@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{SpiegelhalderBaumeisterAlKamalyetal.2022, author = {Spiegelhalder, Kai and Baumeister, Harald and Al-Kamaly, Abdulwahab and Bader, Martina and Bauereiss, Natalie and Benz, Fee and Braun, Lina and Buntrock, Claudia and Burkhardt, Maike and Cuijpers, Pim and Domschke, Katharina and D{\"u}lsen, Patrick and Franke, Marvin and Frase, Lukas and Heber, Elena and Helm, Kathrin and Jentsch, Terry and Johann, Anna and K{\"u}chler, Ann-Marie and Kuhn, Michael and Lehr, Dirk and Maun, Andy and Morin, Charles M and Moshagen, Morten and Richter, Kneginja and Schiel, Julian and Simon, Laura and Spille, Lukas and Weeß, Hans-G{\"u}nter and Riemann, Dieter and Ebert, David Daniel}, title = {Comparative effectiveness of three versions of a stepped care model for insomnia differing in the amount of therapist support in internet-delivered treatment: study protocol for a pragmatic cluster randomised controlled trial (GET Sleep)}, series = {BMJ Open}, volume = {12}, journal = {BMJ Open}, number = {8}, publisher = {BMJ}, issn = {2044-6055}, doi = {10.1136/bmjopen-2021-058212}, pages = {11}, year = {2022}, abstract = {IntroductionIt is unclear how internet-delivered cognitive-behavioural therapy for insomnia (CBT-I) can be integrated into healthcare systems, and little is known about the optimal level of therapist guidance. The aim of this study is to investigate three different versions of a stepped care model for insomnia (IG1, IG2, IG3) versus treatment as usual (TAU). IG1, IG2 and IG3 rely on treatment by general practitioners (GPs) in the entry level and differ in the amount of guidance by e-coaches in internet-delivered CBT-I.Methods and analysisIn this randomised controlled trial, 4268 patients meeting International Classification of Diseases, Tenth Revision (ICD-10) criteria for insomnia will be recruited. The study will use cluster randomisation of GPs with an allocation ratio of 3:3:3:1 (IG1, IG2, IG3, TAU). In step 1 of the stepped care model, GPs will deliver psychoeducational treatment; in step 2, an internet-delivered CBT-I programme will be used; in step 3, GPs will refer patients to specialised treatment. Outcomes will be collected at baseline, and 4 weeks, 12 weeks and 6 months after baseline assessment. The primary outcome is insomnia severity at 6 months. An economic evaluation will be conducted and qualitative interviews will be used to explore barriers and facilitators of the stepped care model.Ethics and disseminationThe study protocol was approved by the Ethics Committee of the Medical Centre—University of Freiburg. The results of the study will be published irrespective of the outcome.Trial registration numberDRKS00021503.}, language = {en} } @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{RichterPeterRodenbecketal.2020, author = {Richter, Kneginja and Peter, Lukas and Rodenbeck, Andrea and Weess, Hans G{\"u}nter and Riedel-Heller, Steffi G. and Hillemacher, Thomas}, title = {Shiftwork and Alcohol Consumption}, series = {European Addiction Research}, volume = {27}, journal = {European Addiction Research}, number = {1}, publisher = {S. Karger AG}, issn = {1022-6877}, doi = {10.1159/000507573}, pages = {9 -- 15}, year = {2020}, abstract = {Shiftwork can be a risk factor for a number of different somatic and psychological health conditions, especially sleep disorders. Shiftworkers sleep less than dayworkers, and 20-40\% of them suffer from difficulties initiating and maintaining sleep, which result in reduced capacity for work and social life. A common coping strategy might be the use of alcohol, which presents a health and safety hazard as it further impairs sleep quality and exacerbates sleepiness in the workplace. This review aimed to assess the extent of such possible connections.}, language = {en} }