在住院精神病治疗中治疗失眠的认知行为疗法:系统性审查
Carlotta L Schneider1, Elisabeth Hertenstein1,2, Christoph Nissen2,3
1University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Journal of sleep research
|September 20, 2023
概括
失眠的认知行为疗法 (CBT-I) 在改善精神病医院住院患者的睡眠和心理健康方面表现有前途. 然而,关于其在住院精神病学中的实施的研究是有限的,这凸显了需要进一步研究的需要.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 失眠在精神病患者中很常见,对失眠的认知行为疗法 (CBT-I) 是推的第一线治疗.
- 虽然CBT-I有利于患有并发性失眠的门诊患者,但其在住院精神病患者中的应用理解较少.
- 在住院精神病学中,CBT-I的实施和治疗潜力需要进一步调查.
研究的目的:
- 系统地审查调整CBT-I用于住院精神病诊所的研究.
- 评估CBT-I在这个特定患者群体中的可行性和潜在有效性.
- 确定目前关于住院精神病学CBT-I的研究中的差距.
主要方法:
- 在PubMed,CINAHL和PsycINFO数据库中进行了系统的文献搜索.
- 搜索包括到2023年6月发表的研究,重点关注CBT-I适应在住院精神病治疗中的情况.
- 确定了10项研究进行审查,主要是小样本的大小的非随机试验.
主要成果:
- 审查的研究虽然初步,但表明适应CBT-I在住院精神病诊所的可行性和潜在有效性.
- 发现,在住院精神病学中,关于CBT-I及其衍生品的研究非常稀缺.
- 确定的研究通常具有小样本大小,缺乏对照组.
结论:
- 值得注意的是,缺乏评估住院精神病患者CBT-I的研究.
- 为重病患者和医院环境调整CBT-I可能会改善心理健康护理.
- 需要进一步的研究来确定CBT-I在住院精神病学中的有效性和实施策略.
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