Presentaties ISMC - Insomnia
63 important questions on Presentaties ISMC - Insomnia
How is insomnia related to depression according to meta-analytic studies?
- Longitudinal studies link insomnia to increased risk of depression.
- Reviewed in the Journal of Affective Disorders.
- Emphasizes importance of sleep in mental health.
What was the focus of the study on digital cognitive behavioral therapy?
- Focus on digital cognitive behavioral therapy for insomnia.
- Investigated effects on health, psychological well-being, and sleep-related quality of life.
- Study included 1,771 participants, 77% female, average age 48 years.
What findings are presented in the HUNT Study about insomnia as a risk factor?
- HUNT Study shows insomnia predicts poor health outcomes.
- Emphasizes large-scale Norwegian cohort analysis.
- Confirms insomnia's role in overall ill-health.
- Higher grades + faster learning
- Never study anything twice
- 100% sure, 100% understanding
Sophia
Law student 
For my 1st exam, I got a C. Then, I started looking for ways to learn better, and I came across Study Smart. Since then, I have scored an A+, A, A-, and another A. I highly recommend it to everyone who wants to hear it. I am so happy with it!!
John
Economics Student I was struggling to finish all my first-year subjects for three years. Then I discovered Study Smart, which helped me to complete all of them within three months.
Sara
Public Administration Student Because of StudySmart, things are going well in many ways. Before, I always had study stress and no time for anything. Now I feel calm and confident (because of the program). I used to score a B, and now I usually score an A or A+.
Mary
Business Student Hey Chris, I really want to thank you very much for developing the platform, I usually got around C for my exams, now I scored an A+, an A and a A- !!
Melanie
Psychology Student Since using Study Smart, my average has increased significantly. I even completed a statistics course with an A+ while I'm bad at statistics. I took on extra classes this year because of Study Smart. Thanks so much!
Jane
Nursing Studies Ever since I started studying with StudySmart, I have passed all my exams! No more re-sits! At first, I was happy with a pass, and now I only get good grades. Many thanks!
Rose
Political Science Student I aced all the courses I studied with Study Smart. For law, I first scored a D, and now an A! I’m 100% sure that I’ll pass all the courses I study with Study Smart.
Tina
Medicine Student I always thought I studied well. My grades were fine. I could never have imagined that applying these study skills would have such a huge and direct impact on each stage, my speed, and the pleasure I have in learning.
Julie
Marketing Student For the first time, I finally feel confident about the way I learn. I have the perfect overview and have made significant progress in terms of speed and the grades I get. Thanks, Chris!
Matt
Industrial Engineering Student I immediately started to enjoy learning again, and my grades soared. All of a sudden, everything went better. I highly recommend Study Smart to all students..
Emma
Law Student Being able to create my materials online made the process of studying so much smoother and quicker. I no longer have to spend a considerable amount of my time developing my summaries.
Michael
Psychology Student At first, my notes were a mess. Now I use Study Smart to take my notes in a perfectly structured way. It helps me to save a lot of time and do other things I enjoy.
Emily
Teacher Students that study with Study Smart get better grades. The system applies all the learning methods so that both well-performing students and students who struggle perform much better.
Richard
Literature Student Hi Chris, I would like to thank you very much. Last year I scored C on a course, and this year I got an A+ thanks to your method! Thank you very much!
Madison
Parent The most considerable effect is that my child is more enthusiastic about school! Every parent wants their children to be happy at school. Study Smart made it happen.
Robert
Accountant Student In high school, I failed several exams, and that has really changed now. I actually needed this tool very much back then. Since I started studying with StudySmart, I haven't had any Ds. My average score is now an A, and those are results I would have never had in the past.
James
Business and Science Student With my old method, I passed only 3 out of 8 courses. However, since I started taking my notes digitally in Study Smart, I have passed all my lessons on the first try. For me, StudySmart takes away the stress of wondering if I will give or not.
Christopher
Veterinarian Student Thanks to StudySmart, I passed all my exams and with better grades than before! On top of that, I have mastered a perfect study method now, which I am confident will help me earn my degree.
