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Kan behandling av insomni förbättra komorbid ångest och depression?
Örebro University, Department of Behavioural, Social and Legal Sciences.
Örebro University, Department of Behavioural, Social and Legal Sciences.
2008 (Swedish)Independent thesis Basic level (professional degree), 20 credits / 30 HE creditsStudent thesisAlternative title
Does treating insomnia effect comorbid anxiety and depression? (English)
Abstract [en]

This study investigated the efficacy of a multicomponent cognitive–behavioral intervention of insomnia, CBT-I, for patients suffering from an anxiety disorder and/or a major depressive episode together with comorbid insomnia. In particular, the aim of the study was to evaluate whether anxiety and depressive symptoms declined as a function of

treatment for insomnia. After rigorous diagnostic procedures, 8 patients were treated in a multiple baseline design. Patients experienced clinically significant reductions in insomnia-, (57 %) depressive- (75 %) and anxiety symptoms (40 %). A three week follow-up measurement

demonstrated retained effects. These findings suggest that CBT-I is a feasible treatment for comorbid insomnia. It also provides partial support for insomnia as a possible causal agent of depression and anxiety. Further, a schematic model of transdiagnostic processes common to insomnia, anxiety and depression, is presented. More research is warranted to render better treatment for patients with anxiety

and/or depression and comorbid insomnia.

Abstract [sv]

Denna studie undersökte effekten av en Kognitiv- Beteende Terapeutisk behandling mot insomni, KBT-I, för patienter som lider av ångeststörning och/eller egentlig depression samt komorbid insomni. Studiens syfte var framförallt att utvärdera om ångestsymtom och depressiva symtom reducerades som en följd av behandlingen mot insomni. En minutiös diagnostisk procedur tillämpades, varefter 8 patienter inkluderades i en multipel-baslinjes design. Deltagarna erhöll kliniskt signifikanta förbättringar på insomni-, (57 %) depressions- (75 %) och ångestsymtom

(40 %). Resultaten kvarhölls vid uppföljning tre veckor efter avslutad behandling. Resultaten tyder på att KBT-I är en tillämpbar behandling för patienter med komorbid insomni. Resultaten bidrar även med visst stöd för en kausal länk från insomni över till depression och ångest. Vidare

presenteras en teoretisk modell över transdiagnostiska processer som förekommer vid insomni, ångest och depression. Ytterligare forskning behövs för att åstadkomma effektivare behandling för patienter med ångest och/eller depression och komorbid insomni.

Place, publisher, year, edition, pages
2008. , 86 p.
Keyword [en]
Insomnia, anxiety, depression, CBT, single-subject.
Keyword [sv]
Insomni, ångest, depression, KBT, single-subject.
National Category
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-2103ISRN: ORU-BSR/PSY-D--08/0029--SEOAI: oai:DiVA.org:oru-2103DiVA: diva2:135888
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samhälle/juridik
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Available from: 2008-04-25 Created: 2008-04-25

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • Other locale
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Output format
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