Van Veen Maaike Marina, Boersma Gretha Johanna, Karsten Julie, Lancel Marike
Centre of Expertise on Sleep and Psychiatry, GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands.
Forensic Psychiatric Hospital, GGZ Drenthe Mental Health Institute, 9404 LA Assen, The Netherlands.
Brain Sci. 2025 Mar 12;15(3):302. doi: 10.3390/brainsci15030302.
Insomnia is common in forensic psychiatric patients. Not only does insomnia severely impair general mental health, but it has specifically been associated with poor emotion regulation and self-control, potentially leading to problems in impulsivity, hostility, and even aggression. Cognitive behavioral therapy for insomnia (CBT-I) could therefore be beneficial in this patient group. We conducted a 14-week randomized controlled trial of the effects of cognitive behavioral therapy for insomnia (CBT-I) on sleep, general psychopathology, hostility, impulsivity, and aggression in 31 male forensic psychiatric patients. The CBT-I group (n = 11) showed a stronger reduction in self-reported insomnia symptoms and hostility than the waitlist group (n = 11). No differences were found in post-treatment self-reported general psychopathology, impulsivity, or aggression, nor on actigraphy-measured sleep efficiency. This study demonstrates the effectiveness of CBT-I in forensic psychiatric patients and indicates the importance of insomnia treatment in this population, especially considering the effect on hostility.
失眠在法医精神病患者中很常见。失眠不仅会严重损害整体心理健康，还特别与情绪调节和自我控制能力差有关，可能导致冲动、敌意甚至攻击行为方面的问题。因此，失眠的认知行为疗法（CBT-I）可能对该患者群体有益。我们对31名男性法医精神病患者进行了一项为期14周的随机对照试验，以研究失眠的认知行为疗法（CBT-I）对睡眠、一般精神病理学、敌意、冲动性和攻击性的影响。CBT-I组（n = 11）在自我报告的失眠症状和敌意方面的减轻程度比等待名单组（n = 11）更强。在治疗后自我报告的一般精神病理学、冲动性或攻击性方面，以及在活动记录仪测量的睡眠效率方面，均未发现差异。这项研究证明了CBT-I在法医精神病患者中的有效性，并表明在这一人群中治疗失眠的重要性，特别是考虑到对敌意的影响。
