认知行为治疗对工人失眠的影响:随机对照试验的系统审查和元分析
Yuta Takano1, Rui Ibata2, Naho Machida3
1Department of Somnology, Tokyo Medical University, Tokyo, Japan; Japan Somnology Center, Neuropsychiatric Research Institute, Tokyo, Japan.
Sleep medicine reviews
|September 1, 2023
概括
对于失眠的认知行为治疗 (CBT-I) 有效地改善睡眠质量,并减少白天工作者的焦虑和抑郁. 虽然基于网络和面对面的CBT-I都显示出好处,但只有面对面的交付才能实现临床上显著的改善.
科学领域:
- 睡眠医学 睡眠医学
- 行为科学 行为科学
- 职业健康 职业健康 职业健康
背景情况:
- 失眠的认知行为疗法 (CBT-I) 是推的一线治疗方法.
- 它的有效性,特别是对于患有失眠的工人,需要进一步澄清.
研究的目的:
- 在劳动人口中系统地审查和元分析CBT-I在管理失眠症状方面的有效性.
- 评估CBT-I对工作人员睡眠参数,抑郁症状,焦虑和疲劳的影响.
主要方法:
- 在PubMed,PsycINFO和Embase数据库中进行了系统的文献搜索.
- 在分析中包括了21项研究,比较CBT-I干预与对照组.
主要成果:
- CBT-I显著改善了失眠的严重程度,睡眠开始的延迟,睡眠开始后的清醒,早上醒来和睡眠效率.
- 总睡眠时间没有显著改善.
- CBT-I还导致抑郁症状,焦虑和疲劳的显著减少.
结论:
- 基于网络和面对面的CBT-I都对白天工人的失眠有效.
- 面对面的CBT-I显示了临床上有意义的改善.
- 从本次审查中无法确定CBT-I对轮班工人的有效性.
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