@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{KellnerRichter2022, author = {Kellner, Stefanie and Richter, Kneginja}, title = {Insomnie in der Schwangerschaft - eine systematische {\"U}bersichtsarbeit}, series = {Somnologie}, volume = {26}, journal = {Somnologie}, number = {1}, publisher = {Springer Science and Business Media LLC}, issn = {1432-9123}, doi = {10.1007/s11818-022-00342-y}, pages = {40 -- 48}, year = {2022}, abstract = {Insomnie und ein reduzierter Schlaf geh{\"o}ren zu den h{\"a}ufigsten Beschwerden, die im Verlauf einer Schwangerschaft auftreten k{\"o}nnen, vor allem im dritten Trimester. Rund 66-94 \% aller Schwangeren geben Schlafprobleme an, die mit negativen physischen und psychischen Konsequenzen f{\"u}r das schwangere Individuum wie auch f{\"u}r das ungeborene Kind verbunden sind.}, language = {de} } @article{WeberDankerHopfeDoganSanderetal.2022, author = {Weber, Franziska C. and Danker-Hopfe, Heidi and Dogan-Sander, Ezgi and Frase, Lukas and Hansel, Anna and Mauche, Nicole and Mikutta, Christian and Nemeth, Diana and Richter, Kneginja and Schilling, Claudia and Sebestova, Martina and Spath, Marian M. and Nissen, Christoph and Wetter, Thomas C.}, title = {Restless Legs Syndrome Prevalence and Clinical Correlates Among Psychiatric Inpatients}, series = {Frontiers in Psychiatry}, volume = {13}, journal = {Frontiers in Psychiatry}, publisher = {Frontiers Media SA}, issn = {1664-0640}, doi = {10.3389/fpsyt.2022.846165}, pages = {15}, year = {2022}, abstract = {BackgroundThere are only limited reports on the prevalence of restless legs syndrome (RLS) in patients with psychiatric disorders. The present study aimed to evaluate the prevalence and clinical correlates in psychiatric inpatients in Germany and Switzerland.MethodsThis is a multicenter cross-sectional study of psychiatric inpatients with an age above 18 years that were diagnosed and evaluated face-to-face using the International RLS Study Group criteria (IRLSSG) and the International RLS severity scale (IRLS). In addition to sociodemographic and biometric data, sleep quality and mood were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale (ESS), and the Patient Health Questionnaire (PHQ-9). In addition to univariate statistics used to describe and statistically analyze differences in variables of interest between patients with and without RLS, a logistic model was employed to identify predictors for the occurrence of RLS.ResultsThe prevalence of RLS in a sample of 317 psychiatric inpatients was 16.4\%, and 76.9\% of these were diagnosed with RLS for the first time. RLS severity was moderate to severe (IRLS ± SD: 20.3 ± 8.4). The prevalences in women (p = 0.0036) and in first-degree relatives with RLS (p = 0.0108) as well as the body mass index (BMI, p = 0.0161) were significantly higher among patients with RLS, while alcohol consumption was significantly lower in the RLS group. With the exception of atypical antipsychotics, treatment with psychotropic drugs was not associated with RLS symptoms. Regarding subjective sleep quality and mood, scores of the PSQI (p = 0.0007), ISI (p = 0.0003), and ESS (p = 0.0005) were higher in patients with RLS, while PHQ-9 scores were not different. A logistic regression analysis identified gender (OR 2.67; 95\% CI [1.25; 5.72]), first-degree relatives with RLS (OR 3.29; 95\% CI [1.11; 9.73], ESS score (OR 1.09; 95\% CI [1.01; 1.17]), and rare alcohol consumption (OR 0.45; 95\% CI [0.22; 0.94] as predictors for RLS.ConclusionsClinically significant RLS had a high prevalence in psychiatric patients. RLS was associated with higher BMI, impaired sleep quality, and lower alcohol consumption. A systematic assessment of restless legs symptoms might contribute to improve the treatment of psychiatric patients.}, language = {en} } @article{LichtRuttmannHillemacheretal.2022, author = {Licht, Christiane and Ruttmann, Axel and Hillemacher, Thomas and Richter, Kneginja}, title = {Use of repetitive transcranial magnetic stimulation in the treatment of catatonia}, series = {Journal of Psychiatry and Neuroscience}, volume = {47}, journal = {Journal of Psychiatry and Neuroscience}, number = {4}, publisher = {CMA Impact Inc.}, issn = {1180-4882}, doi = {10.1503/jpn.220052}, pages = {2}, year = {2022}, language = {en} } @article{RichterArzt2022, author = {Richter, Kneginja and Arzt, Michael}, title = {COVID-19-Pandemie und Schlaf}, series = {Somnologie}, volume = {26}, journal = {Somnologie}, number = {2}, publisher = {Springer Science and Business Media LLC}, issn = {1432-9123}, doi = {10.1007/s11818-022-00355-7}, pages = {71 -- 72}, year = {2022}, language = {de} } @article{LichtMetzgerWeisseretal.2022, author = {Licht, Christiane and Metzger, Thomas W. J. and Weisser, Roland and Schloegl, Christian and Richter, Kneginja}, title = {TU-178. Maladjustment of pressure settings of programmable shunt valves by weak magnetic fields}, series = {Clinical Neurophysiology, Supplement}, volume = {141}, journal = {Clinical Neurophysiology, Supplement}, publisher = {Elsevier BV}, issn = {1388-2457}, doi = {10.1016/j.clinph.2022.07.082}, pages = {S31}, year = {2022}, language = {en} } @article{MilosevaRichter2022, author = {Miloseva, Lence and Richter, Kneginja}, title = {Editorial: Impact of neurostimulation and psychotherapy on mental health}, series = {Frontiers in Psychology}, volume = {13}, journal = {Frontiers in Psychology}, publisher = {Frontiers Media SA}, issn = {1664-1078}, doi = {10.3389/fpsyg.2022.992634}, year = {2022}, language = {en} } @article{RichterRodenbeck2022, author = {Richter, Kneginja and Rodenbeck, Andrea}, title = {Aktuelle Entwicklungen in der Schlafforschung und Schlafmedizin - eine Einsch{\"a}tzung der AG „Chronobiologie"}, series = {Somnologie}, volume = {26}, journal = {Somnologie}, number = {3}, publisher = {Springer Science and Business Media LLC}, issn = {1432-9123}, doi = {10.1007/s11818-022-00368-2}, pages = {152 -- 154}, year = {2022}, language = {de} }