1. |
- Jansson-Fröjmark, Markus, et al.
(författare)
-
Paradoxical intention for insomnia : A systematic review and meta-analysis
- 2021
-
Ingår i: Journal of Sleep Research. - : Wiley-Blackwell Publishing Inc.. - 0962-1105 .- 1365-2869. ; , s. 1-14
-
Tidskriftsartikel (refereegranskat)abstract
- Paradoxical intention (PI) has been considered an evidence-based treatment for insomnia since the 1990s, but it has not been evaluated with modern review techniques such as meta-analysis. The present study aimed to conduct the first systematic review and meta-analysis of studies that explore the effectiveness of PI for insomnia on insomnia symptomatology and theory-derived processes. A systematic review and meta-analysis was conducted by searching for eligible articles or dissertations in six online bibliographic databases. Randomised controlled trials and experimental studies comparing PI for insomnia to active and passive comparators and assessing insomnia symptoms as outcomes were included. A random effects model was estimated to determine the standardised mean difference Hedge's g at post-treatment. Test for heterogeneity was performed, fail-safe N was calculated, and study quality was assessed. The study was pre-registered at International Prospective Register of Systematic Reviews (PROSPERO, CRD42019137357). A total of 10 trials were identified. Compared to passive comparators, PI led to large improvements in key insomnia symptoms. Relative to active comparators, the improvements were smaller, but still moderate for several central outcomes. Compared to passive comparators, PI resulted in great reductions in sleep-related performance anxiety, one of several proposed mechanisms of change for PI. PI for insomnia resulted in marked clinical improvements, large relative to passive comparators and moderate compared to active comparators. However, methodologically stronger studies are needed before more firm conclusions can be drawn.
|
|
2. |
- Norell Clarke, Annika, et al.
(författare)
-
Drömmar
- 2023
-
Ingår i: Sömn vid hälsa och ohälsa. - : Studentlitteratur. ; 1:1, s. 85-94
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
3. |
- Norell-Clarke, Annika, 1979-, et al.
(författare)
-
Sleep-related cognitive processes and the incidence of insomnia over time : Does anxiety and depression impact the relationship?
- 2021
-
Ingår i: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 12
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: According to the Cognitive Model of Insomnia, engaging in sleep-related cognitive processes may lead to sleep problems over time. The aim was to examine associations between five sleep-related cognitive processes and the incidence of insomnia, and to investigate if baseline anxiety and depression influence the associations. Methods: Two thousand three hundred and thirty-three participants completed surveys on nighttime and daytime symptoms, depression, anxiety, and cognitive processes at baseline and 6 months after the first assessment. Only those without insomnia at baseline were studied. Participants were categorized as having or not having incident insomnia at the next time point. Baseline anxiety and depression were tested as moderators. Results: Three cognitive processes predicted incident insomnia later on. Specifically, more safety behaviors and somatic arousal at Time 1 increased the risk of developing insomnia. When investigating changes in the cognitive processes over time, reporting an increase of worry and safety behaviors also predicted incident insomnia. Depressive symptoms moderated the association between changes in worry and incident insomnia. Conclusion: These findings provide partial support for the hypothesis that cognitive processes are associated with incident insomnia. In particular, safety behaviors, somatic arousal, and worry increase the risk for incident insomnia. Preventative interventions and future research are discussed.
|
|
4. |
- Wallsten, Daniel, et al.
