Treatment of Insomnia in Forensic Psychiatric Patients: A Randomized Controlled Trial.

IF 2.7 3区 医学 Q3 NEUROSCIENCES
Maaike Marina Van Veen, Gretha Johanna Boersma, Julie Karsten, Marike Lancel
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引用次数: 0

Abstract

Background: Insomnia is common in forensic psychiatric patients. Not only does insomnia severely impair general mental health, but it has specifically been associated with poor emotion regulation and self-control, potentially leading to problems in impulsivity, hostility, and even aggression. Cognitive behavioral therapy for insomnia (CBT-I) could therefore be beneficial in this patient group. Methods: We conducted a 14-week randomized controlled trial of the effects of cognitive behavioral therapy for insomnia (CBT-I) on sleep, general psychopathology, hostility, impulsivity, and aggression in 31 male forensic psychiatric patients. Results: The CBT-I group (n = 11) showed a stronger reduction in self-reported insomnia symptoms and hostility than the waitlist group (n = 11). No differences were found in post-treatment self-reported general psychopathology, impulsivity, or aggression, nor on actigraphy-measured sleep efficiency. Conclusions: This study demonstrates the effectiveness of CBT-I in forensic psychiatric patients and indicates the importance of insomnia treatment in this population, especially considering the effect on hostility.

司法精神病患者失眠的治疗:一项随机对照试验。
背景:失眠在法医精神病患者中很常见。失眠不仅严重损害一般的心理健康,而且还与情绪调节和自我控制能力差有关,可能导致冲动、敌意甚至攻击性等问题。因此,失眠的认知行为疗法(CBT-I)可能对这一患者群体有益。方法:对31例男性法医精神病患者进行为期14周的失眠认知行为疗法(CBT-I)对睡眠、一般精神病理、敌意、冲动和攻击行为的影响进行随机对照试验。结果:CBT-I组(n = 11)在自我报告的失眠症状和敌意方面比候补组(n = 11)表现出更强的减少。在治疗后自我报告的一般精神病理、冲动或攻击性方面没有发现差异,在活动记录仪测量的睡眠效率方面也没有发现差异。结论:本研究证明了CBT-I在法医精神病患者中的有效性,并表明失眠治疗在这一人群中的重要性,特别是考虑到对敌意的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Brain Sciences
Brain Sciences Neuroscience-General Neuroscience
CiteScore
4.80
自引率
9.10%
发文量
1472
审稿时长
18.71 days
期刊介绍: Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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