在工作场所治疗失眠和情绪调节的数字CBT:随机等候名单对照试验
Talar R Moukhtarian1, Sophie Fletcher1, Lukasz Walasek2
1Warwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.
Psychological medicine
|February 17, 2025
概括
针对失眠的数字认知行为疗法 (CBT-I) 加上在工作中进行的情绪调节干预,显著改善了失眠,抑郁和焦虑症状. 这种可扩展的方法显示出广泛的心理健康治疗的前景.
科学领域:
- 心理健康 心理健康
- 睡眠医学 睡眠医学
- 数字治疗学数字治疗学
背景情况:
- 失眠的认知行为疗法 (CBT-I) 是一线失眠治疗.
- 扩展CBT-I以满足高需求提出了挑战,需要适应性交付方法.
- 基于工作场所的干预措施为广泛的可访问性提供了潜在的途径.
研究的目的:
- 评估混合数字CBT-I和情绪调节 (dCBT-I + ER) 干预的有效性.
- 评估干预对失眠,抑郁,焦虑,福祉,生活质量和工作生产力的影响.
- 确定通过工作场所设置提供此干预的可行性.
主要方法:
- 进行了一项随机等候名单对照试验,其中159名参与者经历了失眠和情绪症状.
- 干预组接受了一个基于网络的dCBT-I + ER程序,包括视频会议会议.
- 睡眠通过动图和睡眠日记进行监测;评估发生在基线和8周.
主要成果:
- 干预组在失眠,抑郁和焦虑方面显著改善,效果大小较大.
- 睡眠日记数据证实了改善,尽管动图数据没有显示出显著的变化.
- 心理健康显著改善,但生活质量和工作生产力没有.
结论:
- 在工作场所进行的混合dCBT-I + ER干预有效治疗失眠,抑郁和焦虑.
- 这种干预是改善心理健康的有希望的,可扩展的解决方案.
- 需要进一步的研究来探索长期的有效性和经济影响.
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