Well-being therapy and sleep hygiene in a non-clinical population of adults reporting poor sleep quality and distress: A remote pilot randomized controlled study.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2024-01-02 Epub Date: 2023-04-04 DOI:10.1080/15402002.2023.2197600
Giada Benasi, Amber Malik, Bin Cheng, Brooke Aggarwal, Ari Shechter, Marie-Pierre St-Onge
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Abstract

Objectives: This pilot randomized controlled study evaluates the feasibility and preliminary efficacy of a 7-week remote intervention combining well-being therapy and sleep hygiene to improve sleep and psychological outcomes among adults reporting poor sleep and distress.

Methods: Thirty-one participants (81% women, 40.2 ± 13.0 y, 48% racial/ethnic minority) were recruited from the community during the COVID-19 pandemic through online and local advertisement, and randomized to well-being therapy+sleep hygiene or sleep hygiene-only. Study outcomes were evaluated by self-reported questionnaires administered at baseline and post-intervention and a daily sleep diary.

Results: Compared to sleep hygiene-only, well-being therapy+sleep hygiene led to greater improvements in wake after sleep onset (time-by-group interaction: 3.6 ± 1.5 min, p = .017), personal growth (β -3.0, 95%CI -5.2, -0.8, p = .01), and purpose in life (β -3.5, 95%CI -6.1, -0.9, p = .009). Anxiety, perceived stress, sleep quality, and insomnia symptoms improved similarly in both groups (between-group differences, p > .05). Improvements in sleep quality, insomnia, and sleep duration were associated with reductions in multiple measures of psychological distress (all p < .05).

Conclusions: These findings suggest that, in a non-clinical setting of individuals suffering from combined poor sleep and psychological distress, the addition of well-being therapy to sleep hygiene may provide additional benefits for sleep by promoting sleep continuity and well-being.

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报告睡眠质量差和痛苦的非临床成年人的幸福治疗和睡眠卫生:一项远程试点随机对照研究。
目的:这项试点随机对照研究评估了将幸福疗法和睡眠卫生相结合的7周远程干预的可行性和初步疗效,以改善报告睡眠不良和痛苦的成年人的睡眠和心理结果。方法:31名参与者(81%为女性,40.2 ± 13.0岁,48%的种族/少数民族)在新冠肺炎大流行期间通过在线和本地广告从社区招募,并随机接受健康疗法+睡眠卫生或仅睡眠卫生。研究结果通过在基线和干预后进行的自我报告问卷和每日睡眠日记进行评估。结果:与单纯的睡眠卫生相比,幸福治疗+睡眠卫生能显著改善睡眠后的觉醒(按组交互时间:3.6 ± 1.5 最小值,p = .017),个人成长(β-3.0,95%CI-5.2,-0.8,p = .01),以及人生目标(β-3.5,95%CI-6.1,-0.9,p = .009)。焦虑、感知压力、睡眠质量和失眠症状在两组中的改善相似(组间差异,p > .05)。睡眠质量、失眠和睡眠时间的改善与心理困扰的多项指标的减少有关(均p 结论:这些发现表明,在患有睡眠不良和心理困扰的非临床环境中,在睡眠卫生中加入幸福疗法可以通过促进睡眠连续性和幸福感为睡眠提供额外的好处。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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