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中华诊断学电子杂志 ›› 2019, Vol. 07 ›› Issue (03) : 155 -158. doi: 10.3877/cma.j.issn.2095-655X.2019.03.004

所属专题: 文献

睡眠障碍诊治

失眠症的临床诊断学特征及其正念疗法的研究进展
郝凤仪1, 蒋晓江2,(), 高旭滨3   
  1. 1. 401120 重庆两江新区第一人民医院临床心理科
    2. 400042 重庆,陆军特色医学中心神经内科
    3. 400037 重庆,陆军军医大学新桥医院心内科
  • 收稿日期:2019-03-15 出版日期:2019-08-26
  • 通信作者: 蒋晓江
  • 基金资助:
    重庆市科委社会事业与民生保障科技创新专项(CSTC2016SHMSZX130046); 第三军医大学转化基金项目(2014XHZ10); 第三军医大学转化基金项目(2016XZH13)

Recent advances in clinical diagnostic features and mindfulness-based therapy of insomnia

Fengyi Hao1, Xiaojiang Jiang2,(), Xubin Gao3   

  1. 1. Department of Clinical Psychology, the First People′s Hospital of Chongqing Liangjiang New Area, Chongqing 401120, China
    2. Department of Neurology, Army Medical Center of PLA, Chongqing 400042, China
    3. Department of Cardiology, Xinqiao Hospital of Army Medical University of PLA, Chongqing 400037, China
  • Received:2019-03-15 Published:2019-08-26
  • Corresponding author: Xiaojiang Jiang
  • About author:
    Corresponding author: Jiang Xiaojiang, Email:
引用本文:

郝凤仪, 蒋晓江, 高旭滨. 失眠症的临床诊断学特征及其正念疗法的研究进展[J]. 中华诊断学电子杂志, 2019, 07(03): 155-158.

Fengyi Hao, Xiaojiang Jiang, Xubin Gao. Recent advances in clinical diagnostic features and mindfulness-based therapy of insomnia[J]. Chinese Journal of Diagnostics(Electronic Edition), 2019, 07(03): 155-158.

失眠症的正念疗法(MBT-I)通过培育正念的习惯(初学者心态、不执着、放下、非评判、接纳、信任和耐心)、正念减压练习(关注呼吸、坐姿冥想、身体扫描、正念行走以及瑜伽等)及调整痛苦情绪的认知策略来减轻睡眠失调,并将失眠症的认知行为治疗(CBT-I)中刺激控制、睡眠限制及睡眠卫生的元素置于正念减压的框架内实施。MBT-I以团体体验形式进行,每周1次每次2 h,连续8周,有助于减少躯体疾病或心理问题对睡眠的负面影响;训练注意力控制,减少过度焦灼;降低睡眠相关过度觉醒,增强对情绪的调控能力;接纳当下的体验,而不是评判;减少对失眠的担忧,不过度努力入睡。

Mindfulness-based therapy for insomnia (MBT-I) alleviates sleep disorders by cultivating mindfulness practice (beginners mind, non-striving, letting go, non-judging, acceptance, trust and patience), training mindfulness-based stress reduction (MBSR) exercises(paying attention to breathe, sitting meditation, body scanning, mindful walking and yoga), and learning cognitive strategies to adjust painful emotions. The stimulation control, sleep restriction and sleep hygiene, which are elements of cognitive-behavior therapy for insomnia (CBT-I), are also being adopted to MBT-I. MBT-I is a group therapy which is held once a week for 8 weeks, 2 h each time. It may reduce the negative impact of physical illness or psychological problems on sleep, improve attention control and reduce excessive rumination, reduce sleep-related hyperarousal and enhance the ability of emotional regulation. It also teaches patients to accept present experience rather than make judgment, diminish attention about insomnia and not to make excessive effort to fall asleep.

表1 失眠症的亚型
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