数字认知行为疗法对慢性疼痛失眠的影响:一项随机对照试验
Jennifer Schuffelen1, Leonie F Maurer2, Annika Gieselmann1
1Department of Clinical Psychology, Institute of Experimental Psychology, Heinrich Heine University, Düsseldorf, Germany.
Psychotherapy and psychosomatics
|July 15, 2025
概括
治疗失眠的数字认知行为疗法 (dCBT-I) 在慢性疼痛患者中显著降低了失眠的严重程度. 这种数字疗法也改善了疼痛症状,证明了它在治疗并发性疾病方面的价值.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 疼痛管理 疼痛管理
- 睡眠科学 睡眠科学
背景情况:
- 慢性疼痛管理是复杂的,通常由伴随性失眠症复杂化.
- 疼痛和失眠之间的双向关系给治疗带来了挑战.
- 多模式方法对于有效的慢性疼痛和失眠管理至关重要.
研究的目的:
- 评估数字认知行为治疗失眠 (dCBT-I) 的疗效,作为伴随性慢性疼痛和失眠患者定期护理的辅助.
- 为了比较dCBT-I加上常规治疗与等候名单对照 (WLC) 组的结果.
主要方法:
- 随机对照试验与1:1分配给dCBT-I或WLC.
- 在随机化后的基线,8周和24周进行的评估.
- 主要结局:失眠严重程度指数 (ISI);次要结局:睡眠,疼痛,幸福感和梦境的测量. 使用线性混合模型进行分析.
主要成果:
- 与WLC相比,dCBT-I组在8周 (d = -1.18) 和24周 (d = -1.32) 的失眠严重程度显著降低.
- 在dCBT-I组中,还观察到与疼痛相关的损伤和生命控制 (ds = 0.22-0.35) 的改善.
- 对于白天的嗜睡,疲劳和对睡眠的功能障碍信念 (ds = 0.47-1.12) 发现了中度至大的影响.
结论:
- 在患有并发性慢性疼痛和失眠的个体中,dCBT-I有效降低了失眠的严重程度.
- 该干预措施有望改善慢性疼痛症状,支持其在多模式疼痛管理中的作用.
- dCBT-I为慢性疼痛和失眠的双重病理提供了一个可扩展的,基于证据的解决方案.
关键词:
慢性疼痛是一种慢性疼痛.临床研究是临床研究.认知行为心理治疗是认知行为心理治疗.对于失眠的数字认知行为治疗.失眠是一种失眠.基于互联网的治疗方法心理治疗的研究研究.随机对照试验是随机对照试验.睡眠 睡眠 睡眠 睡眠睡眠障碍 睡眠障碍是一种睡眠障碍.更多相关视频
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