Several reports suggest that college students often have atypical sleep patterns and experience poor sleep quality. We examined the effect of a cognitive behavioral therapy (CBT) based intervention program to improve ...Several reports suggest that college students often have atypical sleep patterns and experience poor sleep quality. We examined the effect of a cognitive behavioral therapy (CBT) based intervention program to improve sleep quality and overall mental health among college students. The intervention was delivered in the form of e-mail newsletters. Fifty-three students participated in the intervention group, and another 50 students participated in the control group. The intervention group received a lecture on sleep hygiene;once-weekly e-mail newsletters on sleep health topics (sleep hygiene, stimulus control, sleep restriction, sleep titration, and relapse prevention) and were asked to maintain a four-week sleep diary. The Pittsburgh Sleep Quality Index (PSQI), a measure of sleep quality, and the Kessler 6, a measure of psychological distress, were administered before the lecture (as the baseline measurement) and again 16 weeks later (follow-up measurement). PSQI and K6 scores were reduced in the intervention group compared with the control group. A CBT-based sleep health program utilizing e-mail newsletters may work to improve sleep quality and mental health. This program may represent a cost effective way for Japanese students to receive treatment for poor sleep and may also serve to prevent psychiatric problems.展开更多
Research background and Objectives: Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as the preferred non-pharmaceutical treatment for Insomnia. This pilot study aims to test the efficacy of an extended...Research background and Objectives: Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as the preferred non-pharmaceutical treatment for Insomnia. This pilot study aims to test the efficacy of an extended version of CBT-I called Integrative Therapy for Insomnia (IT-I). The traditional CBT-I is complemented with exercises that are expected to enhance relearning to sleep by providing different stimuli, and access options for the retrieval and application of the acquired information, cognition, and skills. Method: The efficacy of the IT-I is measured by comparing the participants’ scores on the Insomnia Severity Index at baseline and post-treatment. In total 29 people, with a wide range of ages, participated in the 8 sessions’ treatment of one hour 45 minutes per session, in mixed groups of age, gender, and primary or comorbid insomnia. Results: Comparing the ISI baseline and post-treatment scores, results show a mean improvement of 7.2 points and a p r = −0.43. Conclusions: The integration of exercises that generate sensory-motor stimuli, and address the mirror neuron system fitting with the Mental Contrasting as a metacognitive strategy seems to facilitate re-learning to sleep in cases of primary insomnia as well as for comorbid insomnia. Further studies will be needed to arrive at more firm conclusions.展开更多
矛盾性失眠(paradoxical insomnia,Para-I)又被称为假性失眠(pseudoinsomnia)或失眠状态错觉(sleep state misperception,SSM)。这类患者通常主诉患有严重失眠,但缺乏睡眠紊乱的客观证据,日间功能受损情况与患者所述的睡眠缺失程度不成...矛盾性失眠(paradoxical insomnia,Para-I)又被称为假性失眠(pseudoinsomnia)或失眠状态错觉(sleep state misperception,SSM)。这类患者通常主诉患有严重失眠,但缺乏睡眠紊乱的客观证据,日间功能受损情况与患者所述的睡眠缺失程度不成比例。高估睡眠潜伏时间(sleeplatency,SL)、低估总睡眠时间(totalsleeptime,TST)是Para-I的主要特征。这种睡眠质量的错误评价妨碍了对睡眠障碍的诊断、严重程度及临床疗效的评估。Para-I的发病机制仍不清楚,可能与抑郁水平、焦虑水平、人格特征、社会关系质量、大脑结构和功能的特殊改变有关。基于多导睡眠监测(polysomnography,PSG)的失眠相关研究发现,非快速眼动睡眠(non-rapideyemovementsleep,NREM睡眠)和快速眼动睡眠(rapideyemovementsleep,REM睡眠)的改变可能与失眠患者的主客观睡眠不一致程度有关。PSG是诊断睡眠障碍的重要手段。它可以通过同步监测脑电图(electroencephalogram,EEG)、肌电图(electromyogram,EMG)、眼动电图(electrooculogram,EOG)、口鼻气流、胸腹呼吸运动、血氧饱和度、心电图(electrocardiogram,ECG)、鼾声等多项参数对睡眠结构及相关的生理行为变化进行分析。近年来,越来越多的研究开始借助PSG对Para-I的睡眠EEG及治疗进行探索并取得了一定的进展。该文就Para-I的脑电特征和治疗的最新进展做一综述,以期为Para-I的精准治疗提供新的思路。展开更多
