Yang Lulu, Kang Yinzhi, Zhang Wanling, Zhang Bin
Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Shenzhen Mental Health Center/Shenzhen Kangning Hospital, Shenzhen 518118, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2020 Jan 30;40(1):142-146. doi: 10.12122/j.issn.1673-4254.2020.01.23.
Insomnia disorder is one of the most common sleep disorders with an increasing incidence to cause substantial economic losses and social burden. The therapy for insomnia disorder mainly includes medication treatment and cognitive behavioral therapy. Medications are associated with various adverse effects and can be easily addictive. Cognitive behavioral therapy has been proposed as the first-line treatment for insomnia disorder. But due to the disadvantages of face-to-face cognitive behavioral therapy including a high cost and the lack of standardization, internet-based cognitive behavioral therapy has emerged as an alternative with an almost equivalent efficacy to face-to-face cognitive behavioral therapy and better effects than medication. This review summarizes the basic principles of cognitive behavioral therapy for insomnia and discusses the development, forms, effects as well as the advantages and disadvantages of internet-based cognitive behavioral therapy.
失眠症是最常见的睡眠障碍之一，其发病率不断上升，会造成巨大的经济损失和社会负担。失眠症的治疗主要包括药物治疗和认知行为疗法。药物治疗会产生各种不良反应，且容易成瘾。认知行为疗法已被提议作为失眠症的一线治疗方法。但由于面对面认知行为疗法存在成本高和缺乏标准化等缺点，基于互联网的认知行为疗法应运而生，其疗效几乎与面对面认知行为疗法相当，且比药物治疗效果更好。本文综述了失眠症认知行为疗法的基本原则，并探讨了基于互联网的认知行为疗法的发展、形式、效果以及优缺点。
