Markus Jansson-Fröjmark

Markus Jansson-Fröjmark
Karolinska Institutet | KI · Department of Clinical Neuroscience

PhD

About

129
Publications
41,017
Reads
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3,752
Citations
Introduction
I have a PhD in psychology and I also am a certified psychologist. I currently work as a senior lecturer/associate professor at the Department of Clinical Neuroscience at Karolinska Institute, Sweden. My main research interests are in how psychological processes and insomnia interact over time and the effects of cognitive behavioral therapy for insomnia.
Additional affiliations
November 2016 - present
Karolinska Institutet
Position
  • Professor (Associate)
October 2011 - October 2016
Stockholm University
Position
  • Professor (Associate)
January 2011 - present
Position
  • Stockholm University
Description
  • CBT for comorbid insomnia and depression or hearing impairment; CBT for delayed sleep phase syndrome; Psychological processes and insomnia; Stress, pain and insomnia; CBT interventions for back pain; CBT for early insomnia
Education
October 2005 - May 2010
Örebro University, Sweden
Field of study
January 2002 - October 2005
Örebro University, Sweden
Field of study
January 1994 - January 2000
Uppsala University
Field of study

Publications

Publications (129)
Article
Full-text available
Adolescents with ASD often suffer from sleep disorders affecting their development and quality of life. Research concerning psychological treatment of insomnia in this population is scarce. The objective of this pilot study was to examine the feasibility of internet-delivered CBT for insomnia (iCBT-I) and the participants' experiences after complet...
Article
Full-text available
Body dysmorphic disorder (BDD) typically originates in adolescence and is associated with considerable adversity. Evidence-based treatments exist but research on clinical outcomes in naturalistic settings is extremely scarce. We evaluated the short- and long-term outcomes of a large cohort of adolescents with BDD receiving specialist multimodal tre...
Article
Full-text available
The present study aimed to evaluate the psychometric properties of a Persian version of the Psychological Flexibility Epilepsy Questionnaire (P-PFEQ). Transcultural adaptation and validation of the Persian version of the PFEQ were performed using translation and back-translation with pilot testing (on 17 patients) and expert evaluation. Participant...
Article
Full-text available
Background School attendance problems (SAPs) are common among children and adolescents with autism spectrum disorder (ASD). Currently, there is a lack of guidelines for treatment or interventions aimed at this group. Method Twelve clinical practitioners were interviewed via in-depth interviews using a semi-structured question guide. Interviews wer...
Article
Full-text available
The onset of both chronic pain and insomnia is high during adolescence. Although a bidirectional relationship between pain and insomnia has support, how pain and sleep co-develop throughout adolescence remains unknown. Sleep–wake patterns, pre-sleep behavior and pre-sleep arousal may influence the co-development of pain and insomnia. Four waves of...
Article
Previous studies have established a bidirectional relationship between sleep and pain, and mood has been proposed as a mediator of this relationship. There are only a limited number of longitudinal studies examining the mediational role of mood, and the directionality of effects between sleep, pain and mood is uncertain. Also, and despite the high...
Article
Full-text available
Body dysmorphic disorder (BDD) often starts in childhood, with most cases developing symptoms before age 18. Yet, BDD research has primarily focused on adults. We report the clinical characteristics of the world's largest cohort of carefully diagnosed youths with BDD and focus on previously unexplored sex and age differences. We systematically coll...
Preprint
Full-text available
The onset of both chronic pain and insomnia is high during adolescence. Although a bidirectional relationship between pain and insomnia has support, how pain and sleep co-develop throughout adolescence remains unknown. Both sleep-wake patterns and pre-sleep behaviors that cause arousal may influence the co-development of pain and insomnia. Four wav...
Article
Full-text available
The current study developed the first translation and adaptation of the ICS (Insomnia Catastrophizing Scale) into European Portuguese, and studied its psychometric properties. The ICS evaluates the catastrophic thoughts related with insomnia symptoms during sleeping time (ICS-N) and during daytime functioning (ICS-D). We recruited a community-based...
Preprint
Background School attendance problems (SAPs) are common among children and adolescents with autism spectrum disorder (ASD). Currently, there is a lack of guidelines for treatment or interventions aimed at this group. Aim The aim of this study was to investigate clinical practitioners' experiences of psychological treatment for autistic children and...
Article
Paradoxical intention (PI) has been considered an evidence‐based treatment for insomnia since the 1990s, but it has not been evaluated with modern review techniques such as meta‐analysis. The present study aimed to conduct the first systematic review and meta‐analysis of studies that explore the effectiveness of PI for insomnia on insomnia symptoma...
