Hypnosis Intervention for Sleep Disturbance: Determination of Optimal Dose and Method of Delivery for Postmenopausal Women.
Hypnosis Intervention for Sleep Disturbance: Determination of Optimal Dose and Method of Delivery for Postmenopausal Women.
复制标题
睡眠障碍的催眠干预：确定绝经后妇女的最佳剂量和分娩方法。
DOI：
10.1080/00207144.2021.1919520
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Keith,TimothyZ
中科院分区：
文献类型：
--
作者：
Elkins,Gary;Otte,Julie;Carpenter,JanetS;Roberts,Lynae;Jackson,Lea'S;Kekecs,Zoltan;Patterson,Vicki;Keith,TimothyZ
睡眠障碍是绝经后妇女普遍存在的问题，估计有40%至64%的人报告睡眠不佳。催眠是一种很有前途的睡眠障碍干预。这项研究探讨了手动催眠干预改善睡眠的最佳剂量和交付。90名睡眠不佳的绝经后妇女被随机分配到4种干预措施中的一种：5个面对面，3个面对面，5个电话或3个电话联系。所有人都接受了催眠录音，并指导每天练习5周。可行性措施包括治疗满意度和实践坚持。睡眠结果包括睡眠质量、客观和主观持续时间以及睡眠不佳的困扰。结果显示，所有组的治疗满意度、依从性和具有临床意义（≥ 0.5SD）的睡眠改善均较高。睡眠质量显著改善，p<0.05，η2= 0.70，组间无显著差异，所有治疗组的其他睡眠结局结果相似。电话组和面对面组之间的可比结果表明，独特的“剂量”和递送策略是高度可行的，并且可以产生临床上有意义的影响。这项研究提供了试点证据，证明一种创新的睡眠催眠干预（5个电话联系与家庭实践）减轻了参与者的负担，同时实现了最大的治疗效益。
Sleep disturbances are a pervasive problem among postmenopausal women, with an estimated 40 to 64% reporting poor sleep. Hypnosis is a promising intervention for sleep disturbances. This study examined optimal dose and delivery for a manualized hypnosis intervention to improve sleep. Ninety postmenopausal women with poor sleep were randomized to 1 of 4 interventions: 5 in-person, 3 in-person, 5 phone, or 3 phone contacts. All received hypnosis audio recordings, with instructions for daily practice for 5 weeks. Feasibility measures included treatment satisfaction ratings and practice adherence. Sleep outcomes were sleep quality, objective and subjective duration, and bothersomeness of poor sleep. Results showed high treatment satisfaction, adherence, and clinically meaningful (≥ 0.5SD) sleep improvement for all groups. Sleep quality significantly improved,p< .05,η2= .70, with no significant differences between groups, with similar results for the other sleep outcomes across all treatment arms. Comparable results between phone and in-person groups suggest that a unique “dose” and delivery strategy is highly feasible and can have clinically meaningful impact. This study provides pilot evidence that an innovative hypnosis intervention for sleep (5 phone contacts with home practice) reduces the burden on participants while achieving maximum treatment benefit.