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本综述旨在总结失眠认知行为疗法(cognitive behavioral therapy for insomnia,CBT-I)在治疗躯体疾病合并失眠方面的研究进展。CBT-I作为一种心理治疗方法,通过改变与睡眠相关的思想和行为来改善睡眠质量,已被证实对躯体疾病合并失眠患者的睡眠质量及躯体疾病相关症状具有积极效果。因此,建议将CBT-I作为躯体疾病合并失眠患者的一线治疗方法,目前CBT-I在多个医学领域的研究中,特别是在肿瘤学、心脑血管疾病管理以及慢性疼痛治疗方面,已展现出积极的治疗效果。因此,将CBT-I推广至更广泛医学领域与基层医疗机构,具有重要的现实意义。
Abstract:This review aims to summarize the research progress of cognitive behavioral therapy for insomnia(CBT-I) in the treatment of somatic diseases combined with insomnia. As a psychological treatment method, CBT-I improves sleep quality by changing thoughts and behaviors related to sleep, and has been proven to have positive effects on sleep quality and somatic disease-related symptoms in patients with somatic diseases combined with insomnia. Therefore, it is recommended that CBT-I be used as the first-line treatment for patients with somatic diseases combined with insomnia. Currently, CBT-I has shown positive therapeutic effects in research across multiple medical fields, especially in oncology, cardiovascular and cerebrovascular disease management, and chronic pain treatment. Therefore, promoting CBT-I to broader medical fields and primary care medical institutions has important practical significance.
[1]American Academy of Sleep Medicine. International classification of sleep disorders[M]. 3rd ed., text revision.Darien:American Academy of Sleep Medicine,2014.
[2]苗素云,刘志强,赵君,等.慢性失眠原因的3P模式分析和认知行为疗法治疗策略[J].国际神经病学神经外科学杂志,2020,47(6):628-632.
[3]Spielman AJ, Caruso LS, Glovinsky PB. A behavioral perspective on insomnia treatment[J]. Psychiatr Clin North Am, 1987, 10(4):541-553
[4]中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南(2023版)[J].中华神经科杂志,2024,57(6):560-584.
[5]Al Maqbali M,Al Sinani M,Alsayed A,et al. Prevalence of sleep disturbance in patients with cancer:a systematic review and meta-analysis[J]. Clinical Nursing Research,2022,31(6):1107-1123.
[6]Nissen E R,Neumann H,Knutzen S M,et al. Interventions for insomnia in cancer patients and survivors—a comprehensive systematic review and meta-analysis[J].JNCI Cancer Spectrum,2024,8(3):41.
[7]Ma Y,Hall D L,Ngo L H,et al. Efficacy of cognitive behavioral therapy for insomnia in breast cancer:a metaanalysis[J]. Sleep Medicine Reviews,2021(55):101376.
[8]Savard J,Ivers H,Savard M H,et al. Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients:a noninferiority randomized controlled trial[J]. Sleep,2021,44(11):166.
[9]Bean H R, Diggens J, Ftanou M, et al. Light enhanced cognitive behavioral therapy for insomnia and fatigue during chemotherapy for breast cancer:a randomized controlled trial[J]. Sleep, 2022, 45(3):zsab246.
[10]Nguyen S, Wong D, McKay A, et al. Cognitive behavioural therapy for post-stroke fatigue and sleep disturbance:a pilot randomised controlled trial with blind assessment[J].Neuropsychological rehabilitation, 2019, 29(5):723-738.
[11]Fleming M K,Smejka T,Macey E,et al. Improving sleep after stroke:a randomised controlled trial of digital cognitive behavioural therapy for insomnia[J]. Journal of Sleep Research,2024,33(2):13971.
[12]Burgess H J, Burns J W, Buvanendran A, et al. Associations between sleep disturbance and chronic pain intensity and function:a test of direct and indirect pathways[J]. The Clinical Journal of Pain, 2019, 35(7):569-576.
[13]Selvanathan J,Pham C,Nagappa M,et al. Cognitive behavioral therapy for insomnia in patients with chronic pain–a systematic review and meta-analysis of randomized controlled trials[J]. Sleep Medicine Reviews,2021(60):101460.
[14]Redeker N S,Conley S,Anderson G,et al. Effects of cognitive behavioral therapy for insomnia on sleep,symptoms, stress, and autonomic function among patients with heart failure[J]. Behavioral Sleep Medicine,2020,18(2):190-202.
[15]Redeker N S,Yaggi H K,Jacoby D,et al. Cognitive behavioral therapy for insomnia has sustained effects on insomnia, fatigue, and function among people with chronic heart failure and insomnia:the heart sleep study[J].Sleep,2022,45(1):252.
[16]曹璐,周滢鑫,任鹏,等.认知行为疗法对心血管疾病病人失眠疗效影响的Meta分析[J].循证护理,2022,8(5):569-574.
[17]Latocha K M,L?ppenthin K B,?stergaard M,et al. The effect of group-based cognitive behavioural therapy for insomnia in patients with rheumatoid arthritis:a randomized controlled trial[J]. Rheumatology,2022,62(3):1097-1107.
[18]王瑜,周悦,钱苏雅,等.认知行为疗法对慢性阻塞性肺疾病伴失眠患者的睡眠改善效果[J].中国乡村医药,2023,30(8):28-29.
基本信息:
DOI:10.20256/j.cnki.zgdxbl.20251016.001
中图分类号:R740
引用信息:
[1]李婷婷,常翼.认知行为疗法治疗躯体疾病合并失眠的研究进展[J].中国典型病例大全,2025,19(03):717-720.DOI:10.20256/j.cnki.zgdxbl.20251016.001.
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