失眠的自助式認知行為治療元分析:療效、影響因素及證據評價_

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題名：	失眠的自助式認知行為治療元分析:療效、影響因素及證據評價
書刊名：	心理科學進展
作者：	任志洪／謝菲／余香蓮／蘇文亮／陳麗君／趙陵波
作者(外文)：	Ren, Zhihong／Xie, Fei／Yu, Xianglian／Su, Wenliang／Chen, Lijun／ZHAO Lingbo
出版日期：	2016
卷期：	2016(2)
頁次：	173-195
主題關鍵詞：	失眠；認知行為療法；元分析；自助治療；Insomnia；Cognitive behavioral；Meta-analysis；Self-help
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:0 點閱:8

通過元分析評估自助式失眠認知行為治療的療效,考察療效影響因素,並評價證據質量。元分析共納入35篇文獻,研究發現:(1)自助式失眠認知行為治療在治療結束時對睡眠效率、入睡潛伏期、入睡後醒來時長、睡眠總時間、睡眠質量、抑郁和焦慮的效果量分別為0.66、-0.52、-0.47、0.20、0.34、-0.32和-0.33。(2)自助式失眠認知行為治療與面對面失眠認知行為治療療效同等;自助式失眠認知行為治療療效顯著優於最小化治療和藥物治療。(3)共病情況與支持形式對療效有顯著影響。證據質量評價表明睡眠效率、入睡後醒來時長、睡眠總時間、抑郁和焦慮5項指標的證據質量為中等,真實值可能接近於估計值;入睡潛伏期與睡眠質量為低,真實值與估計值可能存在著差異。

以文找文

This meta-analysis evaluated the efficacy of Self-Help Cognitive Behavioral Therapy for Insomnia(SH-CBTI), explored potential moderators of treatment outcome and evaluated the quality of evidence. Thirty five studies were included, and results showed:(a) The immediate efficacies of SH-CBTI for SE, SOL, WASO, TST, SQ, depression and anxiety were 0.66,-0.52,-0.47, 0.20, 0.34,-0.32 and-0.33 respectively;(b) SH-CBTI and face-to-face CBTI showed an equal efficacy at post-treatment while both minimal treatment and pharmacotherapy showed significantly smaller effects;(c) Comorbidities and support formats had a significant impact on the outcome. Evaluation on the quality of evidence showed that qualities of SE, WASO, TST, depression and anxiety are moderate, which means that the true effect is likely to be close to the estimated one. Low-level evidence supports SOL and SQ qualities, which indicates that the true effect may be substantially different from the estimated one.

以文找文

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學位論文
1.	Fowler, M. S.(2009)。Treatment of late-life insomnia in female participants living in a rural community using a multi-component self-help intervention(博士論文)。Dalhousie University。

圖書
1.	劉鳴、吳紅梅、衛茂玲(2011)。系統評價、meta-分析設計與實施方法。北京：人民衛生出版社。延伸查詢
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3.	張天嵩、鐘文昭、李博(2014)。實用循證醫學方法學。長沙：中南大學出版社。延伸查詢
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