针对危险饮酒成年人修改的失眠的认知行为疗法:一项开放式试点研究
Wilfred R Pigeon1, Todd M Bishop1,2, J Todd Arnedt3
1Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, United States.
Sleep advances : a journal of the Sleep Research Society
|March 2, 2026
概括
适应危险酒精使用的失眠认知行为疗法 (CBTi-HAU) 在减少失眠和问题饮酒方面表现有前途. 这项试点研究发现,这种干预对有风险的个人来说是可行的和可以接受的.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 成 药物 药物 药物 药物
背景情况:
- 失眠是常见的,通常与滥用酒精同时发生.
- 失眠认知行为疗法 (CBTi) 是慢性失眠的第一线治疗方法.
- 在有酒精使用障碍的成年人中,CBTi已经显示出有效性,但在有危险酒精使用 (HAU) 的风险人群中研究较少.
研究的目的:
- 测试修改后的CBTi (CBTi-HAU) 的可行性和可接受性,旨在解决失眠和同时发生的HAU.
- 评估CBTi-HAU在减少失眠严重程度和有问题的酒精使用行为方面的初步疗效.
主要方法:
- 进行了一项开放式试点试验,其中10名社区居民 (25-64岁) 被诊断患有HAU和慢性失眠障碍.
- 参与者通过电话或Zoom与训练有素的治疗师进行了四次CBTi-HAU会议.
- 在治疗前和治疗后的评估中,测量了睡眠,酒精使用和白天症状.
主要成果:
- 所有参与者完成了干预,90%完成了治疗后评估,这表明了高可行性和可接受性.
- 观察到失眠严重程度显著降低 (10.7点下降,p < .001),这代表了大而具有临床意义的效应.
- 参与者报告了大量饮酒日数和与酒精有关的问题的百分比有统计学意义的减少,效果大小中等到大.
结论:
- CBTi-HAU是一种可行的,有前途的干预措施,可以同时改善失眠症和减少HAU患者的饮酒问题.
- 这些发现表明CBTi-HAU在风险人群中的潜在实用性.
- 在随机临床试验中进行复制是必要的,以确认这些初步结果.
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