网络化认知行为治疗在失眠障碍中的应用和研究进展

失眠障碍是最常见的睡眠障碍之一，且发病率呈现不断增长趋势，带来巨大的经济和社会损失。失眠障碍的治疗主要包括药物治疗和认知行为治疗，药物治疗不良反应多，且易成瘾，目前认知行为治疗为失眠障碍的一线治疗。由于面对面失眠认知行为治疗存在费用高、操作不统一规范等弊端，网络化失眠认知行为治疗逐渐兴起，其治疗效果优于药物治疗，且与面对面失眠认知行为治疗效果相当。本文对失眠认知行为疗法的基本原理和网络化认知行为治疗的发展、形式、疗效以及优缺点进行综述。

Application and research progress of internet-based cognitive behavioral therapy forinsomnia disorder

Insomnia disorder is one of the most common sleep disorders with an increasing incidence to cause substantialeconomic losses and social burden. The therapy for insomnia disorder mainly includes medication treatment and cognitivebehavioral therapy. Medications are associated with various adverse effects and can be easily addictive. Cognitive behavioraltherapy has been proposed as the first-line treatment for insomnia disorder. But due to the disadvantages of face-to-facecognitive behavioral therapy including a high cost and the lack of standardization, internet-based cognitive behavioral therapyhas emerged as an alternative with an almost equivalent efficacy to face-to-face cognitive behavioral therapy and better effectsthan medication. This review summarizes the basic principles of cognitive behavioral therapy for insomnia and discusses thedevelopment, forms, effects as well as the advantages and disadvantages of internet-based cognitive behavioral therapy.