Initial Sleep Time Predicts Success in Manual-Guided Cognitive Behavioral Therapy for Insomnia

被引：6

作者：

Bothelius, Kristoffer ^{[1
]}

Kyhle, Kicki ^{[1
]}

Broman, Jan-Erik ^{[2
]}

Gordh, Torsten ^{[3
]}

Fredrikson, Mats ^{[1
]}

机构：

[1] Uppsala Univ, Dept Psychol, Box 1225, S-75142 Uppsala, Sweden

[2] Uppsala Univ, Dept Neurosci, S-75142 Uppsala, Sweden

[3] Uppsala Univ, Dept Surg Sci, S-75142 Uppsala, Sweden

来源：

BEHAVIORAL SLEEP MEDICINE | 2016年 / 14卷 / 04期

关键词：

GENERAL MEDICAL-PRACTICE; CLINICAL EFFECTIVENESS; TREATMENT RESPONSE; SEVERITY INDEX; STEPPED CARE; REGRESSION; SCALE; DICHOTOMIZATION; IMPLEMENTATION; MISPERCEPTION;

D O I：

10.1080/15402002.2015.1007995

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cognitive behavioral therapy produces significant and long-lasting improvement for individuals with insomnia, but treatment resources are scarce. A stepped care approach has therefore been proposed, but knowledge is limited on how to best allocate patients to different treatment steps. In this study, 66 primary-care patients with insomnia attended a low-end treatment step: manual-guided cognitive behavioral therapy (CBT) for insomnia delivered by ordinary primary-care personnel. Based on clinically significant treatment effects, subjects were grouped into treatment responders or nonresponders. Baseline data were analyzed to identify predictors for treatment success. Long total sleep time at baseline assessment was the only statistically significant predictor for becoming a responder, and sleep time may thus be important to consider before enrolling patients in low-end treatments.

引用

页码：378 / 388

页数：11

共 45 条

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