针对失眠的数字认知行为治疗对职业活动的有效性:随机对照试验的系统审查和元分析
Dédrie Zettor1, Francky Teddy Endomba2, Achille Pierandrei3
1Psychiatry internship program, University of Burgundy, Dijon, France.
Sleep medicine reviews
|November 21, 2024
概括
失眠的数字认知行为疗法 (dCBT-I) 通过降低工作反和现场活动成本,显著改善了职业活动. 建议进行进一步的研究,以加强关于dCBT-I有效性的这些积极发现.
科学领域:
- 行为科学 行为科学
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
背景情况:
- 失眠会对职业活动产生负面影响,导致生产率下降和医疗保健成本增加.
- 失眠的数字认知行为疗法 (dCBT-I) 为睡眠障碍提供了一个可扩展的干预措施.
- 对dCBT-I对专业成果的影响需要全面评估.
研究的目的:
- 评估dCBT-I对失眠患者职业活动的有效性.
- 量化dCBT-I对与工作相关的反,存在主义和生产力损失的影响.
主要方法:
- 一项元分析性审查系统地搜索了PubMed,科学网络和PsycINFO的随机对照试验 (RCT) 到2023年8月.
- 包括专注于dCBT-I干预的RCT和评估的专业活动结果.
- 使用标准化平均差异 (SMD) 和随机效应模型,遵循PRISMA指南.
主要成果:
- 分析了11个涉及4723名参与者的RCT.
- dCBT-I显著降低了与工作相关的反 (SMD = -3.28) 和现场主义得分 (SMD = -1.05).
- dCBT-I还降低了由于现场主义而导致的生产力损失相关的成本 (SMD = -0.55).
结论:
- dCBT-I对失眠患者的职业活动产生了显著的积极影响.
- 虽然这些发现是有希望的,但证据的确定性低至非常低,需要进一步进行高质量的研究.
- dCBT-I可能是改善睡眠和职业功能的一种有价值的工具.
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