认知行为疗法对失眠的负面影响：负面影响问卷对失眠特定扩展的心理测量评估

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2025-02-28 DOI:10.1016/j.sleep.2025.02.044

Laura Simon , Yannik Terhorst , Ann-Marie Küchler , Dieter Riemann , David Daniel Ebert , Alexander Rozental , Kai Spiegelhalder , Harald Baumeister

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引用次数: 0

摘要

心理治疗的负面影响包括由治疗引起的不想要的事件。有证据表明，失眠的认知行为疗法（CBT-I）可能导致负面影响（例如，疲惫，动机降低）。需要心理测量学验证的工具来系统地调查负面影响及其后果。本研究旨在开发一种针对失眠的负面影响问卷（NEQ）的扩展，并评估其心理测量特性。方法在文献综述的基础上，开发了一个项目库，作为新指标的延伸。这个项目池被迭代地细化。NEQ和开发的项目池都被用于失眠的阶梯护理模式的参与者，该模式包括互联网提供的CBT-I。采用验证性因子分析（CFAs）评估项目池的心理测量特性。此外，对开放式问题的回答进行了分类和分析。结果210名参与者的数据可用。在新开发的项目池中，参与者平均报告了4.7个负面影响（范围：0到22）。CFA显示拟合良好(RSMEA = 0.05；SRMR = 0.07)，具有5个潜在因素（躯体症状、认知症状、安全、情绪症状、日间功能）的模型。模型的潜在因子与NEQ分量表的相关分析表明，模型具有足够的判别效度。观察到的失眠症特异性负面影响的患病率突出了用失眠症特异性工具评估CBT-I的负面影响的必要性。CFA建议，24项NEQ-失眠是一个有效的工具，适合单独使用或作为NEQ的延伸，以评估CBT-I的负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Negative effects of cognitive behavioral therapy for insomnia: Psychometric evaluation of an insomnia-specific extension for the Negative Effect Questionnaire

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Negative effects of cognitive behavioral therapy for insomnia: Psychometric evaluation of an insomnia-specific extension for the Negative Effect Questionnaire

Introduction

Negative effects of psychotherapy encompass unwanted events caused by the treatment. Evidence exists that cognitive behavioral therapy for insomnia (CBT-I) can lead to negative effects (e.g., exhaustion, reduced motivation). Psychometrically validated instruments are needed to enable systematic investigation of negative effects and their consequences. This study aimed to develop an insomnia-specific extension for the Negative Effect Questionnaire (NEQ) and to evaluate its psychometric properties.

Method

Based on a literature review, an item pool was developed as an extension to the NEQ. This item pool was iteratively refined. Both the NEQ and the developed item pool were administered to participants enrolled in a stepped-care model for insomnia that includes an internet-delivered CBT-I. The psychometric properties of the item pool were evaluated using confirmatory factor analyses (CFAs). Additionally, responses to open-ended questions were categorized and analyzed.

Results

Data from 210 participants were available. In the newly developed item pool, participants reported a mean of 4.7 negative effects (range: 0 to 22). CFA indicated a good fit (RSMEA = 0.05; SRMR = 0.07) of a model with five latent factors (somatic symptoms, cognitive symptoms, safety, emotional symptoms, daytime functioning). The correlation analyses between the model's latent factors and the NEQ subscales indicated adequate discriminant validity.

Discussion

The observed prevalence rates of insomnia-specific negative effects highlight the need to assess the negative effects of CBT-I with an insomnia-specific instrument. The CFA suggests that the 24-item NEQ-Insomnia is a valid instrument, suitable for standalone use or as an extension to the NEQ for assessing the negative effects of CBT-I.

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.