高风险睡眠呼吸暂停对针对失眠计划量身定制的数字认知行为疗法的治疗反应的影响:一个准实验性试验
Alexander Sweetman1, Chelsea Reynolds2, Leon Lack2
1Adelaide Institute for Sleep Health and Flinders Health and Medical Research Institute: Sleep Health, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
概括
一个新的数字认知行为治疗失眠 (CBTi) 计划有效地治疗有和没有睡眠呼吸暂停的个体的失眠. 这种可访问的数字CBTi显示了睡眠和相关症状的显著改善.
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:
- 治疗师提供的失眠认知行为疗法 (CBTi) 是有效的,但对许多人来说是无法获得的,特别是那些患有并发性失眠和睡眠呼吸暂停 (COMISA) 的人.
- 开发可访问的数字干预措施对于改善治疗范围至关重要.
- 高风险的睡眠呼吸暂停被定义为OSA50尺度上≥5的得分.
研究的目的:
- 开发一个自主指导的5个会话数字CBTi程序,适合单独患有失眠和COMISA的个人.
- 为了比较这种数字CBTi程序的有效性,单独患有失眠的人和患有并发性失眠和高风险睡眠呼吸暂停的人之间.
主要方法:
- 共有62名患有失眠症状的成年人参加了这项研究.
- 参与者在基线,8周和16周完成了失眠,抑郁,焦虑,嗜睡,疲劳和睡眠相关信念的自我报告措施.
- 使用治疗意图混合模型和千方分析来评估结果.
主要成果:
- 没有发现显著的分组时间相互作用,表明跨组的有效性相似.
- 时间的主要显著影响表明,在16周内,失眠,抑郁,焦虑,嗜睡,疲劳和不适应性睡眠信念的持续改善中等至大.
- 在CBT疗程期间,嗜睡得分没有显著增加.
结论:
- 交互式数字CBTi程序对单独患有失眠的人以及患有并发性失眠和高风险睡眠呼吸暂停的人有效.
- 需要进一步的研究来评估数字CBTi的有效性,安全性和可接受性,以确定睡眠呼吸暂停的个体.
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