Cognitive therapy has been shown effective in the treatment of several psychological and health-related disorders. It is also increasingly used in the management of insomnia. This article outlines some principles and applications of this therapeutic approach as adapted to the treatment of insomnia. Based on Beck's model, this psychotherapeutic approach seeks to modify sleep-related dysfunctional beliefs and thoughts and maladaptive cognitive processes involved in the exacerbation and perpetuation of insomnia. This is accomplished through the use of several cognitive restructuring procedures. After outlining a conceptual model of insomnia, which emphasizes the mediating role of dysfunctional cognitions in the development and maintenance of chronic insomnia, the rationale and general principles of cognitive therapy for insomnia are presented, followed by a description of the treatment procedures, clinical case illustrations, and practical implementation issues. Future directions include the need to refine cognitive interventions and to examine the unique contribution of this therapeutic component to the overall efficacy of multifaceted cognitive-behavioral therapy.

译文

:认知疗法已被证明可有效治疗多种心理和健康相关疾病。它也越来越多地用于失眠的管理。本文概述了适用于失眠治疗的这种治疗方法的一些原理和应用。根据贝克的模型,这种心理治疗方法旨在改变与睡眠有关的功能障碍的信念和思想,以及与失眠加重和永存有关的适应不良的认知过程。这是通过使用几种认知重构程序来完成的。在概述了失眠的概念模型(强调失调认知在慢性失眠的发展和维持中的中介作用)之后,介绍了失眠认知疗法的基本原理和一般原则,随后介绍了治疗程序和临床病例说明,以及实际的实施问题。未来的方向包括需要完善认知干预措施,并检查该治疗成分对多方面认知行为疗法整体疗效的独特贡献。

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