慢性失眠症诊断与团体心理行为治疗的研究进展

doi:10.12114/j.issn.1007-9572.2018.00.371

摘要/Abstract

摘要： 慢性失眠症会增加精神疾病和躯体性疾病的发生以及药物依赖或滥用等风险，本文通过对慢性失眠症的诊断进展进行综述，探讨其诊断分类标准、国内外病程界定、临床治疗现状，对认知行为疗法治疗慢性失眠症的现状与最新进展包括组成和应用进展、设置与实施方式、临床应用情况进行分析，并对团体心理行为治疗包括团体认知行为治疗、动力性团体心理治疗、团体正念认知治疗在慢性失眠症治疗中的应用进行了探讨，指出团体认知行为治疗慢性失眠症的临床疗效较好，但目前临床重视度不够，有待开展更多临床相关治疗与研究。

关键词: 入睡和睡眠障碍；慢性失眠症；诊断；心理疗法, 分组；临床进展

Abstract: Chronic insomnia increases the risk of having mental and physical illness，and drug dependence or abuse. This article reviewed the progress in the diagnosis and study of chronic insomnia over recent years，to discuss its definition，diagnosis classification standards at home and abroad and clinical treatment. Present situation and the latest development of cognitive behavioral therapy for chronic insomnia were reviewed in this paper，including the composition and application progress，the setting and treatment methods，and clinical application status for chronic insomnia. We also discussed present situation of group therapy for chronic insomnia，including group cognitive behavioral therapy，dynamic group psychotherapy and group mindfulness cognitive therapy. We found that group cognitive behavioral therapy had a good clinical effect on chronic insomnia，but there is not sufficient clinical evidence，so more clinical treatment and research are needed.

Key words: Sleep initiation and maintenance disorders；Chronic insomnia；Diagnosis；Psychotherapy, group；Clinical progress

邢佳,董斐,张迎,等. 慢性失眠症诊断与团体心理行为治疗的研究进展[J]. 中国全科医学, 2019, 22(30): 3762-3767. DOI: 10.12114/j.issn.1007-9572.2018.00.371.
XING Jia,DONG Fei,ZHANG Ying, et al. Advances in Diagnosis and Group Psychological Behavioral Therapy for Chronic Insomnia　[J]. Chinese General Practice, 2019, 22(30): 3762-3767. DOI: 10.12114/j.issn.1007-9572.2018.00.371.

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