在住院精神病治疗中治疗失眠:临床实践评估
C L Schneider1, M Anselin2, E Hertenstein1
1Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
European archives of psychiatry and clinical neuroscience
|February 18, 2026
概括
失眠的认知行为疗法 (CBT-I) 在精神病医院治疗中未得到充分利用,许多专业人员缺乏知识,面临实施挑战. 在这些环境中,催眠药仍然是对失眠的常见治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 心理健康研究 心理健康研究
背景情况:
- 失眠严重影响全球生活质量,精神疾病患者中普遍存在.
- 失眠的认知行为疗法 (CBT-I) 是推的第一线治疗方法,即使是那些患有并发症的人.
- 关于在住院精神病诊所管理失眠的数据有限.
研究的目的:
- 评估目前在住院精神病治疗中的失眠管理实践.
- 评估心理健康专业人员对CBT-I的知识和实施情况.
- 分析精神病医院住院患者的夜间药物使用情况.
主要方法:
- 对80名精神卫生专业人员进行了一项关于失眠治疗的调查.
- 从245个住院精神病患者的精神病学记录中提取了夜间药物使用数据.
- 用两种互补的方法来检查临床实践.
主要成果:
- 95%的专业人员遇到患有失眠的患者;然而,只有56%正确地将CBT-I确定为一线治疗.
- 很少提供CBT-I (65%的受访者),其中的障碍包括缺乏知识,患者的期望和时间限制.
- 药物治疗是常见的,40%的患者使用二类药物,其他催眠药也经常被处方.
结论:
- 失眠是住院精神病治疗中普遍存在的问题,基于证据的CBT-I的实施不足.
- 目前的治疗通常依赖于催眠药,突出了指导方针和实践之间的差距.
- 进一步研究和适应CBT-I对于改善这一群体的睡眠和健康结果至关重要.
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