Melton Laura
University of Colorado Denver, Anschutz Medical Campus, Denver, Colorado.
J Adv Pract Oncol. 2018 Nov-Dec;9(7):732-740. Epub 2018 Nov 1.
This article reviews cognitive behavioral therapy techniques for sleep in the cancer realm. There are unique factors associated with cancer that can exacerbate sleep issues. Stimulus control, sleep restriction, relaxation, paradoxical intention, and cognitive therapy are discussed as specific components of cognitive behavioral therapy for sleep, and practical techniques for implementation are provided. Individual considerations in implementing these techniques are also discussed, including factors such as age, ethnicity, gender, relationship status, educational level, work status, cancer history, pharmacologic treatments, and health beliefs.
本文综述了癌症领域中用于改善睡眠的认知行为疗法技术。癌症存在一些独特因素,可能会加剧睡眠问题。文中讨论了刺激控制、睡眠限制、放松、矛盾意向和认知疗法等作为睡眠认知行为疗法的具体组成部分,并提供了实施的实用技巧。还讨论了实施这些技术时的个体考量因素,包括年龄、种族、性别、恋爱状况、教育水平、工作状态、癌症病史、药物治疗和健康观念等。