针对慢性失眠的重复自我指导数字认知行为疗法的有效性:在之前的RCT之后的一项开放标签试点研究
Cheng Zhang1, Yuxuan Liu2, Xiaoming Guo3
1Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China.
Digital health
|February 2, 2026
概括
对失眠的第二次数字认知行为疗法 (dCBT-I) 可以帮助慢性失眠患者,这些患者对初始治疗没有完全反应. 这种数字治疗改善了睡眠态度和信念,为持续的失眠提供了潜在的好处.
科学领域:
- 行为科学 行为科学
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 慢性失眠影响了相当一部分人口.
- 失眠的数字认知行为疗法 (dCBT-I) 是一种可访问的治疗选择.
- 对初始dCBT-I的低于最佳反应需要探索进一步的治疗策略.
研究的目的:
- 评估dCBT-I第二疗程在慢性失眠患者中的疗效.
- 评估重复的dCBT-I干预是否改善失眠严重性指数 (ISI) 得分和缓解率.
- 为了检查第二次dCBT-I课程后睡眠态度,信仰和心理健康的变化.
主要方法:
- 随机对照试验 (RCT) 的后续阶段包括初始dCBT-I后ISI分数≥8的参与者.
- 九名参与者接受了第二轮数字dCBT-I;六人仅参加了后续.
- 主要结果是ISI分数和缓解率 (ISI <8) 的变化;次要结果包括与睡眠有关的问卷.
主要成果:
- 在没有复发的患者中,44.4%在第二次dCBT-I疗程后实现了缓解,62.5%在3个月的随访后.
- 第二次治疗后观察到睡眠态度和信念 (DBAS-16) 的显著改善 (p < 0.05).
- 第二个治疗组在随访时比仅随访组 (p <0.05) 的ISI得分有更大的改善.
结论:
- 第二次dCBT-I疗程可能对慢性失眠患者带有低于最佳的初始反应提供好处.
- 该干预措施显示了改善与睡眠相关的态度和信念的潜力.
- 建议进行较大的RCT以确认重复dCBT-I干预的有效性.
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