Cognitive Behavioural Therapy for Insomnia in Psychiatric Disorders.
Cognitive Behavioural Therapy for Insomnia in Psychiatric Disorders.
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DOI：
10.1007/s40675-016-0055-y
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发表时间：
2016
影响因子：
1.8
通讯作者：
Norell-Clarke, Annika
中科院分区：
文献类型：
--
作者：
Jansson-Frojmark, Markus;Norell-Clarke, Annika
失眠意味着难以开始或维持睡眠，通常与精神疾病合并症。从继发性精神疾病到原发性精神疾病，共病性失眠现在被认为是一个独立的健康问题，需要单独治疗。失眠认知行为疗法（CBT-I）是一种基于证据的失眠治疗方法。由于失眠与精神疾病的合并症与更严重的精神症状相关，CBT-I对共病精神疾病的影响受到越来越多的关注，并且有研究表明CBT-I对失眠和精神症状都有影响。近年来，关于共病精神群体的CBT-I的文献已经扩大，并在方法上取得了进步。本文综述了CBT-I对焦虑、抑郁、双相情感障碍、精神障碍和创伤后应激障碍患者的睡眠、白天症状和功能以及精神合并症的影响。提出了今后的研究策略。
Insomnia means difficulties in initiating or maintaining sleep and is commonly comorbid with psychiatric disorders. From being considered secondary to primary psychiatric disorders, comorbid insomnia is now considered an independent health issue that warrants treatment in its own right. Cognitive behavioural therapy for insomnia (CBT-I) is an evidence-based treatment for insomnia. The effects from CBT-I on comorbid psychiatric conditions have received increasing interest as insomnia comorbid with psychiatric disorders has been associated with more severe psychiatric symptomologies, and there are studies that indicate effects from CBT-I on both insomnia and psychiatric symptomology. During recent years, the literature on CBT-I for comorbid psychiatric groups has expanded and has advanced methodologically. This article reviews recent studies on the effects from CBT-I on sleep, daytime symptoms and function and psychiatric comorbidities for people with anxiety, depression, bipolar disorder, psychotic disorders and post-traumatic stress disorder. Future strategies for research are suggested.