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接受和承诺治疗护士的睡眠,反,心理灵活性,以及它的神经机制:一个随机控制的fNIRS研究

Difan Wang^1,2, Bingyan Lin^3,4, Jiaxue Du⁵

¹Department of Internal Medicine, Psychological Counseling and Service Center, Graduate School of Medical College of Chinese PLA General Hospital, Beijing 100853, China.

International journal of clinical and health psychology : IJCHP

|February 3, 2025

概括

两次通过互联网提供的接受和承诺疗法 (ACT) 干预改善了护士的睡眠质量和心理灵活性. 循环模型展示了优越的效果,突出了前额叶皮层激活在治疗结果中的作用.

科学领域:

精神病学和心理学精神病学和心理学
神经科学是一个神经科学.
数字健康数字健康

背景情况:

护士经常经历睡眠障碍,影响他们的福祉和表现.
通过互联网提供的干预措施为医疗保健专业人员的心理健康挑战提供了可扩展的解决方案.
接受和承诺疗法 (ACT) 显示了改善心理健康和睡眠的前景.

研究的目的:

为了比较两种通过互联网提供的ACT干预措施 (线性与循环模型) 改善护士的睡眠质量 (SQ),心理灵活性 (PF) 和减少反.
利用功能近红外光谱学 (fNIRS) 探索这些干预措施背后的神经机制.
研究前额叶皮层激活在治疗结果中的调解作用.

主要方法:

一项随机对照试验,涉及477名被分配到ACT线性,ACT循环或等待列表组的护士.
通过问卷评估SQ,PF和反.
使用fNIRS测量前额叶皮层激活在口语流利任务期间.

主要成果:

与基线相比,这两种ACT干预都显著改善了SQ,PF,并减少了反.
ACT循环模型比线性模型带来了明显更大的改进.
干预后观察到脊侧前额叶皮层 (DLPFC) 激活增加,介导结果的改善;前极激活变化特别介导了SQ的改善.

结论:

通过互联网提供的ACT干预措施有效改善护士的睡眠和心理灵活性.
与线性模型相比,ACT循环模型提供了一种新且更有效的方法.
对于了解ACT在失眠治疗中的有效性,DLPFC激活变化至关重要,需要对循环模型的特定机制进行进一步研究.

关键词:

皮层激活活动.功能性近红外光谱学 (fNIRS) 是一种功能性近红外光谱学.互联网提供的自我帮助接受和承诺治疗.化化化化睡眠质量睡眠质量

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