University of Bath, Department of Psychology, Bath, North East Somerset, United Kingdom.
Flinders University, School of Psychology, Adelaide, South Australia, Australia.
Sleep Med Rev. 2015 Oct;23:46-53. doi: 10.1016/j.smrv.2014.11.006. Epub 2014 Nov 29.
Cognitive processes play an important role in the maintenance, and treatment of sleep difficulties, including insomnia. In 2002, a comprehensive model was proposed by Harvey. Since its inception the model has received >300 citations, and provided researchers and clinicians with a framework for understanding and treating insomnia. The aim of this review is two-fold. First, we review the current literature investigating each factor proposed in Harvey's cognitive model of insomnia. Second, we summarise the psychometric properties of key measures used to assess the model's factors and mechanisms. From these aims, we demonstrate both strengths and limitations of the current knowledge of appropriate measurements associated with the model. This review aims to stimulate and guide future research in this area; and provide an understanding of the resources available to measure, target, and resolve cognitive factors that may maintain chronic insomnia.
认知过程在维持和治疗睡眠困难方面起着重要作用,包括失眠。2002 年,Harvey 提出了一个综合模型。自成立以来,该模型已被引用超过 300 次,并为研究人员和临床医生提供了一个理解和治疗失眠的框架。本次综述有两个目的。首先,我们回顾了目前关于 Harvey 失眠认知模型中提出的每个因素的研究文献。其次,我们总结了用于评估该模型因素和机制的关键测量方法的心理测量学特性。通过这些目标,我们展示了与该模型相关的适当测量方法的当前知识的优势和局限性。本综述旨在激发和指导该领域的未来研究,并提供对可用于测量、针对和解决可能维持慢性失眠的认知因素的资源的理解。