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Auricular acupunctu...
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Bergdahl, Lena,1980-Uppsala universitet,Psykiatri, Akademiska sjukhuset
(författare)
Auricular acupuncture versus cognitive behavioural therapy in the discontinuation of hypnotic drug usage and treatment effects of anxiety-, depression and insomnia symptoms
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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Elsevier BV,2017
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-319923
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-319923URI
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https://doi.org/10.1016/j.eujim.2017.10.002DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:137214663URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Introduction: The interest in non-pharmacological interventions for insomnia disorder has increased. The aim was to assess the immediate treatment effects of auricular acupuncture (AA) and cognitive behavioural therapy for insomnia (CBT-i) regarding discontinuation of hypnotic usage and symptoms of anxiety, depression and insomnia.Method: Prospective randomised controlled study. Fifty-seven participants (mean age 61 years (SD 8.6)) with insomnia disorder and long-term use of non-benzodiazepine hypnotics received group-treatment with AA or CBT-i. Pre- and post-treatment measures included symptoms of anxiety, depression and insomnia via self-report questionnaires: Hospital Anxiety and Depression scale (HAD-A, HAD-D) and Insomnia Severity Index (ISI). Other sleep parameters and hypnotic consumption were measured with a sleep diary. Linear mixed models were performed to examine treatment effect over time within and between the groups.Results: Seventy-one percent of the AA participants and 84% of the CBT-i participants managed to discontinue their hypnotic drug consumption post-treatment. Symptoms of anxiety and depression decreased within the AA group (HAD-A (p < 0.05), HAD-D (p < 0.05)) and insomnia symptoms decreased within the CBT-i group (ISI (p < 0.001)). The only between-group difference occurred in ISI (p < 0.001), in favour of CBT-i. According to the within-group sleep diary results, the CBT-i group went to bed later (p < 0.001), fell asleep quicker (p < 0.05), increased their sleep efficiency (p < 0.001) and self-rated sleep quality (p < 0.05) post-treatment.Conclusions: Both groups ended/maintained low hypnotic drug consumption post-treatment. Short-term reductions occurred in the AA group in anxiety and depression symptoms and in the CBT-i group regarding insomnia symptoms.
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Broman, Jan-ErikUppsala universitet,Psykiatri, Akademiska sjukhuset,Lungmedicin och allergologi(Swepub:uu)janebro
(författare)
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Berman, Anne H.Karolinska Institutet(Swepub:uu)annhb275
(författare)
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Haglund, Kristina,1950-Uppsala universitet,Psykiatri, Akademiska sjukhuset(Swepub:uu)krishagl
(författare)
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von Knorring, LarsUppsala universitet,Psykiatri, Akademiska sjukhuset(Swepub:uu)larsvon
(författare)
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Markström, AgnetaUppsala universitet,Lungmedicin och allergologi(Swepub:uu)agnemark
(författare)
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Uppsala universitetPsykiatri, Akademiska sjukhuset
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Integrative Medicine: Elsevier BV16, s. 15-211876-38201876-3839
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