失眠认知行为治疗 (CBT-I) 对神经发育疾病患者的有效性:系统性审查
Maja Cullen1, Stephanie McCrory1, Gemma Hooman1
1Department of Psychological Sciences and Health, Faculty of Humanities and Social Sciences, University of Strathclyde, Glasgow, Scotland, UK.
Journal of sleep research
|April 3, 2025
概括
治疗失眠的认知行为疗法 (CBT-I) 对患有神经发育疾病 (如自闭症谱系障碍和多动性多动症) 的人来说显示出短期的好处. 然而,改进是不一致的,不持久的,突显了需要进一步研究的需要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
背景情况:
- 失眠的认知行为疗法 (CBT-I) 是慢性失眠的第一线治疗方法.
- 患有神经发育疾病 (例如,自闭症,多动症) 个体的睡眠问题率很高,但往往被排除在CBT-I研究之外.
- 目前对神经发育条件的CBT-I的研究是有限的.
研究的目的:
- 系统地审查和综合CBT-I在神经发育条件的个体中的有效性.
- 识别文献中的差距,并为未来的研究和临床实践提供信息.
主要方法:
- 在2024年2月,在五个数据库中进行了系统的文献搜索.
- 包括的研究使用叙事合成进行了分析.
- 包括8项研究 (2项RCT,6项前后) 与598名参与者.
主要成果:
- 在患有自闭症谱系障碍 (ASD) 和/或注意力缺陷/多动症障碍 (ADHD) 的个体中,CBT-I证明了对失眠的短期有效性.
- 一些研究报告了疾病特征的改善.
- 结果不一致,并且在随访时通常不会保持改善. 由于样本大小小和缺乏盲目化,研究质量中等.
结论:
- CBT-I在神经发育人口中显示出治疗失眠的潜力,但结果是可变的,缺乏长期维护.
- 需要进一步进行严格的研究,为患有失眠和神经发育条件的个人开发量身定制的CBT-I协议.
- 缺乏具体的指导可能会导致干预有效性的变化.
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