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The Role of Sleep-Related Beliefs to Improvement in Early Cognitive Behavioral Therapy for Insomnia

机译：睡眠相关信念对失眠早期认知行为治疗的改善作用

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摘要

The aim of this investigation was to examine whether sleep-related beliefs, and reductions in such beliefs and attitudes, were related to clinical improvements in sleep and daytime symptoms after cognitive behavioral therapy (CBT). In total, 64 patients with a short history of insomnia (3-12 months) who had participated in a randomized controlled trial with a 1-year follow-up and received CBT were included. With stepwise multiple regression analyses, sleep-related beliefs were linked to clinical improvements in sleep (five outcomes) and daytime symptoms (seven outcomes). Results indicated that sleep-related beliefs played a small predictive role in clinical improvements in sleep and daytime symptoms after CBT group treatment. Sleep-related beliefs were predictive of treatment response only with regard to sleep efficiency and sleepiness. Reductions in sleep-related beliefs were, however, differently related to improvements in sleep and daytime symptoms. Reductions in such beliefs were consistently linked to improvements in daytime symptoms (7-14% of the variance) but not to sleep improvements (except for sleep quality). In all, this might suggest that sleep-related beliefs play a slightly different role in insomnia than previously envisioned.
机译：这项研究的目的是检查认知行为疗法（CBT）后与睡眠有关的信念以及这种信念和态度的减少是否与睡眠和白天症状的临床改善有关。总共纳入了64位失眠史短（3-12个月）的患者，他们参加了为期1年的随访并接受CBT的随机对照试验。通过逐步多元回归分析，与睡眠有关的信念与睡眠（五个结局）和白天症状（七个结局）的临床改善相关。结果表明，与睡眠有关的信念在CBT组治疗后对睡眠和白天症状的临床改善中起很小的预测作用。睡眠相关的信念仅在睡眠效率和嗜睡方面可预测治疗反应。然而，与睡眠有关的信念的减少与睡眠和白天症状的改善有不同的关系。这种信念的减少一直与白天症状的改善（变异的7-14％）相关，但与睡眠的改善（除了睡眠质量）无关。总而言之，这可能表明与睡眠有关的信念在失眠中的作用与以前设想的略有不同。

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