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Alternativer til sovemidler hos eldre
Søvnhygieniske råd
Om søvnvansker - undervisning
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Selvhjelpskurs for kroniske søvnvansker (insomni) på NHI.NO
Selvhjelpskurs for kortvarige søvnvansker på NHI.NO

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Dette dokumentet er basert på det profesjonelle dokumentet "Insomni". Referanselisten for dette dokumentet vises nedenfor.

International Classification of Sleep Disorders, 3rd ed, American Academy of Sleep Medicine, Darien, IL 2014.
Sateia MJ. International Classifi cation of Sleep Disorders-Third Edition. Highlights and Modifications. Chest 2014; 146: 1387-94. doi:10.1378/chest.14-0970 DOI
Sateia MJ, Nowell PD. Insomnia. Lancet 2004; 364: 1959-73. PubMed
Ohayon M. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 2002; 6: 97-111. PubMed
Wolkove N, Elkholy O, Baltzan M et al. Sleep and aging: 1. Sleep disorders commonly found in older people. CMAJ 2007; 24: 1299–304. DOI: 10.1503/cmaj.060792 DOI
Sateia MJ, Doghramji K, Hauri PJ, Morin CM. Evaluation of chronic insomnia: an American Academy of Sleep Medicine review . Sleep 2000; 23: 243-308. PubMed
Pallesen S, Sivertsen B, Nordhus IH, Bjorvatn B. A 10-year trend of insomnia prevalence in the adult Norwegian population. Sleep Med 2013. doi:10.1016/j.sleep.2013.10.009 DOI
MMWR-report. Perceived insufficient rest or sleep among adults - United States, 2008. JAMA 2009; 302: 2532-39. Journal of the American Medical Association
Fetveit A, Bjorvatn B. Søvnforstyrrelser hos eldre. Tidsskrift Nor Legeforening 2009; 129: 2004-6. doi:10.4045/tidsskr.08.0403 DOI
SLK, terapianbefaling. Behandling av søvnvansker. Oslo 2000.
Wolkove N, Elkholy O, Baltzan M et al. Sleep and aging: 2. Management of sleep disorders in older people. CMAJ 2007; 8: 1449–54. doi: 10.1503/cmaj.070335 DOI
Bjorvatn B. Søvnregistrering og søvnstadier. Nasjonal kompetansetjeneste for søvnsykdommer (SOVno). Sist oppdatert 26.01.2018. helse-bergen.no
Hirshkowitz M, et al, National Sleep Foundation’s sleep time duration recommendations: methodology and results summary, Sleep Health (2015), doi: 10.1016/j.sleh.2014.12.010 DOI
Espie CA. Insomnia: conceptual issues in the development, persistence, and treatment of sleep disorder in adults . Annu Rev Psychol 2002; 53: 215-43. PubMed
SBU. Arbetsmiljöns betydelse för sömnstörningar. En systematisk litteraturöversikt. Stockholm: Elanders, 2013.
Bjorvatn B. Alternativer til sovemidler hos eldre. Tidsskr Nor Lægeforen 2003; 123: 1048. PubMed
Bjorvatn B, Sivertsen B, Øyane N, Nordhus IH, Pallesen S. Insomni. Tidsskr Nor Legeforen 2009; 129: 1766-8. Tidsskrift for Den norske legeforening
Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW. Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Arch Intern Med 2004; 164: 1888-96. PubMed
Davidson JR, Dickson C, Han H. Cognitive behavioural treatment for insomnia in primary care: a systematic review of sleep outcomes. Br J Gen Pract 2019; 69: e657-e664. pmid:31358494 PubMed
Stepanski EJ, Rybarczyk B. Emerging research on the treatment and etiology of secondary or comorbid insomnia. Sleep Med Rev 2006; 10: 7–18. PMID: 16376125 PubMed
Ritterband LM, Thorndike FP, Gonder-Frederik LA, et al. Efficacy of an internet-based behavioral intevention for adults with insomnia. Arch Gen Psychiatry 2009; 66: 692-8. PubMed
Stepanski EJ, Wyatt JK. se of sleep hygiene in the treatment of insomnia. Sleep Med Rev 2003; 7: 215. pmid:12927121 PubMed
Morin CM, Culbert JP, Schwartz SM. Non-pharmacological interventions for insomnia: a meta-analysis og treatment efficacy. Am J Psychiatry 1994; 151: 1172-80 American Journal of Psychiatry
Bjorvatn B. Langvarige søvnvansker - kan de behandles? Tidsskr Nor Lægeforen 2000; 120:579-82. Tidsskrift for Den norske legeforening
Black DS, O'Reilly GA, Olmstead R, et al. Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances: A Randomized Clinical Trial. JAMA Intern Med 2015. doi:10.1001/jamainternmed.2014.8081 DOI
Pallesen S, Nordhus IH, Kvale G, Nielsen GH, et al. Behavioral treatment of insomnia in older adults: an open clinical trial comparing two interventions. Behav Res Ther 2003; 41: 31. pmid:12488118 PubMed
Trauer JM, Qian MY, Doyle JS, et al. Cognitive behavioral therapy for chronic insomnia: A systematic review and meta-analysis. Ann Intern Med 2015. doi:10.7326/M14-2841 DOI
