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Research projects

Understanding the development of insomnia: Risk factors and processes in chronic insomnia

About this project

Project information

Project status

In progress

Contact

Annika Norell

Research subject

Research environments

The aim of the project is to investigate different types of sleep problems in the population. Both people who slept well and those with poor sleep participated by answering questions about their sleep three times over 18 months. So far, our research has focused on the links between insomnia, anxiety and depression, and identified factors of importance for new insomnia, persistent insomnia and remission from insomnia. Now our focus is shifting to symptoms of Restless Legs Syndrome, apnea and nightmares, and towards psychometrical evaluations of more sleep-related questionnaires.

Sebastian Isaksson and Vera Henriksson are also working on the research project. 

Publications

Publications from the project

Longitudinal studies of insomnia, anxiety, and depression
Johansson, M., Jansson-Fröjmark, M., Norell-Clarke, A., & Linton. S. J. (2021). Changes in insomnia as a risk factor for the incidence and persistence of anxiety and depression: A longitudinal community study. Sleep Science and Practice, 5(5). https://doi.org/10.1186/s41606-020-00053-z 

Norell-Clarke, A., Hagström, M., & Jansson-Fröjmark, M. (2021). Sleep-related cognitive processes and the incidence of insomnia over time: does anxiety and depression impact the relationship? Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.677538 

Jansson-Fröjmark, M., Norell-Clarke, A., & Linton, S. J. (2016). The role of emotion dysregulation in insomnia: Longitudinal findings from a large community sample. British Journal of Health Psychology, 21 (1), 93-113. https://doi.org/10.1111/bjhp.12147 

Johansson, M., Jansson-Fröjmark, M., Norell-Clarke, A., & Linton, S. J. (2016). The role of psychiatric and somatic conditions in incidence and persistence of insomnia: A longitudinal community study. Sleep Health, 2 (3), 229-238. https://doi.org/10.1016/j.sleh.2016.05.004 

Norell-Clarke, A., Jansson-Fröjmark, M., Tillfors, M., & Harvey, A. G., Linton, S. J. (2014). Cognitive processes and their association with persistence and remission of insomnia: Findings from a longitudinal study in the general population. Behaviour Research and Therapy, 54, 38-48. https://doi.org/10.1016/j.brat.2014.01.002

Jansson-Fröjmark, M., Harvey, A. G., Norell-Clarke, A., & Linton, S. J. (2012). Associations between psychological factors and nighttime/daytime symptomatology in insomnia. Cognitive Behaviour Therapy, 41, 273-287. https://doi.org/10.1080/16506073.2012.672454

Psychometric evaluations of sleep-related questionnaires

Jansson-Fröjmark, M., Harvey, A. G., & Flink, I. K. (2020). Psychometric properties of the Insomnia Catastrophizing Scale (ICS) in a large community sample. Cognitive Behaviour Therapy, 49(2), 120-136. https://www.tandfonline.com/doi/pdf/10.1080/16506073.2019.1588362

Jansson-Fröjmark, M & Norell-Clarke, A. (2012). Psychometric properties of the Pre-Sleep Arousal Scale in a large community sample. Journal of Psychosomatic Research, 72, 103-110. https://doi.org/10.1016/j.jpsychores.2011.10.005

Jansson-Fröjmark, M., Harvey, A. G. , Lundh, L.-G., Norell-Clarke, A. & Linton, S. J. (2011). Psychometric properties of an insomnia-specific measure of worry: The Anxiety and Preoccupation about Sleep Questionnaire. Cognitive Behaviour Therapy, 40, (1), 65 - 76. https://doi.org/10.1080/16506073.2010.538432

Dissertations

Norell-Clarke, A. (2014). Cogito, ergo insomnis. I think, therefore I am sleepless, Örebro university, Örebro. (Örebro Studies in Psychology 30).

Student theses

Henriksson, V., & Isaksson, S. (2024). Same scale, different names? Assessment of the psychometric properties of three established scales that measure cognitive processes in insomnia and the introduction of the Sleep Worry 7.

Ehnberg, E., & Hellström, T. (2024). Kan psykologiska processer förklara vidmakthållandet av Restless Legs Syndrome över tid?

Josefina Karlsson och Steve Eliasson (2009). Emotional Pill-popper – Finns det samband mellan dysfunktionell känsloreglering och sömnmedelsanvändning? Psykologprogrammet, Örebro universitet.

Cecilia Ewrelius och Marlen Nordin (2011). Psykologiska riskfaktorer för utvecklandet av insomni: Ett första steg på vägen mot screening och prevention. Psykologprogrammet, Örebro universitet.

Asker, H., & Backström, M. (2010). En psykometrisk utvärdering av frågeformulären PSAS-C och APSQ som mått på sömnrelaterad oro. https://www.diva-portal.org/smash/get/diva2:292169/FULLTEXT02

Bärjed, M., & Strömbäck, E. (2010). Nytt ljus över dagbesvär vid insomni: spelar psykologiska processer en underskattad roll?. https://www.diva-portal.org/smash/get/diva2:322511/FULLTEXT01.pdf

 

Research groups

Research funding bodies

  • Swedish Council for Working Life and Social Research (FAS)
  • Örebro University