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Managing Insomnia Using Lucid Dreaming Training: A Pilot Study

机译:使用清醒梦训练管理失眠:一项试点研究

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Objectives/Background: Despite Cognitive Behavioral Therapy for Insomnia (CBT-I) being considered the first-line treatment for insomnia, it is not without its challenges. As such it is worthwhile to consider, and test, alternative or adjuvant management options. Methods/Participants: The aim of the present study was to examine whether Lucid Dreaming Training for insomnia (LDT-I) impacted on insomnia, depressive and anxious symptomology in an open label trial of 48 adults with Insomnia Disorder. Participants completed the Insomnia Severity Index, General Anxiety Disorder-7 and Patient Health Questionnaire at baseline then one month following LDT-I. Training consisted of four modules delivered over a period of two consecutive weeks. Results: The results suggest, albeit preliminarily, that LDT-I may have a place within the non-pharmacological management of insomnia, as there were significant reductions in insomnia severity (t(46) = 8.16,p <.001), anxious symptomology (t(46) = 4.75,p <.001) and depressive symptomology (t(46) = 5.87,p <.001). Further, the effect size in terms of pre-post reductions on ISI scores was large (d(z) 1.17). Conclusions: Whilst the results are promising, further testing of LDT-I is needed to inform its place amongst the non-pharmacological treatments for insomnia.
机译:目标/背景:尽管失眠认知行为疗法 (CBT-I) 被认为是失眠的一线治疗方法,但它并非没有挑战。因此,值得考虑和测试替代或辅助治疗方案。方法/参与者:本研究的目的是在一项针对 48 名患有失眠症的成人的开放标签试验中检查失眠清醒梦训练 (LDT-I) 是否对失眠、抑郁和焦虑症状有影响。参与者在基线时完成了失眠严重程度指数、一般焦虑症 7 和患者健康问卷,然后在 LDT-I 后一个月完成。培训包括连续两周的四个模块。结果:尽管初步表明,LDT-I可能在失眠的非药物治疗中占有一席之地,因为失眠严重程度(t(46)=8.16,p<.001)、焦虑症状(t(46)=4.75,p<.001)和抑郁症状(t(46)=5.87,p<.001)显著降低。此外,就ISI评分的事前降低而言,效应量很大(d(z)1.17)。结论:虽然结果很有希望,但需要进一步测试LDT-I,以告知其在失眠的非药物治疗中的地位。

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