Zschintzsch A, Sieb J P, Miretzky A, Laux G
Psychiatrische Klinik der Universität, Bonn.
Nervenarzt. 1996 Mar;67(3):244-8.
The need to find effective non-drug treatments for primary insomnia has lead to the application of a variety of psychological approaches. However, one difficulty in the treatment of insomnia is the variety of types, such as sleep-onset and sleep-maintenance insomnia, as well as individual differences in the specific antecedents and conditions maintaining poor sleep. There is no consensus regarding treatment selection. This paper documents the authors' work in formulating a group intervention approach for patients suffering from primary insomnia. A multiple treatment approach was used to provide flexibility. The group treatment consists of the following elements: (1) stimulus control, (2) restriction of time in bed, (3) general education regarding sleep and sleep hygiene, (4) progressive muscle relaxation and (5) cognitive strategies aimed at reducing stimulating mental activities. A description of the techniques used and the structure and process of the group model used is provided.
寻找原发性失眠有效非药物治疗方法的需求促使了多种心理方法的应用。然而，失眠治疗的一个难点在于其类型多样，如入睡性失眠和睡眠维持性失眠，以及导致睡眠不佳的特定前因和条件存在个体差异。在治疗选择上尚无共识。本文记录了作者为原发性失眠患者制定团体干预方法的工作。采用了多种治疗方法以提供灵活性。团体治疗包括以下要素：（1）刺激控制，（2）卧床时间限制，（3）关于睡眠和睡眠卫生的一般教育，（4）渐进性肌肉松弛，以及（5）旨在减少刺激性思维活动的认知策略。文中提供了所使用技术的描述以及团体模式的结构和过程。
