Qualitative research on digital cognitive behavioral therapy for insomnia in patients with insomnia combined with depressive and/or anxious symptoms
10.3760/cma.j.cn371468-20230329-00150
- VernacularTitle:数字化失眠认知行为治疗在伴焦虑抑郁症状失眠患者中的质性研究
- Author:
Fangmei GE
1
;
Yating ZHAO
;
Jingru LI
;
Jing ZHANG
;
Yi JU
;
Qing ZHANG
;
Chengmei YUAN
Author Information
1. 上海交通大学医学院附属精神卫生中心临床心理科，上海市精神卫生中心睡眠障碍诊治中心，上海 200032
- Keywords:
Cognitive behavioral therapy for insomnia, Digital;
Therapeutic paradigm;
Phenomenological analysis;
Qualitative research
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2023;32(7):605-611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the physical and mental experience, treatment compliance and use barriers of patients with insomnia in using digital cognitive behavioral therapy for insomnia (dCBT-I) in order to provide qualitative evidence for the development and application optimization of the dCBT-I technology paradigm.Methods:From July to November 2021, a semi-structured interview outline was used to conduct in-depth interviews with the dCBT-I users ( n=10) to record their original feelings about the use of dCBT-I. Interpretative phenomenology's text analysis was used to explore the participants' experience and cognition of dCBT-I. Results:Text analysis and key information calibration were carried out on the verbatim transcripts of semi-structured interview recordings, and three core themes were extracted, namely stickiness factor, use barrier and optimization direction, as well as eight sub-themes, namely professionalism, accessibility, benefit experience, difficulty in task execution, instruction generalization, difficulty in software operation, enrich treatment content and personalized guidance.Conclusion:The present study showed that participants were receptive to the dCBT-I intervention and would be benefited from it.However, dCBT-I still needs to be optimized and improved to reduce the operating difficulty and explore more appropriate timing of manual intervention.
