Patricia A Goodhines, Adrian M Svingos, Samantha Gerish, Aesoon Park, Les A Gellis
{"title":"针对大学生失眠症的认知重新聚焦与刺激控制治疗随机对照试验：简短、电子化和同伴引导方法的可行性。","authors":"Patricia A Goodhines, Adrian M Svingos, Samantha Gerish, Aesoon Park, Les A Gellis","doi":"10.1080/07448481.2022.2109031","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Performance of Cognitive Refocusing Treatment for Insomnia (CRT-I) relative to stimulus control treatment (SCT) remains unknown among college students. This pilot trial compared single-session, electronic-based, peer-led CRT-I to SCT, and as well as awareness-based (AC) and no-treatment (NTC) controls.</p><p><strong>Participants: </strong>College students (<i>N</i> = 82; <i>M</i><sub>age</sub>=18.59 [<i>SD</i> = 0.78]; 58% female; 61% White; 16% Hispanic) with insomnia symptoms were randomly assigned to CRT-I (<i>n</i> = 12), SCT (<i>n</i> = 14), and AC (<i>n</i> = 14) conditions, or non-randomly recruited to NTC (<i>n</i> = 42).</p><p><strong>Methods: </strong>All participants completed baseline and one-month follow-up surveys, and reported daily task enactment (except NTC).</p><p><strong>Results: </strong>Feasibility ratings were comparable across conditions. Within-group treatment effects revealed greater improvements in (a) insomnia symptom severity among CRT-I (<i>d</i> = 1.13) and SCT (<i>d</i> = 1.66) groups relative to AC (<i>d</i> = 0.90) and (b) pre-sleep cognitive arousal among CRT-I (<i>d</i> = 0.94) and SCT (<i>d</i> = 1.42) groups relative to AC (<i>d</i> = 0.75).</p><p><strong>Conclusions: </strong>Brief, electronic-based, peer-led CRT-I and SCT interventions appear feasible and potentially efficacious for college insomnia.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2229-2241"},"PeriodicalIF":1.6000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908774/pdf/","citationCount":"0","resultStr":"{\"title\":\"Randomized controlled trial of cognitive refocusing versus stimulus control treatment for college insomnia: feasibility of a brief, electronic-based, and peer-led approach.\",\"authors\":\"Patricia A Goodhines, Adrian M Svingos, Samantha Gerish, Aesoon Park, Les A Gellis\",\"doi\":\"10.1080/07448481.2022.2109031\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Performance of Cognitive Refocusing Treatment for Insomnia (CRT-I) relative to stimulus control treatment (SCT) remains unknown among college students. This pilot trial compared single-session, electronic-based, peer-led CRT-I to SCT, and as well as awareness-based (AC) and no-treatment (NTC) controls.</p><p><strong>Participants: </strong>College students (<i>N</i> = 82; <i>M</i><sub>age</sub>=18.59 [<i>SD</i> = 0.78]; 58% female; 61% White; 16% Hispanic) with insomnia symptoms were randomly assigned to CRT-I (<i>n</i> = 12), SCT (<i>n</i> = 14), and AC (<i>n</i> = 14) conditions, or non-randomly recruited to NTC (<i>n</i> = 42).</p><p><strong>Methods: </strong>All participants completed baseline and one-month follow-up surveys, and reported daily task enactment (except NTC).</p><p><strong>Results: </strong>Feasibility ratings were comparable across conditions. Within-group treatment effects revealed greater improvements in (a) insomnia symptom severity among CRT-I (<i>d</i> = 1.13) and SCT (<i>d</i> = 1.66) groups relative to AC (<i>d</i> = 0.90) and (b) pre-sleep cognitive arousal among CRT-I (<i>d</i> = 0.94) and SCT (<i>d</i> = 1.42) groups relative to AC (<i>d</i> = 0.75).</p><p><strong>Conclusions: </strong>Brief, electronic-based, peer-led CRT-I and SCT interventions appear feasible and potentially efficacious for college insomnia.</p>\",\"PeriodicalId\":14900,\"journal\":{\"name\":\"Journal of American College Health\",\"volume\":\" \",\"pages\":\"2229-2241\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908774/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of American College Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/07448481.2022.2109031\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/8/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of American College Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07448481.2022.2109031","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/8/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
Randomized controlled trial of cognitive refocusing versus stimulus control treatment for college insomnia: feasibility of a brief, electronic-based, and peer-led approach.
Objective: Performance of Cognitive Refocusing Treatment for Insomnia (CRT-I) relative to stimulus control treatment (SCT) remains unknown among college students. This pilot trial compared single-session, electronic-based, peer-led CRT-I to SCT, and as well as awareness-based (AC) and no-treatment (NTC) controls.
Participants: College students (N = 82; Mage=18.59 [SD = 0.78]; 58% female; 61% White; 16% Hispanic) with insomnia symptoms were randomly assigned to CRT-I (n = 12), SCT (n = 14), and AC (n = 14) conditions, or non-randomly recruited to NTC (n = 42).
Methods: All participants completed baseline and one-month follow-up surveys, and reported daily task enactment (except NTC).
Results: Feasibility ratings were comparable across conditions. Within-group treatment effects revealed greater improvements in (a) insomnia symptom severity among CRT-I (d = 1.13) and SCT (d = 1.66) groups relative to AC (d = 0.90) and (b) pre-sleep cognitive arousal among CRT-I (d = 0.94) and SCT (d = 1.42) groups relative to AC (d = 0.75).
Conclusions: Brief, electronic-based, peer-led CRT-I and SCT interventions appear feasible and potentially efficacious for college insomnia.
期刊介绍：
Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.
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