失眠的认知行为疗法改善了脑震荡患者的睡眠结果:初步随机等候名单控制研究
Rebecca Ludwig1, Michael Rippee, Linda D'Silva
1Departments of Physical Therapy, Rehabilitation Science, and Athletic Training (Ms Ludwig and Drs D'Silva and Siengsukon), Neurology (Dr Rippee), Occupational Therapy and Therapeutic Science (Dr Radel), and Biostatistics and Data Science (Mr Beltramo), University of Kansas Medical Center, Kansas City; Department of Occupational Therapy, Colorado State University, Fort Collins (Dr Eakman); and Neurological Institute, Sleep Disorders Center, Cleveland Clinic, Cleveland, Ohio (Dr Drerup).
失眠的认知行为疗法 (CBT-I) 有效地治疗脑震荡后患者的失眠. 通过CBT-I改善睡眠与脑震荡和情绪症状的减少相关,干预后持续存在影响.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 脑震荡后失眠是常见的,影响恢复.
- 失眠的认知行为疗法 (CBT-I) 是一种经过验证的失眠治疗方法.
- 在脑震荡后的人群中,CBT-I的证据有限.
研究的目的:
- 评估CBT-I对脑震荡后患者失眠的有效性.
- 评估CBT-I对脑震荡后症状和情绪的影响.
主要方法:
- 采用了一种随机控制的等待列表研究设计.
- 参与者 (n=32) 被随机分配到即时的CBT-I或6周的等待列表.
- 电话会议提供CBT-I;评估发生在基线,6,12和18周.
主要成果:
- 与等待名单相比,CBT-I组观察到睡眠结果的显著改善.
- 观察到脑震荡后症状严重程度和抑郁症的减少.
- 治疗对睡眠,脑震荡和情绪症状的影响维持在干预后6-12周.
结论:
- 在有脑震荡史的人群中,CBT-I是治疗失眠的有效方法.
- 经过CBT-I改善睡眠与脑震荡后和情绪症状的降低有关.
- 对脑震荡后失眠的CBT-I的好处是持久的.
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