[Treatment recommendations for chronic insomnia - cognitive behavioural therapy as first-line treatment].

Q4 Medicine

Praxis Pub Date : 2025-09-01 DOI:10.23785/PRAXIS.2025.08_09.003

Helen Slawik, Jens G Acker, Christine Blume, Anna Castelnovo, Katerina Espa Cervena, Miriam Gerstenberg, Elisabeth Hertenstein, Christian Imboden, Thorsten Mikoteit, Christian Mikutta, Lampros Perogamvros, Tifenn Raffray, Carolin Reichert, Verena Reiss, Carlotta L Schneider, Steffi Weidt, Cristina Zunzunegui, Martin Hatzinger, Christoph Nissen, Dagmar A Schmid

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Abstract

Introduction: In addition to the treatment recommendations published by the Special Interest Group (SIG) "Mental Health" (formerly "Sleep Psychiatry") of the Swiss Society for Sleep Research, Sleep Medicine and Chronobiology (SGSSC), the following article focusses on cognitive behavioural therapy for insomnia (CBT-I), its evidence, implementation and application, including in shift work, patients on medication, older people, various formats and non-pharmacological alternatives. Chronic insomnia is a disorder characterised by hyperarousal rather than sleep deprivation. The most effective treatment is bedtime restriction. This can be accompanied by increased daytime sleepiness and concentration deficits, which can be challenging. Furthermore, it is a challenge to find activities for the time that becomes available. The number of therapy places is still insufficient. However, it has been shown that CBT-I is also effective in shortened formats, digitally or when carried out by other professional groups.

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[慢性失眠的治疗建议-认知行为疗法作为一线治疗方法]。

简介：除了瑞士睡眠研究、睡眠医学和时间生物学学会（SGSSC）的特殊兴趣小组（SIG）“心理健康”（以前称为“睡眠精神病学”）发表的治疗建议外，以下文章重点关注失眠的认知行为疗法（CBT-I），其证据，实施和应用，包括轮班工作，药物治疗患者，老年人，各种形式和非药物替代方案。慢性失眠是一种以过度觉醒为特征的疾病，而不是睡眠剥夺。最有效的治疗方法是限制就寝时间。这可能伴随着白天嗜睡和注意力不集中，这可能是具有挑战性的。此外，找到合适时间的活动是一个挑战。治疗场所的数量仍然不足。然而，研究表明，CBT-I在缩短格式、数字化或由其他专业团体进行时也很有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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