坚持数字认知行为疗法对失眠有效性的影响
Suonaa Lee1, Kyung Mee Park2,3, Do Hyun Lee3
1Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea.
Yonsei medical journal
|September 24, 2025
概括
与虚假应用程序相比,失眠的数字认知行为疗法 (dCBT-I) 显著提高了睡眠效率,并减少了睡眠开始延迟. 坚持睡眠限制疗法 (SRT) 对于最大限度地提高dCBT-I治疗在失眠患者的疗效至关重要.
科学领域:
- 睡眠医学 睡眠医学
- 数字健康数字健康
- 行为治疗是一种行为疗法.
背景情况:
- 针对失眠的数字认知行为疗法 (dCBT-I) 与传统面对面治疗相比,提供了更好的可访问性.
- 有限的研究存在于dCBT-I对假冒干预的疗效和患者坚持治疗的影响.
研究的目的:
- 为了评估dCBT-I在治疗失眠方面的有效性,与假装应用程序相比.
- 研究坚持睡眠限制疗法 (SRT) 与睡眠结果之间的关系.
主要方法:
- 两项多中心,双盲,假控随机试验的综合分析,涉及120名失眠患者.
- 参与者被随机分配到dCBT-I应用程序或假应用程序,进行6周的干预.
- 主要结局是睡眠效率 (SE) 的变化;对SRT的遵守和其他睡眠结果进行了评估.
主要成果:
- 与虚假组相比,dCBT-I组显示SE显著改善 (+7.69%),睡眠开始延迟减少 (-16.77分钟),睡眠功能障碍信念减少 (-0.97分钟).
- 较差的SRT坚持与减少SE (p=0.006) 和增加夜间清醒 (p=0.002) 显著相关.
结论:
- 与虚假应用程序相比,dCBT-I是一种有效的干预措施,可以改善失眠患者的睡眠结果.
- 坚持SRT是提高dCBT-I治疗疗效的关键因素.
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