Hunterdon Medical Center, Department of Internal Medicine, 121 Route 31, Suite 1000, Fleminton, NJ 08822, USA.
Rutgers, State University of New Jersey, Robert Wood Johnson Medical School & Robert Wood Johnson University Hospital, 1, RWJ Place, New Brunswick, NJ 08901, USA.
Int J Environ Res Public Health. 2021 May 26;18(11):5706. doi: 10.3390/ijerph18115706.
The coronavirus disease 2019 (COVID-19) pandemic created significant psychological challenges worldwide, including stress, emotional distress, and insomnia. In addition, social distancing, travel restrictions, and spread of disease have resulted in unique challenges, creating barriers to healthcare access. Compared to the rate prior to the COVID-19 pandemic, a significant increase in clinical insomnia rates have been reported. With well-known limitations of currently established treatments (e.g., cognitive behavioral therapy-insomnia (CBT-I), pharmacotherapy), there is a need to explore other effective and safe treatment modalities to treat insomnia, especially those that can be used remotely. The purpose of this study is to assess the effectiveness of app-based intervention to treat insomnia in the current era of the COVID-19 pandemic (using the Yoga of Immortals (YOI) app). This prospective cohort study was approved by the Institutional Review Board. All participants in this study were asked to complete an online survey including demographic data and validated Insomnia Severity Index (ISI) at baseline (15 May 2020), 4 weeks, and 8 weeks after starting the YOI intervention. Survey data was exported using Microsoft Excel. Statistical analysis was done using the GraphPad Prism 8. YOI intervention significantly improved the mean ISI scores in all categories of insomnia (severe, moderate, and subthreshold) at each follow-up ( ≤ 0.0001). The improvement was significant among all age groups and in both genders. In our study, YOI was a novel and effective intervention for improving insomnia symptoms and may be a new addition to the armamentarium of insomnia management. Being app-based, this has potential wider applicability, especially during the current COVID-19 pandemic.
2019 年冠状病毒病（COVID-19）大流行在全球范围内造成了重大的心理挑战，包括压力、情绪困扰和失眠。此外，社交隔离、旅行限制和疾病传播导致了独特的挑战，这给获得医疗保健造成了障碍。与 COVID-19 大流行之前的比率相比，报告的临床失眠率显著增加。由于目前确立的治疗方法（例如认知行为疗法-失眠（CBT-I）、药物疗法）存在明显的局限性，因此需要探索其他有效和安全的治疗方式来治疗失眠症，特别是那些可以远程使用的治疗方式。本研究旨在评估基于应用程序的干预措施在 COVID-19 大流行时代治疗失眠症的有效性（使用瑜伽不朽者（YOI）应用程序）。这项前瞻性队列研究得到了机构审查委员会的批准。本研究中的所有参与者都被要求在基线（2020 年 5 月 15 日）、4 周和开始 YOI 干预后 8 周完成一项在线调查，其中包括人口统计学数据和经过验证的失眠严重程度指数（ISI）。使用 Microsoft Excel 导出调查数据。使用 GraphPad Prism 8 进行统计分析。YOI 干预在每个随访时都显著改善了所有失眠类别（严重、中度和亚阈值）的平均 ISI 评分（≤0.0001）。在所有年龄组和性别中，改善均有统计学意义。在我们的研究中，YOI 是一种新颖而有效的改善失眠症状的干预措施，可能是失眠管理武器库的新补充。作为基于应用程序的干预措施，它具有更广泛的适用性，尤其是在当前的 COVID-19 大流行期间。