Brasure M, Fuchs E, MacDonald R, et al. Psychological and Behavioral Interventions for Managing Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians. Ann Intern Med 2016. doi:10.7326/M15-1782 DOI
van Straten A, van der Zweerde T, Kleiboer A et al. Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis. Sleep Med Rev 2018; 38: 3-16. pmid:28392168 PubMed
Espie CA, Inglis SJ, Tessier S, Harvey L. The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice. Behav Res Ther 2001; 39: 45-60. PubMed
Wu JQ, Appleman ER, Salazar RD, Ong JC. Cognitive Behavioral Therapy for Insomnia Comorbid With Psychiatric and Medical Conditions: A Meta-analysis. JAMA Intern Med 2015. doi:10.1001/jamainternmed.2015.3006 DOI
Sivertsen B, Omvik S, Pallesen S, et al. Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults. JAMA 2006; 295: 2851-8. PubMed
Morin CM, Vallieres A, Guay B, et al. Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia. A randomized controlled trial. JAMA 2009; 301: 2005-15. Journal of the American Medical Association
Morgan K, Gregory P, Tomeny M, et al. Self-help treatment for insomnia symptoms associated with chronic conditions in older adults: a randomized controlled trial. J Am Geriatr Soc 2012; 60: 1803-10. PubMed
Bjorvatn B, Fiske E, Pallesen S. A self-help book is better than sleep hygiene advice for insomnia. A randomized controlled comparative study. Scand J Psychology 2011; 52: 580-5. PubMed
Espie CA, Kyle SD, Williams C, et al. A randomized, placebo-controlled trial of online cognitive behavioural therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep 2012; 35: 769-81. PubMed
Bootzin RR, Nicassion PM. Behavioral treatments for insomnia. In: Hersen M, Eissler R, Miller P, eds. Progress in Behavior Modification. New York, NY: Academic Press, 1978: 1-45.
Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR. Nonpharmacologic treatment of chronic insomnia: an American Academy of Sleep Medicine review. Sleep 1999; 22: 1134-56. PubMed
Morgenthaler T, Kramer M, Alessi C et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine report. SLEEP 2006; 29: 1415-19. pmid:17162987 PubMed
Buysse DJ, Germain A, Moul DE, et al. Efficacy of brief behavioral treatment for chronic insomnia in older adults. Arch Intern Med 2011; 171: 887-95. PubMed
Baillargeon L, Demers M, Ladoceur R. Stimulus control: nonpharmacological treatment for insomnia. Can Fam Physician 1998; 44: 73-9. PubMed
Hogan DB, Maxwell CJ, Fung TS, Ebly EM. Prevalence and potential consequences of benzodiazepine use in senior citizens: results from the Canadian study of health and aging. Can J Clin Pharmacol 2003; 10: 72-7. PubMed
Nowell PD, Mazumdar S, Buysse DJ, Dew MA, Reynolds CF, Kupfer DJ. Benzodiazepines and zolpidem for chronic insomnia: a meta-analysis of treatment efficacy. JAMA 1997; 278: 2170-77. Journal of the American Medical Association
Holbrook AM, Crowther R, Lotter A, Cheng C, King D. Meta-analysis of benzodiazepine use in the treatment of insomnia. CMAJ 2000; 162: 225-33. Canadian Medical Association Journal
Wilt TJ, MacDonald R, Brasure M, et al. Pharmacologic Treatment of Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians. Ann Intern Med 2016. doi:10.7326/M15-1781 DOI
Wilson SJ, Nutt DJ, Alford C, et al. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders. J Psychopharmacol 2010 Nov; 24(11): 1577-601. pmid:20813762 PubMed
Ray WA, Thapa PB, Gideon P. Benzodiazepines and the risk of falls in nursing home residents. J Am Geriatr Soc 2000; 48: 682-85. PubMed
Roehrs T, Merlotti L, Zorick F, Roth T. Rebound insomnia in normals and patients with insomnia after abrupt and tapered discontinuation. Psychopharmacology 1992; 108: 67-71. PubMed
Roth T, Roehrs TA. A review of the safety profiles of benzodiazepine hypnotics. J Clin Psychiatry 1991; 52 (suppl): 38-41.
Hajak G, Muller WE, Wittchen HU, Pittrow D, Kirch W. Abuse and dependence potential for the non-benzodiazepine hypnotics zolpidem and zopiclone: a review of case reports and epidemiological data . Addiction 2003; 98: 1371-78. PubMed
National Institute for Clinical Excellence. Guidance on the use of zaleplon, zolpidem and zopiclone for the short-term management of insomnia. London: NICE, 2004. (Technology Appraisal 77.) www.nice.org.uk/TA077guidance (accessed 20 Sep 04).
