Skip to main content
Erschienen in: Sleep and Breathing 4/2022

08.01.2022 | COVID-19 | Neurology • Original Article Zur Zeit gratis

Positive impacts of e-aid cognitive behavioural therapy on the sleep quality and mood of nurses on site during the COVID-19 pandemic

verfasst von: Kaili Zhou, Jing Kong, Yahui Wan, Xuan Zhang, Xuan Liu, Bingqian Qu, Baoyan Wang, Rong Xue

Erschienen in: Sleep and Breathing | Ausgabe 4/2022

Einloggen, um Zugang zu erhalten

Abstract

Objective

To investigate the positive impact of e-aid cognitive behavioural therapy on the sleep quality, anxiety, and depression of nurses on site during the COVID-19 pandemic.

Methods

Nurses on site at the Tianjin Medical University General Hospital Airport Site experiencing insomnia, anxiety and depression during the COVID-19 prevention and control period, from February 2020 to April 2021, were selected and divided into either an e-aid cognitive behavioural therapy (eCBT-I) group or a control group using a randomized grouping method. The eCBT-I group was given standard eCBT-I for 6 weeks; the control group did not get any intervention. The Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) were used to evaluate the sleep quality of the subjects. The Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire (PHQ-9) were used to assess the subjects’ anxiety and depression. Changes in sleep quality, anxiety and depression before and after treatment were compared between the two groups.

Results

Of 118 nurses randomized, the PSQI and ISI scores within the eCBT-I group (n=60) were significantly lower after treatment (5.9 ± 3.9, 6.7 ± 4.5) than before treatment (10.4 ± 3.5, 12.4 ± 4.7) (p <0.05). Compared to the scores of the control group (n=58) (9.1 ± 3.9, 10.6 ± 4.1), the PSQI and ISI scores in the eCBT-I group (5.9 ± 3.9, 6.7 ± 4.5) were lower after treatment (p <0.05). The GAD-7 and PHQ-9 scores in the eCBT-I group were all lower after treatment (3.7±3.4, 4.2±4.1) than before treatment (6.7±4.9, 7.7±5.1) (p <0.05). Compared with subjects in the control group (7.1±5.6, 7.3±5.1), subjects in the eCBT-I group (3.7±3.4, 4.2±4.1) had lower scores on the GAD-7 and PHQ-9 scales after treatment (p <0.05).