What is the focus of the theoretical review by Colin A. Espie and colleagues?
- Theoretical review addresses the attention–intention–effort pathway in psychophysiologic insomnia.
- Explores how this pathway contributes to insomnia development.
- Focus on cognitive processes impacting sleep.
- Published in Sleep Medicine Reviews.
What were the comorbidity statistics observed in the study participants?
- BMI: Mean of 25.3 (SD 6.0)
- Medical diagnoses:
- - Heart disease/high blood pressure: 12.4%
- - Diabetes: 2.1%
- - Neurological problems: 0.9%-1.9%
- - Cancer: 4.6%-4.8%
- - Arthritis/joint problems: 10.2%-10.5%
- - Digestive disorders: 13.9%-14.4%
- - Depression/anxiety: 37.2%-38.8%
- - Hormonal problems: 6.6%-8.2%
- - Other comorbidity: 13.4%-14.9%
- - Any diagnosis: 65.8%-66.4%
What does the meta-analysis in Sleep Medicine Reviews reveal about insomnia and mental disorders?
- Insomnia significantly predicts mental disorders.
- Supported by systematic review and meta-analysis.
- Strengthens link between sleep issues and mental health conditions.
What is the metaphor for sleep described in the quote?
- Sleep is compared to a dove.
- A dove stays when not paid attention to.
- Attempts to grab it make it fly away.
- Attributed to Dubois by Frankl (1955, p 253).
How does insomnia relate to cardiovascular disease risk?
- Insomnia increases cardiovascular disease risk.
- Analyzed through meta-analysis in Preventive Cardiology.
- Highlights need for addressing sleep issues for heart health.
What are the recent changes in the treatment of insomnia?
- Recognition that insomnia is a distinct disorder requiring treatment.
- CBT guidelines specify it as the best evidence-based treatment, promoting its use in clinical care.
- Effectively treating insomnia may ease comorbid mental and physical conditions.
- Digital CBT delivery enables treatment access on a large scale.
What is the association between insomnia and type 2 diabetes risk?
- Insomnia linked with higher type 2 diabetes risk.
- Explored in clinical setting research.
- Published in BMJ Open Diabetes Research & Care.
What are the key recommendations for the treatment of chronic insomnia according to the European Insomnia Guideline?
- CBT is recommended as the first-line treatment for chronic insomnia.
- Suitable for adults of any age.
- Backed by strong recommendation and high-quality evidence.
- Pharmacological intervention is considered if CBT is not effective or unavailable.
What is the initial treatment recommended by the ACP for chronic insomnia disorder in adults?
- ACP recommends cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment.
- This is a strong recommendation.
- Based on moderate-quality evidence.
What is the guideline treatment for chronic insomnia according to various organizations?
- CBT (Cognitive Behavioral Therapy) is the guideline treatment, not medication.
- Recognized by:
- National Institutes of Health (2005)
- British Association for Psychopharmacology (2010, 2019)
- American College of Physicians (2016)
- European Sleep Research Society (2017)
Who authored the clinical review on insomnia and health-related quality of life?
- Authors: Simon D. Kyle, Kevin Morgan, Colin A. Espie
- Affiliations:
- - University of Glasgow Sleep Centre, Sackler Institute of Psychobiological Research
- - Clinical Sleep Research Unit, Department of Human Sciences, Loughborough University
What are the four significant changes in the insomnia landscape over the past 5-10 years?
- Recognition of insomnia as a distinct disorder requiring active treatment.
- Guidelines recommend CBT as the best evidenced and first-line clinical treatment.
- Effective insomnia treatment can reduce comorbid mental and physical conditions.
- Digital delivery of CBT enables treatment at a population scale.
What is required for optimal treatment outcomes in people with both a psychiatric disorder and insomnia?
- Target both disorders for optimal treatment.
- Statement by Charles Reynolds III, MD.
- Emphasizes addressing co-existing conditions.
- Important for effective management.
What does Charles Reynolds III emphasize for optimal treatment outcomes in patients with both psychiatric disorders and insomnia?
- Clinicians should target both psychiatric disorders and insomnia.
