在患有原发性失眠和并发性失眠的患者之间,对失眠的认知行为疗法的效果进行比较
Masayuki Iwashita1,2, Wataru Yamadera1,3, Ayana Hotchi1,2
1Department of Psychiatry, Jikei University School of Medicine, 19-18, 3-Chome, Minato-ku, Tokyo, 105-8461 Japan.
Sleep and biological rhythms
|March 12, 2024
概括
失眠的认知行为疗法 (CBT-I) 有效治疗初级失眠. 然而,CBT-I对伴随性失眠的影响较小,这表明需要针对潜在疾病的额外治疗.
科学领域:
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 失眠的认知行为疗法 (CBT-I) 是对原发性失眠 (PI) 和并发性失眠 (CI) 的公认治疗方法.
- 了解标准化CBT-I在这些患者群体中的比较疗效对于优化治疗策略至关重要.
研究的目的:
- 为了比较CBT-I的结果,CBT-I同样用于PI和CI患者.
- 评估CBT-I在改善两组失眠严重程度和药物使用方面的有效性.
主要方法:
- 对41名完成CBT-I的成年患者进行了回顾性分析.
- 患者被分为一个PI组 (n=24) 和一个CI组 (n=17).
- 日本版本的失眠严重性指数 (ISI-J) 是主要终点,也分析了催眠药剂量和睡眠日记数据.
主要成果:
- 在PI组中,在CBT-I后观察到ISI-J得分和催眠药物剂量的显著降低.
- 在CI组中,只有催眠药剂量显著下降;ISI-J得分没有显示出统计学上显著的改善.
- 睡眠日记中的睡眠开始延迟和睡眠质量与CI组的ISI-J得分改善有关.
结论:
- 虽然CBT-I对CI有效,但它的疗效与PI相比较明显,特别是关于睡眠和心理健康的结果.
- 对于CI,特别是严重症状,建议采用综合治疗方法,与标准CBT-I一起解决并发性疾病.
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