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强化神经反馈方案:一种在新冠疫情期间改善医护人员睡眠质量和压力调节的阿尔法训练。一项试点研究。

Intensive Neurofeedback Protocol: An Alpha Training to Improve Sleep Quality and Stress Modulation in Health Care Professionals During the Covid-19 Pandemic. A Pilot Study.

作者信息

Benatti Beatrice, Girone Nicolaja, Conti Dario, Celebre Laura, Macellaro Monica, Molteni Laura, Vismara Matteo, Bosi Monica, Colombo Anna, Dell'Osso Bernardo

机构信息

Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Milan, Italy.

"Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy.

出版信息

Clin Neuropsychiatry. 2023 Feb;20(1):61-66. doi: 10.36131/cnfioritieditore20230108.

Abstract

OBJECTIVE

health care workers (HCWs) represent a vulnerable group in the COVID-19 pandemic, given the exposure to greater risk and higher levels of work-related stress. Neurofeedback (NF) has shown to be effective in the treatment of stress-related symptoms. We aimed to assess the effectiveness of an alpha-increase NF protocol for the treatment of acute stress symptoms in HCWs exposed to the COVID-19 pandemic.

METHOD

eighteen medical doctors on duty during the COVID-19 health emergency underwent an intensive NF alpha-increase protocol. The mean alpha wave values were recorded at the beginning (T0) and at the last day of stimulation (T1). Rapid Stress Assessment: Italian version; Copenhagen Burnout Inventory (CBI); Pittsburgh Sleep Quality Index (PSQI), and Brief-COPE were administered as psychometric assessment.

RESULTS

a significant increase in alpha wave values and a significant reduction of the PSQI scores from T0 to T1 were found.

CONCLUSIONS

NF alpha-increase protocol showed promising results in terms of stress modulation, sleep quality improvement, and safety in a pilot sample of HCWs.

摘要

目的

鉴于医护人员在新冠疫情期间面临更高的风险暴露和工作相关压力水平,他们在新冠疫情中属于弱势群体。神经反馈(NF)已被证明在治疗与压力相关的症状方面有效。我们旨在评估一种增加阿尔法波的神经反馈方案对暴露于新冠疫情的医护人员急性应激症状的治疗效果。

方法

18名在新冠健康紧急情况期间值班的医生接受了强化的增加阿尔法波的神经反馈方案。在刺激开始时(T0)和刺激的最后一天(T1)记录平均阿尔法波值。进行快速应激评估:意大利版;哥本哈根倦怠量表(CBI);匹兹堡睡眠质量指数(PSQI)和简短应对量表作为心理测量评估。

结果

发现从T0到T1阿尔法波值显著增加,PSQI分数显著降低。

结论

在医护人员的一个试点样本中,增加阿尔法波的神经反馈方案在压力调节、睡眠质量改善和安全性方面显示出有前景的结果。

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