用认知行为疗法和有针对性的清醒反应激活来治疗与麻醉相关的梦:试点研究
Jennifer M Mundt1,2, Kristi E Pruiksma3, Karen R Konkoly4
1Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Journal of sleep research
|October 22, 2024
概括
梦的认知行为疗法 (CBT-N) 与有针对性的清醒反应激活 (TLR) 结合,在麻醉症成年人中显著减少了梦的频率和严重程度. 这种新的方法也改善了睡眠麻和自我效能,提供了一个有前途的新治疗途径.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
背景情况:
- 梦是麻醉症的一个频繁而令人痛苦的症状.
- 现有的临床试验没有专门针对麻醉症患者的梦.
- 清醒的梦想在麻醉症中很常见,这表明有可能进行以梦为中心的干预.
研究的目的:
- 研究适应麻醉症的梦认知行为疗法 (CBT-N) 的疗效.
- 评估添加目标清醒反应激活 (TLR) 作为辅助疗法,以增强清醒梦和梦境控制.
- 评估CBT-N和CBT-N+TLR对梦频率,严重程度和相关麻醉症症状的影响.
主要方法:
- 采用多个基线单个病例实验设计,对六名被诊断为麻醉症和频繁梦 (≥3/周) 的成年参与者进行了实验.
- 参与者被随机分配到2周或4周的基线期,然后接受CBT-N或CBT-N + TLR的7次治疗.
- 结果指标包括梦的频率和严重程度 (睡眠日记,扰乱梦和梦严重程度指数),NREM梦症状和自我有效性.
主要成果:
- 从基线到治疗后,从降低梦频率 (BC-SMD = -0.97) 和严重程度 (BC-SMD = -1.14) 观察到显著的大效果大小.
- 治疗导致NREM睡眠障碍症状显著改善 (r = -0.64) 和症状管理的自我有效性 (r = -0.58).
- 一些参与者经历了睡眠,幻觉和梦想演示的减少;那些接受TLR的人回忆起与他们重新编写的梦相关的梦想.
结论:
- 梦的认知行为疗法 (CBT-N),特别是与有针对性的清醒反应激活 (TLR) 相结合时,在减少梦和麻醉症相关症状方面表现出初步的有效性.
- 有针对性的清醒反应激活 (TLR) 显示出作为临床人群经历梦的治疗策略的潜力.
- 这项研究为这种综合治疗方法提供了概念证明,强调了参与者报告的睡眠和梦的羞耻感和焦虑感减少.
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