背景:轮班工人患睡眠障碍的风险增加。推荐用于睡眠障碍的标准疗法是失眠症的认知行为疗法(CBT-I)。它的许多干预措施都是基于规律的睡眠和觉醒节奏,很难申请轮班工人。因此,我们开发了专门针对轮班工人的新治疗手册(CBT-I-S),这应该更适合他们的需求。特别是,所有需要规律性的干预措施都已被删除,相反,在我们的初步研究中,针对被证明与睡眠相关的因素的干预措施已被整合.我们现在要测试本手册的有效性。
方法:将进行N=142的随机对照试验,以比较两种情况:新开发的治疗手册将在实验组中进行,而失眠的认知行为疗法将用于标准组。两种治疗都将通过MSTeams在线进行,每组七个疗程。将在三个测量点收集数据(前,post,6个月随访),并使用线性混合模型进行分析。该研究将调查这两种治疗方法是否显著改善了总睡眠时间,睡眠发作潜伏期,轮班工人的主观睡眠质量和白天嗜睡。它还将检查新疗法手册是否优于轮班工人的标准疗法,以及这些效果是否稳定。
结论:我们假设旨在解决抑郁情绪的干预措施,焦虑,担心,沉思,功能失调的思维模式和对睡眠的态度也会改善睡眠。如果真是这样,这些干预措施可以取代以前需要规律性的干预措施。这可以显着改善轮班工人失眠的治疗。
背景:德国临床试验注册DRKSDRKS00032086。2023年8月16日注册。
BACKGROUND: Shift workers are at an increased risk of developing sleep disorders. The standard therapy recommended for sleep disorders is cognitive behavioural therapy for insomnia (CBT-I). Many of its interventions are based on a regular sleep and wake rhythm, which is difficult to apply for shift workers. We have therefore developed a new therapy manual specifically for shift workers (CBT-I-S), which should be more applicable to their needs. In particular, all interventions that require regularity have been removed, and instead, interventions that address factors that proved to be relevant to sleep in our preliminary study have been integrated. We now want to test this manual for its effectiveness.
METHODS: A randomised controlled trial with N = 142 will be conducted to compare two conditions: the newly developed therapy manual will be carried out in the experimental group, while cognitive behavioural therapy for insomnia will be employed in the standard group. Both treatments will be conducted online via MS Teams in a group setting with seven sessions each. Data will be collected at three measurement points (pre, post, 6-month follow-up) and analysed using linear mixed models. The study will investigate whether the two treatments have led to significant improvements in total sleep time, sleep onset latency, subjective sleep quality and daytime sleepiness in shift workers. It will also examine whether the new therapy manual is superior to standard therapy in shift workers and whether these effects are stable.
CONCLUSIONS: We assume that interventions designed to address depressive mood, anxiety, worry, rumination, dysfunctional thought patterns and attitudes towards sleep will also improve sleep. If this is indeed the case, these interventions could replace previous ones that require regularity. This could significantly improve the treatment of insomnia in shift workers.
BACKGROUND: German Clinical Trials Registry DRKS DRKS00032086 . Registered on August 16, 2023.