Cognitive-behavioral therapy for primary insomnia
Cognitive-behavioral therapy for primary insomnia
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DOI：
10.1016/j.cpr.2005.04.003
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发表时间：
2005-07-01
影响因子：
12.8
通讯作者：
Means, MK
中科院分区：
文献类型：
--
作者：
Edinger, JD;Means, MK
原发性失眠(PI)是一种普遍存在的睡眠困难形式，它损害了日常功能，降低了生活质量，并提高了全球数百万人的医疗保健利用率/成本。尽管PI的潜在病理生理学机制仍然知之甚少，但人们普遍认为，许多认知和行为因素在这种情况下发挥了重要作用。因此，一种多因素的认知行为疗法(CBT)已经成为管理PI患者睡眠/清醒主诉的一种“首选疗法”。本文就CBT治疗PI的性质和相对优点作一综述。此外，本文还回顾了支持CBT治疗PI主诉的一般疗效和临床疗效的研究。与治疗实施相关的问题，以及调节患者对CBT的反应和预测治疗接受/结果的因素也被考虑在内。最后，对CBT在PI中应用中存在的问题进行了讨论，并对未来的研究提出了建议。爱思唯尔有限公司出版。
Primary insomnia (PI) is a prevalent form of sleep difficulty that impairs diurnal functioning, reduces quality of life and enhances health care utilization/costs for millions worldwide. Whereas the underlying pathophysiology of PI remains poorly understood, it is widely accepted that a host of cognitive and behavioral factors play important roles in perpetuating this condition. As such, a multi-factorial, cognitive-behavioral therapy (CBT) has emerged as a "treatment of choice" for managing the sleep/wake complaints of PI sufferers. This article considers the nature and relative merits of CBT for treating PI patients. In addition, this article reviews studies supporting the general efficacy and clinical effectiveness of CBT for treating PI complaints. Issues related to treatment implementation as well as factors that mediate patients' responses to CBT and predict treatment acceptance/outcome are also considered. Finally, remaining questions regarding CBT's application to PI are considered, and suggestions for future research are provided. Published by Elsevier Ltd.