慢性失眠的认知行为治疗研究进展

Progress in cognitive behavioral therapy of chronic insomnia

未经治疗的慢性失眠对人们正常的身体和情绪健康、生活质量有着极其不良影响。慢性失眠症的一线治疗方案是认知行为治疗(CBT-I)。本文主要介绍传统CBT-I的细分具体疗法(主要包括睡眠限制疗法、刺激控制疗法、认知疗法、放松疗法、睡眠卫生疗法等),同时总结目前临床上对CBT-I运用的新进展,为临床治疗者提供更好的实施认知行为治疗的理论依据。

Untreated chronic insomnia exerts an extremely bad effect on people＇s physical and psychological health,as well as their life quality.The first-line treatment for chronic insomnia is cognitive behavioral therapy（ CBT-I）. This article will focus on the traditional CBT-I subdivided specific therapies（ mainly including sleep restriction therapy,stimulation control therapy,cognitive therapy,relaxation therapy,sleep hygiene therapy,etc.）,and summarize the current clinical application of CBT-I,to provide a better theoretical basis for the implementation of cognitive behavioral therapy.