远程传递的认知行为治疗对2型糖尿病失眠的效果:一项随机对照试验
Similan Kirisri1, Sirimon Reutrakul2, Chutintorn Sriphrapradang1
1Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Sleep & breathing = Schlaf & Atmung
|October 20, 2025
概括
远程传递的失眠认知行为疗法 (CBTI) 改善了2型糖尿病患者的睡眠规律和减少了焦虑. 坚持CBTI也降低了禁食葡萄糖水平,有助于血糖控制.
科学领域:
- 内分泌学 在内分泌学.
- 睡眠医学 睡眠医学
- 行为治疗是一种行为疗法.
背景情况:
- 失眠在2型糖尿病 (T2D) 中普遍存在,并可能对血糖控制和生活质量产生负面影响.
- 需要对伴随性失眠和T2D进行有效的管理策略.
- 远程交付的干预措施提供了一个可扩展的方法来应对这些挑战.
研究的目的:
- 评估远程传递的失眠认知行为疗法 (CBTI) 对T2D和失眠的成年人睡眠质量,血糖控制和客观睡眠参数的影响.
- 将CBTI与健康教育 (HE) 控制组进行比较.
主要方法:
- 40名非胰岛素治疗的T2D和失眠的成年人被随机分配到CBTI或HE,每周进行一小时的在线会议,持续8周.
- 主要结局:主观睡眠质量 (匹兹堡睡眠质量指数). 二次结果:基于动图的睡眠测量,血糖控制 (A1C,禁食葡萄糖),焦虑,抑郁和生活质量.
- 在基线,8周和16周收集的数据;使用混合效应线性回归分析.
主要成果:
- 在8周,主观睡眠质量没有显著差异,但CBTI改善了客观睡眠规律性 (p=0.031).
- 在16周,CBTI显著减少了焦虑症状 (p=0.039).
- 每项协议分析显示,CBTI在8周后改善了主观睡眠质量 (p=0.042),睡眠规律 (p=0.018) 和禁食葡萄糖 (p=0.001).
结论:
- 远程传递的CBTI有效地改善了T2D和失眠患者的睡眠规律,并减少了T2D和失眠患者的焦虑.
- 坚持CBTI与禁食葡萄糖的降低有关,这表明它在血糖管理中的作用.
- 将CBTI等以睡眠为重点的干预措施整合到T2D护理中,可能会优化睡眠和代谢结果.
相关概念视频
Diabetes: Management and Pharmacotherapy
861
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
861
Management of Insomnia
528
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
528
Insomnia
400
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
400
Diabetes Mellitus: Type 2 and Gestational
4.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.3K
Blind Procedures
12.8K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
12.8K
Diabetes Mellitus: Overview and Type I Subtype
4.9K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
4.9K


