在初级保健中治疗失眠的群体认知行为疗法的有效性:一个务实的多中心随机对照试验
Maria Hrozanova1, Eivind Schjelderup Skarpsno2, Turid Follestad1
1Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Sleep medicine
|April 12, 2025
概括
针对失眠的团体认知行为疗法 (CBT-I) 有效地降低了成年人失眠的严重程度. 与等待名单对照组相比,这种低门初级保健治疗显著改善了睡眠质量.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 失眠是一种影响普通人群的广泛疾病.
- 失眠的认知行为疗法 (CBT-I) 是一种主要的治疗方法,但使用可能是有限的.
- 群体交付模式可以提高治疗的可访问性.
研究的目的:
- 评估低值,小组交付CBT-I在挪威初级保健中的有效性.
- 通过实用随机对照试验,评估这种干预对失眠严重性的影响.
主要方法:
- 一项实用随机对照试验,涉及308名具有显著失眠症状的成年人 (失眠严重性指数[ISI]≥12).
- 参与者被随机分配 (2:1) 给一组交付的CBT-I或等待名单.
- 干预包括4个2小时的4周的四次会议,每组5-15名参与者. 主要结局是3个月后的ISI得分.
主要成果:
- 与等候名单相比,群体交付的CBT-I导致失眠严重程度的显著降低 (ISI的平均差异: -3.4).
- 33.6%的CBT-I组参与者报告了临床相关的改善 (在ISI上≥8分),而等待名单组的参与者为13.2% (OR 3.4).
结论:
- 群体交付的CBT-I是一种有效的治疗方法,可以减少寻求初级保健的成年人失眠的严重程度.
- 这种在健康生活中心提供的低门干预措施,证明了在初级保健机构管理失眠的适用性和可访问性.
相关概念视频
01:19Management of Insomnia
229
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
229
01:27Insomnia
78
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
78
01:54The Placebo Effect
6.1K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.1K
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
01:25Cognitive Therapy
39
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
39
01:14CNS Depressants: Barbiturates and Benzodiazepines
190
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
190