针对黑人女性失眠症的正念疗法:随机对照试验。

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI:10.1007/s10865-024-00521-2
Soohyun Nam, Sangchoon Jeon, Monica Ordway, Carolyn Mazure, Rajita Sinha, Lauren Yau, Joanne Iennaco
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引用次数: 0

摘要

这项研究旨在评估基于正念的失眠疗法(MBT-I)在黑人女性中的可行性、可接受性和初步疗效。基于正念的失眠治疗(MBT-I)组每周接受一次治疗,包括正念冥想和行为睡眠策略。时间和注意力对照组接受生活方式健康教育(HE),包括健康饮食、体育锻炼和睡眠卫生。主要结果是干预后第 10 周失眠严重程度指数(ISI)的变化。其他测量指标包括匹兹堡睡眠质量指数、睡眠卫生实践、斯皮尔伯格状态-特质焦虑量表(STAI)和患者健康问卷-9(PHQ-9)。在基线和第 10 周,客观睡眠由 Actiwatch™ 进行测量。30 名黑人妇女完成了干预,没有人员流失。约 97% 的参与者参加了 8 个疗程中的 6-8 个疗程。第 10 周时,ISI 分数有所下降(MBT-I 与 HE 相比:-7.67 与 -7.22,p 7)。在改善焦虑和抑郁症状方面,MBT-I 可能比 HE 更有效。我们的研究结果鼓励进一步开展更长时间的随访和更大样本量的研究,以解决黑人女性睡眠健康不均衡的问题。
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Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial.

The purpose of the study was to evaluate the feasibility, acceptability, and preliminary efficacy of mindfulness-based therapy for insomnia (MBT-I) among Black women. The MBT-I group received weekly sessions that included mindfulness meditation and behavioral sleep strategies. The time and attention control group received lifestyle health education (HE) that included healthy eating, physical activity, and sleep hygiene. The primary outcome was post-intervention changes in insomnia severity score by the Insomnia Severity Index (ISI) at week 10. Other measures included: Pittsburgh Sleep Quality Index, Sleep Hygiene Practice, Spielberger State-Trait Anxiety Inventory (STAI), and Patient Health Questionnaire-9 (PHQ-9). Objective sleep was measured by Actiwatch™ at baseline and week 10. Thirty Black women completed the interventions with no attrition. About 97% of all participants attended 6-8 out of 8 sessions. The ISI scores were reduced at week 10 (MBT-I vs. HE: -7.67 vs. -7.22, p < .05). Anxiety and depression symptoms were significantly improved only in the MBT-I group. This is the first MBT-I for Black women with insomnia. Online MBT-I may be feasible and acceptable for Black women. The MBT-I and HE showed a clinically significant improvement in insomnia symptoms (ISI reduction > 7). MBT-I may be more effective in improving anxiety and depression symptoms than HE. Our findings encourage further study efforts with a longer follow-up and larger sample size to address sleep health disparities among Black women.

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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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