van der Zweerde Tanja, Lancee Jaap, Ida Luik Annemarie, van Straten Annemieke
Department of Clinical Psychology, EMGO Institute for Health and Care Research, VU University, Van der Boechorststraat 7, Amsterdam 1081 BT, the Netherlands.
Department of Clinical Psychology, University of Amsterdam, Nieuwe Achtergracht 129, Amsterdam 1018 WS, the Netherlands; PsyQ Amsterdam, Amsterdam, the Netherlands.
Sleep Med Clin. 2019 Sep;14(3):301-315. doi: 10.1016/j.jsmc.2019.04.002. Epub 2019 Jun 5.
Chronic insomnia is preferably treated with cognitive behavioral therapy for insomnia (CBTI), but many insomnia sufferers receive medication instead, likely because of high costs, lack of knowledge about optimal insomnia treatment among physicians, and lack of CBTI-trained professionals in mental health care. A possible solution is to offer CBTI through the Internet: I-CBTI. I-CBTI is generally acceptable to patients and greatly improves insomnia symptoms. We review the state of knowledge around I-CBTI and its effects. CBTI's effectiveness is influenced by treatment characteristics and patient-specific factors. We review potential factors that help identify which patients may benefit from I-CBTI.
慢性失眠最好采用失眠认知行为疗法（CBTI）进行治疗，但许多失眠患者却选择了药物治疗，这可能是由于费用高昂、医生对最佳失眠治疗方法缺乏了解，以及精神卫生保健领域缺乏接受过CBTI培训的专业人员。一个可能的解决方案是通过互联网提供CBTI：即I-CBTI。I-CBTI通常为患者所接受，并能显著改善失眠症状。我们综述了关于I-CBTI及其效果的知识现状。CBTI的有效性受治疗特征和患者特定因素的影响。我们综述了有助于确定哪些患者可能从I-CBTI中获益的潜在因素。
