Recent research has pointed to the importance of cognitive activity in
interfering with sleep, and suggested a close relationship between wo
rry and insomnia. To explore the relationship between worry and insomn
ia in more detail, a sample was studied in which worry and insomnia we
re combined in a 2 x 2 design. The content of sleep-interfering cognit
ions was explored both with a previously developed Sleep Disturbance Q
uestionnaire and a newly developed checklist of the content of thought
s that arose if people could not sleep. Both supported the importance
of a distinction between sleep-related and other thoughts. Whereas wor
ried insomniacs show a broad range of sleep-interfering thoughts, the
thoughts of non-worried insomniacs focused mainly on sleep itself.