Loading...
|
Please use this identifier to cite or link to this item:
https://nccur.lib.nccu.edu.tw/handle/140.119/143780
|
| Title: | 探討CBT-I結合心跳變異率生理回饋介入失眠疾患之療效
Treatment efficacy of CBT-I combined with HRV Biofeedback for insomnia disorder |
| Authors: | 林允凱
Lin, Yun-Kai |
| Contributors: | 楊建銘
Yang, Chien-Ming
林允凱
Lin, Yun-Kai |
| Keywords: | 失眠認知行為治療
心跳變異率生理回饋
自我效能
依從性
隨機分派臨床試驗
Cognitive behavioral therapy for insomnia
Heart rate variability biofeedback
Self-efficacy
Adherence
Randomized clinical trial |
| Date: | 2023 |
| Issue Date: | 2023-03-09 18:24:47 (UTC+8) |
| Abstract: | 研究背景與目的：失眠認知行為治療 (cognitive behavioral therapy [CBT-I]) 被證實能有效改善失眠，但研究顯示仍有部分患者沒有良好的療效反應。本研究以提升CBT-I療效為目標，探討以下問題：(1) 失眠患者具有自主神經系統 (autonomic nervous system [ANS]) 過度激發的現象，但目前CBT-I中較缺乏直接針對改善ANS的介入成分，故本研究欲探討CBT-I結合以訓練ANS功能為目標的心跳變異率生理回饋 (heart rate variability biofeedback [HRV-BF]) 在失眠疾患上的療效。(2) 過往研究指出CBT-I治療依從性及睡眠自我效能可以預測患者的失眠嚴重度，但目前研究較少探討睡眠自我效能與依從性兩者的關聯性，因此，本研究欲針對睡眠自我效能、治療依從性與失眠嚴重度三者的關聯性作進一步探討。
研究方法：本研究將37位失眠患者隨機分派到CBT-I組 (CBT-I，N = 18) 或結合CBT-I與HRV-BF (CBT-I+BF，N = 19) 的組別，接受七週的個別治療，在治療前後測量失眠嚴重度、睡前激發狀態、睡眠自我效能及其他睡眠參數與生理指標，並治療後三個月追蹤的失眠嚴重度及睡眠自我效能。本研究以CBT-I行為技術執行程度及治療師主觀評分為依從性指標，並分析其與睡眠自我效能及失眠嚴重度的關聯性。
研究結果：兩組的失眠嚴重度及多數睡眠參數在治療後皆有顯著改善，且其改善的程度並無顯著差異，而CBT-I+BF組在三個月追蹤有較高的失眠緩解率，且後測有更佳的自主神經功能平衡指標，而其餘療效指標則沒有顯著組間差異。睡眠自我效能、治療依從性與失眠嚴重度三者有顯著正相關，而階層迴歸分析顯示睡眠自我效能對治療師評分依從性及失眠嚴重度改變量有顯著解釋力，而治療師評分依從性對失眠嚴重度改變量也有顯著解釋力。
結論：本研究發現結合HRV-BF的方案與標準CBT-I有相同程度的治療效果，而前者在治療後能帶來更好的自主神經功能表現，且顯示出較好療效維持趨勢。後續研究應進一步探討適合此治療方案的失眠患者可能具有的特性。此外，在CBT-I治療過程中，治療師也應更多關注患者的自我效能提升，藉此促進更好的治療效果。
Objectives: Although the effect of cognitive behavioral therapy for insomnia (CBTI) has been well documented, there is still room for improvement given that some patients do not respond well to the treatment. The current study aims to improve the efficacy of CBT-I with the following objectives: (1) Since the skills of CBT-I do not target directly on reducing patients’ autonomic nervous system (ANS) hyperarousal, the current study aims to exam whether combining CBT-I with heart rate variability biofeedback (HRV-BF) to reduce ANS arousal can enhance the treatment effect. (2) Previous studies suggested that CBT-I treatment adherence and self-efficacy of sleep could predict post-treatment insomnia severity, but the relationship between self-efficacy of sleep and adherence has not been well studied. Therefore, the current study try to explore the relationship between self-efficacy of sleep, adherence, and insomnia severity.
Method: 37 patients with insomnia disorder were randomly assigned to a CBT-I group (N = 18), in which participants received seven sessions of CBT-I treatment, or a CBT-I+BF group (N = 19), in which participants received CBT-I combined with HRV-BF. Participants completed a package of self-rating scales, including Insomnia Severity Index (ISI), Pre-Sleep Arousal Scale (PSAS), and Self-efficacy of Sleep scale (SE-S) at baseline, in-treatment, and post-treatment. ISI and SE-S were also measure at 3-month follow-up. Pittsburgh Sleep Quality Index (PSQI), sleep parameters derived from patient-reported sleep diary, and HRV indicators were measured at baseline and post treatment. Treatment adherence was rated by therapist weekly according to the particiapnts’ degree of homework completion, and measured by adherence to behavioral strategies (ABS) derived from patient-reported sleep diary. The correlation between treatment adherence, SE-S, and ISI was examined.
