@article{FraseAckerCohrsetal.2019, author = {Frase, Lukas and Acker, Jens and Cohrs, Stefan and Danker-Hopfe, Heidi and Frohn, Corinna and G{\"o}der, Robert and Mauche, Nicole and Norra, Christine and Pollm{\"a}cher, Thomas and Richter, Kneginja and Riemann, Dieter and Schilling, Claudia and Weeß, Hans-G{\"u}nter and Wetter, Thomas C. and Nissen, Christoph}, title = {Empfehlungen zur Durchf{\"u}hrung einer Polygraphie oder Polysomnographie im Bereich Psychiatrie und Psychotherapie}, series = {Der Nervenarzt}, volume = {91}, journal = {Der Nervenarzt}, number = {9}, publisher = {Springer Science and Business Media LLC}, issn = {0028-2804}, doi = {10.1007/s00115-019-00855-2}, pages = {843 -- 853}, year = {2019}, abstract = {Ein- und Durchschlafst{\"o}rungen, nichterholsamer Schlaf oder erh{\"o}hte Tagesm{\"u}digkeit sind unspezifische Symptome von heute ca. 100 unterscheidbaren St{\"o}rungsbildern, die in der kommenden 11. Revision der Internationalen statistischen Klassifikation der Krankheiten (ICD-11) erstmals als eigenes Kapitel 7 „Schlaf-Wach-St{\"o}rungen" zusammengefasst werden. Mit Blick auf den Fachbereich Psychiatrie und Psychotherapie besteht ein bidirektionaler Zusammenhang zwischen Schlaf-Wach-St{\"o}rungen und psychischen Erkrankungen. Schlaf-Wach-St{\"o}rungen k{\"o}nnen einen unabh{\"a}ngigen Risikofaktor f{\"u}r das Entstehen einer psychischen Erkrankung darstellen und den Erkrankungsverlauf ung{\"u}nstig beeinflussen. Zudem k{\"o}nnen Schlaf-Wach-St{\"o}rungen einer psychischen Erkrankung auch als Fr{\"u}hsymptom vorausgehen und damit ein wichtiger Hinweis bei der Fr{\"u}herkennung sein. Zahlreiche Schlaf-Wach-St{\"o}rungen k{\"o}nnen anhand der Anamnese und {\"u}blicher klinischer Untersuchungen diagnostiziert werden. Bei spezielleren Fragestellungen k{\"o}nnen die Untersuchung in einem speziali-sierten Schlaflabor und die Behandlung in einem schlafmedizinischen Zentrum im Sinne einer gestuften Versorgung notwendig sein. Hier ist die Polysomnographie die wichtigste Untersuchungsmethode f{\"u}r die Differenzialdiagnostik, f{\"u}r deren Abrechnung {\"u}ber die Kostentr{\"a}ger heute in Deutschland jedoch keine gesetzliche Grundlage im Bereich neuro-psychiatrischer St{\"o}rungen besteht. Die vorliegende Arbeit fasst die aktuellen Leitlinien hinsichtlich der Kriterien f{\"u}r eine Untersuchung im Schlaflabor aus Sicht des Fachgebiets Psychiatrie und Psychotherapie zusammen und stellt daraus abgeleitet Forderungen f{\"u}r eine leitliniengerechte Diagnostik und Behandlung.}, language = {de} } @article{AckerBeckerCarusBuettnerTeleagaetal.2021, author = {Acker, Jens G. and Becker-Carus, C. and B{\"u}ttner-Teleaga, Antje and Cassel, Werner and Danker-Hopfe, Heidi and D{\"u}ck, Alexander and Frohn, Corinna and Hein, Holger and Penzel, Thomas and Rodenbeck, Andrea and Roenneberg, Till and Sauter, Cornelia and Weeß, Hans-G{\"u}nter and Zeitlhofer, Josef and Richter, Kneginja}, title = {The role of actigraphy in sleep medicine}, series = {Somnologie}, volume = {25}, journal = {Somnologie}, number = {2}, publisher = {Springer Science and Business Media LLC}, issn = {1432-9123}, doi = {10.1007/s11818-021-00306-8}, pages = {89 -- 98}, year = {2021}, abstract = {AbstractActigraphy has been used for more than 60 years to objectively measure sleep-wake rhythms. Improved modern devices are increasingly employed to diagnose sleep medicine disorders in the clinical setting. Although less accurate than polysomnography, the chief advantage of actigraphs lies in the cost-effective collection of objective data over prolonged periods of time under everyday conditions. Since the cost of wrist actigraphy is not currently reimbursed, this method has not enjoyed wide acceptance to date. The present article provides an overview of the main clinical applications of actigraphy, including the recommendations of specialist societies.