State of the Science: The Transdiagnostic Intervention for Sleep and Circadian Dysfunction

IF 3.4 2区 心理学 Q2 PSYCHIATRY
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Abstract

The transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) was developed to provide one protocol that treats a range of sleep and circadian problems across a range of mental disorders. The focus of TranS-C includes, and goes beyond, categorically defined sleep and circadian disorders to facilitate healthy sleep along empirically derived “sleep health” dimensions. In this State of the Science review, we highlight key advantages of a transdiagnostic approach to sleep and circadian problems, including (a) the potential to better understand and treat comorbidity between various sleep and circadian problems and mental disorders, as well as the potential to better understand and treat the heterogeneous sleep and circadian problems that are present within a specific mental disorder; (b) the opportunity to explore the hypothesis that sleep and circadian problems are an important transdiagnostic mechanism in the multifactorial maintenance of mental disorders; (c) the potential to transfer breakthroughs made across siloed areas of research and practice; (d) its suitability for dissemination into a broad range of settings, particularly lower resource settings; and (e) the opportunity to improve a range of important outcomes. We also explain the theoretical underpinnings of TranS-C, including the two-process model of sleep regulation and the Sleep Health Framework. TranS-C includes cognitive-behavioral therapy for insomnia (CBT-I) and we offer recommendations for when to use CBT-I versus TranS-C. The process for developing TranS-C is discussed along with outcome data, applications to underserved communities, and future directions for research.
科学现状:睡眠和昼夜节律失调的跨诊断干预(TranS-C)
针对睡眠和昼夜节律失调的跨诊断干预(TranS-C)旨在提供一种方案,治疗一系列精神障碍的睡眠和昼夜节律问题。TranS-C 的重点包括并超越了分类定义的睡眠和昼夜节律紊乱,而是根据经验得出的 "睡眠健康 "维度促进健康睡眠。在这篇 "科学现状 "综述中,我们强调了跨诊断方法治疗睡眠和昼夜节律问题的主要优势,包括:(a) 有可能更好地理解和治疗各种睡眠和昼夜节律问题与精神障碍之间的合并症,以及有可能更好地理解和治疗特定精神障碍中存在的异质性睡眠和昼夜节律问题;(b) 有机会探索睡眠和昼夜节律问题是精神障碍多因素维持过程中一个重要的跨诊断机制这一假说;(c) 有可能在研究和实践的各个孤立领域取得突破性进展;(d) 适合在广泛的环境中推广,特别是在资源较少的环境中;以及 (e) 有机会改善一系列重要成果。我们还解释了 TranS-C 的理论基础,包括睡眠调节的两个过程模型和睡眠健康框架。TranS-C 包括失眠认知行为疗法(CBT-I),我们就何时使用 CBT-I 而不是 TranS-C 提出了建议。我们还讨论了 TranS-C 的开发过程、结果数据、在服务不足社区的应用以及未来的研究方向。
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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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