认知行为治疗失眠症(CBT-I)的神经影像学相关性:系统文献综述。

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Debbie Sabot, Oliver Baumann
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引用次数: 0

摘要

失眠的认知行为疗法(CBT-I)是非药物治疗失眠的金标准,失眠是一种包括心理、行为和生理成分的复杂疾病。本系统文献综述旨在评估越来越多的探索性研究,这些研究使用神经影像学评估检查了CBT-I治疗效果。9项研究符合当前的审查选择标准,其中6项研究将失眠组与睡眠良好组、候补组和/或对照组进行了比较。在不同的研究中,CBT-I的治疗时间和持续时间各不相同,神经成像评估也不同,包括基于任务和静息状态的功能磁共振成像(fMRI)和结构磁共振成像(MRI)。在参与者中观察到功能连接异常,包括任务相关脑区域的参与减少,以及在调节默认模式脑区域方面出现明显困难,这些在CBT-I治疗后似乎有所逆转。综上所述,神经影像学结果补充了治疗效果的行为测量,表明支持CBT-I治疗在脑功能和结构恢复方面的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuroimaging Correlates of Cognitive Behavioral Therapy for Insomnia (CBT-I): A Systematic Literature Review.

Cognitive behavioral therapy for insomnia (CBT-I) is the gold-standard non-pharmacological treatment for insomnia, a complex disorder that comprises psychological, behavioral, and physiological components. This systematic literature review aimed to evaluate a growing body of exploratory studies that have examined CBT-I treatment effects using neuroimaging assessment. Nine studies met current review selection criteria, of which six studies compared insomnia groups with good sleepers, waitlist, and/or control groups. CBT-I administration varied in treatment length and duration across the studies, as did neuroimaging assessment, which included task-based and resting-state functional magnetic resonance imaging (fMRI), and structural magnetic resonance imaging (MRI). Functional connectivity abnormalities were observed in participants, including reduced engagement in task-related brain regions and apparent difficulties in regulating default mode brain areas that appeared to reverse following CBT-I treatment. Taken together, the neuroimaging results complement behavioral measures of treatment efficacy, indicating support for the effectiveness of CBT-I treatment in the recovery of brain function and structure.

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来源期刊
Journal of Cognitive Psychotherapy
Journal of Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.70
自引率
0.00%
发文量
47
期刊介绍: The Journal of Cognitive Psychotherapy is devoted to advancing the science and clinical practice of cognitive-behavior therapy. This includes a range of interventions including cognitive therapy, rational-emotive behavior therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness approaches. The journal publishes empirical papers, including case studies, along with review articles, papers that integrate cognitive-behavior therapy with other systems, and practical "how to" articles.
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