A Pilot Randomized Trial of Combined Cognitive-Behavioral Therapy and Exercise Training Versus Exercise Training Alone for the Management of Chronic Insomnia in Obstructive Sleep Apnea.

IF 2 3区心理学 Q2 HOSPITALITY, LEISURE, SPORT & TOURISM Journal of Sport & Exercise Psychology Pub Date : 2024-04-25 Print Date: 2024-06-01 DOI:10.1123/jsep.2023-0139

Amanda Cammalleri, Aurore A Perrault, Alexandra Hillcoat, Emily Carrese-Chacra, Lukia Tarelli, Rahul Patel, Marc Baltzan, Florian Chouchou, Thien Thanh Dang-Vu, Jean-Philippe Gouin, Veronique Pepin

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Abstract

Insomnia treatment among individuals with comorbid insomnia and obstructive sleep apnea is suboptimal. In a pilot randomized controlled trial, 19 individuals with comorbid insomnia and obstructive sleep apnea were allocated to one of two arms: EX + EX, consisting of two 8-week phases of exercise training (EX), or RE + CBTiEX, encompassing 8 weeks of relaxation training (RE) followed by 8 weeks of combined cognitive-behavioral therapy and exercise (CBTiEX). Outcomes included Insomnia Severity Index (ISI), polysomnography, and cardiorespiratory fitness measures. A mixed-model analysis of variance revealed a Group × Time interaction on peak oxygen consumption change, F(1, 14) = 10.1, p = .007, and EX increased peak oxygen consumption (p = .03, g' = -0.41) and reduced ISI (p = .001, g' = 0.82) compared with RE (p = .49, g = 0.16) post-8 weeks. Post-16 weeks, there was a significant Group × Time interaction (p = .014) driven by RE + CBTiEX yielding a larger improvement in ISI (p = .023, g' = 1.48) than EX + EX (p = .88, g' < 0.1). Objective sleep was unchanged. This study showed promising effects of regular EX alone and combined with cognitive-behavioral therapy for insomnia on ISI in comorbid insomnia and obstructive sleep apnea.

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认知行为疗法与运动训练相结合治疗阻塞性睡眠呼吸暂停症患者慢性失眠与单纯运动训练治疗阻塞性睡眠呼吸暂停症患者慢性失眠的试点随机试验。

对于合并失眠和阻塞性睡眠呼吸暂停的患者，失眠治疗效果并不理想。在一项试点随机对照试验中，19 名合并失眠和阻塞性睡眠呼吸暂停的患者被分配到两组中的一组：EX + EX，包括两个为期 8 周的运动训练（EX）阶段，或 RE + CBTiEX，包括 8 周的放松训练（RE），然后是 8 周的认知行为疗法和运动相结合（CBTiEX）。研究结果包括失眠严重程度指数（ISI）、多导睡眠图和心肺功能测量。混合模型方差分析显示，与 RE（p = .49，g = 0.16）相比，EX 在 8 周后增加了峰值耗氧量（p = .03，g' = -0.41），降低了 ISI（p = .001，g' = 0.82）。16 周后，组与时间之间存在显著的交互作用（p = .014），RE + CBTiEX 比 EX + EX（p = .88，g' < 0.1）对 ISI 的改善更大（p = .023，g' = 1.48）。客观睡眠则没有变化。这项研究表明，对于合并失眠和阻塞性睡眠呼吸暂停的患者，单独使用常规EX或结合认知行为疗法治疗失眠对ISI具有良好的效果。

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来源期刊

Journal of Sport & Exercise Psychology 医学-心理学

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Sport & Exercise Psychology (JSEP) is a peer-reviewed publication designed to stimulate and communicate research theory in all areas of sport and exercise psychology. JSEP emphasizes original research reports that advance our understanding of human behavior as it relates to sport and exercise. Comprehensive reviews employing both qualitative and quantitative methods are also encouraged, as well as brief reports of soundly designed research studies that are of special interest or importance. Areas of interest include research in social, clinical, developmental, and experimental psychology, as well as psychobiology and personality. Moreover, the terms sport and exercise may pertain to either the independent or dependent variables. Generally speaking, work on motor control processes, studies of sport as a social institution, or broader social issues are beyond the scope of JSEP. A wide variety of methods are acceptable for studying sport and exercise psychology topics.