基于正念的认知疗法可以改善复发性抑郁症患者的失眠症状:随机对照试验的二次分析
Linn Nyjordet Evanger1,2, Elisabeth Flo-Groeneboom2, Lin Sørensen3
1Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Frontiers in psychiatry
|February 5, 2024
概括
基于正念的认知疗法 (MBCT) 显著减少了复发性抑郁症患者的失眠症状. 虽然MBCT改善了睡眠开始和减少唤醒,但可能需要进一步干预才能完全恢复睡眠.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 睡眠医学 睡眠医学
背景情况:
- 复发性抑郁症构成了重大的公共卫生挑战.
- 失眠是复发性抑郁症患者的常见和使人虚弱的并发症.
- 基于正念的认知疗法 (MBCT) 是预防抑郁复发的一种既有干预措施.
研究的目的:
- 评估MBCT在缓解有复发性抑郁病史的人群失眠症状方面的疗效.
- 为了确定MBCT作为抑郁症治疗的辅助,是否会影响失眠的特定方面.
主要方法:
- 采用随机对照试验设计,将研究嵌入更大的疗效试验中.
- 经过缓解的复发性抑郁症的68名参与者被随机分配到8周的MBCT或等候名单对照.
- 伯根失眠量表被用于对失眠症状的干预前后评估.
主要成果:
- 在研究参与者中,在基线观察到不眠症的高患病率 (83.6%).
- 与等候名单对照组相比,MBCT完成者报告说,整体失眠严重程度显著降低 (p=0.017).
- 在MBCT组中,长时间入睡 (p=0.047) 和夜间觉醒 (p=0.023) 显著改善.
结论:
- MBCT在患有复发性抑郁症的个体中对特定的失眠症状产生积极影响.
- 虽然对某些睡眠障碍有益,但MBCT可能无法完全解决所有与失眠有关的问题.
- 对睡眠特异性干预措施的进一步研究是有必要的,以全面解决这一群体的失眠问题.
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