Mitchell K R
J Behav Med. 1979 Mar;2(1):57-69. doi: 10.1007/BF00846563.
Behavioral approaches to the treatment of predormital insomnia have assumed that hyperarousal is the underlying cause; thus presleep tension has been the most common target treated. A second indicator, presleep intrusive cognitions, has only recently been examined as a target for treatment. In the present study, 20 subjects were randomly assigned to three groups which focused on the treatment of either (1) presleep tension alone, (2) presleep tension and intrusive cognitions, of (3) perception of sleep. Four subjects acted as controls. The findings indicated that reductions in both presleep tension and intrusive cognitions were followed by a significantly greater reduction in latency to sleep onset and daytime impairment than reductions in presleep tension alone. The results obtained from modifying the individual's perception of sleep were not significantly different from those obtained from reductions in presleep tension alone. A 6 weeks follow-up revealed no change in the relative status of the three treatment groups.
治疗睡前失眠的行为方法假定高度唤醒是潜在原因；因此，睡前紧张一直是最常见的治疗目标。第二个指标，睡前侵入性认知，直到最近才被作为治疗目标进行研究。在本研究中，20名受试者被随机分为三组，分别专注于治疗（1）仅睡前紧张，（2）睡前紧张和侵入性认知，（3）睡眠感知。四名受试者作为对照组。研究结果表明，与仅降低睡前紧张相比，睡前紧张和侵入性认知的降低伴随着入睡潜伏期和日间功能损害的显著更大程度降低。通过改变个体睡眠感知获得的结果与仅降低睡前紧张获得的结果没有显著差异。为期6周的随访显示，三个治疗组的相对状况没有变化。
