一个随机对照试验的认知行为疗法失眠在早期恢复酒精使用障碍期间退伍军人之间的失眠
Subhajit Chakravorty1,2, Knashawn H Morales2, Michael L Perlis2
1Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104.
medRxiv : the preprint server for health sciences
|January 13, 2025
概括
失眠的认知行为疗法 (CBT-I) 和准脱敏疗法 (QDT) 在退伍军人中同样改善了失眠和酒精戒断. 减少对酒精的渴望将失眠缓解与更好的饮酒结果联系在一起.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 睡眠医学 睡眠医学
背景情况:
- 失眠在患有酒精使用障碍 (AUD) 的人群中很普遍.
- 有效的失眠治疗对于AUD恢复和整体健康至关重要.
- 失眠的认知行为疗法 (CBT-I) 是失眠的第一线治疗方法.
研究的目的:
- 评估CBT-I与准脱敏疗法 (QDT) 对退伍军人的失眠,与酒精有关的结果和白天功能疗法的疗效.
- 为了检查失眠改善和治疗后减少与酒精有关的结果之间的关联.
主要方法:
- 一个随机对照试验 (RCT) 将CBT-I (n=31) 与QDT (n=32) 进行比较,每周进行八次会议.
- 在基线,治疗结束以及3个月和6个月的随访期间进行的评估.
- 主要结局包括失眠严重程度指数 (ISI) 和百分比禁欲日 (PDA).
主要成果:
- 无论是CBT-I还是QDT,都显示了对失眠的显著改善,效果大小与元分析估计相当.
- 对于失眠和禁欲,QDT显示的效果大小略大于CBT-I.
- 失眠缓解与治疗后显著降低酒精渴望得分有关,这种效应持续了6个月.
结论:
- 在早期AUD恢复期间,CBT-I和QDT在治疗失眠方面同样有效.
- 减少对酒精的渴望可能会调解失眠缓解对饮酒结果的积极影响.
- 这些发现支持将失眠治疗纳入AUD恢复计划.
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