TY - JOUR A1 - Frase, Lukas A1 - Acker, Jens A1 - Cohrs, Stefan A1 - Danker-Hopfe, Heidi A1 - Frohn, Corinna A1 - Göder, Robert A1 - Mauche, Nicole A1 - Norra, Christine A1 - Pollmächer, Thomas A1 - Richter, Kneginja A1 - Riemann, Dieter A1 - Schilling, Claudia A1 - Weeß, Hans-Günter A1 - Wetter, Thomas C. A1 - Nissen, Christoph T1 - Empfehlungen zur Durchführung einer Polygraphie oder Polysomnographie im Bereich Psychiatrie und Psychotherapie BT - Positionspapier des DGPPN-Referats Schlafmedizin JF - Der Nervenarzt N2 - Ein- und Durchschlafstörungen, nichterholsamer Schlaf oder erhöhte Tagesmüdigkeit sind unspezifische Symptome von heute ca. 100 unterscheidbaren Störungsbildern, die in der kommenden 11. Revision der Internationalen statistischen Klassifikation der Krankheiten (ICD-11) erstmals als eigenes Kapitel 7 „Schlaf-Wach-Störungen“ zusammengefasst werden. Mit Blick auf den Fachbereich Psychiatrie und Psychotherapie besteht ein bidirektionaler Zusammenhang zwischen Schlaf-Wach-Störungen und psychischen Erkrankungen. Schlaf-Wach-Störungen können einen unabhängigen Risikofaktor für das Entstehen einer psychischen Erkrankung darstellen und den Erkrankungsverlauf ungünstig beeinflussen. Zudem können Schlaf-Wach-Störungen einer psychischen Erkrankung auch als Frühsymptom vorausgehen und damit ein wichtiger Hinweis bei der Früherkennung sein. Zahlreiche Schlaf-Wach-Störungen können anhand der Anamnese und üblicher klinischer Untersuchungen diagnostiziert werden. Bei spezielleren Fragestellungen können 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 für die Differenzialdiagnostik, für deren Abrechnung über die Kostenträger heute in Deutschland jedoch keine gesetzliche Grundlage im Bereich neuro-psychiatrischer Störungen besteht. Die vorliegende Arbeit fasst die aktuellen Leitlinien hinsichtlich der Kriterien für eine Untersuchung im Schlaflabor aus Sicht des Fachgebiets Psychiatrie und Psychotherapie zusammen und stellt daraus abgeleitet Forderungen für eine leitliniengerechte Diagnostik und Behandlung. N2 - Difficulties in falling asleep and maintaining sleep, nonrestorative sleep and decreased daytime wakefulness represent very common but relatively unspecific health complaints. Around 100 specific sleep-related disorders will be classified in their own major chap. 7 (sleep wake disorders) for the first time in the upcoming 11th version of the International Classification of Diseases (ICD 11). With respect to the disciplines of psychiatry and psychotherapy there is a bidirectional relationship between mental health and sleep wake disorders. Sleep wake disorders can be an independent risk factor for the onset of a mental disorder and have a negative influence on the course of the disease. In addition, sleep wake disorders can also precede a mental disease as an early symptom and therefore be an important indication for early recognition. Many sleep wake disorders can be diagnosed based on the anamnesis and routine clinical investigations. In special cases, examination in a specialized sleep laboratory and treatment in a sleep medicine center following a staged care approach can be mandatory. Polysomnography represents the gold standard for the differential diagnostics; however, there is no legal foundation in the field of neuro-psychiatric disorders for remuneration in the German healthcare system. This review summarizes the current guidelines with respect to the criteria for an investigation in a sleep laboratory from the perspective of the disciplines of psychiatry and psychotherapy. From this the requirements for guideline-conform diagnostics and treatment are derived. T2 - Recommendations on performing polygraphy or polysomnography in the fields of psychiatry and psychotherapy Y1 - 2019 U6 - https://doi.org/10.1007/s00115-019-00855-2 SN - 0028-2804 VL - 91 IS - 9 SP - 843 EP - 853 PB - Springer Science and Business Media LLC ER - TY - JOUR A1 - Acker, Jens G. A1 - Becker-Carus, C. A1 - Büttner-Teleaga, Antje A1 - Cassel, Werner A1 - Danker-Hopfe, Heidi A1 - Dück, Alexander A1 - Frohn, Corinna A1 - Hein, Holger A1 - Penzel, Thomas A1 - Rodenbeck, Andrea A1 - Roenneberg, Till A1 - Sauter, Cornelia A1 - Weeß, Hans-Günter A1 - Zeitlhofer, Josef A1 - Richter, Kneginja T1 - The role of actigraphy in sleep medicine JF - Somnologie N2 - 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. Y1 - 2021 U6 - https://doi.org/10.1007/s11818-021-00306-8 SN - 1432-9123 VL - 25 IS - 2 SP - 89 EP - 98 PB - Springer Science and Business Media LLC ER - TY - JOUR A1 - Spiegelhalder, Kai A1 - Acker, Jens A1 - Baumeister, Harald A1 - Büttner-Teleaga, Antje A1 - Danker-Hopfe, Heidi A1 - Ebert, David D. A1 - Fietze, Ingo A1 - Frase, Lukas A1 - Klein, Sarah A1 - Lehr, Dirk A1 - Maun, Andy A1 - Mertel, Isabella A1 - Richter, Kneginja A1 - Riemann, Dieter A1 - Sauter, Cornelia A1 - Schilling, Claudia A1 - Schlarb, Angelika A. A1 - Specht, Markus A1 - Steinmetz, Lisa A1 - Weeß, Hans G. A1 - Crönlein, Tatjana T1 - Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit JF - Somnologie N2 - ZusammenfassungDigital angebotene psychologische Interventionen gegen Schlafstörungen sind aktuell ein sehr intensiv bearbeitetes Forschungsthema. In dieser Übersichtsarbeit werden Originalarbeiten und Metaanalysen zu diesem Thema zusammengefasst. Hierbei zeigt sich, dass die internetbasierte kognitive Verhaltenstherapie für Insomnie (KVT-I) bei Erwachsenen durchweg sehr effektiv ist mit allenfalls leicht geringeren Effektstärken als die gleiche Behandlung mit physischer Präsenz von Therapeuten und Patienten. Behandlungseffekte zeigen sich dabei auch für sekundäre Outcome-Parameter wie Depressivität, Angst, Fatigue und Lebensqualität. Hingegen lassen die Forschung zur Wirksamkeit der internetbasierten KVT‑I bei Erwachsenen mit komorbiden psychischen Störungen oder körperlichen 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. Y1 - 2020 U6 - https://doi.org/10.1007/s11818-020-00238-9 SN - 1432-9123 VL - 24 IS - 2 SP - 106 EP - 114 PB - Springer Science and Business Media LLC ER - TY - JOUR A1 - Richter, Kneginja A1 - Acker, Jens A1 - Kamcev, Nikola A1 - Bajraktarov, Stojan A1 - Piehl, Anja A1 - Niklewski, Günter T1 - Recommendations for the prevention of breast cancer in shift workers JF - EPMA Journal N2 - 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. KW - Schichtarbeit KW - Brustkrebs KW - Voprbeugung KW - Prävention KW - Schlaf KW - Shiftwork KW - Prevention KW - Breast Cancer KW - Sleep Y1 - 2011 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:92-opus-923 VL - 2011 IS - 2 SP - 351 EP - 356 ER - TY - JOUR A1 - Richter, Kneginja A1 - Zimni, Melanie A1 - Tomova, Iva A1 - Retzer, Lukas A1 - Höfig, Joachim A1 - Kellner, Stefanie A1 - Fries, Carla A1 - Bernstein, Karina A1 - Hitzl, Wolfgang A1 - Hillemacher, Thomas A1 - Miloseva, Lence A1 - Acker, Jens T1 - Insomnia Associated with Tinnitus and Gender Differences JF - International Journal of Environmental Research and Public Health N2 - 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. KW - tinnitus; insomnia; sleep; sleep disturbance; depression; gender difference Y1 - 2021 U6 - https://doi.org/10.3390/ijerph18063209 SN - 1660-4601 VL - 18 IS - 6 PB - MDPI AG ER - TY - JOUR A1 - Acker, Jens A1 - Golubnitschaja, Olga A1 - Büttner-Teleaga, Antje A1 - Richter, Kneginja T1 - Wrist actigraphic approach in primary, secondary and tertiary care based on the principles of predictive, preventive and personalised (3P) medicine JF - EPMA Journal N2 - 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. Y1 - 2021 U6 - https://doi.org/10.1007/s13167-021-00250-5 SN - 1878-5077 VL - 12 IS - 3 SP - 349 EP - 363 PB - Springer Science and Business Media LLC ER -