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Bergen Sleep and Chronobiology Network

Sleep in Nursing Home Patients: Clinical Assessments and the Effects of Pain Treatment on Sleep (SLEEP.PAIN.DEM)

Sleep disturbances, pain, and depression are common in nursing home patients, and the assessment and treatment of these conditions are challenging. In this project, we aimed to investigate clinical assessment methods of sleep in nursing home patients, as well as the effects of pain treatment on sleep in nursing home patients with dementia and depression. The project included two large-scale studies conducted in Norwegian nursing homes. In study 1, we conducted a cross-sectional study that investigated the degree to which actigraphy-based and proxy-rater-based assessments of sleep in NH patients provide comparable clinical outcomes. In studies 2 and 3, we conducted a multicenter, two-armed, double-blinded, placebo-controlled, randomized clinical trial that aimed to investigate the short-term and long-term effects of pain treatment on sleep, as measured with actigraphy, in nursing home patients with dementia and depression.

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Publications:

  1. Blytt, K. M., Bjorvatn, B., Husebo, B., & Flo, E. (2017). Clinically significant discrepancies between sleep problems assessed by standard clinical tools and actigraphy. BMC geriatrics, 17(1), 1-8.
  2. Blytt, K. M., Bjorvatn, B., Husebo, B., & Flo, E. (2018). Effects of pain treatment on sleep in nursing home patients with dementia and depression: A multicenter placebo‐controlled randomized clinical trial. International journal of geriatric psychiatry, 33(4), 663-670.
  3. Blytt, K. M., Husebo, B., Flo, E., & Bjorvatn, B. (2018). Long-term pain treatment did not improve sleep in nursing home patients with comorbid dementia and depression: a 13-week randomized placebo-controlled trial. Frontiers in psychology, 134.
  4. Blytt, K. M., Flo-Groeneboom, E., Erdal, A., Bjorvatn, B., & Husebo, B. S. (2021). Sleep and its association with pain and depression in nursing home patients with advanced dementia–a Cross-Sectional Study. Frontiers in psychology, 1330.