失眠症针对性心理治疗的评估

An evaluation of tailored psychological treatment of insomnia.

作者信息

Espie C A, Brooks D N, Lindsay W R

机构信息

Department of Psychological Medicine, University of Glasgow.

出版信息

J Behav Ther Exp Psychiatry. 1989 Jun;20(2):143-53. doi: 10.1016/0005-7916(89)90047-5.

DOI:10.1016/0005-7916(89)90047-5

PMID:2685045

Abstract

It seems sensible to tailor treatments of insomnia in relation to the presenting characteristics of the sleeper and of the complaint. This report describes the first study formally to examine the comparative effectiveness of tailored and untailored (randomly allocated) treatments. We developed a questionnaire to facilitate the designing of individualized programmes. Results indicated that statistical analysis may underestimate the benefits of tailoring. Measures of clinically significant change, however, suggested that tailored treatment though it may be highly effective, is no more so than stimulus control therapy.

摘要

根据失眠者的表现特征和主诉来调整失眠治疗方案似乎是合理的。本报告描述了第一项正式研究，旨在检验量身定制的治疗方法与非量身定制（随机分配）的治疗方法的相对有效性。我们设计了一份问卷，以促进个性化方案的设计。结果表明，统计分析可能低估了量身定制的益处。然而，具有临床显著变化的指标表明，量身定制的治疗尽管可能非常有效，但并不比刺激控制疗法更有效。