불면증의 인지행동치료
Applying Cognitive Behavioral Therapy to the Treatment of Insomnia
Abstract
Insomnia is a highly prevalent public health problem that carries an important psychosocial and economic burden for those affected, their families, and for society at large. Despite its negative impacts, the overwhelming majority of individuals with insomnia remain untreated and, when treatment is initiated, it is predominantly with medication. Cognitive Behavioral Therapy has achieved wide-spread scientific recognition as an effective treatment for a wide variety of insomnia and acceptance by insomniacs. This approach is composed of efficacious components, that are stimulus control, relaxation, sleep restriction, sleep hygiene instructions and cognitive therapy. The purpose of this article is to present rationales for using each component of Cognitive Behavioral Therapy-Insomnia, review the outcome literature, and highlight specific practice recommendations regarding cognitive techniques. The treatment comparison studies and treatment outcome studies implementing cognitive behavioral therapy for comorbid insomnia were also reviewed and discussed.
- keywords
- insomnia, sleep, treatment, psychological, cognitive behavioral, 불면증, 수면, 치료, 심리적, 인지행동
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