在治疗失眠的认知行为疗法期间小睡:朋友还是敌人?
Brice Faraut1,2, Louise Gaillard1, Annabelle Labonne2
1Université Paris Cité, VIFASOM UPR 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France.
Journal of sleep research
|September 22, 2024
概括
在失眠认知和行为疗法 (CBT-I) 治疗期间授权的小睡可能会提高警觉性,而不会影响治疗的有效性. 这种方法可能会提高患者对慢性失眠的CBT-I的坚持.
科学领域:
- 睡眠医学 睡眠医学
- 行为心理学 行为心理学
背景情况:
- 失眠的认知和行为疗法 (CBT-I) 是慢性失眠的主要治疗方法.
- CBT-I的一个关键组成部分是限制卧床时间,这可能会增加白天的嗜睡.
- 临床医生之间没有确立的共识,是否允许在CBT-I期间短暂的午睡.
研究的目的:
- 调查授权午睡对CBT-I在失眠患者的有效性的影响.
- 为了比较一组被允许午睡和一组不被允许午睡之间的结果.
主要方法:
- 一项试点研究涉及108名失眠患者.
- 睡眠小组与没有睡眠的对照组进行比较.
- 使用失眠严重程度指数和贝克抑郁症清单-2以及睡眠日记数据评估CBT-I效率.
主要成果:
- 午睡与下午早些时候提高警觉性有关.
- 午睡没有对失眠严重程度或抑郁症状的改善产生负面影响.
- 自我报告的睡眠效率,延迟和睡眠开始后的觉醒没有受到小睡的影响.
结论:
- 授权的小睡似乎是CBT-I的安全补充,可能会提高警觉性.
- 午睡似乎不会阻碍CBT-I在失眠症状上的治疗效益.
- 建议使用客观睡眠测量方法进行进一步的研究,以验证这些发现并探索坚持的益处.
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