Results: Both groups showed significant improvement on all self-report scales and most sleep parameters after treatment. No significant group differences were found. CBT-I+BF showed significantly better ANS function balance at post-treatment, and a higher remission rate (ISI<8) at 3-month follow-up. SE-S, treatment adherence, and changes in ISI were positively correlated. SE-S predicted greater therapist-rated adherence as well as greater ISI reduction from baseline to post-treatment, while therapist-rated adherence also predicted greater ISI reduction from baseline to post-treatment.
Conclusions: Both CBT-I alone and CBT-I combining with HRV-BF showed promising treatment effect, while the combined treatment showed better ANS improvement and better treatment effect maintenance. Future studies should further investigate the characteristics of patients that can be use to identfify those patients who may benefit from the combined treatment. In addition, CBT-I therapists should pay more attention to enhance patients` self-efficacy to promote better CBT-I treatment effects. |
| Reference: | 車先蕙、盧孟良、陳錫中、張尚文、李宇宙 (2006)。中文版貝克焦慮量表之信效度. 台灣醫學, 10 (4), 447-454.
林一真 (2000)。貝克焦慮量表 (BAI) 中文版。台北：中國行為科學社。
陳心怡 (2000)。貝克憂鬱量表第二版 (BDI-II) 中文版。台北：中國行為科學社。
楊建銘、許世杰、林詩淳、周映妤、陳瑩明 (2009)。失眠嚴重度量表中文版的信, 效度研究. 臨床心理學刊, 4 (2), 95-104.
詹雅雯、陳昌偉、楊建銘、林詩淳 (2009)。中文版睡前激發狀態量表之信, 效度探討. 臨床心理學刊, 4 (1), 51-58.
Anliker, J. (1977). Biofeedback from the perspectives of cybernetics and systems science. In Biofeedback and behavior (pp. 21-45). Springer.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191
Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep medicine, 2(4), 297-307.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology, 56(6), 893.
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. Journal of personality assessment, 67(3), 588-597.
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory–II. Psychological Assessment.
Bluestein, D., Rutledge, C. M., & Healey, A. C. (2010). Psychosocial correlates of insomnia severity in primary care. Journal of the American Board of Family Medicine, 23(2), 204-211. https://doi.org/10.3122/jabfm.2010.02.090179
Bonnet, M. H., & Arand, D. L. (1992). Caffeine use as a model of acute and chronic insomnia. Sleep, 15(6), 526-536.
Bonnet, M. H., & Arand, D. L. (1995). 24-Hour metabolic rate in insomniacs and matched normal sleepers. Sleep, 18(7), 581-588. https://doi.org/10.1093/sleep/18.7.581
Bonnet, M. H., & Arand, D. L. (1997). Hyperarousal and insomnia. Sleep Medicine Reviews, 1(2), 97-108. https://doi.org/10.1016/s1087-0792(97)90012-5
Bonnet, M. H., & Arand, D. L. (1998a). The consequences of a week of insomnia. II: Patients with insomnia. Sleep, 21(4), 359-368.
Bonnet, M. H., & Arand, D. L. (1998b). Heart rate variability in insomniacs and matched normal sleepers. Psychosomatic Medicine, 60(5), 610-615. https://doi.org/10.1097/00006842-199809000-00017
Bonnet, M. H., & Arand, D. L. (2003). Situational insomnia: consistency, predictors, and outcomes. Sleep, 26(8), 1029-1036. https://doi.org/10.1093/sleep/26.8.1029
Bonnet, M. H., & Arand, D. L. (2010). Hyperarousal and insomnia: State of the science. Sleep Medicine Reviews, 14(1), 9-15. https://doi.org/10.1016/j.smrv.2009.05.002
Bootzin, R. R. (1972). Stimulus control treatment for insomnia. Proceedings of the American Psychological Association, 7, 395-396.
Borbély, A. A. (1982). A two process model of sleep regulation. Human Neurobiology, 1(3), 195-204.
Bouchard, S., Bastien, C., & Morin, C. M. (2003). Self-efficacy and adherence to cognitive-behavioral treatment of insomnia. Behavioral Sleep Medicine, 1(4), 187-199. https://doi.org/10.1207/s15402010bsm0104_2
Brown, B. B. (1977). Stress and the art of biofeedback. Harper & Row.