Mellingsæter TC, Bramness JG, Slørdal L. Er z-hypnotika bedre og tryggere sovemedisiner enn benzodiazepiner?. Tidsskr Nor Lægeforen 2006; 126: 2954-6. PubMed
Morin CM, Colecchi C, Stone J, Sood R, Brink D. Behavioral and Pharmacological Therapies for Late-Life Insomnia. A Randomized Controlled Trial. JAMA 1999;281:991-9. Journal of the American Medical Association
Liira J, Verbeek JH, Costa G, et al. Pharmacological interventions for sleepiness and sleep disturbances caused by shift work. Cochrane Database of Syst Rev 2014; (8): CD009776. doi:10.1002/14651858.CD009776.pub2 DOI
Fetveit A, Bjorvatn B. Søvnforstyrrelser hos sykehjemspasienter - praktiske behandlingsråd Søvnforstyrrelser hos sykehjemspasienter - praktiske behandlingsråd. Tidsskr Nor Lægeforen 2005; 125: 1676-8. PubMed
Culpepper L, Wingertzahn MA. Over-the-Counter Agents for the Treatment of Occasional Disturbed Sleep or Transient Insomnia: A Systematic Review of Efficacy and Safety. Prim Care Companion CNS Disord 2015 Dec 31. pmid:27057416 PubMed
BMJ Best Practice: Insomnia. Sist oppdatert 25.01.2016. bestpractice.bmj.com
Alessi CA, Martin JL, Webber AP, Cynthia Kim E, Harker JO, Josephson KR. Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents. J Am Geriatr Soc 2005; 53: 803-10. PubMed
Herxheimer A, Petrie KJ. Melatonin for preventing and treating jet-lag (Cochrane Review). In: The Cochrane Library, Issue 1, 2001. Oxford: Update Software. The Cochrane Library
Bjorvatn B, Pallesen S. A practical approach to circadian rhythm sleep disorders. Sleep Medicine Reviews, 2009; 13: 47-60.
Holbrook AM, Crowther R, Lotter A, Cheng C, King D. The diagnosis and management of insomnia in clinical practice: a practical evidence-based approach. CMAJ 2000; 162: 216-20. Canadian Medical Association Journal
King AC, Oman RF, Brassington GS, Bliwise DL, Haskell WL. Moderate-intensity exercise and self-rated quality of sleep in older adults. A randomized controlled trial. JAMA 1997; 277: 32-7. Journal of the American Medical Association
Montgomery P, Dennis J. Physical exercise for sleep problems in adults aged 60+ (Cochrane Review). In: The Cochrane Library, Issue 4, 2002. Oxford: Update Software. The Cochrane Library
Montgomery P, Dennis J. Bright light therapy for sleep problems in adults aged 60+ (Cochrane Review). In: The Cochrane Library, Issue 4, 2002. Oxford: Update Software. The Cochrane Library
Fetveit A, Bjorvatn B. Lysbehandling mot søvnvansker i sykehjem - et ikke-farmakologisk alternativ. Tidsskr Nor Lægeforen 2005; 125: 1679-81. PubMed
King CR, Knutson KL, Rathouz PJ, et al. Short sleep duration and incident coronary artery calcification. JAMA 2008; 300: 2859-66. Journal of the American Medical Association
Riemann D, Voderholzer U. Primary insomnia: a risk factor to develop depression? J Affect Disord 2003; 76: 255–9. PMID: 12943956 PubMed
Hajak G. Epidemiology of severe insomnia and its consequences in Germany. Eur Arch Psychiatry Clin Neurosci 2001; 251: 49-56. PubMed
Edinger JD, Means MK, Carney CE et al. Psychomotor performance deficits and their relation to prior nights" sleep among individuals with primary insomnia. Sleep 2008; 31: 599–607.
Backhaus J, Junghanns K, Born J et al. Impaired declarative memory consolidation during sleep in patients with primary insomnia: Influence of sleep architecture and nocturnal cortisol release. Biol Psychiatry 2006; 60: 1324–30. DOI: 10.1016/j.biopsych.2006.03.051 DOI
Morin CM, Rodrigue S, Ivers H. Role of stress, arousal, and coping skills in primary insomnia. Psychosom Med 2003; 65: 259–67. PMID: 12651993 PubMed
Sivertsen B, Øverland S, Bjorvatn B et al. Does insomnia predict sick leave? The Hordaland Health Study. J Psychosom Res 2009; 66: 67–74. doi: 10.1016/j.jpsychores.2008.06.011 DOI
Sivertsen B, Øverland S, Neckelmann D et al. The long-term effect of insomnia on work disability: the HUNT-2 historical cohort study. Am J Epidemiol 2006; 163: 1018–24. PMID: 16611665 PubMed
Sørensen E. Søvn og utvikling hos barn og unge. Tidsskr Nor Lægeforen 2003; 123: 26-9. Tidsskrift for Den norske legeforening

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