基于互联网的失眠干预对自杀念头和相关相关相关的退伍军人的影响 自杀风险较高的退伍军人
Sarra Nazem1, Shengnan Sun2,3, Sean M Barnes4,5
1Dissemination and Training Division, National Center for PTSD, Palo Alto, CA, USA.
Translational behavioral medicine
|June 12, 2024
概括
通过互联网进行的失眠认知行为疗法 (iCBT-I) 显著改善了退伍军人的失眠严重程度. 虽然没有统计学意义,但该干预措施显示了减少自杀念头和相关风险因素的趋势.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 睡眠医学 睡眠医学
背景情况:
- 自杀预防需要可扩展的,基于证据的干预措施.
- 失眠在经验上与增加自杀风险有关.
- 通过互联网提供的干预措施为传播提供了一个有希望的途径.
研究的目的:
- 评估未经指导的在互联网上提供的失眠认知行为疗法 (iCBT-I) 是否可以降低退伍军人的失眠严重程度和自杀念头 (SI).
- 检查iCBT-I对相关的自杀风险的影响,包括抑郁症,PTSD,焦虑和绝望.
- 为了评估一个特定的iCBT-I程序的有效性,使用互联网 (SHUTi) 睡眠健康,在老兵人群中.
主要方法:
- 从一个更大的随机对照试验 (RCT) 中对50名退伍军人的二次数据分析.
- 参与者有临床显著的失眠症和升高的SI.
- 从基线到干预后,SHUTi和失眠教育网站的对照组之间的症状改善比较使用t测试或Wilcoxon排名和值测试.
主要成果:
- SHUTi参与者在失眠严重程度上显著改善 (P < .001; d = -1.08).
- 观察到自杀念头 (SI) 的非显著减少,效果大小小 (P = .17,d = 0.40).
- 显著改善绝望 (中等效果大小) 和其他自杀风险相关的非显著减少.
结论:
- 自治iCBT-I与自杀风险较高的退伍军人失眠严重程度的改善有关.
- 初步发现表明,ICBT-I对SI和自杀风险相关的潜在益处.
- 需要进一步的强大的RCT来确认这些影响在高风险人群中.
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