通过互联网提供的干预措施对改善退伍军人失眠严重程度和功能的有效性:随机对照试验
Sarra Nazem1,2, Sean M Barnes2,3, Jeri E Forster2,4
1Dissemination & Training Division, National Center for Posttraumatic Stress Disorder, Menlo Park, CA, United States.
JMIR mental health
|November 24, 2023
概括
通过互联网提供的失眠认知行为疗法 (iCBT-I) 显著降低了退伍军人的失眠严重程度. 这种自我管理的方法显示了改善这一群体睡眠健康的希望.
科学领域:
- 睡眠医学 睡眠医学
- 数字健康数字健康
- 退伍军人健康 退伍军人的健康
背景情况:
- 通过互联网提供的失眠认知行为疗法 (iCBT-I) 是有效的,但在退伍军人中缺乏研究.
- 退伍军人患失眠率很高,影响他们的健康和福祉.
研究的目的:
- 评估未经指导的互联网交付iCBT-I程序 (SHUTi) 在退伍军人的有效性.
- 评估SHUTi对失眠严重程度,精神和身体健康功能以及睡眠参数的影响.
主要方法:
- 一个单盲,随机的受控试验与持久自由行动,伊拉克自由行动和新黎明行动的退伍军人进行.
- 参与者被随机分配到接受SHUTi或失眠教育网站 (IEW).
- 评估包括失眠严重程度指数 (ISI),退伍军人兰德36项健康调查和多个时间点的睡眠日记参数.
主要成果:
- 与IEW相比,SHUTi在所有随访点 (干预后,6个月,1年) 上显著降低了ISI分数.
- SHUTi还导致6个月和1年的身体和心理健康功能显著改善.
- 在SHUTi组中观察到睡眠日记参数的改善,没有报告的不良事件.
结论:
- 自治iCBT-I (SHUTi) 为退伍军人提供了对失眠严重性的立即和持续改善.
- 利用技术治疗失眠是退伍军人人口的可行和有前途的战略.
相关概念视频
Insomnia
87
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
87
Management of Insomnia
257
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
257
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
Sedatives and Hypnotics Drugs: Miscellaneous Agents
180
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
180
The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K


