睡眠障碍心理治疗的研究进展

石玉岚, 李艳, 蒋秋萍, 董勤

武警医学 ›› 2026, Vol. 37 ›› Issue (8) : 723-727.

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武警医学 ›› 2026, Vol. 37 ›› Issue (8) : 723-727. DOI: 10.3969/j.issn.1004-3594.2026.08.014
综述

睡眠障碍心理治疗的研究进展

  • 石玉岚1, 李艳2, 蒋秋萍3, 董勤4
作者信息 +
文章历史 +

摘要

成年人睡眠障碍的发病率高达10%~20%,已成为全球性的公共卫生问题,严重影响患者的身心健康和生活质量。心理治疗,特别是认知行为疗法,已被多项临床实践指南推荐为睡眠障碍的一线治疗方案。本文系统综述了心理治疗对睡眠障碍患者的研究进展,从心理治疗对睡眠障碍的作用机制、睡眠障碍的主要治疗方法、国内外治疗策略、心理治疗的独特优势等方面展开论述。在此基础上,重点针对心理治疗成分的精准解析、数字化心理治疗的兴起、心理治疗在共病睡眠障碍中的应用拓展,以及个体化与精准化心理治疗的发展趋势进行了阐述。

关键词

睡眠障碍 / 心理治疗 / 认知行为疗法 / 数字化心理治疗 / 共病失眠

引用本文

导出引用
石玉岚, 李艳, 蒋秋萍, 董勤. 睡眠障碍心理治疗的研究进展[J]. 武警医学. 2026, 37(8): 723-727 https://doi.org/10.3969/j.issn.1004-3594.2026.08.014
中图分类号: R395.5   

