睡眠障碍 英文文献.pdf

《睡眠障碍 英文文献.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、ClinicalPsychologyReview32(2012)664–675ContentslistsavailableatSciVerseScienceDirectClinicalPsychologyReviewMediatorsofcognitive-behavioraltherapyforinsomnia:AreviewofrandomizedcontrolledtrialsandsecondaryanalysisstudiesDanielleR.Schwartz,ColleenE.Carney⁎Departmentof

2、Psychology,RyersonUniversity,Toronto,Ontario,CanadaHIGHLIGHTS►Thisstudyreviewedmediatorsofcognitive-behavioraltherapyforinsomnia.►Randomizedcontrolledtrialsandsecondaryanalysisstudieswereinvestigated.►21RCTs(39%oftotal)and11secondaryanalysisstudiesincludedmediatorvar

3、iables.►Cognitive-behavioraltherapyofinsomniaappearstotargetproposedsleepprocesses.►Futuremediationalanalyseswouldallowforfurtherrefinementoftreatment.articleinfoabstractArticlehistory:Theexaminationoftreatmentmechanismsinrandomizedcontrolledtrials(RCTs)hasconsiderabl

4、eimplica-Received12January2012tionsforresearchandclinicalpractice.Insomniaisahighlyprevalentanddistressingdisorder,associatedReceivedinrevisedform2May2012withmanyadverseoutcomes.Althoughextensiveworkhasfocusedonthecognitive-behavioraltreatmentAccepted25June2012ofinso

5、mnia(CBT-I),fewstudieshavedirectlyexaminedthemechanismsofthisintervention.CBT-IisaAvailableonline3July2012short-term,multi-componenttreatmentthathasdemonstratedstrongefficacyintreatinginsomnia.Thepur-poseofthepresentstudyis:(a)toinvestigateifCBT-Iworksinaccordancewith

6、itsproposedmechanisms,Keywords:Cognitive-behavioraltherapyand(b)toevaluatehowthefieldisprogressinginitsunderstandingoftheseprocesses.Thisstudycompre-InsomniahensivelyreviewedCBT-IRCTsfortheirinclusionofmediatorvariables.SecondaryanalysisstudieswerealsoMediatorssurveye

7、dforrelevantmediatorvariables.Resultsdemonstratedthat21RCTs(39%ofthetotalRCTs)and11Randomizedcontrolledtrialssecondaryanalysisstudiesexaminedatleastoneoftheproposedmediators.ResultsofthisreviewhighlightSecondaryanalysisstudiesthat,althoughCBT-Iappearstobetargetingthe

8、hypothesizedsleepprocesses,moreresearchisneededtobetterunderstandwhetherCBT-Iworksinaccordancewithitstheorizedmechanisms.Inclusiono