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风险青少年的亚型预测对失眠预防计划的反应

Si-Jing Chen¹, Shirley Xin Li^2,3, Jihui Zhang^1,4,5

¹Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China.

Journal of child psychology and psychiatry, and allied disciplines

|October 7, 2023

概括

一个认知行为失眠预防计划显著降低了风险青少年的失眠风险,特别是那些患有抑郁和焦虑的青少年. 需要基于心理形象的个性化预防策略.

科学领域:

青少年睡眠医学青少年睡眠医学
临床心理学临床心理学
预防性精神病学是一种预防性精神病学.

背景情况:

以前的研究表明,简短的认知行为失眠预防计划可以在有风险的青少年中将失眠风险降低71%.
这项研究调查了在特定的危青少年子组内对失眠预防的差异性反应.

研究的目的:

评估失眠预防计划在不同风险青少年子组的有效性.
为了确定青少年有患失眠风险的不同心理特征.

主要方法:

潜在类分析 (LCA) 根据基线睡眠,白天和情绪概况确定了三个青少年子组.
青少年被随机分配到一个为期4周的失眠预防计划或对照组.
评估发生在基线,1周和干预后6/12个月,使用治疗意图方法.

主要成果:

LCA确定了以下子组: (a) 只有失眠症状, (b) 白天嗜睡/轻度焦虑的症状, (c) 白天嗜睡/轻度焦虑/抑郁的症状.
与对照组相比,失眠障碍的发生率在第3次组 (HR=0.37) 中显著降低,在第2次组 (HR=0.14) 中略有降低.
干预措施在2组和3组中减少了过度的白天嗜睡和焦虑.

结论:

处于危险的青少年可以根据心理特征被分为子组,影响他们对失眠预防的反应.
这些发现强调了通过进一步表型化和分组风险青少年来进行个性化失眠预防的必要性.

关键词:

处于危险阶段的青少年失眠预防预防失眠干预反应的干预反应.一个子组的子组.

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