网络化认知行为治疗在睡眠障碍中的应用  

Application of computerized cognitive behavioral therapy in sleep disorders

作　　者：赵雅娟 符浩 王勇[1] ZHAO Ya-juan, FU Hao, WANG Yong(Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, Chin)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《上海交通大学学报（医学版）》2018年第5期556-560,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金："十三五"国家重点研发计划资助项目(2016YFC1307100);上海市卫生和计划生育委员会面上科研项目(201640107);上海交通大学医工(理)交叉研究基金(YG2016MS39)~~

摘　　要：睡眠障碍发病率高、机制复杂,已成为当今社会普遍存在且不容忽视的公共健康问题。当前已被证实,药物治疗与认知行为治疗是有效治疗睡眠障碍的主要方式。虽然这2种治疗方式优点突出,但也存在一定的局限性,如药物治疗的耐受性与依赖性、不适合长期服用等,传统认知行为治疗受地理因素、经济因素较大影响等。网络化认知行为治疗作为一种新兴疗法因其简便、经济的优势应运而生,目前国外已有较系统的针对失眠症状的网络化认知行为治疗,在中国该干预模式仍处于起步阶段。该文主要综述了网络化认知行为疗法在睡眠障碍中的应用和疗效,并对当前研究中存在的问题进行探讨。Sleep disorders,which have high incidence and complicated mechanisms, are a prevalent public health problem that cannot be ignored. It is confirmed that the drug therapy and cognitive behavioral therapy are the main ways to treat sleep disorders effectively. However, these therapies do have limitations. For example, the tolerance and dependency of drug therapy means that it cannot be taken for a long period of time, as well as the cognitive behavioral therapy is greatly influenced by location and economy factors. Thus, computerized cognitive behavioral therapy（CCBT） comes into being, with its convenience and economic advantages. Currently, the CCBT is systematic in some countries, which is still in the beginning stage in China. The application and efficacy of CCBT and the existing problems were reviewed in this paper.

关 键 词：睡眠障碍 药物治疗 认知行为治疗 网络化认知行为治疗 

分 类 号：R749.055[医药卫生—神经病学与精神病学]