(författare)
-
Treating co-morbid insomnia and social anxiety disorder with sequential CBT protocols : a single-case experimental study
- 2021
-
Ingår i: Behavioural and Cognitive Psychotherapy. - : Cambridge University Press. - 1352-4658 .- 1469-1833. ; 49:6, s. 641-657
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Although insomnia disorder and social anxiety disorder are among the most prevalent psychiatric disorders, no studies have yet evaluated the use of sequential evidence-based treatment protocols in the population with co-morbid social anxiety disorder and insomnia disorder.AIMS: This study aimed to investigate the effects of sequential treatments on co-morbid insomnia disorder and social anxiety disorder. As depression is a common co-morbid syndrome for both insomnia and social anxiety, a secondary aim was to examine depressive symptoms.METHOD: A single-case repeated crossover AB design was used. Ten participants between 18 and 59 years of age with co-morbid DSM-5 diagnoses of insomnia disorder and social anxiety disorder received sequential treatments with cognitive behavioural therapy (CBT). Seven participants completed the treatment course. The primary outcomes were symptoms of insomnia and social anxiety, and the secondary outcome was symptoms of depression.RESULTS: The effects of CBT on people with co-morbid social anxiety disorder and insomnia disorder were mixed. The majority of participants improved their sleep quality and lessened symptoms of social anxiety and depression. However, participants differed in their degree of improvement concerning all three disorders.CONCLUSIONS: Sequential CBT treatments are potentially effective at decreasing symptoms of social anxiety and insomnia for people with co-morbid social anxiety disorder and insomnia disorder. The variation in outcome across participants makes firm conclusions about the treatment efficacy difficult to draw.
|
|
5. |
|
|
6. |
- Danielsson, Nanette, et al.
(författare)
-
Associations between adolescent sleep disturbance and different worry themes: findings from a repeated cross-sectional study from 1988 to 2011
- 2016
-
Ingår i: Sleep Health. - Amsterdam : Elsevier BV. - 2352-7218 .- 2352-7226. ; 2:3, s. 194-197
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe objective was to investigate relationships between adolescent sleep disturbance and various worry themes.MethodsQuestionnaire data from 8 cross-sectional collections between 1988 and 2011 were used. The sample included more than 20,000 adolescents aged 15-16. Binary logistic regressions were used for the analyses.ResultsSleep disturbance and female sex increased the odds of worrying about all themes. Sleep disturbance shared stronger associations with worry about financial security, accidents/illness, being bullied, and terrorist attacks (odds ratios, 2.65-3.35) compared with worry about environmental destruction or nuclear war (odds ratios, 1.73-2.11). No interactions between sleep and year of investigation were found.ConclusionsLittle is known about the association between adolescent worry and sleep, and about sleep disturbance and specific worry content. This study shows that the strength in the relationship between adolescent worry and sleep varies with worry themes. Knowledge of the worry content related to sleep may aid in targeting preventions and interventions.
|
|
7. |
|
|
8. |
- Garmy, Pernilla, 1973-, et al.
(författare)
-
Sömn, medievanor och livsstil hos barn och ungdomar
- 2019
-
Ingår i: Barnsliga sammanhang. - Kristianstad : Kristianstad University Press. - 9789187973437 ; , s. 103-113
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Vi vet idag inte tillräckligt om sömnvanor, medievanor och dess relation till andra livsstilsfaktorer såsom fysisk aktivitet och övervikt hos barn och ungdomar. Med förändringarna i samhället förändras också våra barns och ungdomars sömn- och livstilsvanor. Detta är frågor som många ställer till elevhälsan. I detta kapitel kommer resultat från studier om sömn, medievanor och livsstil att beskrivas. Vi kommer även att sätta ljuset på frågor som är angelägna att studera vidare.
|
|
9. |
- Garmy, Pernilla, et al.
(författare)
-
Sömn, medievanor och livsstil hos barn och ungdomar
- 2019
-
Ingår i: Barnsliga sammanhang. - Kristianstad : Kristianstad University Press. - 9789187973437 ; , s. 103-113
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Vi vet idag inte tillräckligt om sömnvanor, medievanor och dess relation till andra livsstilsfaktorer såsom fysisk aktivitet och övervikt hos barn och ungdomar. Med förändringarna i samhället förändras också våra barns och ungdomars sömn- och livstilsvanor. Detta är frågor som många ställer till elevhälsan. I detta kapitel kommer resultat från studier om sömn, medievanor och livsstil att beskrivas. Vi kommer även att sätta ljuset på frågor som är angelägna att studera vidare.
|
|
10. |
|
|