Vloga z informacijsko-komunikacijskimi tehnologijami podprtih kognitivno vedenjskih intervenc pri obravnavi nespečnosti v obdobju pozne odraslosti
DOI:
https://doi.org/10.20419/2024.33.593Ključne besede:
pozna odraslost, motnje spanja, nespečnost, kognitivno-vedenjska terapija za nespečnost (KVT-n), z informacijskokomunikacijskimi tehnologijami (IKT) podprte intervencePovzetek
V obdobju pozne odraslosti se pri posameznikih pričnejo pojavljati številne spremembe v spanju, ki lahko privedejo do težav s spanjem ali motenj spanja. Najpogostejša motnja spanja v pozni odraslosti je nespečnost. Terapija prvega izbora zanjo je kognitivno-vedenjska terapija za nespečnost (KVT-n), ki ima zaradi svoje učinkovitosti in odsotnosti neželenih učinkov še posebej pri starejših pomembne prednosti. Glede na visoko prevalenco nespečnosti v obdobju pozne odraslosti in obenem omejenem dostopu do strokovnjakov za motnje spanja se v zadnjem času iščejo učinkovite oblike obravnave s KVT-n, ki bi bile na voljo širšemu krogu uporabnikov. Eden izmed načinov, kako bi lahko to dosegli, je z uporabo informacijsko-komunikacijskih tehnologij (IKT). Namen pričujočega narativnega preglednega članka je pregledati obstoječe z IKT podprte KVT-n intervence v literaturi, preučiti njihovo učinkovitost in dejavnike, ki vplivajo na učinkovitost pri zdravljenju nespečnosti v pozni odraslosti. Dodatno želimo kritično ovrednotiti možnosti razvoja in uporabe le-teh na populaciji starejših v Sloveniji. Na podlagi preteklih študij ugotavljamo, da z IKT podprta KVT-n predstavlja učinkovit pristop pri obravnavi nespečnosti, pri čemer lahko širšo in enostavnejšo uporabo pri starejših spodbudimo z določenimi prilagoditvami. Zaključujemo, da imajo z IKT podprte KVT-n intervence velik potencial za dostopno obravnavo nespečnosti ter bi lahko pripomogle k izboljšanju kakovosti spanja v pozni odraslosti.
Prenosi
Literatura
Anderson, K. N. (2018). Insomnia and cognitive behavioural therapy—How to assess your patient and why it should be a standard part of care. Journal of Thoracic Disease, 10(Suppl. 1), S94–S102. https://doi.org/10.21037/jtd.2018.01.35
Appleton, S. L., Reynolds, A. C., Gill, T. K., Melaku, Y. A. in Adams, R. J. (2022). Insomnia prevalence varies with symptom criteria used with implications for epidemiological studies: Role of anthropometrics, sleep habit, and comorbidities. Nature and Science of Sleep, 14, 775–790. https://doi.org/10.2147/NSS.S359437
Baglioni, C., Espie, C. A., Altena, E., Gavriloff, D., Jernelöv, S., Holzinger, B., Schlarb, A. in Riemann, D. (2023). Cognitive behavioural therapy for insomnia disorder: Extending the stepped care model. Journal of Sleep Research, članek e14016. https://doi.org/10.1111/jsr.14016
Barczi, S. R. in Teodorescu, M. C. (2017). Psychiatric and medical comorbidities and effects of medications in older adults. V M. Kryger, T. Roth in W. C. Dement (ur.), Principles and practice of sleep medicine (6th ed., str. 1484–1516). Elsevier.
Beard, J. R., Officer, A., Araujo de Carvalho, I., Sadana, R., Pot, M. A., Michel, J.-P., Lloyd-Sherlock, P., Epping- Jordan, J. E., Peeters, G., Mahanani, R. W., Thiyagarajan, J. A. in Chatterji, S. (2016). The World report on ageing and health: A policy framework for healthy ageing. The Lancet, 387(10033), 2145–2154.
Beun, R. J., Ahn, R., Fitrianie, S., Griffioen-Both, F. in Lancee, J. (2014). Modeling interaction in automated e-coaching: A case from insomnia therapy. V H. Lounis in D. Josyula (ur.), COGNITIVE 2014: The Sixth International Conference on Advanced Cognitive Technologies and Applications (str. 1–4). IARIA. http://www.thinkmind.org/download.php?articleid=cognitive_2014_1_10_40025
Bliwise, D. L. in Scullin, M. K. (2017). Normal aging. V M. Kryger, T. Roth in W. C. Dement (ur.), Principles and practice of sleep medicine (6th ed., str. 25–38). Elsevier.
