坚持数字认知行为疗法对失眠疗效的影响。

IF 2.8 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Suonaa Lee, Kyung Mee Park, Do Hyun Lee, Eun Chae Choi, Yujin Lee, Eun Lee
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引用次数: 0

摘要

目的:尽管数字认知行为治疗失眠(dCBT-I)为传统面对面CBT-I的可及性局限性提供了一个有希望的解决方案,但很少有研究检验dCBT-I对虚假应用程序的影响,并且依从性问题仍然存在。本研究评估了dCBT-I与假应用程序的疗效,并调查了依从性是否能预测睡眠结果。材料与方法:在两项多中心、双盲、假对照随机对照试验的联合分析中,120名失眠患者被随机分配使用dCBT-I应用程序(n=60)或假应用程序(n=60)。主要结果是6周干预后睡眠效率(SE)较基线的变化。评估睡眠限制疗法(SRT)依从性与干预后睡眠结果之间的关系。结果:在调整了年龄、性别、睡眠药物使用和每个结果变量的基线水平后,dCBT-I组的治疗结果优于sham app组,SE显著提高7.69%[95%置信区间(CI), 3.09%至12.30%;p=0.001],睡眠发作潜伏期为-16.77分钟(95% CI, -31.48至-2.06分钟;p=0.026),对睡眠的功能失调信念为-0.97分钟(95% CI, -1.46至-0.48;pp=0.006),在控制了年龄、性别、受教育年限和每个结果变量的基线值后,夜间清醒度增加(p=0.002)。结论:本综合分析表明,与假应用相比,dCBT-I在改善睡眠结果方面的有效性,并强调了坚持SRT在提高治疗效果方面的作用。这两项研究已在ClinicalTrials.gov注册(NCT05822999, NCT05809544)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Adherence to Digital Cognitive Behavioral Therapy for Insomnia Effectiveness.

Purpose: Although digital cognitive behavioral therapy for insomnia (dCBT-I) offers a promising solution to the accessibility limitations of traditional face-to-face CBT-I, few studies have examined dCBT-I against a sham app and adherence issues remain. This study assessed the efficacy of dCBT-I compared with a sham app and investigated whether adherence predicts sleep outcomes.

Materials and methods: In this combined analysis of two multicenter, double-blind, sham-controlled randomized controlled trials, 120 patients with insomnia were randomized to use the dCBT-I app (n=60) or a sham app (n=60). The primary outcome was the change in sleep efficiency (SE) from baseline after the 6-week intervention. The relationship between adherence to sleep restriction therapy (SRT) and sleep outcomes post-intervention was assessed.

Results: After adjusting for age, sex, sleep medication use, and baseline levels of each outcome variable, the dCBT-I group demonstrated better treatment outcomes than the sham app group, with significant improvements of 7.69% in SE [95% confidence interval (CI), 3.09% to 12.30%; p=0.001], -16.77 minutes in sleep onset latency (95% CI, -31.48 to -2.06 minutes; p=0.026), and -0.97 in dysfunctional beliefs about sleep (95% CI, -1.46 to -0.48; p<0.001) from baseline. Poorer adherence to SRT was associated with reduced SE (p=0.006) and increased nighttime wakefulness (p=0.002) after controlling for age, sex, years of education, and the baseline value of each outcome variable.

Conclusion: This combined analysis demonstrates the efficacy of dCBT-I in improving sleep outcomes compared with a sham app and highlights the role of adherence to SRT in enhancing treatment efficacy. The two studies were registered with ClinicalTrials.gov (NCT05822999, NCT05809544).

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来源期刊
Yonsei Medical Journal
Yonsei Medical Journal 医学-医学:内科
CiteScore
4.50
自引率
0.00%
发文量
167
审稿时长
3 months
期刊介绍: The goal of the Yonsei Medical Journal (YMJ) is to publish high quality manuscripts dedicated to clinical or basic research. Any authors affiliated with an accredited biomedical institution may submit manuscripts of original articles, review articles, case reports, brief communications, and letters to the Editor.
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