基于CBT-I的睡眠问题在线程序的疗效:一项随机对照试验。

IF 2.1 Q3 CLINICAL NEUROLOGY
Esther-Sevil Eigl, Theresa Hauser, Pavlos I Topalidis, Manuel Schabus
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引用次数: 0

摘要

迫切需要容易获得的睡眠问题治疗方案,以缩小目前接受失眠认知行为疗法(CBT-I)的治疗差距。使用一项随机对照试验,我们评估了基于CBT-I的在线程序对睡眠的疗效。53名患有睡眠障碍的志愿者(21-71岁;MAge=44.6±12.5;27名女性)被随机分配到实验组(EG,n=27)或主动对照组(CG,n=26)。EG参加了为期6周的基于CBT-I的在线项目,而CG则接受了心理教育和睡眠卫生指导。在三个时间点(基线、干预前和干预后),通过动态多导睡眠图(PSG)客观评估睡眠,并通过问卷主观评估睡眠。使用问卷进行了为期一个月的随访评估。EG显示,从干预前到干预后,睡眠开始后PSG引起的觉醒(从58.6分钟到42.5分钟;p<0.05)和睡眠效率(从86.0%到89.2%;p<0.05)都有微小但可靠的改善。此外,在干预期间(p=0.011)和随访期间(p=0.015),单独使用EG的主观睡眠质量(通过匹兹堡睡眠质量指数评估)显著改善。两组的失眠严重程度指数从干预前到干预后都有所下降(EG:p=0.003,CG:p=0.008),而单独的EG在随访期间进一步改善(p=0.035)。我们表明,基于CBT-I的在线计划不仅可以主观改善睡眠,而且可以客观改善睡眠,在无法进行面对面的干预时,这是一种可行的替代方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

On the Efficacy of a CBT-I-Based Online Program for Sleep Problems: A Randomized Controlled Trial.

On the Efficacy of a CBT-I-Based Online Program for Sleep Problems: A Randomized Controlled Trial.

On the Efficacy of a CBT-I-Based Online Program for Sleep Problems: A Randomized Controlled Trial.

On the Efficacy of a CBT-I-Based Online Program for Sleep Problems: A Randomized Controlled Trial.

There is an urgent need for easily accessible treatment options for sleep problems to reduce the current treatment gap in receiving cognitive behavioral therapy for insomnia (CBT-I). Using a randomized controlled trial, we evaluated the efficacy of a CBT-I-based online program on sleep. Fifty-three volunteers (21-71 years; MAge = 44.6 ± 12.5; 27 female) suffering from impaired sleep were randomly allocated either to the experimental group (EG, n = 27) or to an active control group (CG, n = 26). The EG participated in a 6-week CBT-I-based online program, while the CG received psychoeducation and sleep hygiene instructions. Sleep was assessed both objectively via ambulatory polysomnography (PSG) as well as subjectively via questionnaires at three time points (baseline, pre- and post-intervention). A one-month follow-up assessment was performed using questionnaires. The EG showed small but reliable improvements from pre- to post-intervention in PSG-derived wake after sleep onset (from 58.6 min to 42.5 min; p < 0.05) and sleep efficiency (from 86.0% to 89.2%; p < 0.05). Furthermore, subjective sleep quality (assessed via Pittsburgh Sleep Quality Index) improved significantly during intervention (p = 0.011) and follow-up (p = 0.015) in the EG alone. The Insomnia Severity Index decreased from pre- to post-intervention in both groups (EG: p = 0.003, CG: p = 0.008), while it further improved during follow-up (p = 0.035) in the EG alone. We show that a CBT-I-based online program can improve sleep not only subjectively but also objectively and can be a viable alternative when face-to-face interventions are not available.

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来源期刊
Clocks & Sleep
Clocks & Sleep Multiple-
CiteScore
4.40
自引率
0.00%
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审稿时长
7 weeks
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