摘要
失眠的认知行为治疗(cognitive behavioral therapy for insomnia, CBT-I)是治疗失眠障碍的一线治疗方法。本文回顾了目前主要的CBT-I应用形式及相应的卫生经济学研究,并与药物治疗进行比较,发现目前多数证据表明CBTI效果持久,可以降低未来医疗花费,具有长期的经济优势。目前我国没有关于CBT-I经济效益的相关研究报道,本综述可为我国未来开展相关研究提供参考,也为临床医生与失眠患者在未来选择CBT-I作为失眠的治疗方案提供经济学视角的参考。
Cognitive behavioral therapy for insomnia(CBT-I) is a first-line treatment for insomnia disorder.Herein, we reviewed the currently prevailing forms of application of CBT-I and the corresponding studies on their health economics, comparing them with medication treatment. At present, most of the findings suggest that CBT-I has longlasting effects and can help reduce future medical costs, thus showing long-term economic advantages. At present, there are no relevant research reports on the economic benefits of CBT-I in China. This review could provide reference for relevant studies to be conducted in the future in China. In addition, it provides reference from an economic perspective for clinicians and patients and facilitates their decision-making concerning using CBT-I as a treatment option for insomnia in the future.
作者
张晶
苑成梅
ZHANG Jing;YUAN Chengmei(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200000,China)
出处
《四川大学学报（医学版）》
CAS
CSCD
北大核心
2023年第2期263-267,共5页
Journal of Sichuan University(Medical Sciences)
基金
上海市申康发展中心重大临床研究项目-青年项目(No.SHDC2020CR4074)
上海市申康发展中心“适宜技术联合开发推广应用”项目(No.SHDC12016205)
上海市科委科技创新行动计划(No.20Y11906600)
上海市精神心理疾病临床医学研究中心项目(No.19MC1911100)
上海市卫健委上海市中医药事业发展三年行动计划(2018年–2020年)治未病服务重点推广项目[No.ZY(2018-2020)-ZWB-1001-FWB-07]资助。
关键词
失眠障碍
失眠认知行为治疗
卫生经济学
Insomnia disorder
Cognitive behavioral therapy for insomnia
Health economics
