正念作为 CBT-I 的辅助或替代疗法。

Mindfulness as an Adjunct or Alternative to CBT-I.

机构信息

Department of Neurology, Center for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, 710 N. Lake Shore Dr, Chicago, IL 60625, USA; Behavioral Sleep Medicine, Nox Health, 5000 Research Court, Suite 500, Suwanee, GA 30024, USA.

Thomas Roth Sleep Disorders Center, Henry Ford Health System, 39450 W 12 Mile Road, Novi, Detroit, MI 48377, USA; Department of Pulmonary & Critical Care and Sleep Medicine, Wayne State University School of Medicine, Detroit, MI, USA.

出版信息

Sleep Med Clin. 2023 Mar;18(1):59-71. doi: 10.1016/j.jsmc.2022.09.002.

DOI:10.1016/j.jsmc.2022.09.002

PMID:36764787

Abstract

Mindfulness-based interventions (MBIs) are programs that teach mindfulness concepts through guided meditation and self-regulation practices. MBIs have been found to improve sleep and reduce cognitive arousal, which are central to the development and perpetuation of insomnia. In this article, we review theoretic frameworks and clinical trial effectiveness data supporting MBIs for insomnia. Based on this review, we provide suggestions for using MBIs as an adjunct or alternative treatment option to CBT-I with regard to how, when, and for whom. We conclude with an agenda for future directions that can clarify the use of mindfulness as a treatment option for insomnia.

摘要

正念干预（MBIs）是通过引导式冥想和自我调节实践教授正念概念的项目。MBIs 已被发现可改善睡眠并减少认知唤醒，这是失眠发展和持续的核心。在本文中，我们回顾了支持 MBI 治疗失眠的理论框架和临床试验有效性数据。基于这一综述，我们就如何、何时以及针对哪些患者将 MBI 作为 CBT-I 的辅助或替代治疗选择提供了建议。最后，我们为未来的研究方向制定了议程，以明确正念作为失眠治疗选择的用途。