引导数字干预对大学生睡眠和心理健康结果的影响 - - 随机对照试验
Laura Michelle Pape1, Annemieke van Straten2,3, Sascha Yuri Struijs2
1Department of Clinical Psychology, Leiden University, the Netherlands.
Sleep
|November 25, 2025
概括
对于失眠的大学生来说,数字睡眠干预并不比精神教育更有效. 两组都得到了改善,这表明在两组中都存在活性元素,或较低的坚持可能解释了缺乏差异.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 睡眠的药物 睡眠的药物
- 循环节律研究的研究.
背景情况:
- 睡眠问题在大学生中普遍存在,影响心理健康,功能和学术人员.
- 学生们经常难以保持24小时的节奏.
- 对失眠的数字认知行为疗法 (CBT-I) 是有前途的,但其在学生中的有效性需要进一步评估.
研究的目的:
- 评估针对大学生睡眠和昼夜节律的指导数字干预 (i-Sleep & BioClock) 的有效性.
- 将数字CBT-I干预与数字睡眠精神教育和监测进行比较.
主要方法:
- 195名失眠的大学生被随机分配到i-Sleep & BioClock干预或对照条件中.
- 该研究涉及为期5周的指导数字干预,在基线,中期治疗,治疗后和随访时进行评估.
- 主要结局是6周失眠的严重程度;次要结局包括抑郁,焦虑,功能,生活质量和学业表现.
主要成果:
- 在6周后,i-Sleep & BioClock组和数字精神教育组之间没有发现失眠严重程度的显著差异.
- 两组都出现了改善,其中一个小效应大小 (科恩的d = -0.31) 有利于干预组,但这在统计学上并不显著.
- 坚持是低的 (31%的干预完成者),大多数次要结果没有显示显著的群体间差异.
结论:
- 在改善大学生睡眠结果方面,指导数字CBT-I干预 ("i-Sleep & BioClock") 并没有优于数字睡眠精神教育.
- 缺乏显著差异的潜在原因包括在两种条件下共享的活性元素和低的坚持率.
- 未来的研究应该专注于识别坚持的障碍,并了解哪些具体的干预组件有助于改善睡眠.
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