Budhiraja, R., Roth, T., Hudgel, D. W., Budhiraja, P., & Drake, C. L. (2011). Prevalence and polysomnographic correlates of insomnia comorbid with medical disorders. Sleep, 34(7), 859-867. https://doi.org/10.5665/SLEEP.1114
Burch, J. B., Ginsberg, J. P., McLain, A. C., Franco, R., Stokes, S., Susko, K., . . . O`Rourke, M. A. (2020). Symptom Management Among Cancer Survivors: Randomized Pilot Intervention Trial of Heart Rate Variability Biofeedback. Applied Psychophysiology and Biofeedback, 45(2), 99-108. https://doi.org/10.1007/s10484-020-09462-3
Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213.
Chen, P. Y., Jan, Y. W., & Yang, C. M. (2017). Are the Insomnia Severity Index and Pittsburgh Sleep Quality Index valid outcome measures for Cognitive Behavioral Therapy for Insomnia? Inquiry from the perspective of response shifts and longitudinal measurement invariance in their Chinese versions. Sleep Medicine, 35, 35-40. https://doi.org/10.1016/j.sleep.2017.04.003
Chilcott, L. A., & Shapiro, C. M. (1996). The socioeconomic impact of insomnia. An overview. Pharmacoeconomics, 10 Suppl 1, 1-14. https://doi.org/10.2165/00019053-199600101-00003
Daley, M., Morin, C. M., LeBlanc, M., Grégoire, J. P., & Savard, J. (2009). The economic burden of insomnia: direct and indirect costs for individuals with insomnia syndrome, insomnia symptoms, and good sleepers. Sleep, 32(1), 55-64.
Daley, M., Morin, C. M., LeBlanc, M., Grégoire, J. P., Savard, J., & Baillargeon, L. (2009). Insomnia and its relationship to health-care utilization, work absenteeism, productivity and accidents. Sleep Medicine, 10(4), 427-438. https://doi.org/10.1016/j.sleep.2008.04.005
Dong, L., Soehner, A. M., Bélanger, L., Morin, C. M., & Harvey, A. G. (2018). Treatment agreement, adherence, and outcome in cognitive behavioral treatments for insomnia. Journal of Consulting and Clinical Psychology, 86(3), 294-299. https://doi.org/10.1037/ccp0000269
Ebben, M. R., Kurbatov, V., & Pollak, C. P. (2009). Moderating laboratory adaptation with the use of a heart-rate variability biofeedback device (StressEraser). Applied Psychophysiology and Biofeedback, 34(4), 245-249. https://doi.org/10.1007/s10484-009-9086-1
Ebben, M. R., & Spielman, A. J. (2009). Non-pharmacological treatments for insomnia. Journal of Behavioral Medicine, 32(3), 244-254. https://doi.org/10.1007/s10865-008-9198-8
Eckberg, D. L. (1983). Human sinus arrhythmia as an index of vagal cardiac outflow. Journal of applied physiology: respiratory, environmental and exercise physiology, 54(4), 961-966. https://doi.org/10.1152/jappl.1983.54.4.961
Eckberg, D. L., & Eckberg, M. J. (1982). Human sinus node responses to repetitive, ramped carotid baroreceptor stimuli. American Journal of Physiology, 242(4), H638-644. https://doi.org/10.1152/ajpheart.1982.242.4.H638
Edinger, J. D., Arnedt, J. T., Bertisch, S. M., Carney, C. E., Harrington, J. J., Lichstein, K. L., . . . Martin, J. L. (2021). Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. Journal of Clinical Sleep Medicine, 17(2), 263-298. https://doi.org/10.5664/jcsm.8988
Edinger, J. D., & Means, M. K. (2005). Cognitive-behavioral therapy for primary insomnia. Clinical Psychology Review, 25(5), 539-558. https://doi.org/10.1016/j.cpr.2005.04.003
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Coffman, C. J., & Carney, C. E. (2007). Dose-response effects of cognitive-behavioral insomnia therapy: a randomized clinical trial. Sleep, 30(2), 203–212. https://doi.org/10.1093/sleep/30.2.203
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001a). Cognitive Behavioral Therapy for Treatment of Chronic Primary Insomnia A Randomized Controlled Trial. JAMA, 285(14), 1856-1864. https://doi.org/10.1001/jama.285.14.1856
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001b). Does Cognitive-Behavioral Insomnia Therapy Alter Dysfunctional Beliefs About Sleep? Sleep, 24(5), 591-599. https://doi.org/10.1093/sleep/24.5.591
Espie, C. A., Broomfield, N. M., MacMahon, K. M. A., Macphee, L. M., & Taylor, L. M. (2006). The attention-intention-effort pathway in the development of psychophysiologic insomnia: A theoretical review [Review]. Sleep Medicine Reviews, 10(4), 215-245. https://doi.org/10.1016/j.smrv.2006.03.002
