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Paradoxical intenti...
Paradoxical intention for insomnia : A systematic review and meta-analysis
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- Jansson-Fröjmark, Markus (author)
- Karolinska Institutet & Region Stockholm
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- Alfonsson, Sven (author)
- Karolinska Institutet & Region Stockholm,Karolinska Institutet ;Stockholm Health Care Service
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- Bohman, Benjamin (author)
- Karolinska Institutet & Region Stockholm,Karolinska Institutet ;Stockholm Health Care Service
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- Rozental, Alexander (author)
- Karolinska Institutet, Region Stockholm & UCL Great Ormond Street Hospital Institute of Child Health,Karolinska Institutet ;Stockholm Health Care Service ;UCL, Great Ormond St Hosp, GBR
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- Norell-Clarke, Annika, 1979- (author)
- Högskolan Kristianstad,Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap,Forskningsplattformen för Hälsa i samverkan,Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO),Karlstads universitet,Institutionen för sociala och psykologiska studier (from 2013),Kristianstad University
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- Jansson-Frojmark, Markus (author)
- Karolinska Institutet ;Stockholm Health Care Service
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- Alfonsson, S (author)
- Karolinska Institutet
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Norell-Clarke, A (author)
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- Rozental, A (author)
- Karolinska Institutet
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- Bohman, B (author)
- Karolinska Institutet
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- Jansson-Frojmark, M (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2021
- 2021
- English.
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In: Journal of Sleep Research. - : Wiley-Blackwell Publishing Inc.. - 0962-1105 .- 1365-2869. ; , s. 1-14
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper (hsv//swe)
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Keyword
- adults
- cognitive behavioural therapy
- cognitive therapy
- effectiveness
- paradoxical intention
- sleep disturbance
Publication and Content Type
- ref (subject category)
- art (subject category)