Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of South Florida Morsani College of Medicine , Tampa, Florida, USA.
Department of Obstetrics and Gynecology, Division of midwifery, University of South Florida Morsani College of Medicine , Tampa, Florida, USA.
Behav Sleep Med. 2020 Jul-Aug;18(4):477-487. doi: 10.1080/15402002.2019.1613995. Epub 2019 May 25.
We sought to investigate the feasibility of a behavioral sleep intervention for insomnia, delivered through group prenatal care and the relationship of this intervention to improvements in insomnia symptoms and sleep quality.
Women receiving prenatal care and reporting a pre-pregnancy BMI of ≥25 kg/m and sleep duration of <6.5 h per night.
Participants were randomized to group prenatal care or group prenatal care with a behavioral sleep intervention, adapted from cognitive behavioral therapy for insomnia (CBT-I) online program Go! to Sleep®. In the second trimester (T1), late third trimester (T2) and 6-8 weeks postpartum (T3) study assessments were completed including the , fasting glucose and insulin and weight and height. Data were analyzed using independent samples t-tests, chi-square tests, correlations, and two-way repeated measures ANOVA where appropriate. P < .05 was set as the level of significance.
From May 2014 to April 2015, 311 women were evaluated for inclusion and 53 women were randomized to participate (27 intervention; 26 control), 15% were lost to follow up. The intervention group had lower third trimester and postpartum levels of moderate to severe insomnia (T2 50.0% vs 85.0% (p = .018) and T3 13.6% vs 52.4% (p-.008)) and mean insomnia severity scores (T2 (14.7 (±6.6) vs 19.3 (± 6.0) p = .02) and T3 (9.7 (±5.4) vs 15.1(±7.2) p = .01)) when compared to the control group.
A randomized controlled trial of a behavioral sleep intervention for insomnia delivered through group prenatal care led to improvements in insomnia symptoms.
我们旨在探究通过团体产前护理实施失眠行为干预的可行性，并探讨这种干预与失眠症状和睡眠质量改善之间的关系。
接受产前护理且孕前 BMI≥25kg/m2 和每晚睡眠时长<6.5 小时的孕妇。
参与者随机分配到团体产前护理组或团体产前护理加失眠行为干预组，该干预源自认知行为疗法治疗失眠（CBT-I）的在线项目 Go! to Sleep®。在妊娠中期（T1）、妊娠晚期（T2）和产后 6-8 周（T3）进行研究评估，包括匹兹堡睡眠质量指数（PSQI）、空腹血糖和胰岛素以及体重和身高。采用独立样本 t 检验、卡方检验、相关性分析和双向重复测量方差分析进行数据分析，以 P<.05 为统计学显著性水平。
2014 年 5 月至 2015 年 4 月，共评估了 311 名符合纳入标准的孕妇，其中 53 名孕妇被随机分配参与研究（27 名干预组；26 名对照组），15%的孕妇失访。与对照组相比，干预组妊娠晚期和产后的中重度失眠发生率较低（T2 为 50.0% vs 85.0%（p=0.018）和 T3 为 13.6% vs 52.4%（p<0.008）），匹兹堡睡眠质量指数（PSQI）评分也较低（T2（14.7（±6.6） vs 19.3（±6.0），p=0.02）和 T3（9.7（±5.4） vs 15.1（±7.2），p=0.01）。
通过团体产前护理实施失眠行为干预的随机对照试验可改善失眠症状。
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