Kim Hye-Geum
Department of Psychiatry, Yeungnam University College of Medicine, Daegu, Korea.
Yeungnam Univ J Med. 2021 Oct;38(4):282-288. doi: 10.12701/yujm.2020.00850. Epub 2021 Jan 14.
Medication alone is not sufficient to treat insomnia. In addition, the side effects of sleep medications themselves cannot be ignored during treatment. Insomnia begins with poor sleep quality and discomfort, but as it continues, patients fall into a vicious circle of insomnia with negative thoughts and dysfunctional and distorted perceptions related to sleep. Mindfulness-based intervention for insomnia corrects these sequential cognitive and behavioral processes. The mindfulness technique basically recognizes all the thoughts, feelings, and experiences that occur to us as they are, nonjudgmentally, and then trains them to return to the senses of our body. In this way, while noticing all the processes of the sequential vicious cycle and training them to return to our bodies (e.g., breathing), mindfulness determines whether we are really sleepy or just fatigued. This mindfulness-based intervention can be a useful nonpharmaceutical intervention for insomnia, and its stability and efficacy has been proven by many studies.
仅靠药物治疗不足以治疗失眠。此外，睡眠药物本身的副作用在治疗过程中也不容忽视。失眠始于睡眠质量差和不适，但随着时间的推移，患者会陷入失眠的恶性循环，伴有与睡眠相关的消极想法以及功能失调和扭曲的认知。基于正念的失眠干预可纠正这些相继出现的认知和行为过程。正念技巧基本上是不加评判地如实识别我们所产生的所有想法、感受和经历，然后训练它们回归到我们身体的感觉上。通过这种方式，在留意相继出现的恶性循环的所有过程并训练它们回归到我们的身体（如呼吸）时，正念能确定我们是真的困倦还是只是疲劳。这种基于正念的干预可以成为一种有用的非药物性失眠干预方法，其稳定性和疗效已得到许多研究的证实。