Article
Full-text available
This longitudinal study aimed to examine the 1-year prevalence, incidence and persistence of sub-diagnostic social anxiety (SSA) as well as general risk factors for the incidence and persistence of SSA during early and mid-adolescence. A Swedish sample of adolescents (N = 2,523) aged 13–14 years at Time 1 and 14–15 years at Time 2 completed measure...
Article
There is no consensus on whether burnout constitutes a depressive condition or an original entity requiring specific medical and legal recognition. In this study, we examined burnout–depression overlap using 14 samples of individuals from various countries and occupational domains (N = 12,417). Meta-analytically pooled disattenuated correlations in...
Article
Full-text available
Recent systematic reviews on the topic of mindfulness- and acceptance-based approaches in sport psychology conclude that there is a need for further trials using a more robust research methodology with direct performance as outcome. Acceptance and Commitment Training (ACT) is a contextual behavioral change method that focuses on facilitating psycho...
Article
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Aim: According to the Cognitive Model of Insomnia, engaging in sleep-related cognitive processes may lead to sleep problems over time. The aim was to examine associations between five sleep-related cognitive processes and the incidence of insomnia, and to investigate if baseline anxiety and depression influence the associations. Methods: Two thousa...
Article
GamTest is a self-rating scale of negative consequences of gambling, included in the popular responsible gambling tool Playscan as part of an overall risk assessment and feedback feature. Two previous psychometric evaluations of this instrument yielded contradictory results: in an online high-gambling population, a five-factor model was supported a...
Article
Objective: Cognitive therapy (CT) and behavior therapy (BT) are both effective for insomnia but are expected to work via different pathways. Empirically, little is known about their symptom-specific effects. Method: This was a secondary analysis of a randomized controlled trial of online treatment for insomnia disorder (N = 219, 72.9% female, mean...
Article
The present study describes the development and preliminary psychometric evaluation of the Psychological Flexibility in Epilepsy Questionnaire (PFEQ), which was developed to measure the construct referred to as Psychological Flexibility (PF) in epilepsy. Results from 81 participants with epilepsy support a one-factor solution, consisting of 12 item...
Article
Background Very little is known concerning the efficacy of psychosocial treatments for patients with insomnia disorder co-morbid with generalized anxiety disorder (GAD). Aim The aim was to examine the efficacy of cognitive behavioral therapy for insomnia (CBT-I) for patients with insomnia disorder co-morbid with GAD. Method Given the limited, pre...
Article
Full-text available
Background The aim of this investigation was to examine the longitudinal association between change in insomnia status and the development of anxiety and depression in the general population. Methods A survey was mailed to 5000 randomly selected individuals (aged 18–70 years) in two Swedish counties. After 6 months, a follow-up survey was sent to...
Article
Full-text available
Recent reviews estimated that the worldwide prevalence of anxiety and depression in children and adolescents is increasing, which has led to rising demands for treatment. Studies on clinical outcomes have shown positive effects of cognitive-behavioral therapy (CBT) in children and adolescents with anxiety and depression. However, there is a limited...
Article
Full-text available
There is increasing interest in applying acceptance and mindfulness interventions among athletes. However, there is a lack of sport-specific psychometrically evaluated scales to measure the impact of these interventions. The present study describes the development of a measure: the Psychological Flexibility in Sport Scale (PFSS). Its validity was t...
Method
Full-text available
This Prospero protocol describes the methodology behind a systematic review and meta-analysis concerning stimulus control for insomnia.
Article
Instruments that investigate different aspects of gambling activities are needed to distinguish negative consequences. Because gambling is a complex activity that occurs both offline and online, different questionnaires are necessary for screening and risk classification. GamTest, an instrument used by several gambling companies, was designed to co...
Article
Full-text available
Internet-based cognitive behavior therapy (ICBT) has proved effective in reducing mild to moderate depressive symptoms. However, only a few studies have been conducted in a regular healthcare setting which limits the generalizability of the results. The influence of psychiatric comorbidity on outcome is not well understood. In the current study, pa...
Article
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Study Objectives Our aim was to compare the effects of internet-delivered Cognitive Therapy (CT) and Behavior Therapy (BT) against a waitlist (WL) condition to better understand their unique contribution in the treatment of insomnia. Materials and Methods Two hundred and nineteen participants with insomnia disorder were randomized to CT (n=72), BT...
Method
Full-text available
Prospero protocol describing the methodology behind a systematic and meta-analysis on paradoxical intention for insomnia.
Article
Full-text available
The purpose was to investigate the psychometric properties of the Insomnia Catastrophizing Scale (ICS) including factorial validity and internal consistency as well as discriminative and convergent validity. Associations with sleep parameters and daytime impairment are also examined. Drawn from a randomly selected sample of the general population,...