Espie, C. A., Inglis, S. J., Tessier, S., & Harvey, L. (2001). The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice. Behaviour Research and Therapy, 39(1), 45-60. https://doi.org/10.1016/s0005-7967(99)00157-6
Fichten, C.S., Libman, E., Creti, L. et al. Role of Thoughts During Nocturnal Awake Times in the Insomnia Experience of Older Adults. Cognitive Therapy and Research 25, 665–692 (2001). https://doi.org/10.1023/A:1012963121729
Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. Current Psychiatry Reports, 15(12), 418. https://doi.org/10.1007/s11920-013-0418-8
Freedman, R., & Papsdorf, J. D. (1976). Biofeedback and progressive relaxation treatment of sleep-onset insomnia: a controlled, all-night investigation. Biofeedback and Self-Regulation, 1(3), 253-271. https://doi.org/10.1007/bf01001167
French, D. J., Gauthier, J. G., Roberge, C., Bouchard, S., & Nouwen, A. (1997). Self-efficacy in the thermal biofeedback treatment of migraine sufferers. Behavior Therapy, 28(1), 109-125. https://doi.org/10.1016/S0005-7894(97)80037-8
Gallicchio, L., & Kalesan, B. (2009). Sleep duration and mortality: a systematic review and meta-analysis. Journal of Sleep Research, 18(2), 148-158. https://doi.org/10.1111/j.1365-2869.2008.00732.x
Gevirtz, R. (2013). The Promise of Heart Rate Variability Biofeedback: Evidence-Based Applications. Biofeedback, 41, 110-120. https://doi.org/10.5298/1081-5937-41.3.01
Harris, J., Lack, L., Wright, H., Gradisar, M., & Brooks, A. (2007). Intensive Sleep Retraining treatment for chronic primary insomnia: a preliminary investigation. Journal of sleep research, 16(3), 276–284. https://doi.org/10.1111/j.1365-2869.2007.00595.x
Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40(8), 869-893. https://doi.org/10.1016/s0005-7967(01)00061-4
Harvey, A. G., Bélanger, L., Talbot, L., Eidelman, P., Beaulieu-Bonneau, S., Fortier-Brochu, É., . . . Morin, C. M. (2014). Comparative efficacy of behavior therapy, cognitive therapy, and cognitive behavior therapy for chronic insomnia: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 82(4), 670-683. https://doi.org/10.1037/a0036606
Harvey, A. G., & Tang, N. K. (2003). Cognitive behaviour therapy for primary insomnia: can we rest yet? Sleep Medicine Reviews, 7(3), 237-262. https://doi.org/10.1053/smrv.2002.0266
Harvey, L., Inglis, S. J., & Espie, C. A. (2002). Insomniacs` reported use of CBT components and relationship to long-term clinical outcome. Behaviour Research and Therapy, 40(1), 75-83. https://doi.org/10.1016/s0005-7967(01)00004-3
Hasuo, H., Kanbara, K., & Fukunaga, M. (2020). Effect of Heart Rate Variability Biofeedback Sessions With Resonant Frequency Breathing on Sleep: A Pilot Study Among Family Caregivers of Patients With Cancer. Frontiers in Medicine, 7, 61. https://doi.org/10.3389/fmed.2020.00061
Hauri, P. (1981). Treating psychophysiologic insomnia with biofeedback. Archives Of General Psychiatry, 38(7), 752-758. https://doi.org/10.1001/archpsyc.1981.01780320032002
Hauri, P. J., Percy, L., Hellekson, C., Hartmann, E., & Russ, D. (1982). The treatment of psychophysiologic insomnia with biofeedback: a replication study. Biofeedback and Self-Regulation, 7(2), 223-235. https://doi.org/10.1007/bf00998785
Hillman, D., Mitchell, S., Streatfeild, J., Burns, C., Bruck, D., & Pezzullo, L. (2018). The economic cost of inadequate sleep. Sleep, 41(8). https://doi.org/10.1093/sleep/zsy083
Holroyd, K. A., Penzien, D. B., Hursey, K. G., Tobin, D. L., Rogers, L., Holm, J. E., . . . Chila, A. G. (1984). Change mechanisms in EMG biofeedback training: cognitive changes underlying improvements in tension headache. Journal of Consulting and Clinical Psychology, 52(6), 1039-1053. https://doi.org/10.1037//0022-006x.52.6.1039
Hsu, Y. W., Ho, C. H., Wang, J. J., Hsieh, K. Y., Weng, S. F., & Wu, M. P. (2013). Longitudinal trends of the healthcare-seeking prevalence and incidence of insomnia in Taiwan: an 8-year nationally representative study. Sleep Medicine, 14(9), 843-849. https://doi.org/10.1016/j.sleep.2013.02.017
Jacobs, G. D., Pace-Schott, E. F., Stickgold, R., & Otto, M. W. (2004). Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Archives of Internal Medicine, 164(17), 1888-1896. https://doi.org/10.1001/archinte.164.17.1888
