失眠认知行为治疗对青少年精神障碍的影响

doi:10.12677/acm.2026.1693251

期刊菜单

失眠认知行为治疗对青少年精神障碍的影响
The Impact of Cognitive Behavioral Therapy for Insomnia in Adolescent with Psychiatric

DOI: 10.12677/acm.2026.1693251, PDF,
作者: 王玉均：河北大学第六临床医学院，河北保定；贾海玲^*：河北大学第六临床医学院，河北保定；河北省精神卫生中心，河北保定
关键词: 失眠；精神障碍；青少年；失眠认知行为治疗；综述；Insomnia； Psychiatric Disorders； Adolescent； Cognitive Behavior Therapy for Insomnia； Review

摘要: 失眠障碍是最常见的睡眠障碍之一，也是青少年常见的健康问题。青少年失眠障碍与精神障碍之间存在双向关系，失眠会影响精神障碍病程、治疗及预后。治疗失眠症状可有效缓解患者的心理症状及精神症状，从而降低精神障碍的发病率。目前，失眠认知行为治疗已被广泛认可为成人失眠障碍的首选干预方式，但对于青少年的研究相对较少。本文通过梳理已有研究，对失眠认知行为治疗在青少年中研究进展进行综述。结果表明失眠认知行为治疗不仅通过改善失眠患者的睡眠时间与睡眠质量来缓解焦虑抑郁症状，还可以通过改善精神障碍患者的失眠症状来减轻精神病性症状严重程度、降低物质依赖程度，对注意缺陷、多动等问题也有积极影响，是目前安全性高并长期疗效稳定的一种治疗手段。但失眠认知行为治疗在青少年中的推广应用仍面临一些挑战，包括治疗依从性、短期功能损害以及病情波动等。因此，本文基于既往研究阐述了失眠认知行为治疗在青少年精神障碍患者中的应用效果及可能存在的风险，以期为失眠认知行为治疗的临床应用提供实证依据。

Abstract: Insomnia disorder is one of the most prevalent sleep disorders and a significant health concern among adolescents. Insomnia and psychiatric disorders are deeply intertwined, and the relationship runs both ways. Beyond raising the likelihood of mental illness onset, persistent sleep disturbance tends to complicate how a condition unfolds over time—undermining treatment response and casting a longer shadow over long-term prognosis. Cognitive Behavioral Therapy for Insomnia, the first-line treatment for chronic insomnia recommended by major international sleep medicine guidelines, this review synthesizes current evidence on the application of Cognitive Behavioral Therapy for Insomnia in adolescents across a range of psychiatric conditions. Findings indicate that Cognitive Behavioral Therapy for Insomnia effectively improves sleep quality and duration while concurrently alleviating anxiety and depressive symptoms in adolescents with mood disorders. It also has a positive effect on issues such as attention deficit and hyperactivity, and is currently a treatment method with high safety and stable long-term therapeutic effects. Therefore, this article elaborates on the application effects and potential risks of cognitive behavioral therapy for insomnia in adolescent patients with mental disorders based on previous studies, aiming to provide empirical evidence for the clinical application of cognitive behavioral therapy for insomnia.

文章引用：王玉均, 贾海玲. 失眠认知行为治疗对青少年精神障碍的影响[J]. 临床医学进展, 2026, 16(9): 2064-2071. https://doi.org/10.12677/acm.2026.1693251

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