在重饮退伍军人中治疗失眠的认知行为疗法:随机试点试验
Mary Beth Miller1,2, Ryan W Carpenter3, Sydney D Shoemaker2
1Department of Psychiatry, University of Missouri, Columbia, MO 65212, USA.
Sleep advances : a journal of the Sleep Research Society
|June 27, 2025
概括
失眠的认知行为疗法 (CBT-I) 有效地减少了沉重饮酒的退伍军人失眠的严重程度. 这种治疗是可行的,并且显示出显著的改善,即使对于那些积极饮酒的人来说也是如此.
科学领域:
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
- 退伍军人健康 退伍军人的健康
背景情况:
- 失眠影响五分之二的退伍军人,在重饮者中患病率更高.
- 失眠的认知行为疗法 (CBT-I) 对酒精使用障碍有效,但其在积极饮酒的人群中的使用理解较少.
研究的目的:
- 为了测试CBT-I在大量饮酒的退伍军人失眠的疗效.
- 评估CBT-I对该人群失眠严重性的可行性和影响.
主要方法:
- 一个随机对照试验,将CBT-I与睡眠卫生对照组进行比较.
- 参与者 (N=71) 是来自美国各地的退伍军人,患有失眠症和重度饮酒.
- 可行性,失眠严重程度,酒精作为睡眠辅助剂的使用,以及睡眠药物的使用,通过在基线,治疗后和3个月的随访时进行调查和睡眠日记来评估.
主要成果:
- 该试验显示了高的保留率 (86-90%) 和治疗完成率 (87%的CBT-I参与者).
- 与对照组相比,CBT-I导致失眠严重程度的大幅改善,在3个月的随访中持续存在 (d=1.26至1.33).
- CBT-I还显示了减少酒精 (d=0.66) 和睡眠药物作为睡眠辅助剂的使用的有利趋势.
结论:
- CBT-I是一种可行的,有效的治疗失眠的退伍军人谁喝得很重.
- 这些发现支持在这个人群中使用CBT-I,无论目前的酒精消费情况如何.
- 需要进一步的研究来探索CBT-I对与酒精有关的结果的机械效应.
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