治疗失眠的认知行为疗法 在患有每周梦的患者中治疗消耗
Nancy A Hamilton1, Julia A Russell1, Westley A Youngren2
1The University of Kansas, Lawrence Kansas.
概括
每周的梦显著增加了患者从失眠的认知行为疗法 (CBT-I) 中断. 虽然CBT-I没有减少梦的频率,但改善的睡眠开始延迟预测了更少的梦.
科学领域:
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 失眠和创伤的个体常有梦 (NMs).
- 失眠的认知行为疗法 (CBT-I) 是一种有效的失眠治疗方法.
- NMs对CBT-I结果的影响,特别是消耗,需要进一步调查.
研究的目的:
- 在CBT-I随机对照试验中评估NMS对治疗消耗和症状变化的影响.
- 检查NM频率与失眠,PTSD和抑郁症等结果之间的关系.
- 在CBT-I期间和之后探索NM频率的变化.
主要方法:
- 使用了一项随机对照试验,将CBT-I与注意力控制组进行比较.
- 包括最近接触过人际暴力的参与者 (N=110).
- 评估了梦的频率,参与者被分为每周或不频繁的NMS.
主要成果:
- 每周的NM与CBT-I后显著更高的消耗率和随访时更低的完成率有关.
- 梦频率没有显著影响失眠,创伤后应激障碍或抑郁症的治疗反应.
- CBT-I没有减少NM频率,但改善的睡眠开始延迟预测了更少的NMs.
结论:
- 梦是CBT-I中消耗的重要危险因素,特别是在受创伤影响的人群中.
- 目前的CBT-I协议可能需要增强,以专门解决NMS.
- 在CBT-I试验中,建议对NM进行查,以确定有退学风险的患者.
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