Chiara Baglioni, Andrea Galbiati, Debora Meneo, Greta Cavadini, Francesca Gelfo, Francesco Mancini, Carlo Buonanno
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引用次数: 0
Abstract
Background/objectives: Based on previous data reporting the status of health professionals' training about sleep clinical psychophysiology, insomnia, and its treatment in the US and Canada, this paper aims at providing a snapshot of the Italian situation, considering health professionals qualified to offer cognitive behavioral therapy (CBT). Adding information on different countries is important, as national health systems differ significantly, and distinct evidence-based pathways for change may be proposed.
Methods: Two hundred and thirteen CBT professionals (180 females; 33 males) answered a 5 min survey about their training and experience in recognizing and treating behavioral sleep disorders in their practice. The questionnaire was diffused through the mailing list of the Italian Behavioral and Cognitive Therapy Society (Società Italiana di Terapia Comportamentale e Cognitiva, SITCC) throughout December 2023 and January 2024.
Results: A total of 213 participants completed the survey. Only a minor proportion of respondents (37.1%) reported having received training for diagnosis and treatment of insomnia or other behavioral sleep disorders. Familiarity with psychological therapeutics for sleep was mainly associated with knowledge of sleep hygiene rules, relaxation, and mindfulness techniques, but not with core CBT strategies for insomnia (i.e., sleep restriction and stimulus control) and sleep regulation. The less familiar therapeutics were those for pediatric insomnia.
Conclusions: The results of this study highlight scarce knowledge and consideration of sleep problems in CBT practice in Italy. As insomnia is prevalent, an independent mental disorder, and a predictor for mental and somatic comorbid conditions, these findings underscore an urgency to enlarge and strengthen CBT professionals' training on sleep psychophysiology, sleep clinical psychology, insomnia, behavioral sleep problems, and their treatment.
背景/目的：基于以往报道美国和加拿大卫生专业人员关于睡眠临床心理生理学、失眠及其治疗的培训状况的数据，本文旨在提供意大利情况的快照，考虑到有资格提供认知行为疗法（CBT）的卫生专业人员。增加不同国家的信息很重要，因为各国的卫生系统差异很大，可以提出不同的循证变革途径。方法：213名CBT专业人员(180名女性；33名男性)回答了一项关于他们在实践中识别和治疗行为性睡眠障碍的训练和经验的5分钟调查。该问卷于2023年12月至2024年1月期间通过意大利行为和认知治疗学会（societ Italiana di Terapia comportentale e Cognitiva， SITCC）的邮件列表进行分发。结果：共有213名参与者完成了调查。只有一小部分受访者（37.1%）报告接受过失眠症或其他行为性睡眠障碍的诊断和治疗培训。对睡眠心理疗法的熟悉程度主要与睡眠卫生规则、放松和正念技术的知识相关，而与失眠的核心CBT策略（即睡眠限制和刺激控制）和睡眠调节无关。不太熟悉的治疗方法是儿童失眠症。结论：本研究的结果突出了意大利CBT实践中对睡眠问题的缺乏认识和考虑。由于失眠普遍存在，是一种独立的精神障碍，也是精神和躯体共病的预测因素，这些发现强调了扩大和加强CBT专业人员在睡眠心理生理学、睡眠临床心理学、失眠、行为睡眠问题及其治疗方面的培训的紧迫性。
期刊介绍：
Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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