Khawaja Imran S, Dieperink Michael E, Thuras Paul, Kunisaki Ken M, Schumacher Marianne M, Germain Anne, Amborn Becky, Hurwitz Thomas D
Departments of Psychiatry, Minneapolis VA Health Care System, University of Minnesota, Minnesota, USA.
Prim Care Companion CNS Disord. 2013;15(1). doi: 10.4088/PCC.12m01440. Epub 2013 Feb 14.
To evaluate the effectiveness of cognitive-behavioral therapy for insomnia (CBT-I)-informed sleep skills education on sleep quality and initial sleep latency in patients attending a psychiatry partial hospitalization program.
This retrospective chart review was conducted in a psychiatry partial hospitalization program of a teaching Veterans Affairs medical center located in Minneapolis, Minnesota. Patients typically attend the program for 1 month. Data were collected from a continuous improvement project from November 2007 to March 2009. The Pittsburgh Sleep Quality Index (PSQI) was administered to the patients at the time of entry into the program and at their discharge. Patients who completed both PSQI assessments were included in the study.
A total of 183 patients completed both PSQI assessments. Of those, 106 patients attended CBT-I-informed sleep skills education and 77 did not (all patients completed the psychiatry partial hospitalization program). For all patients, the mean ± SD baseline PSQI score was 12.5 ± 4.8. PSQI scores improved by a mean of 3.14 points (95% CI, 2.5-3.8; P < .001) in all patients who completed the psychiatry partial hospitalization program. For all patients, there were significant reductions in sleep latency (17.6 minutes) (t 183 = 6.58, P < .001) and significant increases in overall sleep time, from 6.1 to 6.7 hours (t 183 = 4.72, P < .001). There was no statistically significant difference in PSQI scores of patients who attended CBT-I-informed sleep skills education and those who did not during their stay in the partial hospitalization program.
The quality of sleep and initial sleep latency improved in patients who completed the psychiatry partial hospitalization program regardless of whether they attended CBT-I-informed sleep skills education or not. In this study, a structured psychiatry partial hospitalization program improved perceived sleep quality and initial sleep latency. Additional randomized controlled trials with a higher intensity of CBT-I-informed sleep skills education are needed.
评估失眠认知行为疗法（CBT-I）指导下的睡眠技能教育对参加精神科部分住院治疗项目患者的睡眠质量和初始睡眠潜伏期的有效性。
本回顾性病历审查在位于明尼苏达州明尼阿波利斯市的一家退伍军人事务教学医疗中心的精神科部分住院治疗项目中进行。患者通常参加该项目为期1个月。数据收集自2007年11月至2009年3月的持续质量改进项目。患者在进入项目时和出院时接受匹兹堡睡眠质量指数（PSQI）评估。完成两次PSQI评估的患者纳入研究。
共有183名患者完成了两次PSQI评估。其中，106名患者参加了CBT-I指导下的睡眠技能教育，77名患者未参加（所有患者均完成了精神科部分住院治疗项目）。所有患者的平均±标准差基线PSQI评分为12.5±4.8。完成精神科部分住院治疗项目的所有患者的PSQI评分平均提高了3.14分（95%CI，2.5 - 3.8；P <.001）。所有患者的睡眠潜伏期显著缩短（17.6分钟）（t183 = 6.58，P <.001），总睡眠时间显著增加，从6.