目的探讨基于互联网的数字失眠认知行为治疗(digital delivery of cognitive behavioral therapy for insomnia,dCBT-I)对广泛性焦虑障碍(generalized anxiety disorder,GAD)患者焦虑、睡眠质量的影响。方法选取2023年4月至10月于湖州...目的探讨基于互联网的数字失眠认知行为治疗(digital delivery of cognitive behavioral therapy for insomnia,dCBT-I)对广泛性焦虑障碍(generalized anxiety disorder,GAD)患者焦虑、睡眠质量的影响。方法选取2023年4月至10月于湖州市第三人民医院就诊的82例GAD患者为研究对象,根据随机数字表法将其分为干预组和对照组,每组各41例。干预组采用基于互联网的dCBT-I,对照组采用线下失眠认知行为治疗。比较两组患者的焦虑和睡眠质量。结果干预后,干预组患者的汉密尔顿焦虑量表评分、匹兹堡睡眠质量指数评分均显著低于对照组,睡眠障碍的信念和态度量表评分显著高于对照组(P<0.05)。结论基于互联网的dCBT-I可有效缓解GAD患者的焦虑情绪,提高睡眠质量。展开更多
文摘Several reports suggest that college students often have atypical sleep patterns and experience poor sleep quality. We examined the effect of a cognitive behavioral therapy (CBT) based intervention program to improve sleep quality and overall mental health among college students. The intervention was delivered in the form of e-mail newsletters. Fifty-three students participated in the intervention group, and another 50 students participated in the control group. The intervention group received a lecture on sleep hygiene;once-weekly e-mail newsletters on sleep health topics (sleep hygiene, stimulus control, sleep restriction, sleep titration, and relapse prevention) and were asked to maintain a four-week sleep diary. The Pittsburgh Sleep Quality Index (PSQI), a measure of sleep quality, and the Kessler 6, a measure of psychological distress, were administered before the lecture (as the baseline measurement) and again 16 weeks later (follow-up measurement). PSQI and K6 scores were reduced in the intervention group compared with the control group. A CBT-based sleep health program utilizing e-mail newsletters may work to improve sleep quality and mental health. This program may represent a cost effective way for Japanese students to receive treatment for poor sleep and may also serve to prevent psychiatric problems.
文摘Research background and Objectives: Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as the preferred non-pharmaceutical treatment for Insomnia. This pilot study aims to test the efficacy of an extended version of CBT-I called Integrative Therapy for Insomnia (IT-I). The traditional CBT-I is complemented with exercises that are expected to enhance relearning to sleep by providing different stimuli, and access options for the retrieval and application of the acquired information, cognition, and skills. Method: The efficacy of the IT-I is measured by comparing the participants’ scores on the Insomnia Severity Index at baseline and post-treatment. In total 29 people, with a wide range of ages, participated in the 8 sessions’ treatment of one hour 45 minutes per session, in mixed groups of age, gender, and primary or comorbid insomnia. Results: Comparing the ISI baseline and post-treatment scores, results show a mean improvement of 7.2 points and a p r = −0.43. Conclusions: The integration of exercises that generate sensory-motor stimuli, and address the mirror neuron system fitting with the Mental Contrasting as a metacognitive strategy seems to facilitate re-learning to sleep in cases of primary insomnia as well as for comorbid insomnia. Further studies will be needed to arrive at more firm conclusions.
