伊利诺伊州达里安 - 美国睡眠医学vwin088学院发表了新的临床实践指南establishing recommendations for the use of behavioral and psychological treatments for chronic insomnia disorder in adults.
该指南包括一个强有力的建议 - 在大多数情况下临床医生应遵循的建议 - 用于使用cognitive behavioral therapy for insomnia. CBT-I combines one or more cognitive therapy strategies with education about sleep regulation plus behavioral strategies such as stimulus control instructions and sleep restriction therapy. Treatment typically involves four to eight sessions.
“这是第一次使用年级系统评估行为失眠疗法的系统评价，”拥有临床心理学博士学位的首席作者杰克·埃德格（Jack Edinger）说，并且是丹佛国家犹太人健康的睡眠医学部门教授。“多组分治疗，失眠的认知行为疗法是最受支持的疗法。”
该指南在《临床睡眠医学杂志》杂志上作为接受论文发表，更新了AASM的2006年实践参数。它是由专家工作队开发的，并由AASM董事会批准。该过程包括系统的文献综述，荟萃分析以及使用年级方法对证据进行评估。该指南的草案已获得公众意见。
“There have been significant advancements in behavioral and psychological treatments for chronic insomnia, which affects millions of American adults,” said AASM President Dr. Kannan Ramar. “The AASM guideline will help optimize patient-centered care by providing actionable recommendations for clinicians and patients.”
The guideline includes several conditional recommendations — which require the clinician to use clinical knowledge and experience while considering the patient’s values and preferences — suggesting that clinicians use multi-component brief therapies and three single-component therapies: stimulus control, sleep restriction therapy, and relaxation therapy. The guideline also suggests that sleep hygiene should not be used as a single-component treatment for chronic insomnia disorder in adults.
Edinger说：“尽管患者经常建议并妥善理解睡眠卫生习惯，但睡眠卫生建议并不构成有效的独立疗法。”
Insomnia涉及难以入睡或入睡，或者经常在床上睡觉时定期醒来。白天症状包括疲劳或嗜睡；对睡眠不满意；很难集中精力；感到沮丧，焦虑或烦躁；并且动力或能量低。慢性失眠症影响约10％的成人人群，以睡眠障碍与相关的白天症状至少三次发生至少三个月。
The AASM’s previously published clinical practice guideline for the慢性失眠的药理治疗also emphasizes that medications for chronic insomnia disorder should be considered mainly in patients who are unable to participate in CBT-I, patients who still have symptoms after this therapy, or those who require a temporary adjunct to CBT-I.
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To request a copy of the guideline, “成人慢性失眠症的行为和心理治疗,” or the系统评价, or to arrange an interview with an AASM spokesperson, please contact the AASM at 630-737-9700 ormedia@www.docksidequiltgallery.com. Accepted papers, which are published online prior to their final inclusion in an issue, are not embargoed. The guideline is schedule to be published in the February 2021 issue of the journal.
美国睡眠医学学院（AASM）成立于1975年，正在vwin088改善睡眠护理并改善睡眠健康以改善生活。AASM拥有11,000名经认可的会员睡眠中心和个人成员，包括医生，科学家和其他医疗保健专业人员。
