接受和承诺疗法,结合睡眠时间限制,与失眠的认知行为疗法相比:一个随机控制的试点试验
Elisabeth Hertenstein1,2, Ersilia Trinca2, Carlotta L Schneider2
1Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Psychotherapy and psychosomatics
|February 28, 2024
概括
失眠接受和承诺治疗 (ACT-I) 和失眠认知行为治疗 (CBT-I) 均有效改善了失眠的严重程度. 然而,ACT-I在本研究中没有显示出比CBT-I更高的疗效.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 睡眠医学 睡眠医学
背景情况:
- 失眠的认知行为疗法 (CBT-I) 是一线治疗,但其无反应率很高.
- 接受和承诺疗法 (ACT) 可以解决核心失眠途径,提供提高疗效的潜力.
- 需要开发新的治疗方法来改善失眠障碍的治疗结果.
研究的目的:
- 为了比较ACT治疗失眠的疗效,结合睡眠时间限制 (ACT-I) 与CBT-I.
- 评估失眠严重程度和睡眠相关生活质量的改善.
- 评估ACT-I增强当前失眠治疗的潜力.
主要方法:
- 63名患有失眠障碍的患者被随机分配,在小组格式中接受ACT-I或CBT-I.
- 主要结局包括失眠严重程度 (失眠严重程度指数) 和与睡眠相关的生活质量 (格拉斯哥睡眠影响指数).
- 评估是在治疗前,治疗后和6个月后期进行的.
主要成果:
- 无论是ACT-I还是CBT-I都显示出在失眠严重程度和生活质量方面显著,大幅度的改善.
- 这些改善在6个月的随访中得到维持.
- 在ACT-I和CBT-I之间没有发现显著的有效差异,尽管ACT-I患者对某些健康方面表示更高的满意度.
结论:
- ACT-I是一种可行且有效的失眠治疗方法,与CBT-I相似.
- 需要进一步的研究来确定非劣势性,并探索两种治疗方法的变化机制.
- 虽然ACT-I并不优越,但它具有前途,并可能为患者提供特定的满意度.
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
213
04:53Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach
Published on: October 18, 2024
772
相关概念视频
Insomnia
85
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...
85
Management of Insomnia
247
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...
247
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
Rational Emotive Behavior Therapy
50
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
50
Behavior Therapy
49
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
49
Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
