Hagen Kristen, Nordahl Håkon, Launes Gunvor, Kvale Gerd, Öst Lars-Göran, Hystad Sigurd, Hansen Bjarne, Solem Stian
Department of Psychiatry, Molde Hospital, Møre og Romsdal Hospital Trust, Molde, Norway.
Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway.
Front Psychiatry. 2021 Aug 19;12:625631. doi: 10.3389/fpsyt.2021.625631. eCollection 2021.
Insomnia is a substantial problem in patients with obsessive-compulsive disorder (OCD). There is, however, a lack of studies investigating changes in concurrent symptoms of insomnia in OCD after concentrated treatment. A recent randomized controlled trial randomized participants to the Bergen 4-day treatment (B4DT, = 16), or 12 weeks of unguided self-help (SH, = 16), or waitlist (WL, = 16). Patients from the SH- and WL-group who wanted further treatment after the 12 weeks were then offered the B4DT (total of 42 patients treated with the B4DT). There were no significant differences in symptoms of insomnia between the conditions at post-treatment, but a significant moderate improvement at 3-month follow-up for patients who received the B4DT. Insomnia was not associated with OCD-treatment outcome, and change in symptoms of insomnia was mainly related to changes in depressive symptoms. The main conclusion is that concentrated exposure treatment is effective irrespective of comorbid insomnia, and that insomnia problems are moderately reduced following treatment.
失眠是强迫症（OCD）患者面临的一个重大问题。然而，目前缺乏关于集中治疗后强迫症患者失眠并发症状变化的研究。最近一项随机对照试验将参与者随机分为接受卑尔根4天治疗组（B4DT，n = 16）、12周无指导自助组（SH，n = 16）或候补名单组（WL，n = 16）。12周后，SH组和WL组中希望进一步治疗的患者随后接受了B4DT（共有42名患者接受了B4DT治疗）。治疗后各条件下的失眠症状无显著差异，但接受B4DT治疗的患者在3个月随访时有显著的中度改善。失眠与强迫症治疗结果无关，失眠症状的变化主要与抑郁症状的变化有关。主要结论是，无论是否合并失眠，集中暴露治疗都是有效的，并且治疗后失眠问题会得到适度减轻。
