数字认知行为疗法治疗失眠的伴随性心理困扰的人:一个大规模的随机对照试验
Helene Skoglund1, Børge Sivertsen2, Håvard Kallestad3
1Department of Psychosocial Science, University of Bergen, Norway.
Sleep medicine
|July 18, 2024
概括
失眠的数字认知行为疗法 (dCBT-I) 有效地治疗失眠,无论伴随性心理困扰. 这种数字疗法还显著减少了失眠和同时出现焦虑和抑郁症状的个体的心理痛苦.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 失眠经常伴随着心理困扰,包括焦虑和抑郁症状.
- 失眠的数字认知行为疗法 (dCBT-I) 是一种可访问的失眠治疗选择.
- 在患有并发性心理困扰的人群中,dCBT-I的有效性需要进一步研究.
研究的目的:
- 在一项大型随机对照试验 (RCT) 中,确定心理困扰是否会缓解dCBT-I的有效性.
- 评估dCBT-I对失眠和并发症患者心理痛苦水平的影响.
主要方法:
- 一项涉及1721名失眠患者的大规模RCT将dCBT-I与患者教育 (PE) 控制组进行了比较.
- 参与者在基线和9周随访期间完成了睡眠,疲劳和心理困扰的在线评估.
- 线性混合模型被用来分析干预的影响,参与者按心理痛苦水平分层 (HADS>16).
主要成果:
- 在没有和没有心理困扰的参与者之间,没有观察到dCBT-I对失眠严重程度或疲劳的影响的显著差异.
- 与对照组相比,这两组在失眠严重程度,疲劳和睡眠效率方面均显著改善.
- 与PE组相比,患有心理困扰的组经历了dCBT-I的心理困扰症状的小,但统计学上显著的减少.
结论:
- dCBT-I是治疗失眠的有效方法,即使存在并发性心理困扰.
- 数字CBT-I为患有失眠和同时出现焦虑和抑郁症状的个人提供了可行的治疗选择.
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