A CONTROLLED COMPARATIVE INVESTIGATION OF PSYCHOLOGICAL TREATMENTS FOR CHRONIC SLEEP-ONSET INSOMNIA
A CONTROLLED COMPARATIVE INVESTIGATION OF PSYCHOLOGICAL TREATMENTS FOR CHRONIC SLEEP-ONSET INSOMNIA
复制标题
DOI：
10.1016/0005-7967(89)90123-x
复制
发表时间：
1989-01-01
影响因子：
4.1
通讯作者：
TURVEY, T
中科院分区：
文献类型：
--
作者：
ESPIE, CA;LINDSAY, WR;TURVEY, T
医生推荐的慢性失眠症患者样本被随机分配到渐进式放松、刺激控制、矛盾意图、安慰剂或无治疗条件。根据睡眠模式和睡眠质量的平均和标准偏差（夜间变异性）测量来调查治疗过程和结果。只有积极治疗与显著改善有关，但治疗效果的性质各不相同。特别是，刺激控制改善睡眠模式，而放松影响睡眠质量的感知。所有改善在17个月的随访中保持不变。结果与以往的研究结果进行了讨论，并为临床实践提供了指导。
A sample of physician-referred chronic insomniacs was randomly allocated to either progressive relaxation, stimulus control, paradoxical intention, placebo or no treatment conditions. Treatment process and outcome were investigated in terms of mean and standard deviation (night to night variability) measures of sleep pattern and sleep quality. Only active treatments were associated with significant improvement, but the nature of treatment gains varied. In particular, stimulus control improved sleep pattern, whereas relaxation affected perception of sleep quality. All improvements were maintained at 17 month follow-up. Results are discussed with reference to previous research and guidelines are given for clinical practice.