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Journal of Korean Critical Care Nursing 2008;1(1):19-31.
Published online September 30, 2008.

만성불면증 환자에게 적용한 단기 인지행동중재의 효과
최수정, 이영희
1삼성서울병원 뇌신경센터
2성균관대학교 임상간호대학원
Effects of the Abbreviated Cognitive Behavioral Therapy for Chronic Insomniacs
Su-Jung Choi, Young-Hee Yi
1Neuroscience Center, Nursing department, Samsung Medical Center
2Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University
Abstract
Purpose
This study was conducted to exam the effects of the Abbreviated Cognitive Behavioral Therapy(ACBT) on chronic insomnia.
Methods
Study was one-group interrupted time series study that involved 13 adults(mean age=51.7, aged 25-77 years) with chronic primary insomnia who visited sleep disorder clinic of S Hospital from November 2004 to October 2005. The subjects received 2-session individual ACBT with 2 week-interval($1^{st}$: 1.5- 2hrs, $2^{nd}$: 20-30min). To measure the subjective insomnia severity and sleep patterns, 3 times of insomnia severity index and sleep logs were completed(before ACBT, after ACBT, and 3-month after ACBT). The main outcomes were subjective insomnia severity and sleep patterns(sleep onset latency, waking after sleep onset, and total sleep time, sleep efficiency). The data were analyzed with SPSS 10.0 version program by Friedman test, Wilcoxon signed rank test with Bonferroni correction.
Results
There were statistically significant decrease in insomnia severity index, sleep onset latency, and waking after sleep onset, and increase total sleep time and sleep efficiency.
Conclusion
ACBT was effective in reducing subjective insomnia severity and improving sleep patterns. Sleep improvement was better sustained over time with ACBT.
Key Words: Cognitive behavioral therapy, Chronic insomnia, Sleep
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