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Digital cognitive behavioral therapy as a novel treatment for insomnia
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作者 Xu-Tong Tian Yao Meng +7 位作者 Ru-Lan Wang Rong Tan Mei-Shan Liu Wen Xu Shuai Cui Yun-Xiang Tang Meng-Yang He Wen-Peng Cai 《World Journal of Psychiatry》 2025年第4期285-297,共13页
BACKGROUND As a substitute for traditional drug therapy,digital cognitive-behavioral therapy positively impacts the regulation of brain function,which can improve insomnia.However,there is currently a paucity of studi... BACKGROUND As a substitute for traditional drug therapy,digital cognitive-behavioral therapy positively impacts the regulation of brain function,which can improve insomnia.However,there is currently a paucity of studies on digital cognitive behavioral therapy as a treatment for insomnia.AIM To assess digital cognitive behavioral therapy for insomnia regarding its positive impact on brain function.METHODS Participants were randomly assigned to either a go/no-go group or a dot-probe group.The primary outcome was quality of sleep as assessed by the actigraphy sleep monitoring bracelet,Pittsburgh sleep quality index(PSQI),insomnia severity index(ISI),and depression anxiety and stress scale(DASS-21).RESULTS Eighty patients were included in the analysis(go/no-go group:n=40;dot-probe group:n=40).We combined the total scale scores of the two groups before and after the intervention in the analysis of covariance.Our study explored whether insomnia symptoms in both groups can be improved by using digital cognitive behavioral therapy instead of trying to compare the two trials;therefore,only one P value is listed.In both groups,we found a short-term time effect on insomnia symptom severity(PSQI:P<0.001,η^(2)=0.336;ISI:P<0.001,η^(2)=0.667;DASS-depression:P<0.001,η^(2)=0.582;DASS-anxiety:P<0.001,η^(2)=0.337;DASS-stress:P<0.001,η^(2)=0.443)and some effect on sleep efficiency(but it was not significant,P=0.585,η^(2)=0.004).CONCLUSION Go/no-go task training of inhibitory function had a short-term positive effect on sleep efficiency,whereas dotprobe task training had a positive short-term effect on emotion regulation. 展开更多
关键词 digital cognitive behavioral therapy INSOMNIA Sleep efficiency Go/no-go task Dot-probe task
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