Clinico-demographic factors associated with the treatment response to cognitive behavioral therapy for insomnia.

IF 2.3 4区 医学 Q2 PSYCHIATRY BioPsychoSocial Medicine Pub Date : 2024-05-17 DOI:10.1186/s13030-024-00308-6
Ayana Hotchi, Wataru Yamadera, Masayuki Iwashita, Tomohiro Utsumi, Misato Amagai, Sakumi Nakamura, Takako Suzuki, Masahiro Shigeta
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Abstract

Background: Cognitive behavioral therapy for insomnia (CBT-I) is among the recommended non-pharmacological treatments for patients with insomnia. While there are multiple reports on the effects of CBT-I treatment, few studies evaluating the factors associated with the treatment response to CBT-I have been reported. The present study aimed to confirm the effects of CBT-I in patients with insomnia and to examine the clinico-demographic factors that can predict the outcomes of CBT-I in these patients.

Methods: Overall, 62 patients were included in the present study. To confirm the effectiveness of CBT-I, we compared the pre- and post-CBT-I therapy values of several sleep parameters. Furthermore, to identify the clinico-demographic factors that could be predictive of the treatment response to CBT-I, we performed generalized linear model (GLM) analysis.

Results: The values of several sleep parameters were significantly lower after treatment than at baseline. The results of the GLM analysis revealed that sex and occupation were significantly associated with the treatment response to CBT-I.

Conclusions: The present results suggest that several clinico-demographic factors should be considered in the treatment of patients with insomnia.

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与失眠认知行为疗法治疗反应相关的临床人口学因素。
背景:失眠认知行为疗法(CBT-I)是失眠患者推荐的非药物治疗方法之一。虽然有多篇关于 CBT-I 治疗效果的报道,但很少有研究评估与 CBT-I 治疗反应相关的因素。本研究旨在确认 CBT-I 对失眠症患者的疗效,并研究可预测 CBT-I 对这些患者疗效的临床人口学因素:本研究共纳入 62 名患者。为了证实 CBT-I 的有效性,我们比较了 CBT-I 治疗前后几项睡眠参数的数值。此外,为了确定可预测 CBT-I 治疗反应的临床人口学因素,我们进行了广义线性模型(GLM)分析:结果:治疗后多个睡眠参数值明显低于基线值。GLM分析结果显示,性别和职业与CBT-I的治疗反应显著相关:结论:本研究结果表明,在治疗失眠症患者时应考虑一些临床人口学因素。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
23
审稿时长
18 weeks
期刊介绍: BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.
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