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Effects of psychological treatments for depression on sleep disturbances in depressed patients.

机译：心理抑郁症治疗对抑郁症患者睡眠障碍的影响。

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摘要

It has been shown that, for people seeking treatment of insomnia, the severity of depressive symptoms decrease after a course of cognitive behavioral therapy for insomnia; however, questions remain about whether targeting the primary disorder reduces insomnia symptom severity. After a brief review of effective treatments for depression and primary insomnia, the current study aimed to determine the effects of psychological treatments for depression on symptoms of insomnia. To answer this question, hierarchical linear modeling was used to analyze archival data collected from 14 separate studies examining the efficacy of several types of psychological treatments for depression in the adult and older adult populations. Only those participants reporting difficulty sleeping prior to treatment were included in the final analysis ( n = 948). Results indicated that participating in a course of psychotherapy for depression significantly decreased problems with early-, middle- and late-night sleep when compared to those not receiving such treatment. Also revealed was that the severity of depressive symptoms prior to treatment helped predict sleep outcomes in most; participants experiencing less severe depressive symptoms typically experience fewer sleep disturbances post-treatment than those with more severe symptoms. Instances in which studies varied in their findings and limitations of the study are described. Clinical considerations and future research and program development opportunities generated from the results are offered.
机译：研究表明，对于寻求失眠治疗的人来说，经过一系列针对失眠的认知行为疗法后，抑郁症状的严重程度有所降低。但是，针对原发性疾病是否可以降低失眠症状的严重性仍然存在疑问。在简要回顾了抑郁症和原发性失眠的有效治疗方法之后，当前的研究旨在确定心理治疗抑郁症对失眠症状的影响。为了回答这个问题，使用分层线性建模来分析从14项独立研究收集的档案数据，这些研究检查了几种类型的心理治疗对成年人和成年人口抑郁症的疗效。最终分析中仅包括那些报告治疗前入睡困难的参与者（n = 948）。结果表明，与未接受抑郁治疗的人相比，参加抑郁症心理治疗的过程显着减少了早，中，深夜睡眠的问题。研究还表明，治疗前抑郁症状的严重程度有助于大多数人预测睡眠结局。与抑郁症症状较重的患者相比，抑郁症症状较轻的患者通常在治疗后较少出现睡眠障碍。描述了研究结果不同和研究局限性的实例。结果提供了临床考虑以及未来的研究和程序开发机会。

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  • 作者

    Yon, Adriana Nicole.;

  • 作者单位

    The University of Alabama.;

  • 授予单位 The University of Alabama.;
  • 学科 Clinical psychology.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 175 p.
  • 总页数 175
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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