摘要
失眠认知行为治疗(cognitive behavioral therapy for insomnia,CBT-I)是一种多成分的心理治疗方法,在临床中有个体、团体、远程、网络等应用形式,但均存在脱落率高的问题,治疗联盟是其重要的影响因素。文章讨论了不同形式CBT-I中的治疗联盟及其相关影响因素,并总结相关巩固策略,为降低参加CBT-I患者的脱落率提出了相关建议,如提高治疗师的共情能力、营造信任的治疗环境,为患者匹配合适的CBT-I实施形式,调整患者预期、提供个性化治疗方案等,后续CBT-I相关技术的开发也应更注重建立积极的治疗性关系。
Cognitive behavioral therapy for insomnia(CBT-I)is a multi-component psychotherapy approach that can be applied in various forms clinically,including individual,group,remote,network and other forms.However,a common challenge is high dropout rates.Therapeutic alliance is an important influencing factor.This paper discusses the therapeutic alliances of different forms of CBT-I and their related influencing factors.In addition,the relevant consolidation strategies were summarized and suggestions were put forward to reduce the dropout rate of patients who attended CBT-I,such as improving the therapists'empathetic ability,creating a trusting treatment environment,matching patients with appropriate CBT-I implementation forms,adjusting patient expectations,and providing personalized treatment plans.The subsequent development of CBT-I related technologies should pay more attention to the establishment of positive therapeutic relationships.
作者
葛方梅
苑成梅
GE Fangmei;YUAN Chengmei(Clinical Psychology Department,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Shanghai Putuo Mental Health Center,Shanghai 200065,China)
出处
《心理学通讯》
2023年第1期32-36,共5页
Psychological Communications
基金
上海市申康发展中心重大临床研究项目-青年项目(SHDC2020 CR4074)
上海市科委科技创新行动计划(20Y11906600)
上海市精神心理疾病临床医学研究中心项目(19MC1911100)
上海市精神卫生中心睡眠障碍特色学科(2017-TSXK-02)。
关键词
失眠
认知行为治疗
治疗联盟
工作联盟
助人联盟
insomnia
cognitive behavioral therapy
therapeutic alliance
working alliance
helping alliance