Jan, Y.-W., Yang, C.-M., Huang, S.-H., & Lee, H.-C. (2019). Treatment effect of cognitive-behavior therapy for insomnia combined with usual medication. Sleep and Biological Rhythms, 17(3), 311-321. https://doi.org/10.1007/s41105-019-00218-z
Kao, C. C., Huang, C. J., Wang, M. Y., & Tsai, P. S. (2008). Insomnia: prevalence and its impact on excessive daytime sleepiness and psychological well-being in the adult Taiwanese population. Quality of Life Research, 17(8), 1073-1080. https://doi.org/10.1007/s11136-008-9383-9
Kember, G. C., Fenton, G. A., Armour, J. A., & Kalyaniwalla, N. (2001). Competition model for aperiodic stochastic resonance in a Fitzhugh-Nagumo model of cardiac sensory neurons. Physical Review E, 63(4), 041911. https://doi.org/10.1103/PhysRevE.63.041911
Lacks, P. (1987). Behavioral treatment for persistent insomnia. Pergamon Press.
Lehrer, P., Kaur, K., Sharma, A., Shah, K., Huseby, R., Bhavsar, J., & Zhang, Y. (2020). Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis. Applied Psychophysiology and Biofeedback, 45(3), 109-129. https://doi.org/10.1007/s10484-020-09466-z
Lehrer, P. M., & Gevirtz, R. (2014). Heart rate variability biofeedback: how and why does it work? Frontiers in Psychology, 5, 756. https://doi.org/10.3389/fpsyg.2014.00756
Lehrer, P. M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability: rationale and manual for training. Applied Psychophysiology and Biofeedback, 25(3), 177-191. https://doi.org/10.1023/a:1009554825745
Lehrer, P. M., Vaschillo, E., Vaschillo, B., Lu, S. E., Eckberg, D. L., Edelberg, R., . . . Hamer, R. M. (2003). Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine, 65(5), 796-805. https://doi.org/10.1097/01.psy.0000089200.81962.19
Limmer, A., Laser, M., & Schutz, A. (2022). Mobile Heart Rate Variability Biofeedback as a Complementary Intervention After Myocardial Infarction: a Randomized Controlled Study. International Journal of Behavioral Medicine, 29(2), 230-239. https://doi.org/10.1007/s12529-021-10000-6
Lin, I. M., Fan, S. Y., Lu, H. C., Lin, T. H., Chu, C. S., Kuo, H. F., . . . Lu, Y. H. (2015). Randomized controlled trial of heart rate variability biofeedback in cardiac autonomic and hostility among patients with coronary artery disease. Behaviour research and therapy, 70, 38-46. https://doi.org/10.1016/j.brat.2015.05.001
Lin, I. M., Fan, S. Y., Yen, C. F., Yeh, Y. C., Tang, T. C., Huang, M. F., . . . Tsai, Y. C. (2019). Heart Rate Variability Biofeedback Increased Autonomic Activation and Improved Symptoms of Depression and Insomnia among Patients with Major Depression Disorder. Clinical Psychopharmacology and Neuroscience, 17(2), 222-232. https://doi.org/10.9758/cpn.2019.17.2.222
Manber, R., Bernert, R. A., Suh, S., Nowakowski, S., Siebern, A. T., & Ong, J. C. (2011). CBT for insomnia in patients with high and low depressive symptom severity: adherence and clinical outcomes. Journal of Clinical Sleep Medicine, 7(6), 645-652. https://doi.org/10.5664/jcsm.1472
Matthews, E. E., Arnedt, J. T., McCarthy, M. S., Cuddihy, L. J., & Aloia, M. S. (2013). Adherence to cognitive behavioral therapy for insomnia: a systematic review. Sleep Medicine Review, 17(6), 453-464. https://doi.org/10.1016/j.smrv.2013.01.001
McLay, R. N., & Spira, J. L. (2009). Use of a portable biofeedback device to improve insomnia in a combat zone, a case report. Applied Psychophysiology and Biofeedback, 34(4), 319-321. https://doi.org/10.1007/s10484-009-9104-3
Melo, D. L. M., Carvalho, L. B. C., Prado, L. B. F., & Prado, G. F. (2019). Biofeedback Therapies for Chronic Insomnia: A Systematic Review. Applied Psychophysiology and Biofeedback, 44(4), 259-269. https://doi.org/10.1007/s10484-019-09442-2
Miller, N. E. (1978). Biofeedback and visceral learning. Annual Review of Psychology, 29, 373-404. https://doi.org/10.1146/annurev.ps.29.020178.002105
Monroe, L. J. (1967). Psychological and physiological differences between good and poor sleepers. Journal of Abnormal Psychology, 72(3), 255-264. https://doi.org/10.1037/h0024563
Morin, C. M. (1993). Insomnia: Psychological assessment and management. Guilford Press.
