the American Geriatrics Society, 55(12), 1862-1873.
Alias	Hyperarousal Scale, Sleep-Related Hyperarousal	DISS, Daytime Insomnia Symptom Scale
Correlati	3	3
Sintesi	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.	The Daytime Insomnia Symptom Scale (DISS) is a focused assessment tool measuring the daytime functional consequences and symptoms resulting from nighttime insomnia. Developed within research on sleep disturbance and daytime functioning, it captures the daytime manifestations of poor sleep: fatigue, concentration difficulty, mood disturbance, and functional impairment in work, social, and personal domains. The DISS is particularly valuable in quantifying the real-world impact of insomnia on daily activities and quality of life.