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针对患有创伤后应激障碍的丛林大火幸存者采用多组分认知行为疗法治疗失眠和噩梦.pdf

上传人: 表表 编号:1152818 2026-02-14 15页 1.54MB

1、A Multicomponent CBT for the Treatment of Insomnia and Nightmares in Survivors of Bushfires Presenting with PTSDDr Fadia Isaac Clinical PsychologistResearch team:Prof Gerard Kennedy,Dr Samia R Toukhsati,Prof Britt Klein,Dr Mirella DiBenedetto,Dr Shaun Watson,Dr Huy Nguyen Consequences of Bushfires(G

2、ary,2019)Increasing frequency and severity due to climate changeAnnual global financial losses estimated between USD$71.1$347.8 billionLoss of life,widespread displacement,and destruction of homes and infrastructureDisruption of social networks,community structures,and employment opportunitiesElevat

3、ed rates of alcohol and substance use,cardiovascular issues,and premature mortality(Thomas et al.,2017;Grant&Runkle,2022;Liu et al.,2015;OECD,2023;Popescu et al.,2022;Rodney et al.,2021;Rosenthal et al.,2021).2 July 2025Consequences of Bushfires Depression&Anxiety Suicidal ideation Sleep disorders P

4、ost-traumatic stress disorder(PTSD)(Guha-Sapir et al.,2015;Lowe et al.,2019;McRae&Sharples,2015;Willis,2020 Williams,2013;UNEP,2020;STEP INC,2019;The conversation,2023)Why Sleep Best-i?Stories of ImpactParticipants shared long-term mental health challenges following bushfires,including nightmares,in

5、somnia,and PTSD.The Need for Innovative SolutionsTraditional treatments often do not fully address the complex relationship between sleep disruption and trauma.Introducing Sleep Best-iA structured,self-paced digital program designed to support recovery through:Insomnia management Nightmare reduction

6、 PTSD symptom reliefSleep Best-iPsychoeducation Highlights the importance of sleep and how trauma can affect sleep patternsSleep Scheduling Supports participants in setting a consistent routine,realistic sleep goals,and better bedtime habitsCognitive Restructuring Teaches how to challenge unhelpful

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1. **背景与问题**:山火频发导致严重后果(年损失711-347.8亿美元),幸存者常伴抑郁、焦虑、PTSD、失眠及噩梦(NDI≥3、PCL-5≥31)。 2. **解决方案**:推出数字CBT项目"Sleep Best-i",涵盖失眠管理、噩梦改写、PTSD症状缓解等模块,每模块约17分钟。 3. **临床效果**:试验组(n=16)噩梦(NDI↓1.64, p=0.001)和PTSD(PCL-5↓10.64, p=0.009)显著改善,失眠无显著变化。 4. **改进方向**:需加强心理韧性培训、提升GP睡眠障碍处理能力、结合数字与社区支持,并提供个性化干预。
**噩梦如何改写?** **失眠新疗法?** **创伤后睡眠难?**
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