Cognitive-behavioral therapy for primary insomnia

被引:188
作者
Edinger, JD
Means, MK
机构
[1] VA Med Ctr, Psychol Serv 116B, Durham, NC USA
[2] Duke Univ, Med Ctr, Durham, NC USA
关键词
cognitive-behavioral therapy; CBT; primary insomnia;
D O I
10.1016/J.CPR.2005.04.003
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Primary insomnia (PI) is a prevalent form of sleep difficulty that impairs diurnal functioning, reduces quality of life and enhances health care utilization/costs for millions worldwide. Whereas the underlying pathophysiology of PI remains poorly understood, it is widely accepted that a host of cognitive and behavioral factors play important roles in perpetuating this condition. As such, a multi-factorial, cognitive-behavioral therapy (CBT) has emerged as a "treatment of choice" for managing the sleep/wake complaints of PI sufferers. This article considers the nature and relative merits of CBT for treating PI patients. In addition, this article reviews studies supporting the general efficacy and clinical effectiveness of CBT for treating PI complaints. Issues related to treatment implementation as well as factors that mediate patients' responses to CBT and predict treatment acceptance/outcome are also considered. Finally, remaining questions regarding CBT's application to PI are considered, and suggestions for future research are provided. Published by Elsevier Ltd.
引用
收藏
页码:539 / 558
页数:20
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