Stanford University School of Medicine, Sleep Medicine Center, Redwood City, California 94063, USA.
Neurotherapeutics. 2012 Oct;9(4):717-27. doi: 10.1007/s13311-012-0142-9.
Insomnia is one of the most common sleep disorders, which is characterized by nocturnal symptoms of difficulties initiating and/or maintaining sleep, and by daytime symptoms that impair occupational, social, or other areas of functioning. Insomnia disorder can exist alone or in conjunction with comorbid medical and/or psychiatric conditions. The incidence of insomnia is higher in women and can increase during certain junctures of a woman's life (e.g., pregnancy, postpartum, and menopause). This article will focus on an overview of cognitive behavioral therapy for insomnia, evidence of effectiveness for this treatment when insomnia disorder is experienced alone or in parallel with a comorbidity, and a review with promising data on the use of cognitive behavioral therapy for insomnia when present during postpartum and menopause.
失眠是最常见的睡眠障碍之一,其特征为夜间入睡困难和/或维持睡眠困难,以及日间症状影响职业、社交或其他功能领域。失眠障碍可单独存在,也可与合并的医学和/或精神疾病同时存在。女性失眠的发病率较高,并且在女性生活的某些阶段(如怀孕、产后和更年期)可能会增加。本文将重点介绍失眠的认知行为疗法概述,以及当失眠障碍单独存在或与合并症同时存在时,这种治疗方法的有效性证据,并回顾在产后和更年期存在失眠时使用认知行为疗法的有希望的数据。