认知行为疗法联合药物治疗失眠

Cognitive behavioral therapy combined with drugs for insomnia

失眠是常见的睡眠问题之一,能够降低生活质量,损害身体健康,并影响社会关系,带来经济损失。失眠的治疗方式多样,认知行为疗法(CBTI)治疗联合药物治疗是治疗失眠的一种有效的治疗方式。通过联合治疗,能够降低患者对药物的依赖,减少甚至停用失眠药物。文章就CBTI联合不同药物的治疗效果,CBTI联合药物治疗对药物减量和停用的影响,CBTI联合药物治疗在失眠共病焦虑抑郁中的应用,对特殊人群进行CBTI联合药物治疗效果等方面进行阐述。

Insomnia is one of the most common sleep problems,which reduced quality of life,harmed physical health,affected social relationships,and resulted in economic losses for society.Insomnia can be treated in various ways,and CBTI combined with medication is an effective treatment for insomnia.Through the combination treatment,it can improve the compliance of the patients,and reduce the drugdependence of the patients and decrease or even stop using insomnia drugs.This paper describes the therapeutic effect of CBTI combined with different drugs,the ffect of CBTI combined drug therapy on drug reduction and discontinuation,the application of combined CBTI and drug in insomnia comorbid with anxiety and depression,and the effect of CBTI combined drug therapy on special populations.