在失眠的认知行为疗法后,患有主观睡眠问题的患者的特征:随机对照试验的二次分析
Christina Sandlund1,2, Jeanette Westman1,2,3, Annika Norell-Clarke4,5
1Karolinska Institutet, Neurobiology, Care Sciences and Society, Stockholm, Sweden.
Sleep science (Sao Paulo, Brazil)
|January 10, 2024
概括
对失眠的认知行为疗法 (CBT-I) 无法解决超过一半的患者的睡眠问题,特别是那些基线抑郁症状较高的患者. 解决抑郁症是改善失眠治疗结果的关键.
科学领域:
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
- 初级保健研究研究初级保健研究
背景情况:
- 失眠的认知行为疗法 (CBT-I) 是一线失眠治疗.
- 缓解率各不相同,多达一半的患者无法实现完全缓解.
- 了解预测主观非缓解的因素对于提高治疗疗效至关重要.
研究的目的:
- 调查在CBT-I后报告持续睡眠问题的患者的特征.
- 确定治疗后失眠主观缓解的预测因素.
- 探索抑郁症症状在治疗结果中的作用.
主要方法:
- 一项随机对照试验的二次分析,涉及72名患有失眠障碍的初级保健患者.
- 评估社会人口统计数据,基线特征和治疗结果.
- 用直接问题评估治疗后的主观睡眠问题.
主要成果:
- 56.9%的患者在CBT-I后报告持续的睡眠问题.
- 没有复发的患者有更高的基线抑郁症状和更多的觉醒.
- 虽然这两组都得到了改善,但非复发患者在失眠严重程度和功能障碍信念方面的改善较小.
结论:
- 治疗前的抑郁症状和治疗期间抑郁症的改善不足预示着持续的主观睡眠问题.
- 在初级保健失眠患者中评估和管理抑郁症状至关重要.
- 对有明显抑郁症状的患者来说,可能需要量身定制的治疗方法.
更多相关视频
04:59Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
Published on: May 30, 2025
255
05:34Author Spotlight: Utilizing Traditional Chinese Acupuncture of the Ear to Improve Sleep Disorders
Published on: August 18, 2023
2.2K
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
252
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...
252
Cognitive Therapy
153
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
153
Sleepwalking and Sleep Talking
166
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
166
Insufficient Sleep and Sleep Deprivation
145
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
145
Sedatives and Hypnotics Drugs: Miscellaneous Agents
176
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...
176
