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Very long-term outcome of cognitive behavioral therapy for insomnia: one- and ten-year follow-up of a randomized controlled trial
Cognitive Behaviour Therapy ( IF 3.928 ) Pub Date : 2022-01-31 , DOI: 10.1080/16506073.2021.2009019
Susanna Jernelöv 1, 2 , Kerstin Blom 1 , Nils Hentati Isacsson 1 , Pontus Bjurner 1 , Ann Rosén 1 , Martin Kraepelien 1, 2 , Erik Forsell 1 , Viktor Kaldo 1, 3
Affiliation  

ABSTRACT

Insomnia is a common and chronic disorder, and cognitive behavioral therapy (CBT) is the recommended treatment. Very long-term follow-ups of CBT are very rare, and this study aimed to investigate if improvements were stable one and ten years after CBT for insomnia (CBT-i). Based on a three-armed randomized controlled trial of bibliotherapeutic CBT-i, participants received an insomnia-specific self-help book and were randomized to therapist guidance, no guidance, or a waitlist receiving unguided treatment after a delay. Six weeks of treatment was given to 133 participants diagnosed with insomnia disorder. After one and ten years, participants were assessed with self-reports and interviews. Improvements were statistically significant and well maintained at one- and ten-year follow-ups. Average Insomnia Severity Index score [95%CI] was 18.3 [17.7–18.8] at baseline, 10.1 [9.3–10.9] at post-treatment, 9.2 [8.4–10.0] at one- and 10.7 [9.6–11.8] at ten-year follow-up, and 64% and 66% of participants no longer fulfilled criteria for an insomnia diagnosis at one and ten years, respectively. Positive effects of CBT were still present after ten years. Insomnia severity remained low, and two-thirds of participants no longer fulfilled criteria for an insomnia diagnosis. This extends previous findings of CBT, further confirming it as the treatment of choice for insomnia.



中文翻译:

失眠症认知行为疗法的长期结果:一项随机对照试验的一年和十年随访

摘要

失眠是一种常见的慢性疾病,认知行为疗法(CBT)是推荐的治疗方法。CBT 的长期随访非常罕见,本研究旨在调查 CBT 治疗失眠症 (CBT-i) 后一年和十年的改善是否稳定。基于文献治疗 CBT-i 的三臂随机对照试验,参与者收到一本针对失眠症的自助书,并被随机分配到治疗师指导、无指导或延迟后接受非指导治疗的候补名单。133 名被诊断患有失眠症的参与者接受了六周的治疗。一年和十年后,参与者通过自我报告和访谈进行评估。在一年和十年的随访中,改善具有统计学意义并且保持良好。平均失眠严重程度指数评分 [95%CI] 为 18.3 [17.7–18. 8] 在基线时,10.1 [9.3–10.9] 在治疗后,9.2 [8.4–10.0] 在一年和 10.7 [9.6–11.8] 十年随访,64% 和 66% 的参与者不再分别在一年和十年时满足失眠诊断的标准。十年后,CBT 的积极影响仍然存在。失眠的严重程度仍然很低,三分之二的参与者不再符合失眠诊断的标准。这扩展了 CBT 先前的研究结果,进一步证实了它是治疗失眠症的首选方法。三分之二的参与者不再符合失眠诊断的标准。这扩展了 CBT 先前的研究结果,进一步证实了它是治疗失眠症的首选方法。三分之二的参与者不再符合失眠诊断的标准。这扩展了 CBT 先前的研究结果,进一步证实了它是治疗失眠症的首选方法。

更新日期:2022-02-07
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