Department of Human Sciences, European University, Rome, Italy and.
Institute of Neurology, Catholic University, Rome, Italy.
J Ment Health. 2020 Feb;29(1):20-26. doi: 10.1080/09638237.2017.1417563. Epub 2017 Dec 22.
: Chronic Insomnia is a severe and disabling condition characterized by difficulty in initiating or maintaining sleep, waking up too early, despite adequate opportunity and circumstances for sleep. Maladaptive thoughts and dysfunctional beliefs about sleep are considered crucial factors in developing and perpetuating this disorder.: The aim of the study was to explore the usefulness, in patients with chronic insomnia, of a one-session psychoeducational intervention on sleep-related maladaptive thoughts and beliefs, and on sleep perception.: Thirty-eight patients with chronic insomnia were enrolled in the study and randomly assigned to receive psychoeducational intervention (PI+) or to act as controls (PI-). Patients wore an actigraph and compiled a sleep diary for 14 d. After the first 7 d, only PI+ patients received one session of psychoeducational intervention.: A significant reduction of sleep related preoccupations, a reduction of dysfunctional beliefs about sleep, and an improvement of subjective perception of sleep were observed in the PI+ group, but not in the PI- group. No significant modification was observed for objective total sleep time.: Our results suggest that one-session psychoeducational intervention is associated with a decrease of sleep-related maladaptive thoughts and beliefs, and with an improvement on subjective sleep perception.
慢性失眠是一种严重且致残的疾病,其特征是难以入睡或维持睡眠,尽管有充足的机会和环境来睡眠,但仍会过早醒来。关于睡眠的不良认知和功能障碍信念被认为是导致和持续这种疾病的关键因素。
本研究旨在探讨单次睡眠相关不良认知和信念以及睡眠感知的心理教育干预对慢性失眠患者的有效性。
38 名慢性失眠患者被纳入研究,并随机分为接受心理教育干预(PI+)或作为对照组(PI-)。患者佩戴活动记录仪并记录了 14 天的睡眠日记。在第 7 天之后,只有 PI+患者接受了一次心理教育干预。
PI+组的睡眠相关困扰、睡眠相关不良信念以及主观睡眠感知均有显著降低,但 PI-组无显著变化。客观总睡眠时间无显著变化。
我们的研究结果表明,单次心理教育干预与睡眠相关不良认知和信念的减少以及主观睡眠感知的改善有关。