针刺作为失眠认知行为疗法的辅助治疗。

Acupuncture as an Adjunct Treatment to Cognitive-Behavioral Therapy for Insomnia.

机构信息

Department of Psychology, Faculty of Science, Memorial University, 232 Elizabeth Avenue, St John's, Newfoundland A1B 3X9, Canada.

Department of Medicine, Memorial Sloan Kettering Cancer Center, 321 East 61st, Room 456, New York, NY 10065, USA.

出版信息

Sleep Med Clin. 2023 Mar;18(1):113-122. doi: 10.1016/j.jsmc.2022.10.005.

DOI:10.1016/j.jsmc.2022.10.005

PMID:36764782

Abstract

Cognitive-behavioral therapy for insomnia (CBT-I) is the main recommended treatment for patients presenting with insomnia; however, the treatment is not equally effective for all, and several factors can contribute to a diminished treatment response. The rationale for combining CBT-I treatment with acupuncture is explored, and evidence supporting its use in treating insomnia and related comorbidities is discussed. Practical, regulatory, and logistical issues with implementing a combined treatment are examined, and future directions for research are made. Growing evidence supports the effectiveness of acupuncture in treating insomnia and comorbid conditions, and warrants further investigation of acupuncture as an adjunct to CBT-I.

摘要

认知行为疗法治疗失眠症（CBT-I）是目前推荐的失眠症患者的主要治疗方法；然而，这种治疗方法并非对所有人都同样有效，有几个因素会导致治疗效果减弱。本文探讨了将 CBT-I 治疗与针灸相结合的基本原理，并讨论了其在治疗失眠症和相关合并症方面的应用证据。本文还检查了实施联合治疗的实际、监管和后勤问题，并提出了未来的研究方向。越来越多的证据支持针灸治疗失眠症和合并症的有效性，因此有必要进一步研究针灸作为 CBT-I 的辅助手段。