Predicting clinically significant response to cognitive behavior therapy for chronic insomnia in general medical practice: Analyses of outcome data at 12 months posttreatment
Predicting clinically significant response to cognitive behavior therapy for chronic insomnia in general medical practice: Analyses of outcome data at 12 months posttreatment
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DOI：
10.1037//0022-006x.69.1.58
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发表时间：
2001-02-01
影响因子：
5.9
通讯作者：
Harvey, L
中科院分区：
文献类型：
--
作者：
Espie, CA;Inglis, SJ;Harvey, L
认知行为疗法（CBT）治疗慢性失眠症的临床疗效已经确立，但临床效果尚不清楚。本研究提供了109例患者的数据，从一般的做法，在正式的临床有效性评价。三分之二的人在CBT后的夜间睡眠潜伏期和觉醒时间达到了小于或等于30分钟的标准值。此外，几乎一半的样本减少失眠大于或等于50%的Logistic回归显示，初始严重程度并不禁忌，良好的结果。相反，更大的睡眠障碍与大的症状减轻呈正相关，尽管较低的终点评分不太可能。同样，焦虑、抑郁和思维错误的症状也能积极预测良好的结果。使用催眠药的患者对CBT的反应同样良好，人口统计学因素没有显著的预测价值。结论：认知行为疗法在日常实践中对持续性失眠具有临床和持久有效性。
The clinical efficacy of cognitive behavior therapy (CBT) for chronic insomnia has been established, yet clinical effectiveness is less clear. This study presents data on 109 patients from general practice during a formal evaluation of clinical effectiveness. Two thirds achieved normative values of less than or equal to 30 min for sleep latency and wakefulness during the night after CBT. Furthermore, almost half of the sample reduced sleeplessness by greater than or equal to 50% Logistic regression revealed that initial severity did not contraindicate, good outcome. Rather, greater sleep disturbance was positively associated with large symptom reduction, although lower endpoint scores were less likely. Similarly, symptoms of anxiety, depression, and thinking errors positively predicted good outcome. Hypnotic using patients responded equally well to CBT, and demographic factors were of no significant predictive value. It is concluded that CBT is clinically and durably effective for persistent insomnia in routines practice.