Article
Full-text available
Aim: The purpose of this study was to examine the psychometric properties of two brief versions of previously validated cognitive process measures in insomnia: the Anxiety and Preoccupation about Sleep Questionnaire and the Sleep-Associated Monitoring Index. Methods: Two samples (168 students and 219 patients with insomnia disorder) completed or...
Article
Full-text available
The purpose was to examine whether sleep hygiene practices are associated with the course of insomnia (incidence, persistence and remission) over 1 year in the general population. This longitudinal study was carried out in the general population. After excluding anyone with other primary sleep disorder than insomnia, 1638 participants returned a ba...
Article
Full-text available
During puberty, there is a delay in sleep patterns and the circadian clock, and the prevalence of sleep difficulties is high among young adults. Thus, it is important to be able to measure chronotype (CT) in this group, both in the clinic and for broader epidemiological studies, to better understand the sleep difficulties observed. The reduced vers...
Article
Full-text available
Existing measures for examining fear of public speaking are somewhat limited in content and there is a need for scales that assess a broader area including cognitive, behavioral, and physiological dimensions of the fear. This study examined the psychometric properties of the Personal Report of Public Speaking Anxiety (PRPSA) in a sample of universi...
Article
Purpose: Several cognitive mechanisms have been hypothesized to be involved in insomnia disorder. Insomnia catastrophising thinking consists of overestimating the sleep disturbance and the related daytime impairment. The present study aimed to develop and assess the psychometric properties of the Italian adaptation of the Insomnia Catastrophising S...
Article
Background: Recent treatment studies with cognitive behavioural therapy for insomnia (CBT-I) have demonstrated effects on both sleep problems and depression. Two previous studies have indicated that the beneficial effect from CBT-I on depression may come through improved sleep, although insomnia severity during treatment had not previously been in...
Article
Since the beginning of the twenty-first century, there has been an increased focus on developing and testing cognitive components and therapies for insomnia disorder. The aim of the current review was thus to describe and review the efficacy of cognitive components and therapies for insomnia. A systematic review was conducted on 32 studies (N=1455...
Article
Introduction Previous research has identified insomnia as a predictor for the onset of major depression. The aim of this meta-analysis is to corroborate this finding and investigate whether insomnia as a disorder also predicts the onset of other mental disorders and pain. Methods The databases PubMed, Medline, PsycInfo, and PsycArticles were searc...
Article
Background: Job demands, job control and social support have been associated with depressive symptoms. However, it is unknown how these work characteristics are associated with different trajectories of depressive symptoms, which this study aimed to examine. Methods: We included 6679 subjects in the Swedish Longitudinal Occupational Survey of He...
Article
Social anxiety is common in the general population, as well as among students in higher education. For screening of social anxiety, there is a need for brief scales. In the present study, the psychometric properties were examined in a Swedish version of the Social Phobia Inventory (SPIN) and the Mini-Social Phobia Inventory (Mini-SPIN) in a univers...
Article
The aim of this study was to gain a greater understanding of the five cognitive processes from the cognitive model of insomnia, negative automatic thoughts, and time in bed as outcomes and potential mediators of cognitive behavioral therapy for insomnia (CBT-I), in a sample with insomnia and depressive symptomatology. Sixty-four participants were r...
Poster
Full-text available
Predictors of suicide risk among patients with insomnia disorder
Article
Full-text available
This European guideline for the diagnosis and treatment of insomnia was developed by a task force of the European Sleep Research Society, with the aim of providing clinical recommendations for the management of adult patients with insomnia. The guideline is based on a systematic review of relevant meta-analyses published till June 2016. The target...
Article
Full-text available
Online gambling, encompassing a wide variety of activities and around-the-clock access, can be a potential risk factor for gamblers who tend to gamble excessively. Yet, the advent of online gambling has enabled responsible gambling (RG) features that may help individuals to limit their gambling behaviour. One of these features is an RG tools that t...
Chapter
Worry is a characteristic feature and an important emotional component of a range of psychological disorders. This chapter focuses on two conditions, namely health anxiety and insomnia disorder, where research and theory suggest worry plays a predominant role. It defines each condition, illustrating their prevalence rates, and describing their asso...
Article
Full-text available
Insomnia means difficulties in initiating or maintaining sleep and is commonly comorbid with psychiatric disorders. From being considered secondary to primary psychiatric disorders, comorbid insomnia is now considered an independent health issue that warrants treatment in its own right. Cognitive behavioural therapy for insomnia (CBT-I) is an evide...
