数字认知行为疗法治疗65岁及以上成年人失眠的有效性:使用来自三项随机对照试验的个人参与者数据进行二次分析
Kathryn A Tarnai1, Christopher B Miller1, Nicholas Magill2,3
1Big Health Ltd. UK/Big Health Inc., San Francisco, USA.
Aging & mental health
|April 3, 2025
概括
数字认知行为疗法 (dCBT) 在老年人中显著改善了失眠,焦虑和抑郁症. 这种可访问的治疗方法为与睡眠问题作斗争的老年人提供了有效的替代方案.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 失眠在老年人中更为普遍,治疗能力有限.
- 认知行为疗法 (CBT) 是一线失眠治疗,但对于许多老年人来说,获得它是一个障碍.
- 数字CBT (dCBT) 提供了一种潜在的解决方案,以改善这一人口群体的可访问性.
研究的目的:
- 评估dCBT对65岁及以上成年人失眠,焦虑和抑郁症的疗效.
- 评估dCBT在改善老年人睡眠质量和心理健康症状方面的有效性.
- 确定dCBT是否是一种可行的,可访问的老年失眠治疗选择.
主要方法:
- 三项随机对照试验的元分析,涉及315名65岁以上的失眠障碍的成年人.
- 标准化的z分数被用来比较失眠,焦虑和抑郁的分数.
- 混合效应模型和奇2试验分析了治疗效应和缓解率.
主要成果:
- 与对照组相比,dCBT在治疗后和随访期间显著改善了失眠和抑郁症状 (p < 0.001).
- 焦虑症状也显示dCBT在治疗后显著改善 (p < 0.001).
- 失眠缓解率在dCBT组 (60%) 与对照组 (16%) (p < 0.001) 中明显较高.
结论:
- 数字CBT是一种有效的治疗方法,可以改善65岁及以上的成年人的失眠,焦虑和抑郁症.
- 对于患有失眠的老年人来说,dCBT提供了一个可访问的,符合指导方针的治疗选择.
- 这种方法可以帮助老年人避免与睡眠药理干预相关的潜在不良影响.
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