一项针对成年人失眠的互联网干预的随机对照试验：对共病心理和疲劳症状的影响。
A randomized controlled trial of an internet intervention for adults with insomnia: effects on comorbid psychological and fatigue symptoms.
机构信息
University of Virginia Health System.
出版信息
J Clin Psychol. 2013 Oct;69(10):1078-93. doi: 10.1002/jclp.22032. Epub 2013 Aug 28.
Abstract
OBJECTIVE
Insomnia is frequently comorbid with other medical and psychological disorders. This secondary data analysis investigated whether an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) intervention could also reduce comorbid psychological and fatigue symptoms.
METHOD
Data from a pilot randomized controlled trial (RCT) testing the efficacy of Internet-delivered CBT-I relative to a waitlist control was used to examine changes in symptoms of depression, anxiety, mental health quality of life (QOL), and fatigue.
RESULTS
Group by time interactions from repeated measures analyses revealed significant post intervention improvements in Internet participants (n = 22) relative to control participants (n = 22) on all psychological symptoms, mental health QOL, and fatigue. A small post hoc subsample of Internet participants with mild or moderate depression also showed large effect size changes in these constructs (depression, anxiety, mental health QOL, and fatigue).
CONCLUSION
Internet-delivered CBT-I appears to not only improve sleep but also reduce comorbid psychological and fatigue symptoms.
摘要
目的
失眠常与其他医学和心理障碍共病。本二次数据分析调查了一种互联网提供的失眠认知行为疗法（CBT-I）干预是否也可以减轻共病的心理和疲劳症状。
方法
使用来自测试互联网提供的 CBT-I 相对于候补名单对照的疗效的试点随机对照试验（RCT）的数据，来检查抑郁、焦虑、心理健康生活质量（QOL）和疲劳症状的变化。
结果
重复测量分析的组与时间交互作用显示，与对照组（n=22）相比，互联网组（n=22）的所有心理症状、心理健康 QOL 和疲劳在干预后都有显著改善。互联网组中轻度或中度抑郁症的一个小事后亚样本在这些结构（抑郁、焦虑、心理健康 QOL 和疲劳）中也显示出了大的效应大小变化。
结论
互联网提供的 CBT-I 似乎不仅能改善睡眠，还能减轻共病的心理和疲劳症状。
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