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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 499 - 504 (6page)
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초록· 키워드
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Objective This study determined whether cognitive behavioral therapy for insomnia (CBT-i) decreased the need for sleep medications and produced better treatment outcomes than pharmacotherapy alone. Methods We reviewed data from patients with insomnia in the outpatient clinic of a general hospital between 2009 and 2015. We compared 41 patients who received five sessions of CBT-i with 100 age- and sex-matched patients who received pharmacotherapy only. We evaluated the change in prescription for sleep (i.e., antidepressants, hypnotics, and others) between the first and last visits using repeated measures analysis of variance (ANOVA). Clinical global impressions and completion status at the last visit were assessed using the chisquare test. Results We found a significant decrease in the prescription rate and the dosage of hypnotics among patients who received CBT-i when compared with control patients. There was no significant change in the dosage of antidepressants between the two groups. Achievement of case closure was better in the CBT-i group at the trend level. Clinical global impression at the last visit was not significantly different. Conclusion These results show that CBT-i reduces the need for hypnotics among insomnia patients. Our results indicate that CBT-i offers additional benefits beyond improving sleep characteristics and thus provides another reason for recommending CBT-i as a first-line treatment for insomnia.
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참고문헌 (40)
참고문헌 신청
American Psychiatric Association / 2013 / Diagnostic and Statistical Manual of Mental Disorders (DSM-V) / American Psychiatric Association Publishing
Cho HJ / 2015 / Sleep disturbance and longitudinal risk of inflammation: moderating influences of social integration and social isolation in the Coronary Artery Risk Development in Young Adults (CARDIA) study / Brain Behav Immun 46:319~326
Kim TH / 2016 / Associations between actigraphy-assessed sleep, inflammatory markers, and insulin resistance in the Midlife Development in the United States (MIDUS) study / Sleep Med 27-28:72~79
Lee E / 2013 / Persistent sleep disturbance: a risk factor for recurrent depression in community-dwelling older adults / Sleep 36:1685~1691
Kallestad H / 2012 / Impact of sleep disturbance on patients in treatment for mental disorders / BMC Psychiatry 12:179
Cho HJ / 2015 / Sleep disturbance and longitudinal risk of inflammation: moderating influences of social integration and social isolation in the Coronary Artery Risk Development in Young Adults (CARDIA) study / Brain Behav Immun 46:319~326
Kim TH / 2016 / Associations between actigraphy-assessed sleep, inflammatory markers, and insulin resistance in the Midlife Development in the United States (MIDUS) study / Sleep Med 27-28:72~79
Lee E / 2013 / Persistent sleep disturbance: a risk factor for recurrent depression in community-dwelling older adults / Sleep 36:1685~1691
Kallestad H / 2012 / Impact of sleep disturbance on patients in treatment for mental disorders / BMC Psychiatry 12:179
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