a School of Psychology, Université Laval , Québec , Canada.
b CHU de Québec-Université Laval Research Center , Québec , Canada.
Behav Sleep Med. 2018 May-Jun;16(3):294-309. doi: 10.1080/15402002.2016.1210148. Epub 2016 Aug 5.
To assess the moderating role of demographic and clinical variables on the efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I) among breast cancer patients.
As part of a randomized controlled trial, 80 women received VCBT-I.
Patients with a more advanced breast cancer were less likely to show reductions on the Insomnia Severity Index (ISI) and increased sleep efficiency at posttreatment. Patients using an antidepressant medication showed a larger reduction of ISI scores and a higher rate of insomnia remission. Remission of insomnia was also significantly more likely in individuals with a higher annual income. When using a multivariate binary classification tree analysis, the best and unique predictor of insomnia remission was having a less severe baseline ISI score.
Although efficacious in general, VCBT-I does not appear to be an optimal format for everybody.
评估基于视频的认知行为疗法治疗失眠（VCBT-I）对乳腺癌患者疗效的调节作用。
作为一项随机对照试验的一部分，80 名女性接受了 VCBT-I。
患有晚期乳腺癌的患者在治疗后更不可能在失眠严重程度指数（ISI）上出现减少，并且睡眠效率增加。使用抗抑郁药物的患者的 ISI 评分降低幅度更大，失眠缓解率更高。收入较高的人也更有可能治愈失眠。当使用多元二分类树分析时，失眠缓解的最佳和唯一预测因子是基线 ISI 评分较低。
尽管 VCBT-I 总体上有效，但它似乎不是每个人的最佳选择。
