基于互联网的认知行为治疗失眠与慢性良性疼痛并发症 - 一个随机对照试验
K Bothelius1, S Jernelöv2,3, V Kaldo2,4
1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Internet interventions
|November 5, 2024
概括
基于互联网的失眠认知行为疗法 (CBT-i) 对慢性疼痛患者显示了适度的结果,参与度低影响了疗效. 人们注意到失眠的改善,但患者坚持需要加强广泛使用.
科学领域:
- 行为科学 行为科学
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛经常与睡眠障碍同时发生.
- 失眠的认知行为疗法 (CBT-i) 是一种有效的失眠治疗方法.
- 有限的研究存在于基于网络的CBT-i对于伴随性慢性疼痛和失眠的个体.
研究的目的:
- 评估基于互联网的CBT-i (ICBT-i) 对慢性疼痛和失眠患者的可行性和有效性.
- 探索治疗结果变化的潜在机制.
- 为了比较ICBT-i与基于互联网的替代干预,基于互联网的应用放松 (IAR).
主要方法:
- 85名患有并发性失眠和慢性疼痛的参与者被随机分配到ICBT-i或IAR.
- 这两种干预都是在治疗指导下进行的,持续了八周.
- 通过模块完成率来评估可行性,并使用失眠,疼痛,焦虑和自我评估的健康结果来衡量有效性.
主要成果:
- 模块完成率对于ICBT-i (2.0/8) 和IAR (2.4/8) 都很低.
- 这两种干预措施都改善了治疗后的失眠症状,两组之间没有显著差异.
- 与ICBT-i相比,基于互联网的应用性放松 (IAR) 在减少疼痛干扰,焦虑和改善自我评估健康方面显示出更大的治疗后立即益处.
结论:
- 低参与率是一个显著的限制,可能会阻碍ICBT-i的有效性.
- 尽管不太坚持,但这两种干预措施都改善了失眠症状.
- 提高患者参与度对于在慢性疼痛管理中成功实施基于互联网的失眠治疗至关重要.
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