Restoring effective sleep tranquility (REST): A feasibility and pilot study.
Restoring effective sleep tranquility (REST): A feasibility and pilot study.
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DOI：
10.1177/0308022617691538
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发表时间：
2017-06
期刊：
影响因子：
--
通讯作者：
Burns JE
中科院分区：
文献类型：
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作者：
Eakman AM;Schmid AA;Henry KL;Rolle NR;Schelly C;Pott CE;Burns JE
本研究的目的是建立一个多成分的认知行为治疗失眠症的退伍军人睡眠障碍计划，未来完成对照试验的可行性。这是一项单组可行性和初步研究。参与者是美国后9/11退伍军人与服务相关的伤害，大学生，并有自我报告的睡眠障碍。恢复有效的睡眠宁静是一种多成分的认知行为疗法，用于失眠干预，包括7个小组治疗和8个由职业治疗师提供的1：1治疗。可行性和试点指标的过程，资源，管理和科学，包括前后评估睡眠困难，功能失调的睡眠信念，参与和疼痛干扰。指标支持可行性，包括减少睡眠困难（例如医学结局研究睡眠测量[t = 3.29，p = .02]），减少噩梦：t = 2.79，p = .03;更少的功能失调睡眠信念：t = 3.63，p = .01，以及更大的参与社会角色的能力：t =-2.86，p = 0.03，沿着的趋势是参与满意度提高，疼痛干扰减少。恢复有效睡眠宁静计划可以减少睡眠困难，并改善患有与服役相关伤害的美国退伍军人的参与度，有证据表明进行对照试验是可行的。
The purpose of this pilot study was to establish the feasibility of completing a future controlled trial of a multi-component cognitive behavioral therapy for insomnia program for military veterans with sleep disturbance. This was a single-arm feasibility and pilot study. Participants were United States post-9/11 veterans with service-connected injuries, university students, and had self-reported sleep disturbances. Restoring Effective Sleep Tranquility was a multi-component cognitive behavioral therapy for insomnia intervention consisting of seven sessions of group therapy and eight 1:1 sessions delivered by occupational therapists. Feasibility and pilot indicators were process, resources, management, and scientific, including pre–post-assessments of sleep difficulties, dysfunctional sleep beliefs, participation, and pain interference. Indicators were supportive of feasibility, including reduced sleep difficulties (for example Medical Outcomes Study Sleep Measure [t = 3.29, p = .02]), reduced nightmares: t = 2.79, p = .03; fewer dysfunctional sleep beliefs: t = 3.63, p = .01, and greater ability to participate in social roles: t = –2.86, p = .03, along with trends towards improved satisfaction with participation and reduced pain interference. The Restoring Effective Sleep Tranquility program may reduce sleep difficulties and improve participation in US veterans with service-connected injuries, and evidence indicates a controlled trial would be feasible to deliver.