作为治疗失眠障碍的悖论性意图:混合方法试验试验试验的研究方案
Osame Salim1, Markus Jansson-Fröjmark2, Christina Sandlund3,4
1School of Behavioural, Social and Legal Sciences, Örebro University Faculty of Humanities and Social Sciences, Örebro, Sweden osame.salim@oru.se.
BMJ open
|October 10, 2024
概括
悖论意图 (PI) 是一种更新的失眠治疗方法. 这项试点研究评估了它的疗效,机制和患者经验,为未来的试验提供了洞察力.
科学领域:
- 睡眠医学 睡眠医学
- 行为治疗是一种行为疗法.
- 心理学 心理学 心理学
背景情况:
- 悖论性意图 (PI) 是一种在20世纪70年代开发的对失眠的认知行为技术.
- 目前存在关于PI的疗效,机制和患者经验的研究差距,原因是更新的诊断标准和缺乏最近的研究.
- 本研究通过评估PI的初步疗效,机制和可接受性来解决这些缺陷.
研究的目的:
- 评估悖论意图 (PI) 在治疗失眠方面的初步疗效.
- 探索PI有效性的潜在机制.
- 评估患者的经验,可接受性和PI的可行性.
主要方法:
- 一种混合方法的方法,使用40名患有失眠的成年参与者的定性和定量数据.
- 一个为期4周的在线自助干预,每周通过电话得到治疗师的支持.
- 每周对过程和结果措施进行评估,对一小部分参与者进行定性访谈,然后进行为期3个月的随访.
主要成果:
- 本部分应在研究完成后填写. 初步发现将为未来的研究方向提供信息.
- 预期的结果包括对PI的初步疗效和机制的见解.
- 患者经验和可接受性数据将丰富对PI实际应用的理解.
结论:
- 这项研究将提供关于对失眠的悖论性意图 (PI) 疗效和机制的初步见解.
- 这些发现将指导PI治疗方案的完善.
- 结果将为更大规模的随机对照试验奠定基础.
相关概念视频
Management of Insomnia
234
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...
234
Insomnia
79
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...
79
Sedatives and Hypnotics Drugs: Miscellaneous Agents
149
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
149
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
CNS Depressants: Barbiturates and Benzodiazepines
230
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
230
Sleepwalking and Sleep Talking
122
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
122


