Can we mix behavioral therapy with hypnotics when treating insomniacs?
Can we mix behavioral therapy with hypnotics when treating insomniacs?
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DOI：
10.1093/sleep/20.12.1111
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发表时间：
1997-01-01
期刊：
影响因子：
5.6
通讯作者：
Hauri, PJ
中科院分区：
文献类型：
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作者：
Hauri, PJ
这项研究询问正在接受行为训练的失眠症患者是否需要在完全不使用催眠药的情况下进行行为训练。26名失眠症患者参与了这项研究，其中包括在实验室和家里广泛监测睡眠。所有受试者都接受了六次睡眠卫生和放松方面的培训。大约一半的受试者还被给予偶尔使用的催眠药；其他受试者被要求戒除所有催眠药。治疗后立即进行随访，10个月后再次进行随访。与等待名单相比，无论是否同时服用催眠药，6小时的行为疗法都能改善失眠症患者的睡眠潜伏期和睡眠效率。在6个小时的治疗后，立即接受药物治疗和行为治疗的患者与仅接受行为治疗的患者的改善情况大致相同。然而，在10个月的跟踪调查中，那些在没有偶尔服用催眠药的情况下学会了睡眠卫生和放松的人比那些偶尔服用催眠药的人睡眠更多，睡眠效率更高。我们的结论是，在向失眠症患者传授睡眠卫生和行为疗法时，根据需要禁止同时使用催眠药可能是有利的。
This study asks whether insomniacs undergoing behavioral training need to do so while totally free of hypnotics. Twenty-six insomniacs participated in the study, which included extensive monitoring of sleep both in the laboratory and at home. All subjects received six sessions of training in sleep hygiene and relaxation. About half the subjects were also given a hypnotic for occasional use; the others were asked to abstain from all hypnotics. Follow-up was performed immediately after treatment and again 10 months later. When compared with a waiting list, 6 hours of behavioral therapy improved insomniacs' sleep latency and sleep efficiency immediately after treatment, whether or not hypnotics were given concomitantly. Immediately following the 6 hours of therapy, those who had combined pharmacotherapy and behavior therapy improved about the same as those who had received behavior therapy alone. However, on the 10-month follow-up, those who had learned sleep hygiene and relaxation without the help of occasional hypnotics had more sleep and a better sleep efficiency than those who had been allowed an occasional hypnotic. We conclude that when teaching sleep hygiene and behavioral therapy to insomniacs, it might be advantageous to disallow the concomitant use of hypnotics as needed.