关于治疗失眠的自我辅助认知行为疗法的范围审查
R C Lake1, R E Tucker2, A L Murphy3
1Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Sleep medicine reviews
|November 19, 2024
概括
失眠自助认知行为疗法 (CBTI) 保持了传统CBTI的核心组成部分. 这个不断发展的领域提供了一个可扩展的解决方案,以解决慢性失眠治疗缺口.
科学领域:
- 行为科学 行为科学
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
背景情况:
- 失眠认知行为疗法 (CBTI) 是慢性失眠的第一线治疗方法.
- 治疗师的有限可用性和访问障碍限制了广泛的CBTI采用.
- 自助CBTI提供了一个可扩展的替代方案,具有更广泛传播的潜力.
研究的目的:
- 进行自助CBTI研究的范围审查.
- 通过其核心组成部分,交付方法,指导支持和研究增长来描述自助CBTI.
- 绘制当前自助CBTI干预措施的地图.
主要方法:
- 进行了全面的范围审查.
- 包括来自145项独特研究的174份报告,其中包括106项随机试验.
- 专注于确定CBTI核心组件,交付格式和自我帮助干预中的指导元素.
主要成果:
- 自助CBTI在很大程度上保留了传统CBTI的基本组成部分,包括睡眠限制,刺激控制,认知重组和放松技巧.
- 在各个研究中,辅导支持的包含和格式存在差异.
- 研究的显著增加,自2020年以来发表了65项研究,表明该领域的快速增长.
结论:
- 自助CBTI有效地保持了亲自CBTI的核心治疗元素.
- 该领域正在扩大,证明其有潜力解决慢性失眠的治疗缺口.
- 需要进一步的研究,才能充分理解辅导在自助CBTI中的最佳交付和作用.
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