在青少年精神卫生服务中改善对睡眠不足的帮助的获取:临时实施和临床结果
Rebecca Rollinson1, Ben Ewing2, Sarah Reeve3,4
1Norfolk and Suffolk NHS Foundation Trust and University of East Anglia, Norwich, UK.
The British journal of clinical psychology
|March 14, 2025
概括
患有心理健康问题的年轻人经常在睡眠方面扎. 一个新的计划培训心理健康从业人员在失眠的认知行为疗法 (CBTi) 显著改善了睡眠,心理健康和个人目标.
科学领域:
- 心理健康 心理健康
- 睡眠科学 睡眠科学
- 实施科学 实施科学
背景情况:
- 患有精神疾病的年轻人经历了大量未满足的睡眠支持需求.
- 一个全系统的方法对于解决睡眠困难在这个人口中至关重要.
研究的目的:
- 在青年心理健康系统中,为年轻人 (14-25岁) 实施和评估一项全面的睡眠支持计划.
- 改善在多个服务领域获得基于证据的睡眠干预措施的机会.
主要方法:
- 利用探索,准备,实施和维持 (EPIS) 框架来指导项目开发.
- 提供两级培训:适应性失眠认知行为疗法 (CBTi) 为治疗从业人员和非治疗人员的研讨会.
- 通过前后比较,收集关于实施结果 (可接受性,采用性,适当性,可访问性,忠实性) 和临床结果 (睡眠,福祉,个人目标) 的数据.
主要成果:
- 对培训的高度参与,有210名治疗从业者和270名非治疗人员参与培训.
- 在六个核心服务领域中,有五个成功将CBTi整合到日常实践中.
- 在睡眠质量 (d=0.61-1.35),心理健康 (d=0.57-1.26) 和个人目标实现 (d=1.77) (n=83) 中观察到显著改善.
结论:
- 一个中央资助的全系统实施计划有效地改善了精神健康挑战的年轻人的睡眠.
- 该计划在各种服务中显示出高吸收率和积极的临床结果.
- 需要进一步的研究来证实长期的可持续性和通用性.
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