参考文献

[1] Spadola C, Groton D B, Littlewood K,et al. Sleep health education to promote public health: attitudes and desired learning goals among social work students[J]. Soc Work Public Health,2023,38(1):11-20.
[2] 常 嵘,卫 萌,高 攀,等.老年人睡眠障碍与衰弱的相关性分析[J].国际精神病学杂志,2025,52(6):1833-1836.
[3] Bloomberg M, Brocklebank L, Hamer M,et al. Joint associations of physical activity and sleep duration with cognitive ageing: longitudinal analysis of an English cohort study[J].Lancet Healthy Longev,2023,4(7):e345-e353.
[4] Wang Y, Han L, Man Z,et al. Impact of sleep disorders on cognitive function in stroke: a systematic review and meta-analysis[J].Behav Sleep Med,2025, 23(6):850-871.
[5] Freeman D, Sheaves B, Waite F,et al. Sleep disturbance and psychiatric disorders[J]. Lancet Psychiatry,2020,7(7):628-637.
[6] Yildirim-Kurtulus H, Deniz M E, Satici S A. Body satisfaction, problematic smartphone use, sleep deprivation, and psychological well-being in adolescents: a half-longitudinal serial mediation study[J].J Health Psychol,2025,30(9):2201-2215.
[7] Kyle S D, Siriwardena A N, Espie C A,et al.Clinical and cost-effectiveness of nurse-delivered sleep restriction therapy for insomnia in primary care (HABIT): a pragmatic, superiority, open-label, randomised controlled trial[J].Lancet,2023, 402(10406):975-987.
[8] Brewster G S, Riegel B, Gehrman P R. Insomnia in the older adult[J].Sleep Med Clin, 2022,17(2):233-239.
[9] Matheson E M, Brown B D, DeCastro A O. Treatment of chronic insomnia in adults[J]. Am Fam Physician,2024,109(2):154-160.
[10] Greenlund I M, Carter J R. Sympathetic neural responses to sleep disorders and insufficiencies[J].Am J Physiol Heart Circ Physiol,2022,322(3):H337-H349.
[11] Zhang M, Wu X, Liu D,et al. Sleep disturbance triggers aberrant activation of vagus circuitry and induces intestinal stem cell dysfunction[J]. Cell Stem Cell, 2026,33(2):306-324.
[12] Naha S, Sivaraman M, Sahota P. Insomnia: a current review[J].Mo Med, 2024,121(1): 44-51.
[13] Yang X, Song Y, Liu W,et al. Efficacy and mechanisms of repeated closed-loop auditory exposure during slow-wave sleep for internet gaming disorder[J].Mol Psychiatry,2025, 30(9):4151-4160.
[14] Zhang X, Yin J, Sun X,et al. The association between insomnia and cognitive decline: a scoping review[J].Sleep Med,2024,124(12):540-550.
[15] Bergeyck R, Geoffroy P A. Insomnia in neurological disorders: prevalence, mechanisms, impact and treatment approaches[J].Rev Neurol (Paris),2023,179(7): 767-781.
[16] 张 颖,葛丽娜,曹 雷,等.正念训练对慢性失眠障碍患者治疗效果及炎症因子的影响[J].武警医学,2024,35(1):30-33.
[17] 王冀睿,杨 茜,郑希付,等.正念对高原武警官兵睡眠质量的影响:一个有调节的中介模型[J].空军军医大学学报,2024,45(9):1007-1012.
[18] 顾楠楠,李春波,钱 洁.《中国失眠症诊断和治疗指南(2025版)》解读[J].同济大学学报(医学版),2025,46(6):795-803.
[19] Furukawa Y, Sakata M, Yamamoto R,et al. Components and delivery formats of cognitive behavioral therapy for chronic insomnia in adults: a systematic review and component network meta-analysis[J].JAMA Psychiatry,2024,81(4):357-365.
[20] Sweetman A, Reynolds C, Richardson C. Digital cognitive behavioural therapy for insomnia versus digital sleep education control in an Australian community-based sample: a randomised controlled trial[J].Intern Med J,2024,54(11):1838-1848.
[21] Guo W, Nazari N, Sadeghi M.Cognitive-behavioral treatment for insomnia and mindfulness-based stress reduction in nurses with insomnia: a non-inferiority internet delivered randomized controlled trial[J].PeerJ,2024,12:e17491.
[22] Espie C A, Emsley R, Kyle S D,et al. Effect of digital cognitive behavioral therapy for insomnia on health, psychological well-being, and sleep-related quality of life: a randomized clinical trial[J].JAMA Psychiatry,2019,76(1):21-30.
[23] Tulbure B T, Dudǎu D P, Marian Ş,et al. An internet-delivered rumination-focused CBT Intervention for adults with depression and anxiety: a randomized controlled trial[J].Behav Ther,2025,56(4):785-798.
[24] Scott A J, Correa A B, Bisby M A,et al. Cognitive behavioral therapy for insomnia in people with chronic disease: a systematic review and meta-analysis[J].JAMA Intern Med,2025,185 (11):1350-1361.
[25] Salazar-Méndez J, Viscay-Sanhueza N, Pinto-Vera C,et al. Cognitive behavioral therapy for insomnia in people with chronic musculoskeletal pain. a systematic review and dose-response meta-analysis[J].Sleep Med,2024,122(10):20-26.
[26] Mirchandaney R, Barete R, Asarnow L D. Moderators of cognitive behavioral treatment for insomnia on depression and anxiety outcomes[J].Curr Psychiatry Rep, 2022,24(2):121-128.
[27] Chan W S, McCrae C S, Ng A S. Is cognitive behavioral therapy for insomnia effective for improving sleep duration in individuals with insomnia? a meta-analysis of randomized controlled trials[J]. Ann Behav Med,2023,57(6):428-441.
[28] Kalmbach D A, Cheng P, O'Brien L M,et al. A randomized controlled trial of digital cognitive behavioral therapy for insomnia in pregnant women[J].Sleep Med, 2020,72(8):82-92.
[29] Harvey A G, Dong L, Hein K,et al. A randomized controlled trial of the transdiagnostic intervention for sleep and circadian dysfunction (trans-c) to improve serious mental illness outcomes in a community setting[J]. J Consult Clin Psychol,2021,89(6):537-550.
[30] Linares M P, Jernelöv S, El Rafihi F R. Cognitive and psychological factors associated with treatment response in ACT-I and CBT-I for insomnia[J].J Sleep Res,2025,34(6): e14473.
[31] Alcántara C, Giorgio C L, Cullough E,et al. Cultural adaptations of psychological interventions for prevalent sleep disorders and sleep disturbances: a systematic review of randomized controlled trials in the United States[J]. Sleep Med Rev,2021,56:101455.
[32] Furukawa Y, Sakata M, Furukawa T A,et al. Initial treatment choices for long term remission of insomnia disorder in adults: a systematic review and network meta-analysis[J].Psychiatry Clin Neurosci,2024,78(11):646-653.

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