Sleep Disorders Center, Cleveland Clinic, Cleveland, Ohio.
Department of Psychiatry, University of Missouri, Columbia, Missouri.
J Cogn Psychother. 2022 Feb 1;36(1):3-23. doi: 10.1891/JCPSY-D-20-00055.
Cognitive behavioral therapy for Insomnia (CBT-I) is the gold standard treatment for insomnia. There is limited access to qualified providers to deliver CBT-I; moreover, there are patient populations who struggle with access to insomnia care due to limited time and resources. This includes caregivers for persons with Alzheimer's disease, for whom sleep disturbance is a common concern. Utilizing telehealth to deliver CBT-I may be particularly important for vulnerable populations such as caregivers of persons with dementia, as it can offer an accessible, safe, and cost-effective treatment option that can be tailored to meet the needs of a specific population. This case study illustrates the successful implementation of a four-session CBT-I protocol through telehealth with a caregiver of a person with Alzheimer's disease. Given the success of this case and the conditions for psychological care the recent pandemic has created, continued research into the efficacy of sleep-related interventions through telehealth is warranted.
认知行为疗法治疗失眠（CBT-I）是失眠的金标准治疗方法。合格的 CBT-I 提供者数量有限；此外，由于时间和资源有限，一些患者群体难以获得失眠治疗。这包括阿尔茨海默病患者的护理人员，他们的睡眠障碍是一个常见问题。对于痴呆症患者的护理人员等弱势群体，使用远程医疗提供 CBT-I 可能尤为重要，因为它提供了一种易于获取、安全且具有成本效益的治疗选择，可以根据特定人群的需求进行调整。本案例研究说明了通过远程医疗成功实施了针对阿尔茨海默病患者护理人员的四节 CBT-I 方案。鉴于该案例的成功以及最近大流行带来的心理保健条件，有必要通过远程医疗继续研究与睡眠相关的干预措施的疗效。
