Cognitive-behavior therapy for late-life insomnia.
Cognitive-behavior therapy for late-life insomnia.
复制标题
晚年失眠的认知行为疗法。
DOI：
10.1037//0022-006x.61.1.137
复制
发表时间：
1993
影响因子：
5.9
通讯作者：
Walton,E
中科院分区：
文献类型：
--
作者：
Morin,CM;Kowatch,RA;Barry,T;Walton,E
24 名患有持续心理生理性失眠的老年人被随机分配到等待名单对照组设计中立即或延迟认知行为干预组。认知行为疗法包括为期 8 周的团体干预，旨在改变适应不良的睡眠习惯并改变对失眠的功能失调的信念和态度。治疗可有效减少睡眠潜伏期、入睡后觉醒和清晨醒来，并提高睡眠效率。多导睡眠图测量获得的变化幅度较小，但与每日睡眠日记获得的变化方向相同。立即治疗组获得的睡眠改善与延迟治疗组的睡眠改善相同。在 3 个月和 12 个月的随访中，治疗效果得到了很好的维持。结果的临床验证是通过患者及其重要其他人的附带评级获得的。研究结果表明，晚年失眠可以通过非药物干预得到有效治疗。（PsycINFO 数据库记录 (c) 2016 APA，保留所有权利）
24 older adults with persistent psychophysiological insomnia were randomly assigned to an immediate or a delayed cognitive-behavioral intervention in a waiting-list control group design. Cognitive-behavior therapy consisted of an 8-wk group intervention aimed at changing maladaptive sleep habits and altering dysfunctional beliefs and attitudes about sleeplessness. Treatment was effective in reducing sleep latency, wake after sleep onset, and early morning awakening, and in increasing sleep efficiency. The magnitude of changes obtained on polysomnographic measures was smaller but in the same direction as that obtained on daily sleep diaries. Sleep improvements obtained by the immediate-treatment group were replicated with the delayed treatment condition. Therapeutic gains were well maintained at 3-and 12-mo follow-ups. Clinical validation of outcome was obtained through collateral ratings from the patients and their significant others. Findings indicate that late-life insomnia can be effectively treated with nonpharmacological interventions.(PsycINFO Database Record (c) 2016 APA, all rights reserved)