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	Scala dell'Iperattivazione	Sleep Condition Indicator
Campo	Medicina del sonno	Medicina del sonno
Famiglia	Process / pipeline	Process / pipeline
Anno di origine	2020	2014
Ideatore	Riemann, D., Krone, L. B., Wulff, K., Nissen, C.	Espie, C. A., Kyle, S. D., Hames, P., 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.	Espie, C. A., Kyle, S. D., Hames, P., Cbermack, R. A., & Morin, C. M. (2014). A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via a mobile application. Sleep, 37(9), 1553-1563.
Alias	Hyperarousal Scale, Sleep-Related Hyperarousal	Sleep Condition Indicator, SCI Insomnia 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 Sleep Condition Indicator (SCI) is an 8-item self-report scale designed to assess the severity of insomnia symptoms in adults in a manner closely aligned with DSM-5 diagnostic criteria for insomnia disorder. Developed by Espie and colleagues in 2014, it measures the core features of insomnia: difficulty initiating sleep, difficulty maintaining sleep, early morning awakening, daytime impairment, and associated distress. The SCI is increasingly used in clinical practice and research to screen for insomnia, monitor treatment response, and evaluate cognitive-behavioral therapy efficacy.