Anxiolytic impact of cognitive behavioural therapy for insomnia in patients with co-morbid insomnia and generalized anxiety disorder.

IF 2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Behavioural and Cognitive Psychotherapy Pub Date : 2024-07-01 Epub Date: 2024-01-29 DOI:10.1017/S1352465823000656
Parky Lau, Elisha Starick, Colleen E Carney
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引用次数: 0

Abstract

Background: Cognitive behavioural therapy for insomnia (CBT-I) is an effective treatment for chronic insomnia that also improves non-sleep symptoms, such as mood and anxiety. Identifying sleep-specific variables that predict anxiety change after CBT-I treatment may support alternative strategies when people with generalized anxiety disorder (GAD) do not improve from standard GAD treatment.

Aims: To investigate CBT-I on changes in anxiety and evaluate whether changes in sleep-specific variables predict anxiety outcomes.

Methods: Seventy-two participants presenting with insomnia and GAD (GAD-I) completed four sessions of CBT-I. Participants completed daily diaries and self-report measures at baseline and post-treatment.

Results: CBT-I in a co-morbid GAD-I sample was associated with medium reductions in anxiety, and large reductions in insomnia severity. Subjective insomnia severity and tendencies to ruminate in response to fatigue predicted post-treatment anxiety change, in addition to younger age and lower baseline anxiety.

Conclusions: The findings suggest that younger GAD-I participants with moderate anxiety symptoms may benefit most from the anxiety-relieving impact of CBT-I. Reducing perceived insomnia severity and the tendency to ruminate in response to fatigue may support reductions in anxiety in those with GAD-I.

认知行为疗法对同时患有失眠症和广泛性焦虑症的失眠患者的抗焦虑作用。
背景:失眠认知行为疗法(CBT-I)是一种治疗慢性失眠的有效方法,它还能改善情绪和焦虑等非睡眠症状。当广泛性焦虑症(GAD)患者在接受标准的GAD治疗后病情未见好转时,找出能预测CBT-I治疗后焦虑变化的睡眠特异性变量,可能有助于采取替代策略。目的:研究CBT-I对焦虑变化的影响,并评估睡眠特异性变量的变化是否能预测焦虑结果:72名患有失眠症和GAD(GAD-I)的参与者完成了四个疗程的CBT-I治疗。参与者在基线和治疗后完成每日日记和自我报告测量:结果:对合并 GAD-I 的样本进行 CBT-I 治疗后,焦虑程度得到了中等程度的缓解,失眠严重程度得到了大幅缓解。主观失眠严重程度和因疲劳而产生的反刍倾向预示着治疗后焦虑的变化,此外,年龄较小和基线焦虑较低也是原因之一:研究结果表明,具有中度焦虑症状的年轻 GAD-I 患者可能会从 CBT-I 的焦虑缓解效果中获益最多。减轻失眠的严重程度和因疲劳而产生的反刍倾向可能有助于减轻 GAD-I 患者的焦虑。
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来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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