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本文引用的文献

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Guided Internet-Based Cognitive Behavioral Therapy for Insomnia: Health-Economic Evaluation From the Societal and Public Health Care Perspective Alongside a Randomized Controlled Trial.基于互联网的失眠认知行为疗法指导：随机对照试验的社会和公共卫生保健视角下的健康经济学评价。
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Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.成人慢性失眠障碍的行为和心理治疗：美国睡眠医学学会的系统评价、荟萃分析和 GRADE 评估。
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Cost-effectiveness of digital cognitive behavioral therapy (Sleepio) for insomnia: a Markov simulation model in the United States.数字认知行为疗法（Sleepio）治疗失眠的成本效益：美国的马尔可夫模拟模型。
Sleep. 2021 Apr 9;44(4). doi: 10.1093/sleep/zsaa223.
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Cognitive behavioural therapy monotherapy for insomnia: A meta-analysis of randomized controlled trials.认知行为疗法单独治疗失眠症：一项随机对照试验的荟萃分析。
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The effect of self-help cognitive behavioral therapy for insomnia on depressive symptoms: An updated meta-analysis of randomized controlled trials.自助认知行为疗法治疗失眠对抑郁症状的影响：一项随机对照试验的更新荟萃分析。
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Cognitive behavioral therapy for insomnia: A meta-analysis of long-term effects in controlled studies.失眠的认知行为疗法：对照研究中长期疗效的荟萃分析。
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Cost-effectiveness of cognitive-behavioural therapy for sleep disorder added to usual care in patients with schizophrenia: the BEST study.认知行为疗法对精神分裂症患者常规护理中睡眠障碍的成本效益：最佳研究。
BJPsych Open. 2018 Apr 19;4(3):126-135. doi: 10.1192/bjo.2018.2. eCollection 2018 May.
8
Stepped care in primary care - guided self-help and face-to-face cognitive behavioural therapy for common mental disorders: a randomized controlled trial.初级保健中的分级护理 - 常见精神障碍的指导自助和面对面认知行为疗法：一项随机对照试验。
Psychol Med. 2018 Jul;48(10):1644-1654. doi: 10.1017/S0033291717003129. Epub 2017 Nov 2.
9
The Cost of Insomnia and the Benefit of Increased Access to Evidence-Based Treatment: Cognitive Behavioral Therapy for Insomnia.失眠的代价与增加循证治疗可及性的益处：失眠的认知行为疗法
Sleep Med Clin. 2017 Mar;12(1):39-46. doi: 10.1016/j.jsmc.2016.10.011.
10
Internet-Based Cognitive Behavioral Therapy for Insomnia: A Health Economic Evaluation.基于互联网的失眠认知行为疗法：一项健康经济评估。
Sleep. 2016 Oct 1;39(10):1769-1778. doi: 10.5665/sleep.6152.

[失眠认知行为疗法的健康经济学研究现状]

[Status of Health Economics Research on Cognitive Behavioral Therapy for Insomnia].

作者信息

Zhang Jing, Yuan Cheng-Mei

机构信息

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200000, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 Mar;54(2):263-267. doi: 10.12182/20230360102.

DOI:10.12182/20230360102
PMID:36949683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10409156/
Abstract

Cognitive behavioral therapy for insomnia (CBT-I) is a first-line treatment for insomnia disorder. Herein, we reviewed the currently prevailing forms of application of CBT-I and the corresponding studies on their health economics, comparing them with medication treatment. At present, most of the findings suggest that CBT-I has long-lasting effects and can help reduce future medical costs, thus showing long-term economic advantages. At present, there are no relevant research reports on the economic benefits of CBT-I in China. This review could provide reference for relevant studies to be conducted in the future in China. In addition, it provides reference from an economic perspective for clinicians and patients and facilitates their decision-making concerning using CBT-I as a treatment option for insomnia in the future.

摘要

失眠的认知行为疗法（CBT-I）是失眠症的一线治疗方法。在此，我们回顾了CBT-I目前流行的应用形式及其健康经济学的相关研究，并将其与药物治疗进行比较。目前，大多数研究结果表明，CBT-I具有持久的效果，有助于降低未来的医疗成本，从而显示出长期的经济优势。目前，中国尚无关于CBT-I经济效益的相关研究报告。本综述可为未来中国开展相关研究提供参考。此外，它从经济角度为临床医生和患者提供参考，便于他们未来就是否将CBT-I作为失眠的治疗选择做出决策。