Insomnia Symptoms Following Treatment for Comorbid Panic Disorder With Agoraphobia and Generalized Anxiety Disorder
Insomnia Symptoms Following Treatment for Comorbid Panic Disorder With Agoraphobia and Generalized Anxiety Disorder
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DOI：
10.1097/nmd.0000000000000466
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发表时间：
2016-04-01
影响因子：
1.9
通讯作者：
Belleville, Genevieve
中科院分区：
文献类型：
--
作者：
Cousineau, Heloise;Marchand, Andre;Belleville, Genevieve
患有广场恐惧症(PDA)或广泛性焦虑症(GAD)的惊恐障碍患者也经常失眠。然而，认知行为疗法(CBT)治疗焦虑症对失眠的影响还没有得到充分的研究。此外，焦虑症之间的共病很常见。我们的主要目标是评估CBT治疗PDA或GAD对失眠的影响。在一项准实验设计中，86名患有PDA和GAD的参与者接受了针对他们的原发疾病的传统CBT或针对这两种疾病的联合CBT。总体而言，CBT对减少失眠症状有显著影响((2)=0.58)。然而，在试验前失眠的患者中(67%)，33%的人仍然被诊断为失眠，大多数(63%)在治疗后仍有临床上显著的残余失眠。总之，CBTS对减少失眠有积极的作用，但有相当大比例的参与者在治疗后仍有失眠问题。临床医生应解决PDA和GAD CBT期间的失眠问题。
Patients with panic disorder with agoraphobia (PDA) or generalized anxiety disorder (GAD) frequently also suffer from insomnia. However, the impact of cognitive-behavioral therapy (CBT) for anxiety disorders on insomnia has been understudied. Furthermore, comorbidity between anxiety disorders is common. Our main objective was to assess the impact of CBT for PDA or GAD on insomnia. In a quasi-experimental design, 86 participants with PDA and GAD received conventional CBT for their primary disorder or combined CBT for both disorders. Overall, CBTs had a significant impact on reducing insomnia symptoms ((2) = 0.58). However, among people with insomnia at pretest (67%), 33% still had an insomnia diagnosis, and the majority (63%) had clinically significant residual insomnia following treatment. In conclusion, the CBTs had a positive effect on the reduction of insomnia, but a significant proportion of participants still had insomnia problems following treatment. Clinicians should address insomnia during CBT for PDA and GAD.