Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.
Department of Population Health and Disease Prevention and the Chao Family Comprehensive Cancer Center, University of California, Irvine, CA.
Palliat Support Care. 2020 Dec;18(6):644-647. doi: 10.1017/S1478951520001017.
Insomnia is a common, distressing, and impairing psychological outcome experienced by informal caregivers (ICs) of patients with cancer. Cognitive behavioral therapy for insomnia (CBT-I) and acupuncture both have known benefits for patients with cancer, but such benefits have yet to be evaluated among ICs. The purpose of the present study was to evaluate the feasibility, acceptability and preliminary effects of CBT-I and acupuncture among ICs with moderate or greater levels of insomnia.
Participants were randomized to eight sessions of CBT-I or ten sessions of acupuncture.
Results highlighted challenges of identifying interested and eligible ICs and the impact of perception of intervention on retention and likely ultimately outcome.
Findings suggest preliminary support for non-pharmacological interventions to treat insomnia in ICs and emphasize the importance of matching treatment modality to the preferences and needs of ICs.
失眠是癌症患者非专业照护者（ICs）常见的、令人痛苦的、会造成损害的心理后果。失眠认知行为疗法（CBT-I）和针灸都对癌症患者有已知的益处，但这些益处尚未在 ICs 中得到评估。本研究的目的是评估 CBT-I 和针灸对中重度失眠 ICs 的可行性、可接受性和初步效果。
参与者被随机分配到 CBT-I 的八次疗程或针灸的十次疗程。
结果强调了确定有兴趣和符合条件的 ICs 的挑战，以及对干预措施的看法对保留率和最终结果的影响。
研究结果初步支持非药物干预措施治疗 ICs 的失眠症，并强调了将治疗方式与 ICs 的偏好和需求相匹配的重要性。
