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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2021, Vol. 26 ›› Issue (5): 482-486.doi: 10.12092/j.issn.1009-2501.2021.05.001

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Pathophysiology and cognitive behavioral therapy of chronic insomnia

ZHAO Zhengqing, LI Yanpeng, XIANG Xiaoxia, ZHUANG Jianhua, ZHAO Zhongxin   

  1. Department of Neurology, Changzheng Hospital, Naval Medical University, Shanghai 200003, China
  • Received:2021-02-22 Revised:2021-04-30 Online:2021-05-26 Published:2021-06-02

Abstract: The occurrence and development of chronic insomnia involves subjective and objective factors, which can be classified as predisposing factors, precipitating factors and perpetuating factors. Cognitive behavioral therapy for insomnia (CBT-I) evolves from the pathopsychological analysis of chronic insomnia patients, and selectively combines the sleep hygiene, cognitive therapy and behavioral therapy to improve the symptoms of patients. With the popularity of internet, the digital cognitive behavioral therapy for insomnia has an convenient advantage over the traditional therapy, and has become the focus of research. Researchers have proposed multiple therapies for chronic insomnia, including drug therapy and non-drug therapy, which improve the treatment effect of chronic insomnia from different perspectives.

Key words: chronic insomnia, pathophysiology, cognitive behavioral therapy, non-drug therapy

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