Søvnløshet
Søvnløshet er når man har problemer med å sovne, med å opprettholde søvnen, eller har problem med for tidlig oppvåkning. Går mangelen på søvn ut over funksjonen på dagtid, lider man av sykelig søvnmangel - insomni.
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https://nhi.no/livsstil/egenomsorg/sovnloshet/Hva mener vi med søvnløshet?
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Referanser
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, Nowell PD. Insomnia. Lancet 2004; 364: 1959-73. 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
- Torsvik S, Bjorvatn B, Eliassen KE, Forthun I. Fam Pract . 2023 Mar 28;40(2):352-359. doi: 10.1093/fampra/cmac103. Prevalence of insomnia and hypnotic use in Norwegian patients visiting their general practitioner. Fam Pract 2023; 40: 352-359. pmid:36124938 PubMed
- Perlis ML, Vargas I, Ellis JG, et al. The Natural History of Insomnia: the incidence of acute insomnia and subsequent progression to chronic insomnia or recovery in good sleeper subjects. Sleep. 2020 Jun 15;43(6):zsz299. PMID: 31848629.
- Fetveit A, Bjorvatn B. Søvnforstyrrelser hos eldre. Tidsskrift Nor Legeforening 2009; 129: 2004-6. doi:10.4045/tidsskr.08.0403 DOI
- Forthun I, Rørtveit G, Fossum GH, et al. Søvnforstyrrelser og forskrivning av hypnotika i allmennpraksis - en PraksisNett-studie. Søvn 2023; 15: 11-15. www.calameo.com
- SLK, terapianbefaling. Behandling av søvnvansker. Oslo 2000.
- 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
- 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
- Riemann D, Baglioni C, Bassetti C, Bjorvatn B, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017 Dec;26(6):675-700. Epub 2017 Sep 5. PMID: 28875581. 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
- Ramar K, Malhotra RK, Carden KA, et al. Sleep is essential to health: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2021 Jun 21. Epub ahead of print. PMID: 34170250. 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
- 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
- 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
- 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
- De Crescenzo F, D'Alò GL, Ostinelli EG, et al. Lancet . 2022 Jul 16;400(10347):170-184. doi: 10.1016/S0140-6736(22)00878-9. Comparative effects of pharmacological interventions for the acute and long-term management of insomnia disorder in adults: a systematic review and network meta-analysis. Lancet 2022; 400: 170-84. pmid:35843245 PubMed
- Fetveit A, Bjorvatn B. Søvnforstyrrelser hos sykehjemspasienter - praktiske behandlingsråd Søvnforstyrrelser hos sykehjemspasienter - praktiske behandlingsråd. Tidsskr Nor Lægeforen 2005; 125: 1676-8. PubMed
- Relis: Diazepam versus oksazepam og risiko for avhengighet. RELIS database 2019; spm.nr. 13187, RELIS Vest. relis.no
- 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
- Debernard KAB, Frost J, Roland PH. Kvetiapin er ikke en sovemedisin. Tidsskr Nor Legeforen 2019; 139. doi: 10.4045/tidsskr.19.0205. DOI
- Wilhelmsen-Langeland A, Vågenes VA, Magerøy N, Bredeli E. Utviklingen i bruken av hypnotika er trolig gledelig, men vi er bekymret for økningen i bruken av kvetiapin på indikasjon for søvnvansker. SovNo 2022. en.calameo.com
- Waal H, Vold JH, Skurtveit SO. Kvetiapinmisbruk – myte eller realitet?. Tidsskr Nor Legeforen 2020. doi:10.4045/tidsskr.20.0059 DOI
- 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
- Rosenberg R, Murphy P, Zammit G, et al. Comparison of Lemborexant With Placebo and Zolpidem Tartrate Extended Release for the Treatment of Older Adults With Insomnia Disorder: A Phase 3 Randomized Clinical Trial. JAMA Netw Open 2019; 2: e1918254. pmid:31880796 PubMed
- Mignot E, Mayleben D, Fietze I, et al. Safety and efficacy of daridorexant in patients with insomnia disorder: results from two multicentre, randomised, double-blind, placebo-controlled, phase 3 trials. Lancet Neurol 2022. doi:10.1016/S1474-4422(21)00436-1 DOI
- 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
- 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
- Ohayon M. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 2002; 6: 97-111. PubMed
- MMWR-report. Perceived insufficient rest or sleep among adults - United States, 2008. JAMA 2009; 302: 2532-39. Journal of the American Medical Association