A randomized clinical trial examining the effects of an anxiety sensitivity intervention on insomnia symptoms: Replication and extension.
A randomized clinical trial examining the effects of an anxiety sensitivity intervention on insomnia symptoms: Replication and extension.
复制标题
一项随机临床试验，研究焦虑敏感性干预对失眠症状的影响：复制和扩展。
DOI：
10.1016/j.brat.2017.09.013
复制
发表时间：
2017
影响因子：
4.1
通讯作者：
Schmidt,NormanB
中科院分区：
文献类型：
--
作者：
Short,NicoleA;Boffa,JosephW;King,Savannah;Albanese,BrianJ;Allan,NicholasP;Schmidt,NormanB
失眠症是一种损害性的疾病并且很普遍，特别是在患有焦虑症的个体中。尽管有有效的计算机化治疗失眠的方法，但很少有同时针对失眠和同时出现的焦虑症状的治疗方法。目前的研究测试了计算机化治疗对焦虑敏感性认知问题（焦虑、情绪和失眠症状的跨诊断风险因素）的功效，与重复接触控制相比，在减少失眠症状方面的效果。这些假设在接受治疗研究的社区个体 (n=151) 的混合临床样本中进行了检验，这些个体在治疗后 1、3 和 6 个月进行了随访。结果表明，焦虑敏感性干预可减轻失眠症状，并在 3 个月和 6 个月的随访中改善具有临床意义的失眠评分。当抑郁和焦虑同时减少时，这些减少仍然显着。模型解释了后续失眠症状差异的 15-54%。目前的研究结果表明，焦虑敏感性可能在失眠症状中起因果作用。结果还表明，针对焦虑敏感性可能是通过简短且便携式的干预来减少失眠症状的有效方法，同时也可以减少失眠症常见的共病症状。
Insomnia disorder is impairing and prevalent, particularly among individuals with comorbid anxiety disorders. Despite the availability of effective computerized treatments for insomnia, there are few that target both insomnia as well as co-occurring anxiety symptoms. The current study tests the efficacy of a computerized treatment for anxiety sensitivity cognitive concerns, a transdiagnostic risk factor for anxiety, mood, and insomnia symptoms, against a repeated contact control, on reducing insomnia symptoms. Hypotheses were tested in a mixed clinical sample of community individuals presenting for a treatment study (n= 151) who were followed up 1-, 3- and 6-months after treatment. Results indicated that the anxiety sensitivity intervention resulted in reductions in insomnia symptoms and clinically significant insomnia scores at 3- and 6-month follow-ups. These reductions remained significant when covarying for concurrent reductions in depression and anxiety. Models accounted for 15–54% of the variance in follow-up insomnia symptoms. Current findings add to a growing body of literature suggesting anxiety sensitivity may play a causal role in insomnia symptoms. Results also suggest that targeting anxiety sensitivity may be an effective way to reduce insomnia symptoms in a brief and portable intervention that also reduces symptoms commonly comorbid with insomnia disorder.