the sleep clinic outcome and practice study

Conditions: Insomnia Disorder; Circadian Rhythm Sleep Disorder

Summary: the goal of this clinical trial is to explore the outcome and practice treatment for sleep-wake disturbances in a sleep clinic. the main questions it aims to answer are: * what is the practice (timing and duration of treatment components) of sleep-wake disturbance treatment? * what is the treatment effect of sleep-wake disturbance treatment. participants will receive treatment as usual by consultations with a trained psychiatrist or psychologist and will be asked to fill out self-reporting questionnaires and sleep diaries.

background: sleep-wake disturbances including insomnia disorder and sleep-wake rhythm disorders disables many aspects of life and is highly prevalent. as one of few treatment options for sleep-wake disturbances, the sleep clinic at st. olavs hospital offers clinical assessments and treatment for this patient group in norway. although the treatment of insomnia disorder is well-described and recommended, there is still a major subgroup that to not benefit from the treatment. additionally, treatment and outcome of sleep-wake rhythm disorders is little described in clinical settings. a study of clinical practice and outcomes of the treatments in the sleep clinic, would give the possibility to illuminate these knowledge gaps. aim: describe the practice (timing and duration) and outcomes of the sleep treatments 1) cognitive behavioral therapy for insomnia and 2) chronotherapy for sleep-wake rhythm disorders at the sleep clinic at st. olavs hospital. method: all patients referred to the sleep clinic will be asked to participate before the first consultation with a clinician. patients will be clinically assessed, diagnosed and given treatment as usual. main outcomes will be self-report questionnaires at treatment termination and the use, timing and duration of specific sleep treatment components logged by the clinician during treatment. potential impact: the findings from this research project provides possibilities to improve treatment for sleep-wake disturbances by tailoring the treatment different to respective subgroups. the findings will also contribute to novel knowledge on how to treat patients with sleep-wake rhythm disorders and to what degree they benefit from the treatment in a sleep clinic.

Eligibility criteria:
inclusion criteria: * referred to the sleep clinic at st. olavs hospital for an assessment of a sleep-wake disruption. * age \>= 18 years. * willing and able to provide written informed consent. * meeting the diagnostic criteria for at least one of the following disorders: f51.0 insomnia disorder or g47.2 sleep-wake rhythm disorders, considered being either: delayed sleep-wake phase disorder, advanced sleep-wake phase disorder, non-24-hour sleep-wake disorder or irregular sleep-wake disorder * desire non-pharmacological sleep treatment exclusion criteria: * individuals working night shifts or that otherwise have external conditions that result in inadequate sleep opportunity, such as caring for an infant or does not have permanent housing etc. * individuals being blind * individuals being psychotic * individuals having epilepsy * individuals having an ongoing substance abuse

Keywords: insomnia disorder circadian rhythm sleep disorder sleep treatment cbt-i chronotherapy