Schlarb Angelika Anita, Friedrich Anja, Claßen Merle
Faculty of Psychology and Sports, Bielefeld University, Bielefeld, Germany.
Neuropsychiatr Dis Treat. 2017 Jul 26;13:1989-2001. doi: 10.2147/NDT.S142067. eCollection 2017.
Up to 60% of all college students suffer from a poor sleep quality, and 7.7% meet all criteria of an insomnia disorder. Sleep problems have a great impact on the students' daily life, for example, the grade point average. Due to irregular daytime routines, chronotype changes, side jobs and exam periods, they need specialized treatments for improving sleep. "Studieren wie im Schlaf" (SWIS; (studying in your sleep)) is a multicomponent sleep training that combines Cognitive Behavioral Therapy for Insomnia and Hypnotherapy for Insomnia to improve students' sleep, insomnia symptoms and nightmares. The aim of the present study is to evaluate the acceptance, feasibility and the first effects of SWIS.
Twenty-seven students (mean =24.24, standard deviation =3.57) participated in a study of pre-post design. The acceptance and feasibility were measured with questionnaires. In addition, the Pittsburgh Sleep Quality Index (PSQI), sleep logs and actigraphy were implemented. Further variables encompassed daytime sleepiness, sleep-related personality traits and cognitions about sleep.
Seventy-four percent of the participants reported symptoms of an insomnia disorder, and 51.9% fulfilled all criteria of an insomnia disorder according to the (fifth edition). Correspondingly, the students suffered from clinically relevant sleep problems according to the PSQI. The SWIS sleep training is a well-accepted and feasible program. Significant improvements were observed in the subjective sleep quality and sleep-related personality traits, as well as clinical improvements in objective sleep measures.
Findings showed that SWIS is a feasible program for the treatment of sleep problems in college and university students due to its various effects on sleep and cognitive outcomes. Further evaluation of follow-up measurements and additional variables, that is, cognitive performance and mental health, is needed.
高达60%的大学生睡眠质量较差，7.7%符合失眠症的所有标准。睡眠问题对学生的日常生活有很大影响，例如平均绩点。由于白天作息不规律、生物钟类型改变、兼职工作和考试期间等原因，他们需要专门的治疗来改善睡眠。“像在睡眠中学习一样学习”（SWIS）是一种多成分睡眠训练，它结合了失眠认知行为疗法和失眠催眠疗法，以改善学生的睡眠、失眠症状和噩梦。本研究的目的是评估SWIS的可接受性、可行性和初步效果。
27名学生（平均年龄=24.24，标准差=3.57）参与了一项前后设计的研究。通过问卷调查来衡量可接受性和可行性。此外，还实施了匹兹堡睡眠质量指数（PSQI）、睡眠日志和活动记录仪。其他变量包括白天嗜睡、与睡眠相关的人格特质以及对睡眠的认知。
74%的参与者报告有失眠症症状，51.9%根据（第五版）符合失眠症的所有标准。相应地，根据PSQI，这些学生存在临床上相关的睡眠问题。SWIS睡眠训练是一个广受欢迎且可行的项目。在主观睡眠质量和与睡眠相关的人格特质方面观察到显著改善，在客观睡眠指标方面也有临床改善。
研究结果表明，SWIS因其对睡眠和认知结果的多种影响，是治疗大学生睡眠问题的一个可行项目。需要对后续测量以及其他变量，即认知表现和心理健康进行进一步评估。
