睡眠和情绪治疗的整合:对伴随性失眠的跨诊断性CBT进行随机试验
Mahdieh Mohamadi Jam1, Amirhossein Rasouli2, Zahra Nejad-Ebrahim Soumee2
1Department of Clinical Psychology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
BMC psychiatry
|April 17, 2025
概括
跨诊断性认知行为疗法 (TCBT) 在有情绪障碍的大学生中有效治疗失眠. 益处显著,并在三个月的随访中维持,显示TCBT是有前途的综合治疗.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 睡眠医学 睡眠医学
背景情况:
- 失眠经常与情绪障碍同时发生,需要综合治疗策略.
- 对于伴随性失眠和情绪障碍的现有治疗方法尚未得到充分研究.
- 这项研究调查了跨诊断性认知行为疗法 (TCBT) 对大学生伴随性失眠的疗效.
研究的目的:
- 评估TCBT在减轻有情绪障碍的学生失眠严重性的有效性.
- 为了评估在三个月后的随访中治疗收益的维持.
- 将TCBT的疗效与等候名单对照组进行比较.
主要方法:
- 进行了一项双盲随机对照试验,对32名被诊断为伴随性失眠和情绪障碍的大学生进行了随机对照试验.
- 参与者被随机分配到TCBT (n=16) 或等候名单对照组 (n=16).
- 在TCBT组接受了20次会议,失眠严重程度使用失眠严重程度指数 (ISI) 在基线,治疗后和三个月后续评估.
主要成果:
- 混合模型ANOVA显示了时间和组的显著主要影响,以及时间 × 组的显著相互作用 (p < .001).
- 在TCBT组中,从治疗前到治疗后 (Hedges' g = 3.75) 和治疗前到随访 (g = 3.07) 的失眠减轻的效果大.
- 在TCBT组的治疗效益在三个月的随访中保持不变,而等候名单组没有显著变化.
结论:
- TCBT被证明是一种强大的和有效的综合治疗伴随性失眠在大学生有情绪障碍.
- 观察到的失眠严重程度的改善是显著的,持续了三个月.
- 对于这种患者群体来说,TCBT是一个有前途的治疗选择,它既可以治疗失眠,也可以治疗情绪障碍症状.
更多相关视频
06:23A Chronic Sleep Fragmentation Model using Vibrating Orbital Rotor to Induce Cognitive Deficit and Anxiety-Like Behavior in Young Wild-Type Mice
Published on: September 22, 2020
5.2K
04:34Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
Published on: February 17, 2023
919
相关概念视频
01:19Management of Insomnia
185
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...
185
01:27Insomnia
75
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...
75
01:30Electroconvulsive Therapy
18
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
18
01:25Cognitive Therapy
22
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...
22
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
97
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
97
01:24Rational Emotive Behavior Therapy
26
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
26