- Addressing both conditions is crucial for treatment.
- Insomnia Disorder is recognized in DSM-5 (2013).
- Reflects a paradigm shift in diagnosing insomnia with or without other disorders.
What does the adoption of the term "Insomnia Disorder" in DSM-5 reflect?
- Represents a paradigm shift in coding insomnia.
- Applies when diagnostic criteria are met.
- Independent of co-existing disorders.
- Includes psychiatric, medical, or sleep disorders.
What is the focus of Professor Colin Espie's work?
- Focuses on treating comorbid insomnia disorder.
- Explores implications for somatic and mental health.
- Associated with University of Oxford.
- Serves as Chief Medical Officer.
- Active in championing #mentalhealth and #sleep.
What is the phrase used by Michael Sateia in the ICSD-3 concerning insomnia?
- "Insomnia ... is insomnia ... is insomnia."
- Asserts the independent recognition of insomnia.
- Emphasizes uniformity in classification.
- Highlights the standalone identity.
What is one major change in the recognition of insomnia over the past 5-10 years?
- Insomnia is now recognized as a disorder in its own right.
- It should be actively treated according to recent understandings.
What are the four significant changes in the insomnia landscape over the past 5-10 years?
- Insomnia as a disorder: Recognition as a standalone disorder needing active treatment.
- CBT guidelines: Optimal evidenced treatment; should be first-line clinical care.
- Comorbid conditions: Effective treatment may alleviate related mental and physical issues.
- Digital CBT: Enables guideline treatment at a population scale.
What is the recommended first-line treatment for chronic insomnia according to the document?
- Cognitive Behavioural Therapy (CBT) is highly effective.
- Can be delivered individually, in groups, or online.
- Alternatives include internet and smartphone applications.
- Focus on patient preferences.
- Consider reducing long-term sedative use.
What are the ACP guidelines for managing chronic insomnia disorder in adults?
- Recommendation 1: Use cognitive behavioral therapy for insomnia (CBT-I) as initial treatment.
- - Grade: Strong recommendation, moderate-quality evidence.
- Recommendation 2: Consider pharmacological therapy if CBT-I is unsuccessful.
- - Use a shared decision-making approach.
- - Discuss benefits, harms, and costs.
- - Grade: Weak recommendation, low-quality evidence.
What guidelines support the use of non-pharmacological therapy for insomnia?
- European guideline: Strong recommendation for CBT at any age.
- American College of Physicians: Recommends CBT as initial treatment.
- American Academy of Sleep Medicine: Supports stimulus control, relaxation, and CBT.
What is A.A. Borbély's contribution to sleep regulation?
- Introduced the Two Process Model of Sleep Regulation.
- Published in Human Neurobiology in 1982.
- Combines homeostatic sleep drive and circadian rhythms.
- Homeostatic drive increases with time awake.
- Circadian rhythm regulated by an internal clock.
What is the timeline of the DSM editions shown?
- DSM-IV: 1994
- DSM-IV-TR: 2000
- DSM-5: 2013
What is the prevalence of 'Insomnia Disorder' in the population?
- Affects 10-12% on a chronic basis.
- Sources: Ohayon (2002), Lichstein (2004), Morphy et al. (2007).
What editions of the International Classification of Sleep Disorders are shown?
- First Edition: 1990
- Second Edition: 1997
- Third Edition: 2005
- Third Edition (Revised): 2014
What is the Sleep Condition Indicator used to evaluate?
- It assesses insomnia based on:
- Time to fall asleep.
- Duration of awakenings during the night.
- Nights with sleep problems.
- Sleep quality rating.
- Impact on mood/energy.
- Impact on concentration/productivity.
- General troubles.
- Duration of the sleep problem.
When was the ICD-10 and ICD-11 released according to the timeline?
- ICD-10: 1992
- ICD-11: 2022
What criteria from the DSM-5 relate to the Sleep Condition Indicator?
- Scores range from 0 to 4 for each item.
- Higher scores indicate worse sleep issues.
- Criteria include time to sleep, awakenings, sleep quality, and impact on daily life.