Morin, C. M., Bélanger, L., LeBlanc, M., Ivers, H., Savard, J., Espie, C. A., . . . Grégoire, J. P. (2009). The natural history of insomnia: a population-based 3-year longitudinal study. Archives of Internal Medicine, 169(5), 447-453. https://doi.org/10.1001/archinternmed.2008.610
Morin, C. M., Blais, F., & Savard, J. (2002). Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia? Behaviour research and therapy, 40(7), 741-752. https://doi.org/10.1016/S0005-7967(01)00055-9
Morin, C. M., Bootzin, R. R., Buysse, D. J., Edinger, J. D., Espie, C. A., & Lichstein, K. L. (2006). Psychological and behavioral treatment of insomnia:update of the recent evidence (1998-2004). Sleep, 29(11), 1398-1414. https://doi.org/10.1093/sleep/29.11.1398
Morin, C. M., Colecchi, C., Stone, J., Sood, R., & Brink, D. (1999). Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial. JAMA, 281(11), 991-999. https://doi.org/10.1001/jama.281.11.991
Morin, C. M., Culbert, J. P., & Schwartz, S. M. (1994). Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy. American Journal of Psychiatry, 151(8), 1172-1180. https://doi.org/10.1176/ajp.151.8.1172
Morin, C. M., Hauri, P. J., Espie, C. A., Spielman, A. J., Buysse, D. J., & Bootzin, R. R. (1999). Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep, 22(8), 1134-1156. https://doi.org/10.1093/sleep/22.8.1134
Morin, C. M., Rodrigue, S., & Ivers, H. (2003). Role of stress, arousal, and coping skills in primary insomnia. Psychosomatic Medicine, 65(2), 259-267. https://doi.org/10.1097/01.psy.0000030391.09558.a3
Morin, C. M., Stone, J., Trinkle, D., Mercer, J., & Remsberg, S. (1993). Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychology and Aging, 8(3), 463-467. https://doi.org/10.1037//0882-7974.8.3.463
Muench, A., Vargas, I., Grandner, M. A., Ellis, J. G., Posner, D., Bastien, C. H., . . . Perlis, M. L. (2022). We know CBT-I works, now what? Faculty reviews, 11, 4-4. https://doi.org/10.12703/r/11-4
Mulholland, T. (1977). Biofeedback as scientific method. Biofeedback: Theory and research, 9-28.
Nestoriuc, Y., & Martin, A. (2007). Efficacy of biofeedback for migraine: a meta-analysis. Pain, 128(1-2), 111-127. https://doi.org/10.1016/j.pain.2006.09.007
Nicassio, P. M., Boylan, M. B., & McCabe, T. G. (1982). Progressive relaxation, EMG biofeedback and biofeedback placebo in the treatment of sleep-onset insomnia. British Journal of Medical Psychology, 55(Pt 2), 159-166. https://doi.org/10.1111/j.2044-8341.1982.tb01494.x
Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985). The phenomenology of the pre-sleep state: the development of the pre-sleep arousal scale. Behaviour research and therapy, 23(3), 263-271.
Perlis, M. L., Giles, D. E., Mendelson, W. B., Bootzin, R. R., & Wyatt, J. K. (1997). Psychophysiological insomnia: the behavioural model and a neurocognitive perspective. Journal of Sleep Research, 6(3), 179-188. https://doi.org/10.1046/j.1365-2869.1997.00045.x
Prohaska, T. R., & Lorig, K. (2001). What do we know about what works? The role of theory in patient education. Patient Education: A Practical Approach. Thousand Oaks, CA: Sage Publications, 21.
