RESIDUAL SLEEP BELIEFS AND SLEEP DISTURBANCE FOLLOWING COGNITIVE BEHAVIORAL THERAPY FOR MAJOR DEPRESSION
RESIDUAL SLEEP BELIEFS AND SLEEP DISTURBANCE FOLLOWING COGNITIVE BEHAVIORAL THERAPY FOR MAJOR DEPRESSION
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DOI：
10.1002/da.20811
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发表时间：
2011-06-01
影响因子：
7.4
通讯作者：
Segal, Zindel V.
中科院分区：
文献类型：
--
作者：
Carney, Colleen E.;Harris, Andrea L.;Segal, Zindel V.
背景：睡眠障碍是抑郁症有效治疗后常见的残留症状。这种残留的睡眠障碍，以及某些睡眠信念的问题水平的存在，可能对预防抑郁症复发很重要，因此应该在治疗中加以解决。下面的研究检查了那些接受认知行为疗法治疗抑郁症的患者的残余睡眠障碍和残余适应不良睡眠信念。方法：参与者（N = 24）是在社区诊所寻求抑郁症治疗的门诊患者。重复测量方差分析测试治疗前后抑郁症状、一般消极信念、睡眠质量和适应不良睡眠信念的变化。结果：正如预期的那样，发现抑郁症状和一般消极信念有显着的时间效应。治疗后睡眠质量评分也显著下降;然而，根据一项有效的睡眠质量测量（匹兹堡睡眠质量指数）确定的临床临界评分> 5，92%不再符合抑郁标准的患者继续支持残余睡眠障碍。适应不良睡眠信念在治疗前后没有显着变化。结论：结果表明，睡眠障碍和适应不良的睡眠相关的信念仍然是一个有问题的残留症状缓解抑郁症。这些研究结果进行了讨论，参考改善抑郁症的认知行为治疗，以帮助降低残留睡眠问题的发生率。抑郁和焦虑28：464-470，2011. (C)2011 Wiley-Liss，Inc.
Background: Sleep disturbance is a commonly reported residual symptom after effective depression treatment. This residual sleep impairment, as well as the presence of problem levels of certain sleep beliefs, may be important for depressive relapse prevention, and as such should be addressed in treatment. The following study examined residual sleep disturbance and residual maladaptive sleep beliefs in those treated with Cognitive Behavior Therapy for depression. Methods: Participants (N = 24) were clinic patients seeking treatment for depression at a community clinic. Repeated measures analyses of variance tested pre- to posttreatment change on depression symptoms, general negative beliefs, sleep quality, and maladaptive sleep beliefs. Results: As expected, significant time effects were found for depressive symptoms and general negative beliefs. Sleep quality scores also decreased significantly at posttreatment; however, 92% of those no longer meeting depressive criteria continued to endorse residual sleep disturbance, according to an established clinical cutoff score of > 5 on a validated measure of sleep quality (the Pittsburgh Sleep Quality Index). There were no significant pre- to posttreatment changes for maladaptive sleep beliefs. Conclusions: The results indicate that sleep disturbance and maladaptive sleep-related beliefs remain a problematic residual symptom of remitted depression. These findings are discussed with reference to improving cognitive behavioral treatments for depression in order to help reduce rates of residual sleep problems. Depression and Anxiety 28:464-470, 2011. (C) 2011 Wiley-Liss, Inc.