Bloom, K., Jernelov, S., Rück, C., Lindefors, N. in Kaldo, V. (2016). Three-year follow-up of insomnia and hypnotics after controlled Internet treatment for insomnia. Sleep, 39(6), 1267–1274.
Brenes, G. A., Danhauer, S. C., Lyles, M. F., Hogan, P. E. in Miller, M. E. (2015). Barriers to mental health treatment in rural older adults. The American Journal of Geriatric Psychiatry, 23(11), 1172–1178. https://doi.org/10.1016/j.jagp.2015.06.002
Buntrock, C., Lehr, D., Smit, F., Horvath, H., Berking, M., Spiegelhalder, K., Riper, H. in Ebert, D. D. (2021). Guided internet-based cognitive behavioral therapy for insomnia: Health-economic evaluation from the societal and public health care perspective alongside a randomized controlled trial. Journal of Medical Internet Research, 23(5), članek e25609.
Buysse, D. J., Germain, A., Moul, D. E., Franzen, P. L., Brar, L. K., Fletcher, M. E., Begley, A., Houck, P. R., Mazumdar, S., Reynolds, C. F., 3rd in Monk, T. H. (2011). Efficacy of brief behavioral treatment for chronic insomnia in older adults. Archives of Internal Medicine, 23, 887–895.
Cassidy-Eagle, E., Siebern, A., Chen, H., Hyun, M. K. in Oxana, P. (2022). Cognitive-behavioral therapy for insomnia in older adults. Cognitive and Behavioral Practice, 29(1), 146–160.
Cheng, S. K. in Dizon, J. (2012). Computerised cognitive behavioural therapy for insomnia: A systematic review and meta-analysis. Psychotherapy and Psychosomatics, 81, 206–216.
Cheng, P., Luik, A. I., Fellman-Couture, C., Peterson, E., Joseph, C. L. M., Tallent, G., Tran, K. M., Ahmedani, B. K., Roehrs, T., Roth, T. in Drake, C. L. (2019). Efficacy of digital CBT for insomnia to reduce depression across demographic groups: A randomized trial. Psychological Medicine, 49, 491–500.
Coulson, N. S., Smedley, R., Bostock, S., Kyle, D. S., Gollancz, R., Luik, A. I., Hames, P. in Espie, C. A. (2016). The pros and cons of getting engaged in an online social community embedded within digital cognitive behavioral therapy for insomnia: Survey among users. Journal of Medical Internet Research, 18(4), članek e88.
Dubovsky, S. L. in Marshall, D. (2022). Benzodiazepines remain important therapeutic options in psychiatric practice. Psychotherapy and Psychosomatics, 91(5), 307–334.
Ebben, M. R. (2021). Insomnia: Behavioral treatment in the elderly. Clinics in Geriatric Medicine, 37(3), 387–399. https://doi.org/10.1016/j.cger.2021.04.002
Erten Uyumaz, B., Feijs, L. in Hu, J. (2021). A review of digital cognitive behavioral therapy for insomnia (CBT-I Apps): Are they designed for engagement? International Journal of Environmental Research and Public Health, 18(6), članek 2929. https://doi.org/10.3390/ijerph18062929
Espie, C. A. (2009). “Stepped care”: A health technology solution for delivering cognitive behavioral therapy as a first line insomnia treatment. Sleep, 32(12), 1549–1558.
Eurostat. (2023). Glossary: Digital literacy. https://ec.europa.eu/eurostat/statistics-explained/index. php?title=Glossary:Digital_literacy
Faaland, P., Vedaa, Ø., Langsrud, K., Sivertsen, B., Lydersen, S., Vestergaard, C. L., Kjørstad, K., Vethe, D., Ritterband, L. M., Harvey, A. G., Stiles, T. C., Scott, J. in Kallestad, H. (2022). Digital cognitive behaviour therapy for insomnia (dCBT-I): Chronotype moderation on intervention outcomes. Journal of Sleep Research, 31(5), članek e13572. https://doi.org/10.1111/jsr.13572
Field, M. J. (1996). Telemedicine: A guide to assessing telecommunications in health care. Division of Health Care Services, Institute of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK45448/pdf/Bookshelf_NBK45448.pdf
Ho, F. Y.-Y., Chung, K.-F., Yeung, W.-F., Ng, T. H., Kwan, K.-S., Yung, K.-P. in Cheng, S. K. (2015). Self-help cognitive-behavioral therapy for insomnia: A meta-analysis of randomized controlled trials. Sleep Medicine Reviews, 19, 17–28.
