KCTBASE

치료세션을 마치지 않은 환자들에서 불면증인지행동치료의 효과
Clinical Efficacy of Incomplete Cognitive Behavior Therapy for Insomnia

대한신경과학회지 2014년 32권 3호 p.150 ~ p.157

최수정(Choi Su-Jung) - 성균관대학교 의과대학 삼성서울병원 뇌신경센터
주은연(Joo Eun-Yeon) - 성균관대학교 의과대학 삼성서울병원 뇌신경센터
홍승봉(Hong Seung-Bong) - 성균관대학교 의과대학 삼성서울병원 뇌신경센터

Abstract

Background: It is widely accepted that cognitive-behavioral therapy for insomnia (CBT-I) is more effective than pharmacological treatments. However, the lack of trained experts and the duration, intensity, and cost of four individual treatment sessions curtail the widespread use of CBT-I in Korea. The aim of this study was to determine the clinical efficacy in patients who completed four sessions of CBT-I and in those who did not.

Methods: We investigated 81 patients with chronic insomnia (32-82 years old) who participated individual, four-session CBT-I between February 2010 and June 2013. The clinical efficacy was evaluated by estimating of total sleep time (TST), sleep latency (SL), waking after sleep onset (WASO), and sleep efficiency (SE) based on the sleep diaries.

Results: Of the 81 patients, 28 (34.6%) completed the four sessions. 22 (27.1%) withdrew after 1 st session, 17 (20.9%) dropped after 2 nd session, and 8 (9.9%) stopped voluntarily after 3 rd session. Six were excluded due to incomplete sleep diaries. Clinical efficacy was measured in patients who completed at least two sessions (n=53, 65.4%); the mean SE improved from 68.8 to 87.6%, and in 40 (75.4%) the SE was normalized (≥85%). Other parameters (TST, from 321.0 to 351.3 min; SL, from 61.9 to 25.0 min; WASO, from 86.3 to 24.4 min) were all improved after incomplete CBT-I.

Conclusions: Sleep induction and maintenance as well as quality have improved in patients who underwent at least two of the four CBT-I sessions. It needs to develop briefer CBT-I to increase adherence to patients.

키워드

Insomnia, Behavior therapy, Sleep

KMID : 0359720140320030150

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

치료세션을 마치지 않은 환자들에서 불면증인지행동치료의 효과 Clinical Efficacy of Incomplete Cognitive Behavior Therapy for Insomnia

Abstract

키워드

치료세션을 마치지 않은 환자들에서 불면증인지행동치료의 효과
Clinical Efficacy of Incomplete Cognitive Behavior Therapy for Insomnia