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61.
ARNE HOLTE 《Scandinavian journal of psychology》1989,30(1):46-51
The Holte Sleeping Technique is an alternative to medication to facilitate sleep onset in situations of normal stress. The technique is based on a combination of conditioning within the theory of learning, simulation of natural bodily processes, and manipulation of naturally available sleep-releasing stimuli. The author describes the technique and reports on experimental testing of its efficacy. Fifty-six female subjects were selected according to criteria based on questionnaires and sleep logs. The subjects were randomly assigned to a treatment group, a placebo group, and a no-treatment group. A pre-test-post-test design was used. The author questions the generalizability of findings from modern electronic sleep laboratories to the bedrooms of everyday life. In order to optimize the combination of normal stress, objective criteria and generalizability, sleep onset was measured by behavioural criteria based on the "fog-horn procedure" developed by the author. At post-test 67% of the treatment group fell asleep, while only 17% of the placebo group and 25% of the no-treatment group fell asleep. The differences were significant. It is concluded that the Holte Sleeping Technique is highly effective. In a discussion of placebo trials the author argues that traditional medical trials do not take into consideration the differentiating psychological attribution effects occurring by giving the same experimental instruction under different experimental conditions. As a consequence the active treatment is given better conditions than the placebo in traditional clinical trials. 相似文献
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63.
Transitions in sleep problems from late adolescence to young adulthood: A longitudinal analysis of the effects of peer victimization
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Ling‐Yin Chang Hsing‐Yi Chang Linen Nymphas Lin Chi‐Chen Wu Lee‐Lan Yen 《Aggressive behavior》2018,44(1):69-82
64.
Jennifer Cowie Joanne L. Bower Rogelio Gonzalez Candice A. Alfano 《Cognitive and behavioral practice》2018,25(3):442-448
The promise of online cognitive behavioral therapy for insomnia (CBT-I) and other sleep-related problems as an alternative to traditional face-to-face treatment rests upon the accessibility, ease-of-use, and effectiveness of these approaches. Here we provide a review of Sleepio, a digitalized, state-of-the-art CBT-I program for adults, informed by our personal experience with the program, available research, and information provided at the Sleepio website. The 6-week treatment program can be completed flexibly via web-based or mobile platform. Initial assessment of individual goals and baseline sleep patterns is used to build a personalized account comprised of four sections: Sleep Diary, Case File, Library, and Community. Sleepio uses evidence-based principles and practices, engaging content, and an easy-to-follow format. Unique features of the program including synchronization with compatible sleep tracking devices, multiple built-in user supports, and a 14-day money-back guarantee. Both statistical and clinically meaningful sleep improvements have been found in a large randomized controlled trial. Overall, Sleepio represents a model program for online CBT-I delivery. 相似文献
65.
糖尿病与睡眠的相互关系 总被引:2,自引:0,他引:2
人一生中有1/3的时间在睡眠中度过,睡眠质量直接关系到一个人的身体健康。睡眠时间过少或过多的人糖尿病患病率大大增加。糖尿病本身的病理、生理特点,严重影响患者的睡眠质量,睡眠质量又可以反过来影响糖尿病患者的血糖水平。有研究显示,糖尿病患者最佳睡眠时间为8小时。同时糖尿病患者中睡眠呼吸暂停综合征(OSAS)患病率高,0SA... 相似文献
66.
Prader-Willi Syndrome (PWS) is a rare genetic disorder characterized by a range of physical, psychological, and physiological abnormalities. It is also distinguished by the high prevalence of obstructive sleep apnea syndrome (OSAS), i.e., repetitive upper airway collapse during sleep resulting in hypoxia and sleep fragmentation. In non-PWS populations, OSAS is associated with a range of neurocognitive and psychosocial deficits. Importantly, these deficits are at least partly reversible following treatment. Given the findings in non-PWS populations, it is possible that OSAS may contribute to neurocognitive and psychosocial deficits in PWS. The present review examines this possibility. While acknowledging a primary contribution from the primary genetic abnormality to central neural dysfunction in PWS, we conclude that OSAS may be an important secondary contributing factor to reduced neurocognitive and psychosocial performance. Treatment of OSAS may have potential benefits in improving neurocognitive performance and behavior in PWS, but this awaits confirmatory investigation. 相似文献
67.
Although nCPAP therapy has proven to be efficient at removing symptoms of obstructive sleep apnea syndrome (OSAS), recovery from depression frequently remains unsatisfactory. Other studies have shown that recall of autobiographical memories (AM) is a psychological vulnerability marker for depression, and also have shown its predictive power for the course of depression. It is therefore hypothesized that AM also predict the course of depressive affect in OSAS patients. Fifty-four consecutively admitted OSAS patients received standard nCPAP therapy. Specificity of AM assessed at the beginning of treatment was used as a predictor in a regression analysis, and the extent of recovery from depression over a follow-up period of between six to nine weeks served as the criterion variable. The results supported the hypothesis that patients who were able to recall more specific AM in response to positively valenced cue words showed a more substantial recovery from depression. This has important treatment implications. 相似文献
68.
Chronic sleep disturbance, such as bed refusal, sleep-onset delay, and night waking with crying, affects 15% to 35% of preschool children. Biological factors, particularly arousals associated with recurrent episodes of rapid-eye-movement sleep, render infants vulnerable to repeated awakenings. Parental failure to establish appropriate stimulus control of sleep-related behaviors and parent-mediated contingencies of reinforcement for sleep-incompatible behaviors may shape and maintain infant sleep disturbance. Treatment and prevention strategies are discussed, and research needs are identified. 相似文献
69.
Michelle Lobermeier Amanda Hicks Angela D. Staples Alissa C. Huth-Bocks Seth Warschausky H. Gerry Taylor Angela Lukomski Judi Brooks Renée Lajiness-O'Neill 《Infant mental health journal》2023,44(1):43-53
Changes in infant night waking during the first year of life are associated with individual (e.g., prematurity) and family (e.g., caregiver psychopathology) factors. This study examined the association between infant night waking and caregiver anxious-depressive symptoms during the first year of life in preterm and term infants. We considered between-person differences and within-person changes in caregiver anxious-depressive symptoms in relation to changes in infant night waking from 2- to 9-months. Racially (30.0% Black, 60.4% White, 9.5% multiracial/other) and socioeconomically (40.0% below median household income) diverse caregivers (N = 445) of full term (n = 258) and preterm (n = 187) infants were recruited from hospitals and clinics in two midwestern states. Caregivers completed measures of anxious-depression and their infant's night waking at four sampling periods (2-, 4-, 6-, and 9-months). Infant night wakings declined from 2- to 9-months. Between-person differences were observed, such that caregivers with higher average anxious-depressive symptoms or infants born full term reported more night wakings. Within-person effects of caregiver anxious-depressive symptoms were not significant. Caregiver anxious-depression is closely associated with infant night wakings. By considering a caregiver's average severity of anxious-depression, healthcare providers can more effectively plan infant sleep interventions. If caregiver anxious-depressive symptoms are ameliorated, night wakings may also decrease. 相似文献
70.