自主导互联网干预的有效性与可选的按需反对大学生失眠的睡眠卫生数字心理教育:随机对照试验
Anna-Carlotta Zarski1,2, Karina Bernstein2, Harald Baumeister3
1Division of eHealth in Clinical Psychology, Department of Clinical Psychology, Philipps University of Marburg, Marburg, Germany.
Journal of medical Internet research
|May 9, 2025
概括
基于互联网的对失眠的认知行为疗法 (iCBT-I) 没有显示出短期优势,而不是学生的睡眠卫生心理教育. 然而,iCBT-I在减少失眠严重程度方面表现出长期优越性.
科学领域:
- 行为科学 行为科学
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 基于互联网的失眠认知行为疗法 (iCBT-I) 提供了灵活性,但涉及时间密集的组件,如睡眠限制疗法.
- 与不那么苛刻的干预措施相比,例如睡眠卫生心理教育,iCBT-I的有效性需要进一步研究.
研究的目的:
- 评估自导ICBT-I的增量疗效,并为患有失眠的大学生提供可选的反.
- 为了比较iCBT-I与数字睡眠卫生心理教育的单一会议.
主要方法:
- 一项随机对照试验涉及90名失眠的学生,分为自助iCBT-I或数字睡眠卫生心理教育控制组.
- 对失眠严重程度,诊断,睡眠质量和其他因素的评估在基线,治疗后8周和6个月进行.
主要成果:
- 在8周的随访期间,iCBT-I和对照组之间没有观察到不眠症严重程度的显著差异.
- 在6个月的随访中,iCBT-I与对照组相比,失眠严重程度显著改善,效果大小中等.
结论:
- 低强度数字睡眠卫生精神教育和iCBT-I都能在短期内使失眠的学生受益.
- 与睡眠卫生心理教育相比,iCBT-I在大学生治疗失眠方面表现出更高的长期有效性.
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