失眠认知行为治疗对美国退伍军人酒精治疗结果的影响:一项随机临床试验
Mary Beth Miller1, Ryan W Carpenter2, Lindsey K Freeman1
1University of Missouri, Columbia.
JAMA psychiatry
|June 21, 2023
概括
失眠的认知行为疗法 (CBT-I) 有效地减少了退伍军人在治疗酒精使用障碍的早期失眠和酒精问题. CBT-I应该是第一线的失眠治疗,无论戒断状态如何.
科学领域:
- 成 药物 药物 药物 药物
- 睡眠医学 睡眠医学
- 临床心理学 临床心理学
背景情况:
- 失眠在患有酒精使用障碍 (AUD) 的成年人中非常普遍,影响高达75%的个人.
- 目前的治疗指南往往会推迟一线失眠干预措施,例如失眠认知行为疗法 (CBT-I),直到达到酒精戒断.
研究的目的:
- 评估CBT-I的可行性,可接受性和初步有效性,用于治疗早期患有AUD和失眠的退伍军人.
- 调查不眠症的改善是否调解CBT-I对酒精使用结果的影响.
主要方法:
- 一项随机临床试验涉及67名患有AUD和失眠障碍的退伍军人.
- 参与者被随机分配,接受每周5次CBT-I或一次睡眠卫生课程 (对照).
- 失眠严重程度,睡眠效率,饮酒频率和与酒精有关的问题在治疗后和6周随访时被评估.
主要成果:
- 与对照组相比,CBT-I显著降低了失眠严重程度,提高了睡眠效率.
- 接受CBT-I的参与者显示,与酒精有关的问题减少得更大,因失眠严重程度降低而降低.
- 在戒酒或重度饮酒频率方面,没有观察到群体之间的显著差异.
结论:
- CBT-I是一种可行的,有效的早期干预措施,用于治疗AUD的退伍军人失眠.
- 使用CBT-I治疗失眠,无论戒酒状态如何,都可以改善与酒精有关的问题.
- 这些发现支持考虑CBT-I作为这群人群中失眠的第一线治疗方法.
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