数字认知行为治疗失眠与数字睡眠教育控制在澳大利亚社区的样本:一个随机对照试验
Alexander Sweetman1, Chelsea Reynolds2, Cele Richardson3
1Adelaide Institute for Sleep Health and Flinders Health and Medical Research Institute: Sleep Health, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Internal medicine journal
|September 11, 2024
概括
一个新的数字认知行为治疗失眠 (CBT-i) 计划显著减少了澳大利亚成年人的失眠,抑郁和疲劳. 这些改进持续了至少24周,显示了该计划.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 睡眠的药物 睡眠的药物
- 精神病学是一个精神病学.
背景情况:
- 失眠在澳大利亚很常见,增加了抑郁和焦虑的风险.
- 失眠的认知行为疗法 (CBT-i) 是有效的,但未得到充分利用.
- 对CBT-i的有限访问需要可扩展的解决方案.
研究的目的:
- 开发和评估一个自我引导的,交互式的数字CBT-i程序.
- 为了提高澳大利亚CBT-i的可访问性.
- 评估该计划对失眠和相关症状的影响.
主要方法:
- 一项在线随机对照试验将数字CBT-i与数字睡眠教育控制器进行了比较.
- 62名患有失眠症状的成年人从2022年8月到2023年8月参加了这项研究.
- 测量结果包括失眠,抑郁,焦虑,疲劳和8周,16周和24周的睡眠信念.
主要成果:
- 与对照组相比,数字CBT-i显著降低了失眠严重程度 (ISI),抑郁症 (PHQ-9),疲劳和不适应的睡眠信念.
- 在CBT-i组,8周后观察到更高的失眠缓解率和反应率.
- 在24周的随访期间,失眠和抑郁症症状的改善仍然存在.
结论:
- 互动式数字CBT-i程序在澳大利亚成年失眠患者中显示出大而持续的改善.
- 这些发现支持使用数字CBT-i作为一种可访问的治疗选择.
- 需要进一步实施战略,以增加数字CBT-i.
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