}, language = {en} } @article{SpiegelhalderAckerBaumeisteretal.2020, author = {Spiegelhalder, Kai and Acker, Jens and Baumeister, Harald and B{\"u}ttner-Teleaga, Antje and Danker-Hopfe, Heidi and Ebert, David D. and Fietze, Ingo and Frase, Lukas and Klein, Sarah and Lehr, Dirk and Maun, Andy and Mertel, Isabella and Richter, Kneginja and Riemann, Dieter and Sauter, Cornelia and Schilling, Claudia and Schlarb, Angelika A. and Specht, Markus and Steinmetz, Lisa and Weeß, Hans G. and Cr{\"o}nlein, Tatjana}, title = {Digitale Behandlungsangebote f{\"u}r Insomnie - eine {\"U}bersichtsarbeit}, series = {Somnologie}, volume = {24}, journal = {Somnologie}, number = {2}, publisher = {Springer Science and Business Media LLC}, issn = {1432-9123}, doi = {10.1007/s11818-020-00238-9}, pages = {106 -- 114}, year = {2020}, abstract = {ZusammenfassungDigital angebotene psychologische Interventionen gegen Schlafst{\"o}rungen sind aktuell ein sehr intensiv bearbeitetes Forschungsthema. In dieser {\"U}bersichtsarbeit werden Originalarbeiten und Metaanalysen zu diesem Thema zusammengefasst. Hierbei zeigt sich, dass die internetbasierte kognitive Verhaltenstherapie f{\"u}r Insomnie (KVT-I) bei Erwachsenen durchweg sehr effektiv ist mit allenfalls leicht geringeren Effektst{\"a}rken als die gleiche Behandlung mit physischer Pr{\"a}senz von Therapeuten und Patienten. Behandlungseffekte zeigen sich dabei auch f{\"u}r sekund{\"a}re Outcome-Parameter wie Depressivit{\"a}t, Angst, Fatigue und Lebensqualit{\"a}t. Hingegen lassen die Forschung zur Wirksamkeit der internetbasierten KVT‑I bei Erwachsenen mit komorbiden psychischen St{\"o}rungen oder k{\"o}rperlichen Erkrankungen sowie die Forschung zur Frage, wieviel Therapeutenkontakt in die Behandlung integriert werden sollte, anscheinend noch keine abschließenden Antworten zu. In diesen Bereichen scheint weitere Forschung notwendig zu sein scheint.}, language = {de} } @article{RichterAckerKamcevetal.2011, author = {Richter, Kneginja and Acker, Jens and Kamcev, Nikola and Bajraktarov, Stojan and Piehl, Anja and Niklewski, G{\"u}nter}, title = {Recommendations for the prevention of breast cancer in shift workers}, series = {EPMA Journal}, volume = {2011}, journal = {EPMA Journal}, number = {2}, doi = {10.34646/thn/ohmdok-42}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:92-opus-923}, pages = {351 -- 356}, year = {2011}, abstract = {Abstract The functioning of the human body is regulated by the rhythmical change between rest and activity. The SCN (suprachiasmatic nucleus) is responsible for the central control of the biorhythm and the genetic prediction of the individual chronotype, whereas peripheral time cues such as light, social contacts and times of meals modulate the rhythmical activity of the body. Shift workers suffer from a disruption of the sleep-wake rhythm, insomnia and a lack of melatonin. These factors might trigger the development of breast cancer in female shift workers. The growing amount of data which indicate the high risk of breast cancer in female shift workers demonstrates the need for the implementation of prevention strategies against insomnia in shift workers. These strategies include regular sleep education courses on the prevention of sleep disorders in companies. The individual chronotype could be an important predictor for the adaptability to shift work.