An open trial of cognitive therapy for chronic insomnia
An open trial of cognitive therapy for chronic insomnia
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DOI：
10.1016/j.brat.2007.04.007
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发表时间：
2007-10-01
影响因子：
4.1
通讯作者：
Clark, David M.
中科院分区：
文献类型：
--
作者：
Harvey, Allison G.;Sharpley, Ann L.;Clark, David M.
我们描述了认知疗法干预慢性失眠的发展。该疗法基于一种认知模型，该模型认为，维持失眠的过程包括：(1)担忧和沉思，(2)注意力偏差和对睡眠相关威胁的监测，(3)对睡眠的无益信念，(4)对睡眠和白天缺陷的误解，以及(5)使用安全行为，维持无益的信念。认知疗法治疗失眠的目的是在夜间和白天逆转所有五个维持过程。在一项公开试验中，19名符合原发性失眠诊断标准的患者接受了失眠认知疗法的治疗。分别于治疗前、治疗后和3、6、12个月进行评估。在治疗后的评估中，夜间和日间损害的显著改善一直保留到12个月。爱思唯尔有限公司出版。
We describe the development of a cognitive therapy intervention for chronic insomnia. The therapy is based on a cognitive model which suggests that the processes that maintain insomnia include: (1) worry and rumination, (2) attentional bias and monitoring for sleep-related threat, (3) unhelpful beliefs about sleep, (4) misperception of sleep and daytime deficits and (5) the use of safety behaviors that maintain unhelpful beliefs. The aim of cognitive therapy for insomnia is to reverse all five maintaining processes during both the night and the day. In an open trial 19 patients meeting diagnostic criteria for primary insomnia were treated with cognitive therapy for insomnia. Assessments were completed pretreatment, posttreatment and at 3-, 6- and 12-month followup. The significant improvement in both nighttime and daytime impairment evident at the posttreatment assessment was retained up to the 12 month followup. Published by Elsevier Ltd.