{"id":15164,"date":"2025-05-29T08:41:33","date_gmt":"2025-05-29T06:41:33","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=15164"},"modified":"2025-07-14T19:39:19","modified_gmt":"2025-07-14T17:39:19","slug":"effekten-af-en-transdiagnostisk-soevn-og-doegnrytmeintervention-i-psykiatrien","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/05\/29\/effekten-af-en-transdiagnostisk-soevn-og-doegnrytmeintervention-i-psykiatrien\/","title":{"rendered":"Effekten af en transdiagnostisk s\u00f8vn- og d\u00f8gnrytmeintervention i psykiatrien"},"content":{"rendered":"

\"\"<\/p>\n

Kragh, M., Dyrberg, H., Kristiansen, S. T., Speed, M., Pedersen, P., & Martiny, K. (2025). Efficacy of a Transdiagnostic Sleep and Circadian Intervention for Outpatients With Sleep Problems and Depression, Attention Deficit Disorder, or Bipolar Disorder: A Randomised Controlled Trial. Journal of Sleep Research, e70088. <\/span>https:\/\/doi.org\/10.1111\/jsr.70088<\/a><\/p>\n

Download som PDF<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>S\u00f8vnforstyrrelser er udbredte blandt patienter med psykiatriske lidelser som depression, ADHD og bipolar lidelse. Dette studie unders\u00f8gte effekten af en dansk tilpasning af en transdiagnostisk s\u00f8vn- og d\u00f8gnrytmeintervention (TranS-C), der kombinerer kognitiv adf\u00e6rdsterapi for insomni (CBT-I) og kronoterapi.
\n<\/span><\/p>\n

Metode
\n<\/span><\/strong>88 ambulante patienter med insomni og\/eller d\u00f8gnrytmeforstyrrelser samt en depression-, ADHD- eller bipolar-diagnose blev randomiseret til en interventionsgruppe, der modtog seks individuelle behandlingssessioner, eller en kontrolgruppe, der fik udleveret 10 s\u00f8vnr\u00e5d. Data blev indsamlet ved hj\u00e6lp af validerede sp\u00f8rgeskemaer, aktigrafi og s\u00f8vndagb\u00f8ger over seks uger med m\u00e5linger ved baseline, uge 2 og uge 6.
\n<\/span>Resultater
\n<\/span><\/strong>Efter seks uger viste interventionsgruppen sammenlignet med kontrolgruppen signifikant forbedret s\u00f8vnkvalitet og mindre s\u00f8vnbesv\u00e6r (p < 0,001), bedre trivsel (p = 0,002), personlig recovery (p = 0,037), arbejdsevne (p < 0,001) og oplevelse af den generelle helbredstilstand (p = 0,004). Der blev ikke observeret signifikante forskelle i objektive s\u00f8vnparametre m\u00e5lt med aktigrafi og s\u00f8vndagb\u00f8ger.
\n<\/span>Konklusion
\n<\/span><\/strong>Resultaterne viser, at TranS-C er en effektiv intervention, der forbedrer b\u00e5de s\u00f8vn, trivsel og funktionsniveau hos patienter med forskellige psykiatriske diagnoser.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>En transdiagnostisk tilgang til s\u00f8vn- og d\u00f8gnrytmeproblemer kan v\u00e6re en anvendelig non-farmakologisk metode til behandling af insomni og\/eller d\u00f8gnrytmeforstyrrelser p\u00e5 tv\u00e6rs af diagnoser i psykiatrien.<\/span><\/p>\n

Mette Kragh, klinisk sygeplejespecialist cand.scient.san., ph.d.. Afdeling for Depression og Angst, Aarhus Universitetshospital, Psykiatrien.<\/span> mekrag@rm.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Kragh, M., Dyrberg, H., Kristiansen, S. T., Speed, M., Pedersen, P., & Martiny, K. (2025). Efficacy of a Transdiagnostic Sleep 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