Batalla-Martin David, Martorell-Poveda Maria-Antonia, Belzunegui-Eraso Angel, Marieges Gordo Alejandro, Batlle Lleal Helena, Pasqual Melendez Raquel, Querol Girona Raquel, López-Ruiz Marina
Nou Barris Mental Health Center, 08016 Barcelona, Spain.
Nursing Department, Faculty of Nursing, Rovira and Virgili University, 43002 Tarragona, Spain.
J Clin Med. 2023 Sep 23;12(19):6147. doi: 10.3390/jcm12196147.
Insomnia is a highly prevalent disorder among the population with schizophrenia and has a significant impact on their quality of life. Cognitive behavioural therapies (CBT) have shown effectiveness in the treatment of insomnia in the general population. The aim of this this pilot study was to evaluate the effectiveness of a group intervention led by nurses in an outpatient mental health centre. The group work combined cognitive behavioural and psychoeducational therapeutic interventions to improve insomnia in patients with schizophrenic disorder and their health-related quality of life. This randomized clinical trial included intervention and control groups with follow-up assessments at 6 and 9 months, using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and EuroQol-5D (EQ-5D) scales. The inclusion criteria were as follows: over 18 years of age, diagnosis of schizophrenia, and a score of >7 on the ISI scale. The total sample was 40 participants. The ISI scale showed a mean difference of 3.63 (CI 95%: 2.02-5.23) ( = 0.000) and 4.10 (CI 95%: 2.45-5.75) ( = 0.000) and a large effect size (F: 28.36; = 0.000; ηp2: 0.427). Regarding the PSQI scale, the mean difference was 3.00 (CI 95%: 1.53-4.49) ( = 0.000) and 2.30 (CI 95%: 0.85-3.75) ( = 0.000), with a medium effect size (F: 18.31; = 0.000 ηp2: 0.325). The EQ-VAS scale showed a difference in mean scores between the groups of 10.48 (CI 95%: -19.66--1.29) ( = 0.027). CBT adapted for populations with mental disorders, carried out by nurses, is effective in improving insomnia and health-related quality of life.
失眠在精神分裂症患者群体中是一种非常普遍的病症，对他们的生活质量有重大影响。认知行为疗法（CBT）已被证明对普通人群的失眠治疗有效。这项初步研究的目的是评估在门诊心理健康中心由护士主导的小组干预的效果。小组工作结合了认知行为和心理教育治疗干预措施，以改善精神分裂症患者的失眠状况及其与健康相关的生活质量。这项随机临床试验包括干预组和对照组，并在6个月和9个月时进行随访评估，使用失眠严重程度指数（ISI）、匹兹堡睡眠质量指数（PSQI）和欧洲五维度健康量表（EQ-5D）。纳入标准如下：年龄超过18岁，精神分裂症诊断，且ISI量表得分>7。总样本为40名参与者。ISI量表显示平均差异为3.63（95%置信区间：2.02 - 5.23）（P = 0.000）和4.10（95%置信区间：2.45 - 5.75）（P = 0.000），且效应量较大（F：28.36；P = 0.000；ηp2：0.427）。关于PSQI量表，平均差异为3.00（95%置信区间：1.53 - 4.49）（P = 0.000）和2.30（95%置信区间：0.85 - 3.75）（P = 0.000），效应量中等（F：18.31；P = 0.000；ηp2：0.325）。EQ-VAS量表显示两组之间的平均得分差异为10.48（95%置信区间：-19.66 - -1.29）（P = 0.027）。由护士实施的针对精神障碍人群的CBT在改善失眠和与健康相关的生活质量方面是有效的。