How is insomnia classified according to the timeline?
- Insomnia: Recognized as a disorder in its own right by various classification systems in the timeline.
What does the study "Effect of Digital Cognitive Behavioral Therapy for Insomnia" investigate?
- Focus: Digital Cognitive Behavioral Therapy (CBT)
- Outcomes: Health, psychological well-being, sleep-related quality of life
- Type: Randomized clinical trial
- Publication: JAMA Psychiatry
- Published: September 25, 2018
What does The Oxford Online Programme in Sleep Medicine offer and who are the contributors?
- Leads to MSc, PGDip, or CPD
- 8 Sleep Medicine Modules + 2 research skills
- Recorded lectures & live seminars
- Started Oct 2016
- Health professionals from 31 countries
- Contributors: Simon Kyle, Christopher-James Harvey, Sumathi Sekaran, Nicola Barclay, Colin Espie, Marion Greenleaves
What is the first tip for better sleep according to the World Sleep Society?
- Establish a regular bedtime.
- Set a consistent waking time.
- Helps regulate sleep patterns.
- Promotes sleep quality.
What is the focus of the study by Prof Helen Christensen and colleagues in "The Lancet Psychiatry"?
- Study Focus: Effectiveness of SHUTi program for insomnia
- Purpose: Prevention of depressive episodes
- Study Type: Randomized controlled trial
- Published In: The Lancet Psychiatry
- Volume/Issue: Volume 3, Issue 4, April 2016
Which lifestyle adjustment is recommended for better sleep?
- Adjust to a healthier lifestyle.
- Consider substance use.
- Positive impact on sleep.
- Improve overall restfulness.
What are the '5 principles' of good sleep health proposed by Colin A. Espie?
- Value: Treat sleep as crucial and take it seriously.
- Prioritise: Make sleep a priority over other choices.
- Personalise: Find your optimal 'sleep window.'
- Trust: Understand sleep is natural and will self-regulate.
- Protect: Avoid or prevent things that disturb sleep.
How can bed usage impact sleep?
- Reserve bed for sleep.
- Avoid using it for work.
- Limit general recreation on bed.
- Promotes better sleep association.
What resources are available for addressing insomnia and sleep problems?
- Overcoming Insomnia and Sleep Problems by Espie, C.A. (2021)
- A Clinician’s Guide to CBTx for Insomnia by Espie, C.A. (2023)
- CBT for Insomnia across the Lifespan by Baglioni, C. et al. (2022)
- Insomnia: CBT-I and Other Approaches by Gavriloff, D. et al. (2022)
What publication details are given for Colin A. Espie's work on sleep principles?
- Proposed to improve public engagement with sleep health.
- Offers first-line intervention for insomnia symptoms.
- Associated with UK National Health Service campaign 'Every Mind Matters.'
- Supported by the Mental Health Foundation.
What is a suggested bedtime routine involving snacks?
- Change up your bedtime snack.
- Opt for light, healthy options.
- Avoid heavy meals.
- Improves digestion and sleep.
What are the reasons why our minds might not turn off at night?
- Rehearsing and planning thoughts
- Thinking about not sleeping
- Thinking about sleep and its consequences
- Problem-solving thoughts
- Listening to your body
- Thinking about thinking
- Thinking about things that go bump in the night
How does noise and light affect sleep?
- Block out distracting noise.
- Eliminate as much light as possible.
- Helps create a conducive sleep environment.
- Enhances sleep quality.
What is the significance of strengthening the bed-sleep connection for those with insomnia?
- For insomnia sufferers, being in bed may mean feeling awake and stressed.
- Bed should be associated with rest, relaxation, and sleep.
- Re-establish connection to help sleep quickly.
What environment adjustments can help promote better sleep?
- Find a comfortable sleep temperature.
- Keep the room well ventilated.
- Enhances sleep comfort.
- Promotes restful sleep.
What is CBTx and what are its domains?
- CBTx: A system of evidence-based therapeutics for insomnia.