}, subject = {Schichtarbeit}, language = {en} } @article{RichterZimniTomovaetal.2021, author = {Richter, Kneginja and Zimni, Melanie and Tomova, Iva and Retzer, Lukas and H{\"o}fig, Joachim and Kellner, Stefanie and Fries, Carla and Bernstein, Karina and Hitzl, Wolfgang and Hillemacher, Thomas and Miloseva, Lence and Acker, Jens}, title = {Insomnia Associated with Tinnitus and Gender Differences}, series = {International Journal of Environmental Research and Public Health}, volume = {18}, journal = {International Journal of Environmental Research and Public Health}, number = {6}, publisher = {MDPI AG}, issn = {1660-4601}, doi = {10.3390/ijerph18063209}, pages = {10}, year = {2021}, abstract = {Chronic tinnitus causes a decrease in well-being and can negatively affect sleep quality. It has further been indicated that there are clinically relevant gender differences, which may also have an impact on sleep quality. By conducting a retrospective and explorative data analysis for differences in patients with tinnitus and patients diagnosed with tinnitus and insomnia, hypothesized differences were explored in the summed test scores and on item-level of the validated psychometric instruments. A cross-sectional study was conducted collecting data from a sample of tinnitus patients (n = 76). Insomnia was diagnosed in 49 patients. Gender differences were found on aggregated test scores of the MADRS and BDI with men scoring higher than women, indicating higher depressive symptoms in men. Women stated to suffer more from headaches (p \< 0.003), neck pain (p \< 0.006) and nervousness as well as restlessness (p \< 0.02). Women also reported an increase in tinnitus loudness in response to stress compared to men (p \< 0.03). Male individuals with tinnitus and insomnia have higher depression scores and more clinically relevant depressive symptoms than women, who suffer more from psychosomatic symptoms. The results indicate a need for a targeted therapy of depressive symptoms in male patients and targeted treatment of psychosomatic symptoms, stress-related worsening of insomnia and tinnitus in women.}, language = {en} } @article{AckerGolubnitschajaBuettnerTeleagaetal.2021, author = {Acker, Jens and Golubnitschaja, Olga and B{\"u}ttner-Teleaga, Antje and Richter, Kneginja}, title = {Wrist actigraphic approach in primary, secondary and tertiary care based on the principles of predictive, preventive and personalised (3P) medicine}, series = {EPMA Journal}, volume = {12}, journal = {EPMA Journal}, number = {3}, publisher = {Springer Science and Business Media LLC}, issn = {1878-5077}, doi = {10.1007/s13167-021-00250-5}, pages = {349 -- 363}, year = {2021}, abstract = {Sleep quality and duration as well as activity-rest-cycles at individual level are crucial for maintaining physical and mental health. Although several methods do exist to monitor these parameters, optimal approaches are still under consideration and technological development. Wrist actigraphy is a non-invasive electro-physical method validated in the field of chronobiology to record movements and to allow for monitoring human activity-rest-cycles. Based on the continuous recording of motor activity and light exposure, actigraphy provides valuable information about the quality and quantity of the sleep-wake rhythm and about the amount of motor activity at day and night that is highly relevant for predicting a potential disease and its targeted prevention as well as personalisation of medical services provided to individuals in suboptimal health conditions and patients. Being generally used in the field of sleep medicine, actigraphy demonstrates a great potential to be successfully implemented in primary, secondary and tertiary care, psychiatry, oncology, and intensive care, military and sports medicines as well as epidemiological monitoring of behavioural habits as well as well-being medical support, amongst others.}, language = {en} }