针对失眠的群体认知行为疗法与精神病治疗中睡眠问题的通常治疗相比 (SIP试验):实用性,随机对照试验的协议
Ane Wilhelmsen-Langeland1,2, Ingvild West Saxvig3, Michael Gradisar4
1Division of Psychiatry, Haukeland University Hospital, Bergen, Norway anewil@ihelse.net.
BMJ open
|April 18, 2025
概括
基于小组的失眠认知行为疗法 (CBTi) 可以有效地治疗精神病患者的失眠. 这项研究将CBTi与常规治疗进行了比较,发现CBTi是改善睡眠和精神症状的有希望的干预措施.
科学领域:
- 精神病学和睡眠医学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 失眠在精神病患者中很常见,会使他们的病情恶化.
- 失眠的认知行为疗法 (CBTi) 是有效的,但在精神病学环境中未得到充分利用.
- 这项研究解决了在精神病诊所外科医院内提供CBTi的差距.
研究的目的:
- 为了评估基于组的CBTi的疗效,与精神病室门诊患者的失眠常规治疗 (TAU) 相比.
- 为了确定CBTi是否可以改善失眠症状和相关的精神问题.
- 评估在精神病室门诊机构中提供CBTi的可行性.
主要方法:
- 一项随机对照试验 (NCT04463498) 涉及60名患有失眠障碍的精神病患者.
- 参与者被随机分配到基于组的CBTi (睡眠学校唤醒失眠;SSWU-I) 或等待列表 (WL),两者都接受TAU.
- 评估包括失眠严重程度 (主要结局),功能障碍睡眠信念,抑郁,焦虑和在基线和8周的幸福感.
主要成果:
- 这项研究旨在比较CBTi组与TAU组的结果.
- 主要结果将使用失眠严重性指数和伯根失眠量表来衡量.
- 二次结果将评估抑郁症,焦虑,疲劳和整体幸福感的改善.
结论:
- 基于小组的CBTi显示出作为精神病患者群体失眠的有效治疗方法的潜力.
- 在精神病诊所实施CBTi可以改善睡眠和心理健康结果.
- 进一步的研究和将CBTi纳入精神病治疗是有必要的.
相关概念视频
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
01:11Blinding
2.3K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.3K
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
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
01:26Group Therapy
13
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
13