Puzino, K., Amatrudo, G., Sullivan, A., Vgontzas, A. N., & Fernandez-Mendoza, J. (2020). Clinical Significance and Cut-Off Scores for the Pre-Sleep Arousal Scale in Chronic Insomnia Disorder: A Replication in a Clinical Sample. Behavioral Sleep Medicine, 18(6), 705-718. https://doi.org/10.1080/15402002.2019.1669604
Reiner, R. (2008). Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders: results of a pilot study. Applied Psychophysiology and Biofeedback, 33(1), 55-61. https://doi.org/10.1007/s10484-007-9046-6
Riedel, B. W., & Lichstein, K. L. (2001). Strategies for evaluating adherence to sleep restriction treatment for insomnia. Behaviour Research and Therapy, 39(2), 201-212. https://doi.org/10.1016/s0005-7967(00)00002-4
Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., & Nissen, C. (2010). The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Medicine Review, 14(1), 19-31. https://doi.org/10.1016/j.smrv.2009.04.002
Sakakibara, M., Hayano, J., Oikawa, L. O., Katsamanis, M., & Lehrer, P. (2013). Heart rate variability biofeedback improves cardiorespiratory resting function during sleep. Applied Psychophysiology and Biofeedback, 38(4), 265-271. https://doi.org/10.1007/s10484-013-9232-7
Sandlund, C., Kane, K., Ekstedt, M., & Westman, J. (2018). Patients` experiences of motivation, change, and challenges in group treatment for insomnia in primary care: a focus group study. BMC Family Practice, 19(1), 111. https://doi.org/10.1186/s12875-018-0798-2
Saper, C. B., Scammell, T. E., & Lu, J. (2005). Hypothalamic regulation of sleep and circadian rhythms. Nature, 437(7063), 1257-1263. https://doi.org/10.1038/nature04284
Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008). Clinical guideline for the evaluation and management of chronic insomnia in adults. Journal of Clinical Sleep Medicine, 4(5), 487-504.
Schwartz, M. S., & Andrasik, F. (2017). Biofeedback: A practitioner`s guide. Guilford Publications.
Sevoz-Couche, C., & Laborde, S. (2022). Heart rate variability and slow-paced breathing:when coherence meets resonance. Neuroscience & Biobehavioral Reviews, 135, 104576. https://doi.org/10.1016/j.neubiorev.2022.104576
Shaffer, F., & Ginsberg, J. P. (2017). An Overview of Heart Rate variability Metrics and Norms. Frontiers in Public Health, 5, 17, Article 258. https://doi.org/10.3389/fpubh.2017.00258
Shaffer, F., McCraty, R., & Zerr, C. L. (2014). A healthy heart is not a metronome: an integrative review of the heart`s anatomy and heart rate variability. Frontiers in Psychology, 5, 1040. https://doi.org/10.3389/fpsyg.2014.01040
Smith, M. T., Perlis, M. L., Park, A., Smith, M. S., Pennington, J., Giles, D. E., & Buysse, D. J. (2002). Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. American Journal of Psychiatry, 159(1), 5-11. https://doi.org/10.1176/appi.ajp.159.1.5
Smith, M. T., Perlis, M. L., Smith, M. S., Giles, D. E., & Carmody, T. P. (2000). Sleep quality and presleep arousal in chronic pain. Journal of Behavioral Medicine, 23, 1-13. https://doi.org/10.1023/A:1005444719169
Spielman, A. J. (1986). Assessment of insomnia. Clinical Psychology Review, 6(1), 11-25. https://doi.org/10.1016/0272-7358(86)90015-2
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092-1097. https://doi.org/10.1001/archinte.166.10.1092
Suh, S., Ong, J. C., Steidtmann, D., Nowakowski, S., Dowdle, C., Willett, E., . . . Manber, R. (2012). Cognitions and Insomnia Subgroups. Cognitive Therapy and Research, 36(2), 120-128. https://doi.org/10.1007/s10608-011-9415-6
Teufel, M., Stephan, K., Kowalski, A., Käsberger, S., Enck, P., Zipfel, S., & Giel, K. E. (2013). Impact of biofeedback on self-efficacy and stress reduction in obesity: a randomized controlled pilot study. Applied Psychophysiology and Biofeedback, 38(3), 177-184. https://doi.org/10.1007/s10484-013-9223-8
Trauer, J. M., Qian, M. Y., Doyle, J. S., Rajaratnam, S. M., & Cunnington, D. (2015). Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis. Ann Intern Med, 163(3), 191-204. https://doi.org/10.7326/m14-2841
Tremblay, V., Savard, J., & Ivers, H. (2009). Predictors of the Effect of Cognitive Behavioral Therapy for Chronic Insomnia Comorbid With Breast Cancer [Article]. Journal of consulting and clinical psychology, 77(4), 742-750. https://doi.org/10.1037/a0015492
Tsai, H. J., Kuo, T. B., Lee, G. S., & Yang, C. C. (2015). Efficacy of paced breathing for insomnia: enhances vagal activity and improves sleep quality. Psychophysiology, 52(3), 388-396. https://doi.org/10.1111/psyp.12333
Tsai, P.-S., Wang, S.-Y., Wang, M.-Y., Su, C.-T., Yang, T.-T., Huang, C.-J., & Fang, S.-C. (2005). Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Quality of Life Research, 14(8), 1943-1952.
