基于互联网的认知行为疗法的临床有效性在日常二级护理中的失眠:随机对照试验的结果
Polina Pchelina1, Mikhail Poluektov1, Tobias Krieger2
1Department of Neurology and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Frontiers in psychiatry
|May 27, 2024
概括
基于互联网的失眠认知行为疗法 (iCBT-I) 与常规护理相比,在治疗后显著降低了失眠严重程度. 随访期间,睡眠效率和对睡眠的信念的改善得到了持续.
科学领域:
- 睡眠医学 睡眠医学
- 数字健康数字健康
- 心理学 心理学 心理学
背景情况:
- 慢性失眠影响许多人,影响生活质量.
- 基于互联网的失眠认知行为疗法 (iCBT-I) 提供了可访问的治疗选择.
- 在常规临床护理中评估iCBT-I是必不可少的.
研究的目的:
- 评估iCBT-I在现实临床环境中的有效性.
- 为了比较iCBT-I结果与通常的护理 (CAU).
- 分析失眠严重程度和相关睡眠参数的变化.
主要方法:
- 进行了一项双臂,非盲目的随机对照试验.
- 参与者接受了iCBT-I2个月或CAU.
- 失眠严重程度指数 (ISI) 是主要结果;测量了许多次要结果.
主要成果:
- 与CAU (d=0.51) 相比,iCBT-I在治疗后显著降低了失眠严重程度 (ISI).
- 观察到睡眠效率 (SE) 的改善和睡眠开始后 (WASO) 唤醒时间的减少.
- 在3个月的随访后,关于睡眠和SE的功能障碍信念的持续改善被注意到.
结论:
- 在日常护理中,iCBT-I有效降低失眠的严重程度.
- 这种干预措施对睡眠效率和对睡眠的信念产生了积极的影响.
- iCBT-I在慢性失眠管理方面显示出持久的益处.
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