Mind-Body Medicine Research Laboratory, Baylor University, Waco, Texas, USA.
School of Nursing, Indiana University, Indianapolis, USA.
Int J Clin Exp Hypn. 2021 Jul-Sep;69(3):323-345. doi: 10.1080/00207144.2021.1919520. Epub 2021 May 28.
Sleep disturbances are a pervasive problem among postmenopausal women, with an estimated 40 to 64% reporting poor sleep. Hypnosis is a promising intervention for sleep disturbances. This study examined optimal dose and delivery for a manualized hypnosis intervention to improve sleep. Ninety postmenopausal women with poor sleep were randomized to 1 of 4 interventions: 5 in-person, 3 in-person, 5 phone, or 3 phone contacts. All received hypnosis audio recordings, with instructions for daily practice for 5 weeks. Feasibility measures included treatment satisfaction ratings and practice adherence. Sleep outcomes were sleep quality, objective and subjective duration, and bothersomeness of poor sleep. Results showed high treatment satisfaction, adherence, and clinically meaningful (≥ 0.5 ) sleep improvement for all groups. Sleep quality significantly improved, < .05, = .70, with no significant differences between groups, with similar results for the other sleep outcomes across all treatment arms. Comparable results between phone and in-person groups suggest that a unique "dose" and delivery strategy is highly feasible and can have clinically meaningful impact. This study provides pilot evidence that an innovative hypnosis intervention for sleep (5 phone contacts with home practice) reduces the burden on participants while achieving maximum treatment benefit.
睡眠障碍是绝经后妇女普遍存在的问题，据估计有 40%至 64%的人报告睡眠质量差。催眠是一种有前途的治疗睡眠障碍的方法。本研究探讨了一种标准化催眠干预措施来改善睡眠的最佳剂量和实施方式。90 名睡眠质量差的绝经后妇女被随机分为 4 组干预措施之一：5 次面对面、3 次面对面、5 次电话或 3 次电话联系。所有参与者都接受了催眠录音，并接受了为期 5 周的每日练习指导。可行性测量包括治疗满意度评分和实践依从性。睡眠结果包括睡眠质量、客观和主观持续时间以及睡眠质量差的困扰程度。结果显示，所有组的治疗满意度、依从性和临床意义上的（≥ 0.5）睡眠改善都很高。睡眠质量显著改善，<.05，=.70，组间无显著差异，所有治疗组的其他睡眠结果均有类似结果。电话组和面对面组的结果相似表明，独特的“剂量”和实施策略具有高度可行性，并能产生有临床意义的影响。这项研究提供了初步证据，表明一种创新的睡眠催眠干预措施（5 次电话联系和家庭练习）可以减轻参与者的负担，同时获得最大的治疗效果。
