基于接受和承诺疗法的新疗法与失眠的认知行为疗法:女性退伍军人的随机比较有效性试验
Jennifer L Martin1, Gwendolyn C Carlson2, Monica R Kelly1
1Geriatric Research, Education and Clinical Center, Veteran Affairs Greater Los Angeles Healthcare System.
Journal of consulting and clinical psychology
|August 3, 2023
概括
对失眠的接受和承诺治疗 (ABC-I) 在女性退伍军人中显示出与失眠的认知行为治疗 (CBT-I) 相似的有效性. ABC-I还显示了改善对治疗组件的坚持的潜力.
科学领域:
- 睡眠医学 睡眠医学
- 心理干预 心理干预
- 相对有效性研究研究比较
背景情况:
- 失眠是一种普遍的睡眠障碍,影响了许多人,特别是女性退伍军人.
- 失眠的认知行为疗法 (CBT-I) 是一线治疗,但坚持可能是一个挑战.
- 接受和承诺疗法 (ACT) 为管理失眠症状提供了一种新的方法.
研究的目的:
- 评估女性退伍军人的新型失眠接受和承诺治疗 (ABC-I) 干预措施.
- 为了比较ABC-I与CBT-I在改善睡眠结果方面的有效性.
- 评估ABC-I和CBT-I之间治疗完成率和坚持率的差异.
主要方法:
- 一项随机比较有效性试验,涉及149名被诊断患有失眠障碍的女退伍军人.
- 参与者被分配到ABC-I或CBT-I.
- 睡眠结果 (失眠严重程度指数,匹兹堡睡眠质量指数,睡眠效率) 在基线,治疗后和3个月的随访中被客观和主观地测量. 还评估了治疗的坚持和完成.
主要成果:
- 从基线到随访,ABC-I和CBT-I都显著改善了睡眠结果.
- 在3个月的随访期间,ABC-I在关键睡眠结果方面被发现与CBT-I无差.
- 虽然治疗中断率相似,但ABC-I显示对某些行为组件的坚持程度更高.
结论:
- ABC-I是一种可行的,有效的CBT-I替代品,用于治疗女性退伍军人的失眠.
- 这些发现表明,ABC-I可能会增强对失眠治疗行为方面的坚持.
- 进一步的研究可以探索ABC-I的长期益处和更广泛的适用性.
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