Incorporating Principles from Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A Case Example
Incorporating Principles from Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A Case Example
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DOI：
10.1007/s10879-010-9145-1
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发表时间：
2010-12-01
影响因子：
2
通讯作者：
Posner, Donn
中科院分区：
文献类型：
--
作者：
Dalrymple, Kristy;Fiorentino, Lavinia;Posner, Donn
虽然传统的失眠认知行为治疗已经证明对许多患有原发性失眠和共病失眠的人有效，但并非所有人都能从治疗中获益，有些人随后会复发失眠。此外，许多人在实施睡眠限制和刺激控制策略方面遇到困难，特别是长期以来。目前的文章描述了一种新的行为疗法，接受和承诺疗法（ACT）的原则，可以与传统的失眠行为治疗策略相结合。ACT的一个主要目标是增加体验不愉快的想法，感觉和身体感觉的意愿，并促进参与个人价值的行为，同时不带评判地观察这些不愉快的经历。ACT有可能通过培养经历短期不适的意愿来加强失眠的行为治疗（例如，疲劳），同时实施睡眠限制和刺激控制策略。一个案例的例子来说明如何从ACT这些原则可以整合与行为技术在治疗失眠。
Although traditional cognitive behavioral treatments for insomnia have demonstrated efficacy for many individuals with primary and comorbid insomnia, not all individuals benefit from treatment and some experience a subsequent relapse of insomnia. Furthermore, many individuals experience difficulty in implementing the sleep restriction and stimulus control strategies, especially over the long-term. The current article describes ways in which principles from a newer type of behavior therapy, Acceptance and Commitment Therapy (ACT), can be integrated with traditional behavioral treatment strategies for insomnia. A major goal of ACT is to increase willingness to experience unpleasant thoughts, feelings, and physical sensations, and to promote engagement in personally-valued behaviors while non-judgmentally observing these unpleasant experiences. ACT has the potential to enhance the behavioral treatment of insomnia by fostering willingness to experience short-term discomfort (e.g., fatigue) that occurs while implementing sleep restriction and stimulus control strategies. A case example is presented to illustrate how these principles from ACT can be integrated with behavioral techniques in the treatment of insomnia.