A primary care "friendly" cognitive behavioral insomnia therapy

被引:209
作者
Edinger, JD
Sampson, WS
机构
[1] Univ N Carolina, Chapel Hill, NC USA
[2] Duke Univ, Med Ctr, Durham, NC USA
[3] VA, Durham, NC USA
关键词
cognitive-behavioral therapy; sleep hygiene; primary insomnia; primary care;
D O I
10.1093/sleep/26.2.177
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: This study was conducted to test the effectiveness of an abbreviated cognitive-behavioral insomnia therapy (ACBT) with primary care patients. Design: A single-blind, randomized group design was used in which study patients were randomized to either a brief, 2-session ACBT or a similarly brief intervention (SHC) that included only generic sleep hygiene recommendations, Setting: A university-affiliated Department of Veterans Affairs medical center. Participants: Twenty (2 women) veteran patients (M-age = 51.0 yrs., SD = 13.7 years) who met criteria for chronic primary insomnia. Measurements and Results: Participants completed sleep logs for 2 weeks and questionnaires to measures insomnia symptoms, sleep-related self-efficacy, and dysfunctional beliefs about sleep before treatment, during a 2-week posttreatment assessment, and again at a 3-month posttreatment follow-up, Statistical analyses showed that ACBT produced significantly larger improvements across a majority of outcome measures than did SHC. Case-by-case analyses showed that only the ACBT produced consistent positive effects across study patients, and a sizeable proportion of these patients receiving this treatment achieved clinically significant improvements by their study endpoints. Approximately 52% of those receiving the ACBT reported at least a 50% reduction in their wake time after sleep onset, and 55.6% of ACBT-treated patients who entered the study with pathologic scores on an Insomnia Symptom Questionnaire (ISQ), achieved normal ISQ scores by their final outcome assessment. Conclusions: ACBT is effective for reducing subjective sleep disturbance and insomnia symptoms in primary care patients.
引用
收藏
页码:177 / 182
页数:6
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