Department of Psychology, West Virginia University, Morgantown, WV, USA.
Cogn Behav Ther. 2020 Mar;49(2):113-119. doi: 10.1080/16506073.2019.1586992. Epub 2019 Mar 14.
Insomnia disorders affect up to 10% of adults and are associated with other health problems and poor quality of life. Cognitive Behavioral Therapy for Insomnia (CBT-I) is an effective treatment; however, its effectiveness is hindered by poor attendance and adherence to treatment recommendations. The present study sought to identify predictors of attendance and adherence in CBT-I. Participants were 108 adults with insomnia disorder. Participants were primarily female (71.3%), middle aged (mean age = 50.5), and Caucasian (92.6%). Demographic variables, physical health problems, Beck Anxiety Inventory, Center for Epidemiologic Studies Depression-Revised scale, and Insomnia Severity Index were used to predict attending three or more sessions and adherence to consistent bedtime and waketime. Higher age was associated with better attendance and less deviation in bed and wake times. Anxiety and depression symptoms were associated with less attendance, and depression was also associated with more deviation in waketimes. To promote better attendance and adherence in treatment, depression or anxiety symptoms should be addressed before or during CBT-I. Identifying and tailoring CBT-I treatments toward the needs of different age groups may also improve attendance and adherence.
失眠障碍影响多达 10%的成年人，并与其他健康问题和生活质量差有关。认知行为疗法治疗失眠（CBT-I）是一种有效的治疗方法；然而，由于治疗建议的出席率和依从性差，其效果受到阻碍。本研究旨在确定 CBT-I 中出席率和依从性的预测因素。参与者是 108 名患有失眠症的成年人。参与者主要是女性（71.3%），中年（平均年龄为 50.5 岁），白种人（92.6%）。人口统计学变量、身体健康问题、贝克焦虑量表、流行病学研究抑郁修订量表和失眠严重程度指数用于预测参加三次或更多次治疗以及坚持一致的就寝和起床时间。年龄较高与更好的出席率和更少的睡眠时间偏差有关。焦虑和抑郁症状与出席率降低有关，抑郁症状也与起床时间偏差较大有关。为了提高治疗的出席率和依从性，在进行 CBT-I 之前或期间应解决抑郁或焦虑症状。针对不同年龄组的需求确定和调整 CBT-I 治疗方法也可能提高出席率和依从性。
