通过互联网为失眠的青少年提供认知行为疗法:可行性和初步疗效
Li Åslund1,2, Susanna Jernelöv1,2, Eva Serlachius1,3,4
1Department of Clinical Neuroscience, Karolinska Institutet, Sweden.
Clinical child psychology and psychiatry
|September 12, 2023
概括
通过互联网提供的失眠认知行为疗法 (ICBT-I) 对青少年来说是有前途的. 这项为期六周的干预措施改善了睡眠,减少了抑郁症症状,表明了可行性和初步疗效.
科学领域:
- 青少年健康 青少年健康
- 睡眠医学 睡眠医学
- 数字治疗学数字治疗学
背景情况:
- 青少年失眠是一个普遍的问题.
- 通过互联网提供的失眠认知行为疗法 (ICBT-I) 提供了一个潜在的可扩展的解决方案.
研究的目的:
- 评估为青少年提供六周ICBT-I计划的可行性.
- 评估ICBT-I对青少年失眠症状和相关结局的初步疗效.
主要方法:
- 一项不受控制的试点研究涉及27名青少年 (78%为女性).
- 通过招聘,坚持,满意度和信誉来评估可行性.
- 效力以干预前后自我报告的睡眠,抑郁,焦虑和白天功能来衡量.
主要成果:
- 报告的高度坚持,可信度和满意度.
- 在失眠症状 (p < .001),入睡延迟 (p < .001),入睡后醒来 (p = .001),睡眠效率 (p < .001) 和抑郁症 (p = .01) 中观察到显著改善.
- 总睡眠时间,通用焦虑,白天嗜睡或功能障碍没有显著变化.
结论:
- 青少年接受ICBT-I很好,并且在改善睡眠和减少并发性抑郁症症状方面表现出初步的有效性.
- 在大规模的受控临床试验中进一步验证是有必要的,以证实这些发现.
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