接受慢性失眠治疗的女性退伍军人所表达的价值观。

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2024-05-01 Epub Date: 2023-09-25 DOI:10.1080/15402002.2023.2260517
Kathryn S Saldana, Gwendolyn C Carlson, Kaddy Revolorio, Monica R Kelly, Karen R Josephson, Michael N Mitchell, Najwa Culver, Morgan Kay, Sarah Kate McGowan, Yeonsu Song, Charles Deleeuw, Jennifer L Martin
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引用次数: 0

摘要

目标:失眠可能导致价值观一致性选择减少,参与有意义的生活活动减少。我们试图确定参与失眠障碍心理治疗试验的女性退伍军人通常表达的价值观。方法:74名女性退伍军人(平均年龄 = 48.3[±13]岁),符合DSM-5失眠障碍诊断标准的患者接受了基于接受的失眠行为治疗。在第一节课上,参与者回答了有关个人价值观以及失眠对这些价值观的影响的问题。根据Bull's Eye价值观调查(1级类别)和有价值生活问卷(2级类别),将回答分为价值观领域。结果:评分者在独立编码和裁决后达成100%一致。按频率顺序排列的1级值类别为:关系(n = 68),个人护理/健康(n = 51),工作/教育(n = 46),宠物(n = 12) ,和休闲(n = 5) 。最常报告的2级价值类别是:家庭(婚姻/养育子女除外;n = 50),养育子女(n = 31),工作(n = 31),身体健康(n = 30)和精神(n = 19) 。受失眠影响的1级价值类别按频率顺序为:个人护理/健康(n = 65),关系(n = 58),工作/教育(n = 46),宠物(n = 12) ,和休闲(n = 5) 结论:接受失眠治疗的女性退伍军人高度重视人际关系和个人护理/健康,这应被视为失眠治疗的以患者为中心的结果。临床试验注册号:NCT02076165。
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Values Expressed by Women Veterans Receiving Treatment for Chronic Insomnia Disorder.

Objectives: Insomnia may contribute to fewer value-consistent choices and less engagement in meaningful life activities. We sought to identify values commonly expressed by women veterans engaged in a trial testing psychological treatment of insomnia disorder.

Methods: Seventy-four women veterans (mean age = 48.3 [±13] years), meeting DSM-5 diagnostic criteria for insomnia disorder received an acceptance-based behavioral treatment for insomnia. In the first session, participants responded to questions regarding personal values and the impact of insomnia on those values. Responses were categorized into values domains informed by the Bull's Eye Values survey (level 1 categories) and the Valued Living Questionnaire (level 2 categories).

Results: Raters reached 100% agreement after independent coding and adjudication. Level 1 value categories in frequency order were: relationships (n = 68), personal care/health (n = 51), work/education (n = 46), pets (n = 12), and leisure (n = 5). The most frequently reported level 2 value categories were: family (other than marriage/parenting; n = 50), parenting (n = 31), work (n = 31), physical health (n = 30), and spirituality (n = 19). The level 1 value categories impacted by insomnia in frequency order were: personal care/health (n = 65), relationships (n = 58), work/education (n = 46), pets (n = 12), and leisure (n = 5).

Conclusions: Women veterans undergoing insomnia treatment highly value relationships and personal care/health, which should be considered patient-centered outcomes of insomnia treatments.

Clinical trials registration: NCT02076165.

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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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