Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial.

Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial.
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酒精依赖患者失眠的认知行为疗法:一项随机对照试点试验。

DOI:
10.1016/j.brat.2011.02.003
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发表时间:
2011-04
影响因子:
4.1
通讯作者:
Brower KJ
Brower KJ
中科院分区:
心理学2区
文献类型:
--
作者:
Arnedt JT;Conroy DA;Armitage R;Brower KJ

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在一项随机对照试验中,我们评估了认知行为治疗失眠在改善睡眠和白天症状以及减少酒精依赖(AD)恢复期参与者复发方面的效果。17例伴失眠的戒断性AD患者(女性6例,平均年龄46.2±10.1岁)随机分为认知行为治疗AD组(CBTI-AD,n=9)和行为安慰剂治疗组(BPT,n=8)。在基线和治疗后收集睡眠、失眠和阿尔茨海默病的白天后果、酒精使用和治疗忠诚度的主观测量。与BPT组相比,CBTI-AD组的日记额定睡眠效率和入睡后醒来,以及多维疲劳量表上的日间一般疲劳评级改善更多。此外,更多的受试者被归类为CBTI-AD后的治疗应答者。在再次饮酒或再次酗酒的参与者数量上,没有发现组内差异。结果表明,认知行为失眠疗法比安慰剂更能改善失眠AD恢复期患者的主观睡眠和日间症状。治疗失眠对饮酒结果的好处并不明显。
In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive behavioral treatment for insomnia for AD (CBTI-AD, n=9) or to a behavioral placebo treatment (BPT, n=8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent.
认知行为疗法单独并与药物相结合,用于持续性失眠:一项随机对照试验。
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