Usui, A., Ishizuka, Y., Obinata, I., Okado, T., Fukuzawa, H., & Kanba, S. (1998). Validity of sleep log compared with actigraphic Sleep‐wake state. Psychiatry and clinical neurosciences, 52(2), 161-163.
Usui, A., Ishizuka, Y., Obinata, I., Okado, T., Fukuzawa, H., & Kanba, S. (1999). Validity of sleep log compared with actigraphic sleep–wake state II. Psychiatry and clinical neurosciences, 53(2), 183-184.
van Straten, A., van der Zweerde, T., Kleiboer, A., Cuijpers, P., Morin, C. M., & Lancee, J. (2018). Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis. Sleep Medicine Review, 38, 3-16. https://doi.org/10.1016/j.smrv.2017.02.001
Vgontzas, A. N., Liao, D., Bixler, E. O., Chrousos, G. P., & Vela-Bueno, A. (2009). Insomnia with objective short sleep duration is associated with a high risk for hypertension. Sleep, 32(4), 491-497. https://doi.org/10.1093/sleep/32.4.491
Vgontzas, A. N., Liao, D., Pejovic, S., Calhoun, S., Karataraki, M., & Bixler, E. O. (2009). Insomnia with objective short sleep duration is associated with type 2 diabetes: A population-based study. Diabetes Care, 32(11), 1980-1985. https://doi.org/10.2337/dc09-0284
Vgontzas, A. N., Fernandez-Mendoza, J., Bixler, E. O., Singareddy, R., Shaffer, M. L., Calhoun, S. L., . . . Chrousos, G. P. (2012). Persistent insomnia: the role of objective short sleep duration and mental health. Sleep, 35(1), 61-68. https://doi.org/10.5665/sleep.1586
Vincent, N., Lewycky, S., & Finnegan, H. (2008). Barriers to Engagement in Sleep Restriction and Stimulus Control in Chronic Insomnia [Article]. Journal of consulting and clinical psychology, 76(5), 820-828. https://doi.org/10.1037/0022-006x.76.5.820
Vincent, N. K., & Hameed, H. (2003). Relation between adherence and outcome in the group treatment of insomnia. Behavioral Sleep Medicine, 1(3), 125-139. https://doi.org/10.1207/s15402010bsm0103_1
Walsh, J., Moore, Z., Mac Hale, E., Greene, G., Doyle, F., Costello, R. W., & Murray, B. (2022). The Impact of Biofeedback on Self-Efficacy in Adults with Asthma: A Cross-Sectional Descriptive Survey. Patient Prefer Adherence, 16, 1469-1475. https://doi.org/10.2147/ppa.S358232
Yang, C. M., Spielman, A. J., & Glovinsky, P. (2006). Nonpharmacologic strategies in the management of insomnia. The Psychiatric clinics of North America, 29(4), 895–viii. https://doi.org/10.1016/j.psc.2006.09.005
Zeng, Q.-Z., He, Y.-L., Liu, H., Miao, J.-M., Chen, J.-X., Xu, H.-N., & Wang, J.-Y. (2013). Reliability and validity of Chinese version of the Generalized Anxiety Disorder 7-item (GAD-7) scale in screening anxiety disorders in outpatients from traditional Chinese internal department. Chinese Mental Health Journal, 27, 163-168.
Zucker, T. L., Samuelson, K. W., Muench, F., Greenberg, M. A., & Gevirtz, R. N. (2009). The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and posttraumatic stress disorder symptoms: a pilot study. Applied Psychophysiology and Biofeedback, 34(2), 135-143. https://doi.org/10.1007/s10484-009-9085-2 |
| Description: | 碩士
國立政治大學
心理學系
108752021 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0108752021 |
| Data Type: | thesis |
| Appears in Collections: | [心理學系] 學位論文
|
Files in This Item:
| File |
Description |
Size | Format | |
|---|
| 202101.pdf | | 4374Kb | Adobe PDF2 | 155 | View/Open |
|
All items in 政大典藏 are protected by copyright, with all rights reserved.
|
