Taylor Daniel J, Pruiksma Kristi E
Department of Psychology, University of North Texas , Denton, Texas.
Int Rev Psychiatry. 2014 Apr;26(2):205-13. doi: 10.3109/09540261.2014.902808.
Insomnia is highly co-morbid with psychiatric disorders, making it a frequent issue in treatment planning in psychiatric clinics. Research has also shown that although insomnia may originally precede or be a consequence of a psychiatric disorder, insomnia likely becomes semi-independent, and may exacerbate those disorders if it is not addressed, leading to reduced treatment response. Cognitive behavioural therapy for insomnia (CBT-I) is now recommended as the first line of treatment of primary insomnia. The research reviewed below indicates that CBT-I in patients with co-morbid depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse disorders is generally effective for insomnia and sometimes the co-morbid disorder as well. Although more research is needed before definitive recommendations can be made, it appears as though CBT-I is a viable approach to treating the patient with co-morbid insomnia and psychiatric disorders.
失眠与精神疾病高度共病，这使其成为精神科诊所治疗规划中经常遇到的问题。研究还表明，虽然失眠最初可能先于精神疾病出现或为其结果，但失眠可能会变得半独立，如果不加以解决，可能会加重这些疾病，导致治疗反应降低。失眠的认知行为疗法（CBT-I）现在被推荐为原发性失眠的一线治疗方法。下面回顾的研究表明，CBT-I对伴有共病性抑郁、焦虑、创伤后应激障碍（PTSD）和物质使用障碍的患者的失眠通常有效，有时对共病性疾病也有效。虽然在做出明确建议之前还需要更多研究，但CBT-I似乎是治疗伴有共病性失眠和精神疾病患者的一种可行方法。