Holmqvist, M., Vincent, N. in Walsh, K. (2014). Web- vs telehealth-based delivery of cognitive behavioral therapy for insomnia: A randomized controlled trial. Sleep Medicine, 15(2), 187–195.
Horsch, C., Lancee, J., Beun, R. J., Neerincx, M. A. in Brinkman, W. (2015). Adherence to technology-mediated insomnia treatment: A meta-analysis, interviews, and focus groups. Journal of Medical Internet Research, 17(9), članek e214.
Koffel, E., Branson, M., Amundson, E. in Wisdom, J. P. (2020). „Sign me up, I‘m ready!“: Helping patients prescribed sleeping medication engage with cognitive behavioral therapy for insomnia (CBT-I). Behavioral Sleep Medicine, 19(5), 629–639. https://doi.org/10.1080/15402002.2020.1828085
Kutzer, Y., Whitehead, L., Quigley, E., Fu, S. C. in Stanley, M. (2023). Subjective versus objective sleep outcomes in older adults with and without uncoupled sleep following online cognitive behavioural therapy for insomnia. Psychogeriatrics, 23(2), 298–310.
Kutzer, Y., Whitehead, L., Quigley, E. in Stanley, M. (2022). The role of dysfunctional sleep beliefs in mediating the outcomes of web-based cognitive behavioral therapy for insomnia in community-dwelling older adults: Protocol for a single-group, nonrandomized trial. JMIR Research Protocols, 11(12), članek e32705.
Kwon, M., Wang., J., Wilding, G., Dickerson, S. S. in Dean, G. E. (2022). Brief behavioral treatment for insomnia: A meta-analysis. Behavioral Sleep Medicine, 20(6), 674–694.
Lee, S. in Yu, S. (2021). Effectiveness of information and communication technology (ICT) interventions in elderly’s sleep disturbances: A systematic review and meta-analysis. Sensors, 21, članek 6003.
Lichstein, K. L., Scogin, F., Thomas, S. J., DiNapoli, E. A., Dillon, H. R. in McFadden, A. (2013). Telehealth cognitive behavior therapy for co-occurring insomnia and depression symptoms in older adults. Journal of Clinical Psychology, 69(10), 1056–1065. https://doi.org/10.1002/jclp.22030
Lu, M., Zhang, Y., Zhang, J., Huang, S., Huang, F., Wang, T., Wu, F., Mao, H. in Huang, Z. (2023). Comparative effectiveness of digital cognitive behavioral therapy vs medication therapy among patients with insomnia. JAMA Network Open, 6(4), članek e237597.
Luik, A. I., Kyle, S. D. in Espie, C. A. (2017). Digital cognitive behavioral therapy (dCBT) for insomnia: A state-of-the-science review. Current Sleep Medicine Reports, 3(2), 48–56. https://doi.org/10.1007/s40675-017-0065-4
Luik, A. I., van der Zweerde, T., van Straten, A. in Lancee, J. (2019). Digital delivery of cognitive behavioral therapy for insomnia. Current Psychiatry Reports, 21(7), članek 50. https://doi.org/10.1007/s11920-019-1041-0
Mander, B. A., Winer, J. R. in Walker, M. P. (2017). Sleep and human aging. Neuron, 94(1), 19–36.
Mattos, M. K., Manning, C. A., Quigg, M., Davis, E. M., Barnes, L., Sollinger, A., Eckstein, M. in Ritterband, L. M. (2021). Feasibility and preliminary efficacy of an Internet-delivered intervention for insomnia in individuals with mild cognitive impairment. Journal of Alzheimer‘s Disease, 84(4), 1539–1550.
McCurry, S. M., Logsdon, R. G., Teri, L. in Vitiello, M. V. (2007). Evidence-based psychological treatments for insomnia in older adults. Psychology and Aging, 22(1), 18–27. https://doi.org/10.1037/0882-7974.22.1.18
McCurry, S. M., Zhu, W., Von Korff, M., Wellman, R., Morin, C. M., Thakral, M., Yeung, K. in Vitiello, M. V. (2021). Effect of telephone cognitive behavioral therapy for insomnia in older adults with osteoarthritis pain: A randomized clinical trial. JAMA Internal Medicine, 181, 530–538.
Mijnster, T., Boersma, G. J., Meijer, E. in Lancel, M. (2022). Effectivity of (personalized) cognitive behavioral therapy for insomnia in mental health populations and the elderly: An overview. Journal of Personalized Medicine, 12, članek 1070.
