评估数字认知行为治疗失眠的短期有效性与不同类型的辅导:随机对照比较试验
Wai Sze Chan1, Wing Yee Cheng1, Samson Hoi Chun Lok1
1Department of Psychology, The University of Hong Kong, Hong Kong, China (Hong Kong).
JMIR mental health
|August 7, 2024
概括
失眠的数字认知行为疗法 (dCBTi) 有效地治疗失眠和相关症状. 添加聊天机器人或人类辅导并没有显著改善结果,尽管人类支持显示了一些长期益处.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 行为睡眠药物 行为睡眠药物
- 临床心理学 临床心理学
背景情况:
- 失眠的数字认知行为疗法 (dCBTi) 是一种有效的失眠治疗方法,但与人身治疗相比,其疗效尚不清楚.
- 阻碍dCBTi有效性的障碍可能包括缺乏人类支持和较低的坚持.
- 没有直接的比较试验评估了不同级别的辅导支持的dCBTi.
研究的目的:
- 调查是否添加基于聊天机器人和人类的指导可以提高dCBTi治疗的有效性和坚持.
- 在dCBTi框架内比较不同级别的辅导支持.
主要方法:
- 一个五臂随机对照试验,涉及129名失眠患者 (失眠严重性指数得分>9).
- 武器包括治疗师支持的dCBTi,聊天机器人和研究助理支持,只聊天机器人,单独的dCBTi和对照组 (数字睡眠卫生).
- 结果 (失眠,情绪,疲劳,生活质量) 和坚持通过网络问卷进行了自我评估;进行了治疗意图分析.
主要成果:
- 与对照组相比,dCBTi,有或没有指导,改善了失眠 (睡眠状况指标),抑郁症状,焦虑,疲劳,功能障碍的信念和安全行为.
- 基于聊天机器人和人类的辅导并没有显著改善整体治疗疗效.
- 人类支持在4周的随访中显示了减少疲劳和与睡眠有关的安全行为增加的益处.
结论:
- dCBTi有效治疗失眠,减少与之相关的负面思想,行为,情绪障碍和疲劳.
- 添加基于聊天机器人的辅导和人类支持并没有显著提高短期dCBTi的有效性.
- 人类支持可能为疲劳和失眠延续行为提供长期益处.
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