在精神病学中应用治疗师指导的数字认知行为疗法治疗失眠:一种混合方法的评估过程
J E Reesen1,2, F M van de Kamer3, A E van Keeken3
1Department of Sleep and Cognition, Netherlands Institute for Neuroscience, Royal Netherlands, Academy of Arts and Sciences, Amsterdam, the Netherlands. j.e.reesen@amsterdamumc.nl.
BMC psychiatry
|April 28, 2025
概括
治疗师指导的失眠数字认知行为疗法 (i-Sleep) 显示出改善精神健康问题的个体睡眠的希望. 这种干预在护理环境中是可行的,参与者的满意度很高,并且愿意推它.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 睡眠的药物 睡眠的药物
- 心理健康治疗 心理健康治疗
背景情况:
- 失眠是很常见的,特别是在那些有心理健康状况的人中.
- 失眠的认知行为疗法 (CBT-I) 是有效的,但未得到充分利用.
- 在治疗师指导的数字CBT-I (i-Sleep) 中,对优化和实施进行了评估.
研究的目的:
- 评估治疗师指导的数字CBT-I (i-Sleep) 的可行性和潜力.
- 收集参与者和治疗师的见解,以优化干预.
- 为在日常护理中实施i-Sleep的策略提供信息.
主要方法:
- 使用RE-AIM框架进行混合方法的过程评估.
- 来自失眠和精神健康投诉的参与者的有效性试验数据.
- 从不同护理层次的参与者和治疗师那里收集的数据.
主要成果:
- 181名参与者被录取;21.6%的退学率.
- 参与者报告说,睡眠开始改善,觉醒减少,能量增加.
- 对i-Sleep (7.1-7.3) 和治疗师指导 (7.7-8.3) 的高满意度; 89.4%的人会推iCBT-I.
- 治疗师建议解决实际限制和加强培训.
结论:
- 治疗师指导的iCBT-I是可行的,并且可以改善精神健康问题的个体的睡眠.
- 普遍实施可以带来显著的好处.
- 可适应的内容和灵活的指导是满足各种需求的关键.
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