Miller, K. E., Kuhn, E., Owen, J. E., Taylor, K., Yu, J. S., Weiss, B. J., Crowley, J. J. in Trockel, M. (2019). Clinician perceptions related to the use of the CBT-I coach mobile app. Behavioral Sleep Medicine, 17(4), 481–491.
Mirchandaney, R., Barete, R. in Asarnow, L. D. (2022). Moderators of cognitive behavioral treatment for insomnia on depression and anxiety outcomes. Current Psychiatry Reports, 24(2), 121–128. https://doi.org/10.1007/s11920-022-01326-3
Morin, C. M. (2017). Issues and challenges in implementing clinical practice guideline for the management of chronic insomnia. Journal of Sleep Research, 26(6), 673–674. https://doi.org/10.1111/jsr.12639
Parsons, C. E., Zachariae, R., Landberger, C. in Young, K. S. (2021). How does cognitive behavioural therapy for insomnia work? A systematic review and meta-analysis of mediators of change. Clinical Psychology Review, 86, članek 102027. https://doi.org/10.1016/j.cpr.2021.102027
Patel, D., Steinberg, J. in Patel, P. (2018). Insomnia in the elderly: A review. Journal of Clinical Sleep Medicine, 14, 1017–1024.
Pchelina, P., Duss, S. B., Bernasconi, C., Berger, T., Krieger, T., Bassetti, C. L. A. in Urech, A. (2023). Guided Internet-based cognitive behavioral therapy for insomnia: Prognostic and treatment-predictive factors. Diagnostics, 13, članek 781.
Perils, M. L. in Smith, M. T. (2008). How can we make CBT-I and other BSM services widely available? Journal of Clinical Sleep Medicine, 4, 11–13.
Petrovčič, A., Vehovar, V. in Dolničar, V. (2016). Landline and mobile phone communication in social companionship network of older adults: An empirical investigation in Slovenia. Technology in Society, 45, 91–102.
Pigeon, W. R. (2010). Treatment of adult insomnia with cognitive–behavioral therapy. Journal of Clinical Psychology, 66 (11), 1148–1160. https://doi.org/10.1002/jclp.20737
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., Espie, C. A., Garcia-Borreguero, D., Gjerstad, M., Gonçalves, M., Hertenstein, E., Jansson-Fröjmark, M., Jennum, P. J., Leger, D., Nissen, C., Parrino, L., Paunio, T., Pevernagie, D., Verbraecken, J., … Spiegelhalder, K. (2017). European guideline for the diagnosis and treatment of insomnia. Journal of Sleep Research, 26(6), 675–700.
Riemann, D. in Perlis, M. L. (2009). The treatments of chronic insomnia: A review of benzodiazepine receptor agonists and psychological and behavioral therapies. Sleep Medicine Reviews, 13(3), 205–214. https://doi.org/10.1016/j.smrv.2008.06.001
Ritterband, L., Shaffer, K., Thorndike, F., Ingersoll, K., Cohn, W., Chow, P., Frederick, C., MacDonnell, K., Glazer, J., Heath, G., Le, N., Finkelstein, E., Gonder-Frederick, L., Quigg, M., Bashir, M. in Morin, C. (2022). An RCT of an Internet intervention for insomnia tailored for older adults (SHUTi-OASIS). Sleep Medicine, 100(1), S108-S109.
Sabia, S., Fayosse, A., Dumurgier, J., van Hees, V. T., Paquet, C., Sommerlad, A., Kivimäki, M., Dugravot, A. in Singh- Manoux, A. (2021). Association of sleep duration in middle and old age with incidence of dementia. Nature Communications, 12(1), članek 2289.
Sadler, P., McLaren, S., Klein, B., Harvey, J. in Jenkins, M. (2018). Cognitive behavior therapy for older adults with insomnia and depression: A randomized controlled trial in community mental health services. Sleep, 41(8).
Salvemini, A., D‘Onofrio, G., Ciccone, F., Greco, A., Tullio, A., Addante, F., Sancarlo, D., Vendemirale, G., Serviddio, G., Ricciardi, F., Giuliani, F. in Greco, A. (2019). Insomnia and information and communication technologies (ICT) in elderly people: A systematic review. Medical Sciences, 7(70).