- Domains:
- - Stimulus Control Therapy
- - Sleep Restriction
- - Sleep Hygiene Education
- - Relaxation
- - Cognitive Restructuring
- - Cognitive Control
- - Paradoxical Intention
How can improving sleep efficiency benefit those with insomnia?
- Insomnia often leads to low sleep efficiency; much time is spent awake.
- A low proportion of night is spent asleep.
- High sleep efficiency helps restore sleep patterns effectively.
What type of bedding is recommended for better sleep?
- Use comfortable, inviting bedding.
- Promotes relaxation.
- Enhances overall sleep quality.
- Supports restful sleep.
What is insomnia and why is CBT so relevant and effective?
- Insomnia: Sleep disorder causing difficulty in falling or staying asleep.
- CBT (Cognitive Behavioral Therapy): Focuses on changing sleep-related thoughts and behaviors.
- Effective: Proven to improve sleep patterns and reduce insomnia symptoms.
What should you watch regarding physical activity and sleep?
- Watch your workout routine.
- Ensure it doesn't interfere with sleep.
- Schedule exercise strategically.
- Supports better sleep quality.
What are the four major changes in the insomnia landscape over the past 5-10 years?
- Insomnia is now recognized as its own disorder, requiring active treatment.
- Guidelines endorse CBT as the most evidence-based treatment and the first line of clinical care.
- Effective insomnia treatment may alleviate comorbid mental and physical conditions.
- Digital delivery of CBT enables treatment at a population scale.
What research study is discussed in the document?
- Study on insomnia as a therapeutic target for depressive symptoms.
- Sub-analysis of data from two large randomized controlled trials.
- Focus on a digital sleep intervention.
- Published in the Journal of Sleep Research.
What is a tip regarding caffeine intake for better sleep?
- Create a caffeine cut-off time.
- Avoid caffeine close to bedtime.
- Reduces sleep disruption.
- Enhances sleep quality.
How many published RCTs are associated with SHUTi and Sleepio, and what are their participant numbers?
- SHUTi:
- - 8 published RCTs
- - Approximately 3,100 participants
- Sleepio:
- - 12 published RCTs
- - Approximately 8,000 participants
What information is illustrated in the graphs?
- Graph (a): PHQ-9 scores over time
- - Baseline, Post-intervention (8-10 weeks), Follow-up (22-24 weeks)
- Graph (b): SCI-8 scores over time
- - Same time points as graph (a)
- Dark bars: Intervention group, Light bars: Control group
How can a molecule be compared to an algorithm?
- Molecule: Composed of atoms bonded together, forming a specific structure.
- Algorithm: Sequence of instructions/code, designed to perform a task.
- Both are structured systems achieving particular functions through established patterns.
What is suggested as a potential solution for meeting guidelines?
- The approach involves reducing a ratio from 10,000:1 to 1:1.
- This change is aimed at potentially solving a gap in meeting guidelines.
- Emphasis is on improvement through better alignment with targets.
What changes have occurred in the insomnia landscape over the past 5-10 years?
- Recognition of insomnia as a standalone disorder requiring active treatment.
- Guidelines establish CBT as the best-evidenced, first-line treatment.
- Effective insomnia management may alleviate mental and physical comorbid conditions.
- Digital CBT delivery allows treatment at a population scale.
What did the American Academy of Sleep Medicine's guideline find about CBT effects for participants with comorbidities?
- CBT effects for participants with medical or psychiatric comorbidities were comparable in magnitude.
- This applies to most outcomes.
- Source: J Clin Sleep Med, 2021.
What is the effectiveness of cognitive behavioral therapy (CBT) for insomnia in comorbid populations?
- Medium-to-large treatment effects in comorbid populations.
- CBT effectiveness not modified by:
- - Presence of comorbid conditions
- - Use of sleep medication
- - Age
What did a chart-review find about the impact of pre-treatment symptoms on CBT effectiveness for insomnia?
- Pre-treatment symptoms of depression, anxiety, and stress did not alter CBT effectiveness.
- Study included 455 patients with chronic insomnia.
- Source: Sleep Medicine, 2020.
The question on the page originate from the summary of the following study material:
- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
Remember faster, study better. Scientifically proven.
