接受和承诺治疗与失眠的认知行为治疗:一个随机对照试验.
Renatha El Rafihi-Ferreira1, Rosa Hasan2, Andrea C Toscanini2
1University of Sao Paulo, Department of Clinical Psychology.
Journal of consulting and clinical psychology
|July 18, 2024
概括
认知行为疗法 (CBT) 和接受与承诺疗法 (ACT) 都有效治疗失眠. 认知性治疗显示出更快的改善,而ACT显示出显著的长期收益,为一些患者提供了可行的替代方案.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 失眠是一种普遍的睡眠障碍,影响着全球数以百万计的人.
- 认知行为疗法 (CBT) 是一种成熟的失眠治疗方法.
- 接受和承诺疗法 (ACT) 提供了一种新的方法,专注于接受和基于价值的行动.
研究的目的:
- 为了比较基于ACT的协议与CBT在成年人失眠的疗效.
- 为了评估治疗后的治疗结果和6个月的随访.
主要方法:
- 一项随机对照试验,涉及227名患有失眠的成年人.
- 参与者被分配到每周六个ACT (n=76),CBT (n=76) 或等候名单控制 (WL; n=75) 的小组会议.
- 评估了失眠的严重程度,治疗反应,缓解和白天功能.
主要成果:
- 无论是ACT还是CBT都显著降低了失眠严重程度,效果大,在随访时保持.
- 在治疗后和随访时,CBT在降低失眠严重程度方面表现优于ACT (小效果大小).
- 与WL相比,ACT显示出显著的改善,反应和缓解率的延迟但实质性的长期增长.
结论:
- 无论是CBT还是ACT都是有效的失眠治疗方法,CBT提供更快的结果.
- ACT是一种有价值的长期治疗选择,特别是对于那些与传统行为技术扎的人来说.
- ACT的有效性凸显了其作为治疗慢性失眠的可行替代品的潜力.
更多相关视频
04:33Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
656
04:59Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
Published on: May 30, 2025
169
相关概念视频
Cognitive Therapy
149
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
149
Rational Emotive Behavior Therapy
48
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...
48
Management of Insomnia
239
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...
239
Insomnia
82
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...
82
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
Behavior Therapy
46
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...
46
