Evidence map›Paper›PMID 40345174›Full record

Trial reportJournal of sleep research2026

Efficacy of a Transdiagnostic Sleep and Circadian Intervention for Outpatients With Sleep Problems and Depression, Attention Deficit Disorder, or Bipolar Disorder: A Randomised Controlled Trial.

Mette Kragh, Henny Dyrberg, Sanne Toft Kristiansen, Maria Speed, Pernille Pedersen, Klaus Martiny

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of sleep research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mette KraghDepartment of Affective Disorders, Aarhus University Hospital Psychiatry, Aarhus, Denmark.ORCID 0000-0001-6684-428X
Henny DyrbergDepartment of Affective Disorders, Aarhus University Hospital Psychiatry, Aarhus, Denmark.ORCID 0000-0003-1119-3429
Sanne Toft KristiansenDepartment of Affective Disorders, Aarhus University Hospital Psychiatry, Aarhus, Denmark.
Maria SpeedDepartment of Affective Disorders, Aarhus University Hospital Psychiatry, Aarhus, Denmark.
Pernille PedersenDEFACTUM, Central Denmark Region, Aarhus, Denmark.
Klaus MartinyMental Health Centre Copenhagen, University Hospital Copenhagen, Frederiksberg, Denmark.

Funding

Direktør Werner Richter og Hustrus LegatJascha Fonden 2022-0269Public Health in Central Denmark Region - a collaboration between municipalities and the region A3478
6 · The paper itself

Abstract

This study aimed to investigate the efficacy of a Danish adaption of a transdiagnostic sleep and circadian intervention, combining cognitive behavioural therapy for insomnia with chronotherapy. A randomised controlled trial enrolling 88 outpatients with depression, attention deficit disorder, or bipolar disorder suffering from insomnia or circadian rhythm disorders was conducted. Patients with insomnia and/or circadian rhythm disorders were randomised to either an intervention group receiving six individual sessions of a transdiagnostic sleep and circadian intervention or a control group receiving sleep hygiene education at a single session. Primary outcome was sleep quality and insomnia severity. Secondary outcomes were well-being, personal recovery, work ability, perceived overall health, sleep efficiency, sleep onset latency, wake after sleep onset, nocturnal awakenings, and sleep medication consumption. Data were collected via validated questionnaires, actigraphy, and sleep diaries, with assessments at baseline, week 2, and 6; actigraphy and sleep diaries were recorded continuously over the 6-week period. The intervention group statistically significantly improved sleep quality (p < 0.001), reduced insomnia severity (p < 0.001), and increased well-being (p = 0.002), personal recovery (p = 0.037), work ability (p < 0.001), and perceived overall health (p = 0.004) from baseline to week 6 compared to the control group. Actigraphy and sleep diary analyses revealed no statistically significant differences between the groups. In conclusion, the transdiagnostic sleep and circadian intervention was effective for both patients with insomnia and circadian rhythm disorders comorbid with depression, attention deficit disorder, or bipolar disorder. It resulted in improved sleep quality, a reduction in insomnia, and enhanced well-being, personal recovery, work ability, and overall health perception.

Indexed as

Attention Deficit Disorder with HyperactivityBipolar DisorderChronotherapyCognitive Behavioral TherapyDepressionDepressive DisorderSleep Initiation and Maintenance DisordersActigraphyAdultDenmarkFemaleHumansMaleMiddle AgedOutpatientsSleep QualityADHDaffective disorderscircadian rhythm disorderscognitive behavioural therapy for insomnia (CBT‐I)insomniatransdiagnostic sleep and circadian intervention (TranS‐C)

Identifiers

PMID40345174
PMCPMC12856134

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.