正念与行为疗法治疗失眠:睡眠障碍临床失眠患者的治疗效果评估

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Behaviour Change Pub Date : 2020-11-27 DOI:10.1017/bec.2020.18
A. Peters, J. Reece, H. Meaklim, M. Junge, D. Cunnington, J. Ong, Mervyn Jackson, K. Greenwood
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引用次数: 2

摘要

失眠是一种常见的主要健康问题,它会给一个人的生活带来巨大的痛苦和破坏。本文的目的是评估一种为期六周的基于正念的失眠治疗(MBTI),该治疗对象是参加睡眠障碍诊所的失眠患者,包括那些有合并症的患者。30名符合DSM-IV-TR失眠症诊断的参与者参加了为期6周的小组干预。结果测量包括治疗前和随访期间的每日睡眠日记和活动记录仪,以及基线、治疗结束和3个月随访时收集的主观睡眠结果。趋势分析显示MBTI与失眠严重程度的大幅降低相关(p < 0.001),有维持治疗效果的迹象。客观睡眠参数有显著改善,包括睡眠开始潜伏期(p = 0.005)、睡眠效率(p = 0.033)和睡眠开始后清醒(p = 0.018)。主观睡眠参数在睡眠效率(p = 0.005)和睡眠后清醒(p < 0.001)方面也有显著改善。总的来说,本研究表明MBTI可以在睡眠障碍的临床环境中成功实施,并有证据表明对客观和主观睡眠测量的治疗效果。
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Mindfulness and Behaviour Therapy for Insomnia: An Assessment of Treatment Effect in a Sleep Disorders Clinic Population with Insomnia
Insomnia is a common major health concern, which causes significant distress and disruption in a person's life. The objective of this paper was to evaluate a 6-week version of Mindfulness-Based Therapy for Insomnia (MBTI) in a sample of people attending a sleep disorders clinic with insomnia, including those with comorbidities. Thirty participants who met the DSM-IV-TR diagnosis of insomnia participated in a 6-week group intervention. Outcome measures were a daily sleep diary and actigraphy during pre-treatment and follow-up, along with subjective sleep outcomes collected at baseline, end-of-treatment, and 3-month follow-up. Trend analyses showed that MBTI was associated with a large decrease in insomnia severity (p < .001), with indications of maintenance of treatment effect. There were significant improvements in objective sleep parameters, including sleep onset latency (p = .005), sleep efficiency (p = .033), and wake after sleep onset (p = .018). Significant improvements in subjective sleep parameters were also observed for sleep efficiency (p = .005) and wake after sleep onset (p < .001). Overall, this study indicated that MBTI can be successfully delivered in a sleep disorders clinic environment, with evidence of treatment effect for both objective and subjective measures of sleep.
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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