住院患者与门诊患者对失眠的认知行为疗法:一个双臂并行随机对照试验
Guifeng Li1, Mengya Li1, Xin Xu1
1Department of Anesthesiology and Perioperative Medicine, Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Comprehensive psychiatry
|May 28, 2025
概括
住院治疗失眠的认知行为疗法 (CBT-I) 比标准门诊CBT-I显著降低了失眠的严重程度. 这种密集的方法为慢性失眠障碍提供了更有效的治疗方法.
科学领域:
- 睡眠医学 睡眠医学
- 行为治疗是一种行为疗法.
- 临床心理学 临床心理学
背景情况:
- 对于失眠的门诊认知行为治疗 (CBT-I) 是有效的,但未能在约50%的患者中实现缓解.
- 需要更有效的CBT-I输送方法来改善患者的治疗结果.
- 这项研究比较了住院患者和门诊患者CBT-I.I.的疗效.
研究的目的:
- 为了比较一周的住院CBT-I计划与标准的八周门诊CBT-I计划的疗效.
- 为了确定密集的住院CBT-I是否会导致失眠严重程度的更大降低.
主要方法:
- 一项随机对照试验,涉及200名患有慢性失眠障碍的成年人.
- 参与者被分配到一个为期一周的住院CBT-I计划 (n=100) 或一个为期八周的门诊CBT-I计划 (n=100).
- 主要结局是9周失眠严重性指数得分的变化,使用线性混合效应模型进行分析.
主要成果:
- 住院的CBT-I组显示,在9周内,失眠严重程度的平均降低显著更大 (-13.31) 与门诊组 (-11.14) 相比 (P < .001).
- 两组之间的平均变化差异为 -2.03,有利于住院治疗方法 (P < .001).
- 效果大小 (科恩的d) 表明这两组的效果都很大,在住院组的效果略大 (-3.18对-2.66).
结论:
- 与标准的八周门诊CBT-I相比,一周的住院CBT-I在减少失眠严重程度方面表现出更高的疗效.
- 强化住院CBT-I代表了慢性失眠障碍的更有效的治疗策略.
- 进一步的研究可能会探索住院CBT-I的长期结果和成本效益.
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