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基于行为疗法的失眠治疗效果预测

Prediction of outcome in behaviorally based insomnia treatments.

作者信息

Bliwise D L, Friedman L, Nekich J C, Yesavage J A

机构信息

Sleep Disorders Center, Standford University Medical School, USA.

出版信息

J Behav Ther Exp Psychiatry. 1995 Mar;26(1):17-23. doi: 10.1016/0005-7916(94)00073-u.

DOI:10.1016/0005-7916(94)00073-u
PMID:7642756
Abstract

Factors related to successful behavioral intervention for individuals with insomnia are not well understood. In this study we employed the Neuroticism, Extraversion and Openness (NEO) Personality Inventory, to predict successful treatment outcome. Two behavioral treatments for insomnia, sleep restriction therapy (SRT) and relaxation training (RT) were employed in 32 elderly insomniacs. Following two baseline weeks, subjects underwent four weeks of individual treatment. Daily telephone call-ins generated data on sleep times and sleep latency. Follow-up occurred three months after the end of treatment. Results indicated that subjects showing the greatest improvement in total sleep time with both treatments were more traditional, conventional and rigid. Improvement in sleep onset latency was unrelated to NEO Scores. SRT appeared to be more effective for increasing total sleep time in these older subjects.

摘要

与失眠个体成功行为干预相关的因素尚未得到充分理解。在本研究中,我们采用神经质、外向性和开放性(NEO)人格量表来预测治疗结果。对32名老年失眠患者采用了两种失眠行为治疗方法,即睡眠限制疗法(SRT)和放松训练(RT)。在两周的基线期之后,受试者接受了四周的个体化治疗。每日电话随访收集了睡眠时间和睡眠潜伏期的数据。治疗结束三个月后进行随访。结果表明,在两种治疗中总睡眠时间改善最大的受试者更传统、守旧且刻板。睡眠起始潜伏期的改善与NEO得分无关。在这些老年受试者中,SRT似乎在增加总睡眠时间方面更有效。

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