Northumbria Centre for Sleep Research, Northumbria University , Newcastle, UK.
School of Psychology, University of Ottawa , Ottowa, Ontario, Canada.
Behav Sleep Med. 2021 Mar-Apr;19(2):273-283. doi: 10.1080/15402002.2020.1739688. Epub 2020 Mar 12.
: Despite Cognitive Behavioral Therapy for Insomnia (CBT-I) being considered the first-line treatment for insomnia, it is not without its challenges. As such it is worthwhile to consider, and test, alternative or adjuvant management options. : The aim of the present study was to examine whether Lucid Dreaming Training for insomnia (LDT-I) impacted on insomnia, depressive and anxious symptomology in an open label trial of 48 adults with Insomnia Disorder. Participants completed the Insomnia Severity Index, General Anxiety Disorder-7 and Patient Health Questionnaire at baseline then one month following LDT-I. Training consisted of four modules delivered over a period of two consecutive weeks. : The results suggest, albeit preliminarily, that LDT-I may have a place within the non-pharmacological management of insomnia, as there were significant reductions in insomnia severity (t(46) = 8.16, <.001), anxious symptomology (t(46) = 4.75, <.001) and depressive symptomology (t(46) = 5.87, <.001). Further, the effect size in terms of pre-post reductions on ISI scores was large (d 1.17). : Whilst the results are promising, further testing of LDT-I is needed to inform its place amongst the non-pharmacological treatments for insomnia.
尽管认知行为疗法治疗失眠（CBT-I）被认为是失眠的一线治疗方法，但它并非没有挑战。因此，值得考虑和测试替代或辅助的管理方案。本研究旨在通过对 48 名失眠症患者进行为期一个月的开放性试验，探讨清醒梦训练治疗失眠（LDT-I）是否会影响失眠、抑郁和焦虑症状。参与者在基线时完成了失眠严重程度指数、广泛性焦虑症-7 项和患者健康问卷，然后在 LDT-I 后一个月完成。培训包括四个模块，在连续两周内完成。结果表明，尽管初步表明，LDT-I 可能在失眠的非药物管理中有一席之地，因为失眠严重程度（t(46)=8.16，<.001）、焦虑症状（t(46)=4.75，<.001）和抑郁症状（t(46)=5.87，<.001）均有显著降低。此外，ISI 评分的前后降低的效应量很大（d=1.17）。尽管结果很有希望，但仍需要进一步测试 LDT-I，以确定其在失眠的非药物治疗中的地位。
