دانلود رایگان مقاله لاتینبی خوابی مداوم از سایت الزویر
عنوان فارسی مقاله:
درمان شناختی- رفتاری به تنهایی و در ترکیب با داروها برای بی خوابی های مداوم: تاثیر بر عملکرد روانی و در طول روز
عنوان انگلیسی مقاله:
Cognitive-behavior therapy singly and combined with medication for persistent insomnia: Impact on psychological and daytime functioning
سال انتشار : 2016
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مقدمه انگلیسی مقاله:
1. Introduction
Chronic insomnia is characterized by both difficulties sleeping at night and problems with daytime functioning or significant distress; the presence of these two features is essential to make the diagnosis of insomnia (American Academy of Sleep Medicine, 2014; American Psychiatric Association, 2013; Edinger et al., 2004). Common daytime problems reported by individuals with insomnia include fatigue or low energy, cognitive problems such as difficulty concentrating or remembering things, mood disturbances, and decreased motivation, all of which can contribute to significant functional impairments at work, at home, or on the road (Buysse et al., 2007; Edinger et al., 2004; Roth et al., 2006). Subjective reports of daytime impairments are not always corroborated by objective findings from neurobehavioral testing (Fortier-Brochu, Beaulieu-Bonneau, Ivers, & Morin, 2012), not unlike the discrepancies between subjective and objective measures of sleep parameters (Krystal, 2007; Riedel & Lichstein, 2000). Yet, the perception of daytime impairments can be a major source of distress for individuals with insomnia and is often the main determinant prompting them to seek treatment (Davidson, Aime, Ivers, & Morin, 2009; Gagnon, Belanger, Ivers, & Morin, 2013). While there is extensive evidence showing that psychological and pharmacological therapies are effective for improving sleep (Buysse, 2013; Krystal, 2009; Morin et al., 2006; National Institutes of Health, 2005), there is surprisingly little evidence that these treatments or the sleep improvements they produce have a significant impact on daytime functioning. Drug studies often incorporate measures of cognitive functioning but this is usually done to demonstrate that there is no residual daytime impairment associated with the drug under investigation. Likewise, few investigations of psychological therapies (mostly CBT) for insomnia have incorporated measures of daytime functioning and in most cases these have been used as secondary outcomes (Morin et al., 2006). Moreover, these studies have yielded inconsistent findings. For instance, some studies found a significant decrease in depressive symptoms following CBT (Belleville, Guay, Guay, & Morin, 2007; Dirksen & Epstein, 2008; Quesnel, Savard, Simard, Ivers, & Morin, 2003), while others did not find any difference between CBT and control conditions (Edinger, Wohlgemuth, Radtke, Marsh, & Quillian, 2001; Espie, Inglis, Tessier, & Harvey, 2001; Jacobs, Pace-Schott, Stickgold, & Otto, 2004; Rybarczyk et al., 2005; Taylor et al., 2014). These studies also report similarly mixed results regarding improvements in anxiety (state, trait, or worry), fatigue, and health-related quality of life.
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کلمات کلیدی:
Cognitive-Behavior Therapy singly and combined with medication for ... https://www.researchgate.net/.../308293761_Cognitive-Behavior_Therapy_singly_and_c... References, authors & citations for 'Cognitive-Behavior Therapy singly and combined with medication for persistent insomnia: Impact on psychological and ... Cognitive Behavioral Therapy, Singly and Combined With Medication ... jamanetwork.com/journals/jama/fullarticle/183931 by CM Morin - 2009 - Cited by 427 - Related articles May 20, 2009 - Psychological and behavioral treatment of insomnia: update of the .... Cognitive Behavioral Therapy, Singly and Combined With Medication, for Persistent InsomniaA ... treatment of insomnia and the effects of maintenance therapies on ... Results Cognitive behavioral therapy used singly or in combination ... [PDF]Cognitive Behavioral Therapy, Singly and Combined With Medication ... https://pdfs.semanticscholar.org/1b12/08cdae2820297291157627988ab6a95029c1.pdf 2009 - Cited by 426 - Related articles May 20, 2009 - 2-stage therapy for 160 adults with persistent insomnia treated at a university hospi- tal sleep center in ... effects of CBT, singly and combined with medication, for ... Statistical Manual of Mental Disorders. (Fourth Edition) ... Principles and Practice of Sleep Medicine E-Book https://books.google.com/books?isbn=1437727735 Meir H. Kryger, Thomas Roth, William C. Dement - 2010 - Medical Cognitive behavioral therapy vs zopiclone for treatment of chronic primary ... for insomnia secondary to breast cancer, part I: sleep and psychological effects. ... singly and combined with medication, for persistent insomnia: a randomized ... Handbook of Psychology, Health Psychology - Google Books Result https://books.google.com/books?isbn=1118282051 Irving B. Weiner, Arthur M. Nezu, Christine M. Nezu - 2012 - Psychology Longterm effects indicatethat CBT produces sustained improvements over time, ... Combined interventionsmay yieldaslightly better outcome than single therapy ... Ina clinicaltrialof160 patients with persistent insomnia, atwostage treatment ... Handbook of Psychology, Health Psychology https://books.google.com/books?isbn=0471264504 Arthur M. Nezu, Christine M. Nezu, Pamela A. Geller - 2003 - Psychology Combined Psychological and Pharmacological Treatments Only “ve studies have directly ... Furthermore, long-term effects have been fairly consistent for the single ... In light of the mediating role of psychological factors in chronic insomnia, ...
