Faraut Brice, Gaillard Louise, Labonne Annabelle, Dubois Julie Margrethe, Adrien Joëlle, Léger Damien
Université Paris Cité, VIFASOM UPR 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France.
APHP, Hôtel-Dieu Hospital, Centre du Sommeil et de la Vigilance, Paris, France.
J Sleep Res. 2025 Apr;34(2):e14343. doi: 10.1111/jsr.14343. Epub 2024 Sep 22.
Cognitive and Behavioural Therapy for Insomnia (CBT-I) is the gold standard treatment for chronic insomnia, with one crucial step being the restriction of time spent in bed. This restriction often intensifies early afternoon sleepiness, leading to a natural gateway for a short recuperative nap, which might foster adherence to CBT-I over time. In practice, mental health professionals providing CBT-I lack consensus on whether or not to tolerate short naps during the CBT-I period for requesting patients. In this pilot study, we examined the effects of authorised napping on CBT-I efficiency in patients with insomnia (a napping group was compared with a matched non-napping group, n = 108). We report that napping enhanced early afternoon alertness and importantly did not affect CBT-I-mediated improvements in the Insomnia Severity Index and Beck Depression Inventory-2 and in self-reported sleep efficiency, latency, and wake after sleep onset (assessed by the sleep diaries). Further investigations using objective methods of sleep assessments are now needed to confirm that napping behaviour does not compromise the improvements enabled by CBT-I and may even strengthen adherence to the treatment.
失眠认知行为疗法（CBT-I）是慢性失眠的金标准治疗方法，其中关键的一步是限制卧床时间。这种限制通常会加剧午后早期的困倦感，从而自然地为短暂的恢复性小睡创造了机会，随着时间的推移，这可能会促进对CBT-I的依从性。在实践中，提供CBT-I的心理健康专业人员对于在CBT-I治疗期间是否容忍有需求的患者进行短暂小睡尚未达成共识。在这项试点研究中，我们研究了经授权的小睡对失眠患者CBT-I疗效的影响（将小睡组与匹配的非小睡组进行比较，n = 108）。我们报告称，小睡提高了午后早期的警觉性，重要的是，它并未影响CBT-I介导的失眠严重程度指数、贝克抑郁量表-2以及自我报告的睡眠效率、入睡潜伏期和睡眠后觉醒方面的改善（通过睡眠日记评估）。现在需要使用客观的睡眠评估方法进行进一步调查，以确认小睡行为不会损害CBT-I带来的改善，甚至可能增强对治疗的依从性。
