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Sökning: WFRF:(Bohman M) > Paradoxical intenti...

  • Jansson-Fröjmark, MarkusKarolinska Institutet & Region Stockholm (författare)

Paradoxical intention for insomnia : A systematic review and meta-analysis

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021
  • Wiley-Blackwell Publishing Inc.2021
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hkr-22539
  • urn:nbn:se:hkr:diva-22539urn
  • https://doi.org/10.1111/jsr.13464DOI
  • urn:nbn:se:kau:diva-85861urn
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:147359293URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • gratis
  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Alfonsson, SvenKarolinska Institutet & Region Stockholm,Karolinska Institutet ;Stockholm Health Care Service (författare)
  • Bohman, BenjaminKarolinska Institutet & Region Stockholm,Karolinska Institutet ;Stockholm Health Care Service (författare)
  • Rozental, AlexanderKarolinska Institutet, Region Stockholm & UCL Great Ormond Street Hospital Institute of Child Health,Karolinska Institutet ;Stockholm Health Care Service ;UCL, Great Ormond St Hosp, GBR (författare)
  • Norell-Clarke, Annika,1979-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(Swepub:hkr)norann (författare)
  • Jansson-Frojmark, MarkusKarolinska Institutet ;Stockholm Health Care Service (författare)
  • Alfonsson, SKarolinska Institutet (författare)
  • Norell-Clarke, A (författare)
  • Rozental, AKarolinska Institutet (författare)
  • Bohman, BKarolinska Institutet (författare)
  • Jansson-Frojmark, MKarolinska Institutet (författare)
  • Karolinska Institutet & Region StockholmKarolinska Institutet ;Stockholm Health Care Service (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Sleep Research: Wiley-Blackwell Publishing Inc., s. 1-140962-11051365-2869

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Högskolan Kristianstad
Karlstads universitet

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