Savard, J., Ivers, H., Savard, M. H., Morin, C. M., Caplette- Gingras, A., Bouchard, S. in Lacroix, G. (2021). Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: A noninferiority randomized controlled trial. Sleep, 44(11), članek zsab166. https://doi.org/10.1093/sleep/zsab166
Seyffert, M., Lagisetty, P., Landgraf, J., Chopra, V., Pfeiffer, P. N., Conte, L. M. in Rogers, M. A. M. (2016). Internet-delivered cognitive behavioral therapy to treat insomnia: A systematic review and meta-analysis. PLoS One, 11(2), članek e0149139. https://doi.org/10.1371/journal.pone.0149139
Shaffer, K. M., Smith, J. G., Glazer, J. V., Camacho, F., Chow, P. I., Mattos, M., Ingersoll, K. in Ritterband, L. M. (2022). Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety. Journal of Behaviarol Medicine, 45, 728–738.
Shapira, S., Yesuha-Katz, D., Goren, G., Aharonson-Daniel, L., Clarfield, A. M. in Sarid, O. (2021). Evaluation of a short-term digital group intervention to relieve mental distress and promote well-being among community-dwelling older individuals during the COVID-19 outbreak: A study protocol. Frontiers in Public Health, 9, članek 577079. https://doi.org/10.3389/fpubh.2021.577079
Sharafkhaneh, A., Salari, N., Khazaie, S., Ghasemi, H., Darvishi, N., Hosseinian-Far, A., Mohammadi, M. in Khazaie, H. (2022). Telemedicine and insomnia: A comprehensive systematic review and meta-analysis. Sleep Medicine, 90, 117–130.
Sharma, M. P. in Andrade, C. (2012). Behavioral interventions for insomnia: Theory and practice. Indian Journal of Psychiatry, 54(4), 359–366. https://doi.org/10.4103/0019-5545.104825
Soh, H. L., Ho, R. C., Ho, C. S. in Tam, W. W. (2020). Efficacy of digital cognitive behavioural therapy for insomnia: A meta-analysis of randomised controlled trials. Sleep Medicine, 75, 315–325. https://doi.org/10.1016/j.sleep.2020.08.020
Statistični urad Republike Slovenije. (2022a). V 1. polletju število prebivalcev naraslo. https://www.stat.si/StatWeb/News/Index/10636
Statistični urad Republike Slovenije. (2022b). Uporaba IKT med 65–74-letniki večinoma pod povprečjem EU-27. https://www.stat.si/StatWeb/News/Index/10317
Statistični urad Republike Slovenije. (2022c). Število posameznikov po uporabi in vrsti pametnih naprav ali sistemov za zasebne namene, po starostnih razredih in spolu, Slovenija, večletno. https://pxweb.stat.si/SiStatData/pxweb/sl/Data/-/2983605S.px
Statistični urad Republike Slovenije. (2023). Neresnično ali dvomljivo informacijo ali vsebino na internetu videlo skoraj tri četrtine mladih. https://www.stat.si/StatWeb/News/Index/11390
Stone, K. L., Ancoli-Israel, S., Blackwell, T., Ensrud, K. E., Cauley, J. A., Redline, S., Hilier, T. A., Schneider, J., Claman, D. in Cummings, S. R. (2008). Actigraphy-measured sleep characteristics and risk of falls in older women. Archives of Internal Medicine, 168(16), 1768–1775.
Štukovnik, V. (2017). Nefarmakološko zdravljenje nespečnosti pri starostnikih [Nonpharmacological treatment of late-life insomnia]. Farmakološki vestnik, 68(2), 137–143.
Štukovnik, V., Kozole Smid, A. K., Ficjan, M. in Horvat, M. (v tisku). Spremembe v spanju in nespečnosti v pozni odraslosti: Mehanizmi, posledice in možnosti zdravljenja z nefarmakološkimi ukrepi [Sleep changes and insomnia in late adulthood: mechanisms, consequences, and treatment options with non-pharmacological interventions]. Psihološka obzorja.
Tanaka, M., Kusaga, M., Nyamathi, A. M. in Tanaka, K. (2019). Effects of brief cognitive behavioral therapy for insomnia on improving depression among community-dwelling older adults: A randomized controlled comparative study. Worldviews on Evidence-Based Nursing, 16(1), 78–86.
Thorndike, F. P., Saylor, D. K., Bailey, E. T., Gonder- Frederick, L., Morin, C. M. in Ritterband, L. M. (2008). Development and perceived utility and impact of an Internet intervention for insomnia. Journal of Applied Psychology, 4, 32–42.
