在线认知行为疗法后,睡眠努力的变化调解了老年人失眠的严重程度
Yvonne Kutzer1, Lisa Whitehead1, Eimear Quigley1,2
1Edith Cowan University, Perth, Western Australia, Australia.
概括
数字化交付的失眠认知行为疗法 (CBT-I) 改善了老年人的睡眠. 减少睡眠努力是推动这些改善的主要机制,这表明CBT-I有效性的关键途径.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 行为科学 行为科学
背景情况:
- 失眠在老年人中很普遍.
- 数字化交付的失眠认知行为疗法 (CBT-I) 提供了一个可扩展的治疗方法.
- 了解老年人中CBT-I的机制对于优化干预至关重要.
研究的目的:
- 调查功能障碍的信念,过度兴奋,控制位置,自我效能,睡眠努力和安全行为在老年人失眠治疗中的调解作用,使用数字交付的CBT-I.
- 评估在自导,在线CBT-I计划之前和之后失眠严重程度的变化.
主要方法:
- 一个由62名老年人 (89%女性) 组成的样本参与了两种条件的参与者内部设计.
- 调解分析是使用并行调解模型与重复测量的MEMORE宏观进行的.
- 收集了基线和后续数据以评估干预效应.
主要成果:
- 干预后观察到失眠严重程度的显著降低 (p < 0.001).
- 只有睡眠精力得分的降低显著介导着失眠严重程度的降低 (0.88;SE 0.51;95% CI 0.001-2.00).
- 其他评估的调解剂没有显示出显著的影响.
结论:
- 数字交付的CBT-I有效地改善了老年人的睡眠.
- 减少睡眠努力是CBT-I发挥治疗效果的关键机制.
- 建议对CBT-I进行进一步的研究,以预防老年人的睡眠问题.
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