运动作为失眠症认知行为疗法的辅助治疗。

Exercise as an Adjunct Treatment to Cognitive Behavior Therapy for Insomnia.

机构信息

Health Sciences Unit, Universidade Federal de Jataí, BR 364, km 195, n. 3800, CEP 75801-61, Jataí- GO, Brazil.

Edson College of Nursing and Health Innovation, Arizona State University, 550 N 3rd Road Street, Phoenix, AZ 85004, USA.

出版信息

Sleep Med Clin. 2023 Mar;18(1):39-47. doi: 10.1016/j.jsmc.2022.09.001.

DOI:10.1016/j.jsmc.2022.09.001

PMID:36764785

Abstract

The question that guided this review is whether exercise can add to the improvements in insomnia in patients treated with cognitive behavioral therapy for insomnia (CBT-I). CBT-I has long been recommended as the first-line treatment of chronic insomnia. However, CBT-I is not effective for as many as 30% to 40% of patients with insomnia. There is accumulating evidence for positive effects on insomnia following acute and chronic exercise. However, to the best of our knowledge, the effects of CBT-I combined with exercise have not been explored in clinical trials. In this article, we develop a rationale for combining CBT-I with exercise.

摘要

本综述的问题是，运动是否可以增强接受认知行为疗法治疗失眠（CBT-I）的患者的失眠改善。CBT-I 长期以来一直被推荐为慢性失眠的一线治疗方法。然而，CBT-I 对多达 30%至 40%的失眠患者并不有效。有越来越多的证据表明，急性和慢性运动对失眠有积极影响。然而，据我们所知，CBT-I 与运动相结合的效果尚未在临床试验中得到探索。在本文中，我们提出了将 CBT-I 与运动相结合的理由。