Troxel, W. M., Germain, A. in Buysse, D. J. (2012). Clinical management of insomnia with brief behavioral treatment (BBTI). Behavioral Sleep Medicine, 10(4), 266–279. https://doi.org/10.1080/15402002.2011.607200
United Nations Department of Economic and Social Affairs, Population Division. (2022). World population prospects 2022: Summary of results (UN DESA/POP/2022/TR/ NO. 3).
van der Zweerde, T., Lancee, J., Luik, A. I. in van Straten, A. (2019). Internet-delivered cognitive behavioral therapy for insomnia: Tailoring cognitive behavioral therapy for insomnia for patients with chronic insomnia. Sleep Medicine Clinics, 14, 301–315.
van der Zweerde, T., Lancee, J., Slottje, P., Bosmans, J. E., van Someren, E. J. W. in van Straten, A. (2020). Nurse-guided Internet-delivered cognitive behavioral therapy for insomnia in general practice: Results from a pragmatic randomized clinical trial. Psychotherapy and Psychosomatics, 89(3), 174–184.
van Deursen, A. J. A. M. in van Dijk, J. A. G. M. (2014). Internet skill levels increase, but gaps widen: A longitudinal cross-sectional analysis (2010–2013) among the Dutch population. Information, Communication & Society, 18(7), 782–797. https://doi.org/10.1080/1369118X.2014.994544.
Voljč, I. (2015). Staranje v digitalni družbi [Aging in a digital society]. Inštitut Emonicum, zavod za aktivno in zdravo življenje.
Walker, J., Muench, A., Perlis, M. L. in Vargas, I. (2022). Cognitive behavioral therapy for insomnia (CBT-I): A primer. Klinicheskaia i spetsial‘naia psikhologiia = Clinical psychology and special education, 11(2), 123– 137. https://doi.org/10.17759/cpse.2022110208
We Are Social in Meltwater. (2023). Digital 2023: Global overview report. https://datareportal.com/reports/digital-2023-global-overview-report?utm_source=Global_Digital_Reports&utm_medium=PDF&utm_campaign=Digital_2023&utm_content=Global_Overview_Foreword
World Health Organization Regional Office for Europe. (2020). Looking back, looking forward: Rapid assessment of the mental health system in Slovenia: Report of a virtual mission by the WHO Regional Office for Europe. https://www.zadusevnozdravje.si/wp-content/uploads/2021/04/WHO-mission-report-on-mental-health-in-Slovenia-2020-1.pdf
Xu, Z. in Anderson, K. N. (2019). Real-world evaluation of digital CBT for insomnia in the primary care setting – Many should not log on to doze off. The Cognitive Behaviour Therapist, 12, članek e39.
Ye, Y-Y., Zhang, Y-F., Chen, J., Liu, J., Li, X-J., Liu, Y-Z., Lang, Y., Lin, L., Yang, X-J. in Jiang, X-J. (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), članek e0142258. https://doi.org/10.1371/journal.pone.0142258
Zachariae, R., Lyby, M. S., Ritterband, L. M. in O‘Toole, M. S. (2016). Efficacy of internet-delivered cognitive-behavioral therapy for insomnia - A systematic review and meta-analysis of randomized controlled trials. Sleep Medicine Reviews, 30, 1–10.
Zdravniška zbornica Slovenije. (2018). Motnje spanja – za stopensko obravnavo v triažnih ambulantah. https://www.zdravniskazbornica.si/docs/default-source/tedenski-bilten-fs/motnje-spanja-ooz_lekt.pdf?sfvrsn=cffc3336_2
Zupančič, M., Kavčič, T. in Fekonja, U. (2020). Razvojna obdobja v odraslosti, telesne spremembe in razvojne naloge [Developmental periods in adulthood, physical changes and developmental tasks]. V L. Marjanovič Umek in M. Zupančič (ur.), Razvojna psihologija (2. izd.). Znanstvena založba Filozofske fakultete.
Zupanič, T. in Korošec, A. (2021). Z zdravjem povezan vedenjski slog 2020: Prva objava. Nacionalni inštitut za javno zdravje. https://www.nijz.si/sites/www.nijz.si/files/uploaded/podatki/podatkovne_zbirke_raziskave/CINDI/cindi2020_prva_objava.pdf
Prenosi
Objavljeno
Številka
Rubrika
Licenca
Avtorske pravice (c) 2024 Monika Ficjan, Annemarie Kim Kozole Smid, Marina Horvat, Vita Štukovnik
To delo je licencirano pod Creative Commons Priznanje avtorstva-Deljenje pod enakimi pogoji 4.0 mednarodno licenco.