在被监禁的人中治疗失眠:多组分治疗途径的可行性研究
Lindsay H Dewa1, Bethan Thibaut1, Natalie Pattison2
1Imperial College London, School of Public Health, London, UK.
Sleep advances : a journal of the Sleep Research Society
|February 19, 2024
概括
在监狱中,一种新的失眠治疗途径被证明是可行的和有效的,显著减少了失眠的严重程度,并改善了囚犯的心理健康. 这种方法为改善监狱环境中睡眠和幸福感提供了希望.
科学领域:
- 睡眠医学 睡眠医学
- 惩戒卫生卫生机构
- 心理健康 心理健康
背景情况:
- 失眠影响了大约60%的囚犯,比一般人群高6-10倍.
- 监狱中缺乏标准化,基于证据的失眠治疗方法.
- 这项研究解决了在独特的监狱环境中需要有效的睡眠干预措施的需求.
研究的目的:
- 评估在高安全监狱中逐步护理失眠治疗途径的可行性.
- 收集关于睡眠和心理健康结果的初始疗效数据.
- 为未来随机对照试验 (RCT) 的设计提供信息.
主要方法:
- 使用了参与者内部的前后设计.
- 阶段性护理途径包括自我管理,同行支持,环境辅助和失眠认知行为疗法 (CBTi).
- 评估包括在基线和治疗后的失眠,幸福感,情绪,焦虑,自杀倾向和认知功能.
主要成果:
- 治疗途径显示出高可行性,符合95.2%的资格和90.0%的参与率.
- 观察到失眠严重程度显著降低 (d = -1.81),其中57.0%的患者在治疗后没有临床显著症状.
- 在抑郁症,焦虑,幸福感和认知功能方面发现了实质性的改善,自杀念头的中等益处.
结论:
- 实施的失眠治疗途径是可行的,并且显示出在监禁人群中有效治疗失眠的希望.
- 该途径在主观睡眠质量和各种心理健康指标上取得了显著改善.
- 建议通过各种监狱设置的实用RCT进行进一步调查.
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