Conference Paper
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Introduction: Clinical trials have shown that cognitive behavioural therapy for insomnia (CBT-I) may have an effect on both insomnia and depression in comorbid samples, but there is a gap in the knowledge on why CBT-I has an impact on depression. Neuropsychological theories suggest that disturbed sleep may work as a transdiagnostic process that mai...
Article
Objectives: The first aim of this study was to assess the prevalence of sleep deficit in a large sample of adolescents. Secondly, the study aimed to assess whether short sleep duration in the sample was associated with emotional and behavioral problems. Lastly, the study aimed to investigate the association between daily stressors-bedtime activitie...
Article
Full-text available
A delayed sleep-wake and circadian rhythm often occurs during puberty. While some individuals only develop a delayed sleep phase (DSP), others will fulfill the criteria for the diagnosis of delayed sleep phase disorder (DSPD). All previous studies have however not separated DSP from DSPD, and, as a result, the prevalence and associated factors are...
Article
Clinical trials with light therapy (LT) for delayed sleep phase disorder (DSPD) are sparse and little is known about factors that are favorable for improvements. In this study, LT with scheduled rise times was conducted at home for 14 days by 44 participants with DSPD aged 16–26 years. Primary outcomes were sleep onset and sleep offset. Potential p...
Article
This article reports the development of a treatment protocol, based on cognitive behavioral therapy (CBT) principles, for delayed sleep–wake phase disorder (DSWPD). The protocol consists of psycho-education, presenting a CBT model for DSWPD, case formulation, motivational interviewing, registering sleep in a diary, strategies to improve the rhythm...
Article
Full-text available
Objective: The objective was to investigate the role of psychiatric and somatic conditions in incident and persistent insomnia. Design: This was a prospective study with 3 measurement points over 1.5years. Setting: The participants were sent a survey to their home addresses. Participants: A survey was sent out to 5000 random individuals (18-...
Article
Objectives The purpose of this longitudinal investigation was to examine the association between emotion regulation and future insomnia (incidence and persistence). DesignA longitudinal study in the general population. MethodsA survey was sent out to 5,000 individuals in the community. To those who returned the baseline questionnaire (n=2,333), two...
Article
Aim: To investigate the effects of group CBT for insomnia (CBT-I) on insomnia and depressive symptomatology in a comorbid sample through a randomised controlled trial with a 6 month follow-up. Methods: 64 participants were recruited through advertisements and randomised to receive CBT-I or an active control (relaxation training: RT) during four...
Article
Full-text available
In an acceptance-based model of what maintains social anxiety, the focus is on counterproductive attempts to control unpleasant internal experiences through avoidance of them. An example of such an avoidance strategy, especially prominent among socially anxious women, is rumination. According to this model, the road to recovery for people suffering...
Article
Delayed sleep phase disorder (DSPD) is common among young people, but there is still no evidence-based treatment available. In the present study, the feasibility of cognitive behavioral therapy (CBT) was evaluated as an additive treatment to light therapy (LT) in DSPD. A randomized controlled trial with participants aged 16 to 26 years received LT...
Article
Full-text available
The purpose with the investigation was to examine whether improvements in pre-sleep cognitive arousal, unhelpful beliefs about sleep, and maladaptive sleep behaviors mediate the outcomes in in-person CBT-I. Fifty-eight participants with insomnia were administered either cognitive behavioral therapy or belonged to a waitlist. At pre- and post-treatm...
Poster
Full-text available
Objectives: Cognitive behavioural therapy for insomnia (CBT-I) affect both insomnia and depression in comorbid samples, but there is a gap in the knowledge about how the treatment works. Cognitive theories of both insomnia and depression, respectively, emphasise how negative inflexible thought content could maintain problems. The aim was to gain a...
Article
Insomnia is a common health problem that affects about 10% of the population. The purpose of this investigation was to examine the association between cognitive processes and the persistence and remission from insomnia in the general population. In a longitudinal design, 2333 participants completed a survey on night time and daytime symptoms, and c...
Article
Full-text available
Introduction Delayed sleep phase disorder (DSPD) is the most common circadian rhythm sleep disorder and yet there are still no established treatments with enduring effects. The aim was to examine if cognitive behaviour therapy (CBT) maintain and enhance the effect of light therapy (LT) in DSPD, regarding sleep onset, sleep offset and severity of sl...
Article
Introduction The purpose with the investigation was to examine whether improvements in insomnia-related worry and time in bed mediate the outcomes in in-person CBT-I. Materials and methods A randomized, controlled design was used, including a two-week baseline, a four-week intervention phase [sleep restriction and stimulus control (BT) or sleep re...