Conclusion

eCBT-I improved the sleep quality of frontline nurses during the COVID-19 prevention and control period and relieved anxiety and depression.
Literatur
1.
Zurück zum Zitat Song M (2020) Psychological stress responses to COVID-19 and adaptive strategies in China - ScienceDirect. World Development 136:105–107. https://doi.org/10.1016/j.worlddev.2020.105107CrossRef Song M (2020) Psychological stress responses to COVID-19 and adaptive strategies in China - ScienceDirect. World Development 136:105–107. https://​doi.​org/​10.​1016/​j.​worlddev.​2020.​105107CrossRef
2.
Zurück zum Zitat Maiorano T, Vagni M, Giostra V, Pajardi D (2020) COVID-19: risk factors and protective role of resilience and coping strategies for emergency stress and secondary trauma in medical staff and emergency workers—an online-based inquiry. Sustainability 12(21):1–18CrossRef Maiorano T, Vagni M, Giostra V, Pajardi D (2020) COVID-19: risk factors and protective role of resilience and coping strategies for emergency stress and secondary trauma in medical staff and emergency workers—an online-based inquiry. Sustainability 12(21):1–18CrossRef
3.
Zurück zum Zitat Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD (2016) Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med 165(2):125–133. https://doi.org/10.7326/M15-2175CrossRefPubMed Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD (2016) Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med 165(2):125–133. https://​doi.​org/​10.​7326/​M15-2175CrossRefPubMed
6.
Zurück zum Zitat Magro R, Camilleri L, Borg A (2020) Fri0178 predictive factors for poor sleep quality in systemic lupus erythematosus. Ann Rheumatic Dis 79(1):673.2-673. https://doi.org/10.1136/annrheumdis-2020-eular.931 Magro R, Camilleri L, Borg A (2020) Fri0178 predictive factors for poor sleep quality in systemic lupus erythematosus. Ann Rheumatic Dis 79(1):673.2-673. https://​doi.​org/​10.​1136/​annrheumdis-2020-eular.​931
9.
Zurück zum Zitat Johnson SU, Ulvenes PG, Oktedalen T, Hoffart A (2019) Psychometric properties of the General Anxiety Disorder 7-item (GAD-7) scale in a heterogeneous psychiatric sample. Front Psychol 10:1713–1713. https://doi.org/10.3389/fpsyg.2019.01713CrossRefPubMedPubMedCentral Johnson SU, Ulvenes PG, Oktedalen T, Hoffart A (2019) Psychometric properties of the General Anxiety Disorder 7-item (GAD-7) scale in a heterogeneous psychiatric sample. Front Psychol 10:1713–1713. https://​doi.​org/​10.​3389/​fpsyg.​2019.​01713CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Ganz PA, Bower JE, Partridge AH, Wolff AC, Thorner ED, Joffe H, Irwin MR, Petersen L, Crespi CM (2021) Screening for depression in younger breast cancer survivors: outcomes from use of the Patient Health Questionnaire-9 (PHQ-9). JNCI Cancer Spectrum 5(3):1–8. https://doi.org/10.1093/jncics/pkab017CrossRef Ganz PA, Bower JE, Partridge AH, Wolff AC, Thorner ED, Joffe H, Irwin MR, Petersen L, Crespi CM (2021) Screening for depression in younger breast cancer survivors: outcomes from use of the Patient Health Questionnaire-9 (PHQ-9). JNCI Cancer Spectrum 5(3):1–8. https://​doi.​org/​10.​1093/​jncics/​pkab017CrossRef
11.
Zurück zum Zitat Zachariae R, Lyby MS, Ritterband LM, O'Toole MS (2016) Efficacy of internet-delivered cognitive-behavioral therapy for insomnia - a systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev 30:1–10. https://doi.org/10.1016/j.smrv.2015.10.004CrossRefPubMed Zachariae R, Lyby MS, Ritterband LM, O'Toole MS (2016) Efficacy of internet-delivered cognitive-behavioral therapy for insomnia - a systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev 30:1–10. https://​doi.​org/​10.​1016/​j.​smrv.​2015.​10.​004CrossRefPubMed
13.
Zurück zum Zitat Chen PY, Jan YW, Yang CM (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 Med 35, 35(1):–40. https://doi.org/10.1016/j.sleep.2017.04.003 Chen PY, Jan YW, Yang CM (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 Med 35, 35(1):–40. https://​doi.​org/​10.​1016/​j.​sleep.​2017.​04.​003
14.
Zurück zum Zitat Lopez R, Evangelista E, Barateau L, Chenini S, Dauvilliers Y (2019) French language online cognitive behavioral therapy for insomnia disorder: a randomized controlled trial. Front Neuro l10:1273. https://doi.org/10.3389/fneur.2019.01273CrossRef Lopez R, Evangelista E, Barateau L, Chenini S, Dauvilliers Y (2019) French language online cognitive behavioral therapy for insomnia disorder: a randomized controlled trial. Front Neuro l10:1273. https://​doi.​org/​10.​3389/​fneur.​2019.​01273CrossRef
16.
Zurück zum Zitat Ye YY, Zhang YF, Chen J, Liu J, Li XJ, Liu YZ, Lang Y, Lin L, Yang XJ, Jiang XJ (2015) Internet-based cognitive behavioral therapy for insomnia (ICBT-i) improves comorbid anxiety and depression-a meta-analysis of randomized controlled trials. PLoS One 10(11):e142258. https://doi.org/10.1371/journal.pone.0142258CrossRef Ye YY, Zhang YF, Chen J, Liu J, Li XJ, Liu YZ, Lang Y, Lin L, Yang XJ, Jiang XJ (2015) Internet-based cognitive behavioral therapy for insomnia (ICBT-i) improves comorbid anxiety and depression-a meta-analysis of randomized controlled trials. PLoS One 10(11):e142258. https://​doi.​org/​10.​1371/​journal.​pone.​0142258CrossRef
17.
Zurück zum Zitat Sweetman A, Lovato N, Micic G, Scott H, Bickley K, Haycock J, Harris J, Gradisar M, Lack L (2020) Do symptoms of depression, anxiety or stress impair the effectiveness of cognitive behavioural therapy for insomnia? A chart-review of 455 patients with chronic insomnia. Sleep Med 75:401–410. https://doi.org/10.1016/j.sleep.2020.08.023CrossRefPubMed Sweetman A, Lovato N, Micic G, Scott H, Bickley K, Haycock J, Harris J, Gradisar M, Lack L (2020) Do symptoms of depression, anxiety or stress impair the effectiveness of cognitive behavioural therapy for insomnia? A chart-review of 455 patients with chronic insomnia. Sleep Med 75:401–410. https://​doi.​org/​10.​1016/​j.​sleep.​2020.​08.​023CrossRefPubMed
18.
Zurück zum Zitat Teng CJ (2016) Effect of cognitive behavior therapy on functional connectivity of subgenual anterior cingulated cortex in first-episode treatment-na6ve mild to moderate patients with major depressive disorder. Chin Med Abstracts (Internal Medicine) 33(4):236–237 CNKI:SUN:ZYNE.0.2016-04-081 Teng CJ (2016) Effect of cognitive behavior therapy on functional connectivity of subgenual anterior cingulated cortex in first-episode treatment-na6ve mild to moderate patients with major depressive disorder. Chin Med Abstracts (Internal Medicine) 33(4):236–237 CNKI:SUN:ZYNE.0.2016-04-081
Metadaten
Titel
Positive impacts of e-aid cognitive behavioural therapy on the sleep quality and mood of nurses on site during the COVID-19 pandemic
verfasst von
Kaili Zhou
Jing Kong
Yahui Wan
Xuan Zhang
Xuan Liu
Bingqian Qu
Baoyan Wang
Rong Xue
Publikationsdatum
08.01.2022
Verlag
Springer International Publishing
Schlagwort
COVID-19
Erschienen in
Sleep and Breathing / Ausgabe 4/2022
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-021-02547-1

Weitere Artikel der Ausgabe 4/2022

Sleep and Breathing 4/2022 Zur Ausgabe

Sleep Breathing Physiology and Disorders • Original Article

Phenotyping OSAH patients during wakefulness

Sleep Breathing Physiology and Disorders • Original Article

Obstructive sleep apnea is associated with cognitive impairment in minor ischemic stroke

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.