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Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial

Insomnia is a substantial problem in patients with obsessive-compulsive disorder (OCD). There is, however, a lack of studies investigating changes in concurrent symptoms of insomnia in OCD after concentrated treatment. A recent randomized controlled trial randomized participants to the Bergen 4-day...

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Autores principales: Hagen, Kristen, Nordahl, Håkon, Launes, Gunvor, Kvale, Gerd, Öst, Lars-Göran, Hystad, Sigurd, Hansen, Bjarne, Solem, Stian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8417230/
https://www.ncbi.nlm.nih.gov/pubmed/34489744
http://dx.doi.org/10.3389/fpsyt.2021.625631
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author Hagen, Kristen
Nordahl, Håkon
Launes, Gunvor
Kvale, Gerd
Öst, Lars-Göran
Hystad, Sigurd
Hansen, Bjarne
Solem, Stian
author_facet Hagen, Kristen
Nordahl, Håkon
Launes, Gunvor
Kvale, Gerd
Öst, Lars-Göran
Hystad, Sigurd
Hansen, Bjarne
Solem, Stian
author_sort Hagen, Kristen
collection PubMed
description Insomnia is a substantial problem in patients with obsessive-compulsive disorder (OCD). There is, however, a lack of studies investigating changes in concurrent symptoms of insomnia in OCD after concentrated treatment. A recent randomized controlled trial randomized participants to the Bergen 4-day treatment (B4DT, n = 16), or 12 weeks of unguided self-help (SH, n = 16), or waitlist (WL, n = 16). Patients from the SH- and WL-group who wanted further treatment after the 12 weeks were then offered the B4DT (total of 42 patients treated with the B4DT). There were no significant differences in symptoms of insomnia between the conditions at post-treatment, but a significant moderate improvement at 3-month follow-up for patients who received the B4DT. Insomnia was not associated with OCD-treatment outcome, and change in symptoms of insomnia was mainly related to changes in depressive symptoms. The main conclusion is that concentrated exposure treatment is effective irrespective of comorbid insomnia, and that insomnia problems are moderately reduced following treatment.
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spelling pubmed-84172302021-09-05 Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial Hagen, Kristen Nordahl, Håkon Launes, Gunvor Kvale, Gerd Öst, Lars-Göran Hystad, Sigurd Hansen, Bjarne Solem, Stian Front Psychiatry Psychiatry Insomnia is a substantial problem in patients with obsessive-compulsive disorder (OCD). There is, however, a lack of studies investigating changes in concurrent symptoms of insomnia in OCD after concentrated treatment. A recent randomized controlled trial randomized participants to the Bergen 4-day treatment (B4DT, n = 16), or 12 weeks of unguided self-help (SH, n = 16), or waitlist (WL, n = 16). Patients from the SH- and WL-group who wanted further treatment after the 12 weeks were then offered the B4DT (total of 42 patients treated with the B4DT). There were no significant differences in symptoms of insomnia between the conditions at post-treatment, but a significant moderate improvement at 3-month follow-up for patients who received the B4DT. Insomnia was not associated with OCD-treatment outcome, and change in symptoms of insomnia was mainly related to changes in depressive symptoms. The main conclusion is that concentrated exposure treatment is effective irrespective of comorbid insomnia, and that insomnia problems are moderately reduced following treatment. Frontiers Media S.A. 2021-08-19 /pmc/articles/PMC8417230/ /pubmed/34489744 http://dx.doi.org/10.3389/fpsyt.2021.625631 Text en Copyright © 2021 Hagen, Nordahl, Launes, Kvale, Öst, Hystad, Hansen and Solem. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Hagen, Kristen
Nordahl, Håkon
Launes, Gunvor
Kvale, Gerd
Öst, Lars-Göran
Hystad, Sigurd
Hansen, Bjarne
Solem, Stian
Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial
title Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial
title_full Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial
title_fullStr Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial
title_full_unstemmed Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial
title_short Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial
title_sort does concentrated exposure treatment for obsessive-compulsive disorder improve insomnia symptoms? results from a randomized controlled trial
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8417230/
https://www.ncbi.nlm.nih.gov/pubmed/34489744
http://dx.doi.org/10.3389/fpsyt.2021.625631
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