ABSTRACT

Sleep disturbances are a pervasive problem among postmenopausal women, with an estimated 40 to 64% reporting poor sleep. Hypnosis is a promising intervention for sleep disturbances. This study examined optimal dose and delivery for a manualized hypnosis intervention to improve sleep. Ninety postmenopausal women with poor sleep were randomized to 1 of 4 interventions: 5 in-person, 3 in-person, 5 phone, or 3 phone contacts. All received hypnosis audio recordings, with instructions for daily practice for 5 weeks. Feasibility measures included treatment satisfaction ratings and practice adherence. Sleep outcomes were sleep quality, objective and subjective duration, and bothersomeness of poor sleep. Results showed high treatment satisfaction, adherence, and clinically meaningful (≥ 0.5 SD) sleep improvement for all groups. Sleep quality significantly improved, p < .05, η2 = .70, with no significant differences between groups, with similar results for the other sleep outcomes across all treatment arms. Comparable results between phone and in-person groups suggest that a unique “dose” and delivery strategy is highly feasible and can have clinically meaningful impact. This study provides pilot evidence that an innovative hypnosis intervention for sleep (5 phone contacts with home practice) reduces the burden on participants while achieving maximum treatment benefit.

摘要

睡眠障碍是绝经后女性普遍存在的问题，估计有 40% 至 64% 的女性睡眠不佳。催眠是一种很有前途的睡眠障碍干预方法。这项研究检查了手动催眠干预以改善睡眠的最佳剂量和给药方式。90 名睡眠不佳的绝经后妇女被随机分配到 4 项干预措施中的 1 项：5 次面对面干预、3 次面对面干预、5 次电话联系或 3 次电话联系。所有人都收到了催眠录音，并附有 5 周的日常练习说明。可行性措施包括治疗满意度评级和实践依从性。睡眠结果包括睡眠质量、客观和主观持续时间以及睡眠不佳的困扰。结果显示高治疗满意度、依从性和临床意义（≥ 0.5 SD) 所有组的睡眠改善。睡眠质量显着改善，p < .05，η2  = .70，组间没有显着差异，所有治疗组的其他睡眠结果的结果相似。电话和面对面小组之间的可比结果表明，独特的“剂量”和交付策略是非常可行的，并且可以产生具有临床意义的影响。这项研究提供了试点证据，证明创新的睡眠催眠干预（5 次电话联系与家庭练习）减轻了参与者的负担，同时实现了最大的治疗益处。