Objective To compare the differences in the effects of telehealth cognitive behavioral therapy for insomnia(CBT-I)and face-to-face CBT-I on sleep in insomnia patients,and to study the effectiveness of telehealth CBT-I.Methods A total of 108-patients with chronic insomnia disorder who were treated in the Outpatient Service of Sleep Medicine of Chongqing Traditional Chinese Medicine Hospital were recruited,and after excluding some patients,74 cases were ultimately included and analyzed,including 38 patients in the telehealth group and 36 patients in the face-to-face group.The insomnia symptoms and sleep quality were assessed using Insomnia Severity Index(ISI)and Pittsburgh Sleep Quality Index(PSQI).The patients'anxiety and depression were assessed using Generalized Anxiety Disorder-7(GAD-7)and Patient Health Questionnaire-9(PHQ-9).The patients'irrational perceptions of sleep were assessed using Dysfunc-tional Beliefs and Attitudes about Sleep Scale-16(DBAS-16).Glasgow Sleep Effort Scale(GSES)was used to quantify the patients'sleep effort.The therapeutic effects were compared between the two groups.Results There were no sig-nificant differences in ISI,PSQI,GAD-7,PHQ-9,DBAS-16 and GSES scores between the two groups before and after the intervention(P＞0.05).After the intervention,the scores of each questionnaire in the face-to-face group were sig-nificantly lower than those before the intervention(P＜0.05).Except for those of GAD-7,the scores of each question-naire in the telehealth group after the intervention were also significantly lower than those befor the intervention(P＜0.05).Conclusion Telehealth CBT-I can effectively improve the nocturnal and daytime symptoms,poor sleep beliefs and behaviors of Chinese insomnia patients,and it is a method to expand the accessibility of CBT-I.
Chronic insomnia disorderCognitive behavioral therapy for insomniaTelehealthFace to face
维普
万方数据
