失眠的认知行为疗法与老年退伍军人的事件认知障碍之间的关联
Hana Kusumoto1, Anjali Khakharia2,3,4, Adam D Bramoweth5
1Department of Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
概括
治疗失眠的认知行为疗法 (CBT-I) 完成可能会保护老年人免受认知衰退的影响. 然而,当同时使用镇静催眠药时,这种保护作用会逆转.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 睡眠医学 睡眠医学
背景情况:
- 慢性失眠是老年人认知能力下降的重要危险因素.
- 治疗失眠的认知行为疗法 (CBT-I) 是建议的失眠第一线治疗方法.
- 了解CBT-I对退伍军人群体认知健康的影响至关重要.
研究的目的:
- 评估完成CBT-I与老年退伍军人认知障碍发生率之间的关联.
- 调查镇静催眠药物使用对这种关联的潜在修改效应.
主要方法:
- 使用国家退伍军人卫生管理局数据进行的回顾性队列研究.
- 包括84739名年长的退伍军人.
- 根据电子健康记录,将参与者分为"任何CBT-I"完成或"仅推"组.
主要成果:
- 在没有镇静催眠药完成CBT-I的退伍军人中,认知障碍的发生率降低 (RR=0.87).
- 在使用镇静催眠药时完成CBT-I的退伍军人表现出认知障碍的发病率增加 (RR=1.18).
- 该研究发现,在服用镇静催眠药时,CBT-I的保护趋势发生了逆转.
结论:
- 完成CBT-I可能会对老年退伍军人发生的认知障碍产生保护作用.
- 同时使用镇静催眠药似乎会否定CBT-I的认知益处.
- 需要进一步的研究来探索这种相互作用背后的机制,并优化治疗策略.
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