中国现代神经疾病杂志 ›› 2023, Vol. 23 ›› Issue (8): 663-667. doi: 10.3969/j.issn.1672-6731.2023.08.002

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2 成人失眠认知行为疗法关键技术与流程改进建议

张鹏1,*(), 陈涛2, 许莉1   

  1. 1. 454003 焦作, 联勤保障部队第九八八医院神经内科 全军精神疾病防治研究所
    2. 454003 焦作, 联勤保障部队第九八八医院精神心理科 全军精神疾病防治研究所
  • 收稿日期:2023-03-26 出版日期:2023-08-25 发布日期:2023-08-25
  • 通讯作者: 张鹏
  • 基金资助:
    2019年河南省医学科技攻关计划联合共建项目(LHGJ20190864)

Key techniques in cognitive behavioral therapy for insomnia in adults and recommendations for workflow improvements

Peng ZHANG1,*(), Tao CHEN2, Li XU1   

  1. 1. Department of Neurology, Mental Diseases Prevention and Treatment Institute of PLA, Joint Logistics Support Force No. 988 Hospital, Jiaozuo 454003, He'nan, China
    2. Department of Neuropsychology, Mental Diseases Prevention and Treatment Institute of PLA, Joint Logistics Support Force No. 988 Hospital, Jiaozuo 454003, He'nan, China
  • Received:2023-03-26 Online:2023-08-25 Published:2023-08-25
  • Contact: Peng ZHANG
  • Supported by:
    He′nan Medical Science and Technology Research Program Joint Construction Project(LHGJ20190864)

摘要:

失眠认知行为疗法(CBT-I)具有较高的循证医学证据等级,但在实际应用中却受到限制。本文分析CBT-I关键技术及面临困境,并提出对应的流程改进建议,以推进CBT-I的临床应用,使更多失眠患者获益。

关键词: 入睡和睡眠障碍, 认知行为疗法, 临床路径, 成年人, 综述

Abstract:

Cognitive behavioral therapy for insomnia (CBT-I) boasts convincing evidence from randomized controlled clinical trials, yet its practical application encounters substantial barriers. This paper analyzes the key techniques and challenges of CBT-I, proposing the following workflow improvements to enhance its clinical application and benefit more insomnia patients.

Key words: Sleep initiation and maintenance disorders, Cognitive behavioral therapy, Critical pathways, Adult, Review