| 16901. |
- Jansson-Fröjmark, Markus, et al.
(författare)
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Cognitive Behavioural Therapy for Insomnia in Psychiatric Disorders
- 2016
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Ingår i: Current Sleep Medicine Reports. - : Springer Science and Business Media LLC. - 2198-6401 .- 1805-3742. ; 2:4, s. 233-240
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Tidskriftsartikel (refereegranskat)abstract
- Insomnia means difficulties in initiating or maintaining sleep and is commonly comorbid with psychiatric disorders. From being considered secondary to primary psychiatric disorders, comorbid insomnia is now considered an independent health issue that warrants treatment in its own right. Cognitive behavioural therapy for insomnia (CBT-I) is an evidence-based treatment for insomnia. The effects from CBT-I on comorbid psychiatric conditions have received increasing interest as insomnia comorbid with psychiatric disorders has been associated with more severe psychiatric symptomologies, and there are studies that indicate effects from CBT-I on both insomnia and psychiatric symptomology. During recent years, the literature on CBT-I for comorbid psychiatric groups has expanded and has advanced methodologically. This article reviews recent studies on the effects from CBT-I on sleep, daytime symptoms and function and psychiatric comorbidities for people with anxiety, depression, bipolar disorder, psychotic disorders and post-traumatic stress disorder. Future strategies for research are suggested.
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| 16902. |
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| 16903. |
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| 16904. |
- Jansson-Fröjmark, Markus, 1971-, et al.
(författare)
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Don't worry, be constructive : a randomized controlled feasibility study comparing behaviour therapy singly and combined with constructive worry for insomnia
- 2012
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Ingår i: British Journal of Clinical Psychology. - : Wiley-Blackwell. - 0144-6657 .- 2044-8260. ; 51:2, s. 142-157
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Based on the lack of research on interventions targeting intrusive and worrisome thinking for insomnia, the aim was to examine whether a constructive worry (CW) intervention adds to the effects of behaviour therapy (BT).Design: A randomized, controlled design was used. The design included a 2-week baseline, a 4-week intervention phase (sleep restriction and stimulus control [BT] or sleep restriction and stimulus control plus constructive worry [BT + CW]), and a 2-week follow-up.Methods: Twenty-two patients with primary insomnia participated. The primary outcome was the Anxiety and Preoccupation about Sleep Questionnaire (APSQ), and secondary endpoints were subjective sleep estimates, the Insomnia Severity Index (ISI), and the Work and Social Adjustment Scale (WSAS).Results: Although both conditions produced significant improvements in subjective sleep estimates, no significant group differences over time were shown for total wake time (TWT) and total sleep time (TST). Both interventions resulted in reductions over time in insomnia severity, worry, and dysfunction. Compared to BT, BT + CW led to a larger decrease in insomnia severity at all three time points (controlled d= 1.101.68). In comparison with BT, BT + CW resulted in a larger reduction in worry at two of the time points (controlled d= 0.761.64). No significant differences between the two conditions were demonstrated for dysfunction. While more participants responded positively to treatment in the BT + CW (80100%) than in the BT condition (1827%), none of the participants remitted.Conclusions: The findings suggest that, compared to BT alone, CW might result in additional improvements in insomnia severity and worry. Given the small sample size and short follow-up, future studies are warranted.
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| 16905. |
- Jansson-Fröjmark, Markus, 1971-, et al.
(författare)
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Exploratory factor analysis of the Modified Somatic Perception Questionnaire on a sample with insomnia symptoms
- 2009
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Ingår i: Psychology, Health & Medicine. - London : Routledge. - 1354-8506 .- 1465-3966. ; 14:1, s. 62-72
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The purpose of this study was to examine the factorial solution of the Modified Somatic Perception Questionnaire (MSPQ) among individuals with insomnia symptoms in the general population.Design: A cross-sectional study with a randomly selected sample from the general population (N = 3,600; 20-60 year old) was used. In total, 251 of the 2,179 respondents fulfilled the criteria for insomnia symptoms and filled out a survey on demographic parameters, the MSPQ, the Hospital Anxiety and Depression Scale, sleep medication use, and health care consumption.Methods: Exploratory factor analysis and correlations were used.Results: The results showed that a two-factor solution, accounting for 47.31% of the variance, was extracted from the 13 items of the MSPQ. While one factor consisting of 10 items determined general symptoms of somatic arousal (a = .83), the other factor with 3 items assessed stomach symptoms and nausea (a = .78). The two factors were significantly inter-correlated (r = .54) and significantly associated with the total MSPQ (r = .96, r = .74). The two factors also showed discriminant validity with anxiety and depression and predictive validity with retrospective reports of sleep medication use and health care consumption. A few significant interactions emerged the two MSPQ factors and degree of sleep complaints.Conclusions: Although it is often assumed that the MSPQ taps a single factor of somatic arousal, this study on individuals with insomnia symptoms suggests that a two-factor solution has the best fit. Further research on the factorial solution of the MSPQ is warranted.