文摘目的探讨短程团体认知行为治疗(Group Cognitive Behavioral Therapy,GCBT)对青少年抑郁症患者的疗效,观察短程GCBT和计算机化认知行为治疗(Computerized Cognitive Behavioral Therapy,CCBT)联合对青少年抑郁治疗疗效。方法随机选取2022年8月—2023年8月福建省福州神经精神病防治院精神科门诊及医学心理咨询中心门诊收治的90例青少年抑郁症患者为研究对象,通过随机数表法分为CCBT组(n=30,因未完成5次治疗脱落19例,最终11例)、GCBT组(n=30,因未完成5次团体治疗脱落3例,最终27例)及CCBT+GCBT组(n=30)。在服用抗抑郁药物基础上,CCBT组合并5周的CCBT,GCBT组合并5周的GCBT,CCBT+GCBT组合并5周的GCBT及CCBT。治疗频率均为1次/周。比较3组治疗前、后汉密尔顿抑郁量表(24 Items Hamilton Depression Scale,HAMD-24)评分及减分率,中学生心理健康量表(Mental Health Scale for Middle School Students,MSSMHS)总均分及各因子分。结果5周治疗后,3组HAMD-24评分[CCBT组16(9,18)分、GCBT组18(13,21)分、CCBT+GCBT组13.5(8,20.25)分]均有明显下降,差异有统计学意义(Z=-2.847、-4.545、-4.784,P均<0.05)。3组HAMD减分率比较,差异无统计学意义(P=0.069)。CCBT+GCBT组MSSMHS总均分及强迫、敌对、人际关系敏感、抑郁、焦虑、情绪不平衡及心理不平衡等因子分与治疗前比较,差异有统计学意义(P均<0.05);GCBT组MSSMHS总均分及强迫、敌对、抑郁及情绪不平衡等因子分与治疗前比较,差异有统计学意义(P均<0.05)。CCBT+GCBT组MSSMHS人际关系敏感及心理不平衡因子分较GCBT组明显改善,差异有统计学意义(P均<0.05)。结论短程CCBT及GCBT等治疗能有效改善青少年患者的抑郁症状,且CCBT与GCBT联合治疗疗效更优于单纯GCBT,且能有效降低CCBT高脱失率。
文摘矛盾性失眠(paradoxical insomnia,Para-I)又被称为假性失眠(pseudoinsomnia)或失眠状态错觉(sleep state misperception,SSM)。这类患者通常主诉患有严重失眠,但缺乏睡眠紊乱的客观证据,日间功能受损情况与患者所述的睡眠缺失程度不成比例。高估睡眠潜伏时间(sleeplatency,SL)、低估总睡眠时间(totalsleeptime,TST)是Para-I的主要特征。这种睡眠质量的错误评价妨碍了对睡眠障碍的诊断、严重程度及临床疗效的评估。Para-I的发病机制仍不清楚,可能与抑郁水平、焦虑水平、人格特征、社会关系质量、大脑结构和功能的特殊改变有关。基于多导睡眠监测(polysomnography,PSG)的失眠相关研究发现,非快速眼动睡眠(non-rapideyemovementsleep,NREM睡眠)和快速眼动睡眠(rapideyemovementsleep,REM睡眠)的改变可能与失眠患者的主客观睡眠不一致程度有关。PSG是诊断睡眠障碍的重要手段。它可以通过同步监测脑电图(electroencephalogram,EEG)、肌电图(electromyogram,EMG)、眼动电图(electrooculogram,EOG)、口鼻气流、胸腹呼吸运动、血氧饱和度、心电图(electrocardiogram,ECG)、鼾声等多项参数对睡眠结构及相关的生理行为变化进行分析。近年来,越来越多的研究开始借助PSG对Para-I的睡眠EEG及治疗进行探索并取得了一定的进展。该文就Para-I的脑电特征和治疗的最新进展做一综述,以期为Para-I的精准治疗提供新的思路。
文摘目的探讨基于互联网的数字失眠认知行为治疗(digital delivery of cognitive behavioral therapy for insomnia,dCBT-I)对广泛性焦虑障碍(generalized anxiety disorder,GAD)患者焦虑、睡眠质量的影响。方法选取2023年4月至10月于湖州市第三人民医院就诊的82例GAD患者为研究对象,根据随机数字表法将其分为干预组和对照组,每组各41例。干预组采用基于互联网的dCBT-I,对照组采用线下失眠认知行为治疗。比较两组患者的焦虑和睡眠质量。结果干预后,干预组患者的汉密尔顿焦虑量表评分、匹兹堡睡眠质量指数评分均显著低于对照组,睡眠障碍的信念和态度量表评分显著高于对照组(P<0.05)。结论基于互联网的dCBT-I可有效缓解GAD患者的焦虑情绪,提高睡眠质量。
