四川精神卫生2024，Vol.37Issue(6)：572-575,4.DOI:10.11886/scjsws20240531002
团体失眠认知行为疗法治疗阻塞性睡眠呼吸暂停共病失眠1例
Group cognitive behavioral therapy for insomnia in the treatment of comorbid insomnia and obstructive sleep apnea:a case report
摘要
Abstract
This article reported a patient who initially presented with insomnia complaints and was subsequently diagnosed with severe obstructive sleep apnea(OSA)on polysomnography(PSG).The patient tried continuous positive airway pressure(CPAP)but gave up because wear the ventilator made it more difficult to fall asleep.Then the patient only received group cognitive behavioral therapy for insomnia(CBT-I),which not only alleviated insomnia severity but also promoted severe OSA into mild status.Such case suggested that,firstly,due to the high comorbidity of insomnia and OSA,evaluation of OSA should be considered a part worth enough attention of the clinical diagnosis and treatment of insomnia patients.Secondly,by relieving insomnia,CBT-I can alleviate both nocturnal apnea and daytime somnolence in patients with comorbid insomnia and sleep apnoea(COMISA),so the application of CBT-I should be emphasized in the treatment of such patients.关键词
团体失眠认知行为疗法/失眠/阻塞性睡眠呼吸暂停Key words
Group cognitive behavioral therapy for insomnia/Insomnia/Obstructive sleep apnoea分类
医药卫生引用本文复制引用
刘敏,赵瑞,陈敏,苏日娜,魏婉婷,姚萍,吕东升..团体失眠认知行为疗法治疗阻塞性睡眠呼吸暂停共病失眠1例[J].四川精神卫生,2024,37(6):572-575,4.基金项目
中央引导地方科技发展资金项目(项目名称:失眠障碍患者接受失眠认知行为治疗的临床疗效及神经影像学机制研究,项目编号:2022ZY0028) Funded by the Central Government-guided Local Science and Technology Development Fund Project(number,2022ZY0028) （项目名称:失眠障碍患者接受失眠认知行为治疗的临床疗效及神经影像学机制研究,项目编号:2022ZY0028）