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| 16906. |
- Jansson-Fröjmark, Markus, et al.
(författare)
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How is persistent insomnia maintained? : A prospective study on 50-60 years old adults in the general population
- 2008
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Ingår i: British Journal of Health Psychology. - 1359-107X .- 2044-8287. ; 13:1, s. 121-133
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The purpose of this study was to examine whether arousal, distress, and sleep-related beliefs are related to the maintenance of insomnia in old adults.Design: From a randomly selected sample from the general population (N = 3,600; 50-60 year old), 2,239 participants filled out a baseline and 1-year follow-up survey.Methods: Logistic regressions were used to investigate whether psychological mechanisms were related to sleep status (insomnia: n = 230; poor sleep: n = 210; normal sleep: n = 658; good sleep: n = 253) over one year. Cluster analysis was employed to assess whether it was possible to classify the participants based on their profiles of psychological functioning.Results: The results showed that arousal, sleep-related beliefs about future consequences, and anxiety were significantly related to the maintenance of insomnia (14-66% of the variance). Of the individuals with persistent insomnia, 67% belonged to a cluster characterized by high scores on arousal, sleep-related beliefs, and anxiety, 24% to a cluster defined by medium scores on the three mechanisms, and 9% to a cluster characterized by low scores on the three mechanisms.Conclusions: This investigation shows that arousal, sleep-related beliefs, and anxiety are associated with the maintenance of persistent insomnia, but also that these mechanisms often co-occur in individuals with persistent insomnia.
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| 16907. |
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| 16908. |
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| 16909. |
- Jansson-Fröjmark, Markus, et al.
(författare)
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Is perfectionism related to pre-existing and future insomnia? : a prospective study
- 2007
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Ingår i: British Journal of Clinical Psychology. - 0144-6657 .- 2044-8260. ; 46:1, s. 119-124
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The purpose of this study was to examine the role of perfectionism to pre-existing and future insomnia. METHODS: Based on a random sample from the general population (N=3600), 1936 participants filled out a baseline and 1-year follow-up survey on perfectionism (concern over mistakes and personal standards), emotional distress and insomnia. RESULTS: The results from sequential logistic regression analyses showed that concern over mistakes was significantly related to pre-existing and future insomnia. When emotional distress was accounted for, none of the perfectionism subscales contributed significantly in explaining pre-existing and future insomnia. CONCLUSIONS: The results indicate that though perfectionism seems to be related to both pre-existing and future insomnia, its role seems relatively weak
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| 16910. |
- Jansson-Fröjmark, Markus, 1971-, et al.
(författare)
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Is there a bidirectional link between insomnia and burnout? : a prospective study in the Swedish workforce
- 2010
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Ingår i: International Journal of Behavioral Medicine. - : Springer. - 1070-5503 .- 1532-7558. ; 17:4, s. 306-313
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Tidskriftsartikel (refereegranskat)abstract
- Background: Insomnia and burnout has been suggested to form a bidirectional association.Purpose: The aim of this study was to investigate whether there is a bidirectional relationship between insomnia and burnout over the course of a year among individuals in the workforce.Method: This study employed a prospective design, where a randomly selected sample from the general population (20-60 year; N = 1,812) filled out a survey on insomnia and burnout. In employed participants (n = 1,258), the associations between insomnia and three dimensions of burnout (Maslach Burnout Inventory - General Survey) were examined, while controlling for age, gender, anxiety, and depression.Results: The bivariate correlations between insomnia and the three burnout dimensions were significant at a low level (η: .12-.29). The longitudinal analyses demonstrated that insomnia was not associated with the incidence of burnout and vice versa. However, insomnia was demonstrated to increase the risk for the persistence of emotional exhaustion (OR = 3.02). Further, insomnia was not associated with the persistence of professional efficacy and cynicism, and burnout was not related to the persistence of insomnia.Conclusion: In summary, this investigation demonstrated that insomnia and burnout are not bidirectionally related in the working population. While insomnia was linked to the maintenance of the central part of burnout, burnout was not related to future insomnia.
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