在社区成年人中,基于互联网的自助认知行为治疗失眠 (CBT-I) 的有效性:随机对照试验
Ka Long Chan1, Nerissa Hoi Yan Pau1, Scarlet Fung Oi Poon1
1Integrated Mental Health Services, Baptist Oi Kwan Social Service, Hong Kong.
Applied psychology. Health and well-being
|June 17, 2025
概括
基于互联网的失眠认知行为疗法 (CBT-I) 有效地减少失眠,改善幸福感. 睡眠前唤醒是关键机制,具有更广泛的好处,包括减少焦虑和改善生活质量.
科学领域:
- 心理学 心理学 心理学
- 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 (CBT-I) 的研究正在扩大.
- 了解CBT-I除了减少失眠之外的机制和更广泛的益处至关重要.
研究的目的:
- 为香港轻度至中度失眠的成年人开发,实施和评估一项新的基于互联网的自助CBT-I计划.
- 调查这种数字干预的机制和更广泛的影响.
主要方法:
- 随机对照试验,358名参与者被分配到CBT-I或等候名单对照组.
- 在基线,干预后和4周后续的调查问卷评估.
- 调解分析以探索干预机制.
主要成果:
- 与对照组相比,CBT-I组的失眠症状,睡眠障碍,睡眠前唤醒和功能障碍的睡眠信念显著减少.
- 更广泛的好处包括减少抑郁和焦虑症状,改善认知功能和提高生活质量.
- 在睡眠前的唤醒被确定为失眠症状减少的显著调解者.
结论:
- 基于互联网的自助CBT-I是一种有效的治疗失眠,以睡眠前唤醒为关键机制.
- 该干预提供了显著的更广泛的好处,包括改善心理健康和功能结果.
- 这种可访问和具有成本效益的数字方法是社区失眠管理的有前途的第一线治疗方法.
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