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Bilişsel Davranışçı Terapi-Uykusuzluk Protokolü ve Etkililik Çalışmalarının Gözden Geçirilmesi

Yıl 2020, , 274 - 286, 30.06.2020
https://doi.org/10.18863/pgy.557227

Öz

Günümüzde uyku ile ilgili problemlerde artış görülmektedir. Hem ülkemizde hem de diğer ülkelerde uykusuzluk bozukluğunun (insomni) en sık karşılaşılan uyku bozukluklarından biri olduğu belirtilmektedir. Bu araştırma kapsamında, uykusuzluk bozukluğunun bilişsel davranışçı terapi temelli tedavisi ve bu tedavi yaklaşımının etkililiğini inceleyen çalışmalar gözden geçirilmiştir. Derleme için Medline, PsycINFO, PsycARTICLES, Web of Science, JStore veri tabanları incelenerek 2005-2019 yılları arasındaki Bilişsel Davranışçı Terapi Uykusuzluk Protokolünü (BDT-U) konu edinmiş çalışmalar incelenmiştir. İlgili alan yazına göre BDT-U’nun uykusuzluk belirtilerini azaltmada, uyunan uyku süresini artırmada, müdahaleden sonra elde edilen kazanımların korunmasında olumlu sonuçları mevcuttur. Yapılan bazı çalışmalarda müdahalenin bir kısım dezavantajlarının olduğu vurgulansa da sadece uykusuzluk bozukluğunun tedavisinde değil, uykusuzluk bozukluğu ile beraber görülen depresyon, anksiyete gibi rahatsızlıkların tedavisinde de bu müdahalenin etkili bir tedavi yöntemi olduğu anlaşılmaktadır. Uluslararası alan yazında sıkça kullanılan ve etkililiğinin araştırıldığı BDT-U protokolünün, ulusal alan yazında etkililik çalışmalarının henüz yapılmadığı görülmüştür. Bu nedenle yapılan çalışmada bu konu ile ilgili uluslararası alan yazında yapılan çalışmalar gözden geçirilmiştir.

Kaynakça

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  • American Psychiatric Association. (2013) Diagnostic and statistical manual of mental disorders (DSM-5®) American Psychiatric Pub.
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  • Aydın A, Selvi Y, Güzel-Özdemir P (2013) Depresyon Hastalarında Aleksitiminin Bedenselleştirme ve Uyku Kalitesi Üzerine Etkisi. Archives of Neuropsychiatry/ Nöropsikiatri Arşivi 50:65-69.
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  • Buscemi N, Vandermeer B, Friesen C, Bialy L, Tubman M, Ospina M, Klassen TP, Witmans M (2005) Manifestations and Management of Chronic Insomnia in Adults. Evidence Report/ Technology Assessment No. 125. AHRQ Publication No. 05-E021-2. Rockville: Agency for Healthcare Research and Quality.
  • Buysse DJ, Angst J, Gamma A, Ajdacic V, Eich D, Rossler W (2008) Prevalence, course, and comorbidity of insomnia and depression in young adults. Sleep-New York Then Westchester, 31:473.
  • Cheng SK, Dizon J (2012) Computerised cognitive behavioural therapy for insomnia: a systematic review and meta-analysis. Psychotherapy and psychosomatics, 81:206-216.
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Cognitive Behavioral Therapy - Insomnia Protocol and Review of Efficacy Studies

Yıl 2020, , 274 - 286, 30.06.2020
https://doi.org/10.18863/pgy.557227

Öz

Nowadays, problems related to sleep increase. Insomnia is one of the most frequently encountered sleep disorders in both our country and other countries. The studies investigating the cognitive behavioral therapy based treatment of insomnia disorder and the effectiveness of this treatment approach were reviewed in present study. For the review, the studies on the Cognitive Behavioral Therapy Insomnia (CBT-I) protocol between years 2005-2019 were examined via Medline, PsycINFO, PsycARTICLES, Web of Science, and JStore databases. According to the related literature, CBT-I has shown positive results in decreasing insomnia symptoms, increasing sleep time, and sustaining gains after intervention. Although it is emphasized that the intervention has some disadvantages in some studies, it is not only the treatment of insomnia disorder, but also it is an effective treatment method in the treatment of comorbid disorders such as depression anxiety with insomnia disorder. It is observed that the effectiveness of the CBT-I protocol, which is frequently used in literature and whose effectiveness has been investigated, has not yet been studied in the Turkey. For this reason, in the current study, the studies conducted in the field related to this subject are reviewed.

Kaynakça

  • American Academy of Sleep Medicine (2005) International classification of sleep disorders: diagnostic and coding manual: 2nd ed. Westchester IL: American Academy of Sleep Medicine.
  • American Psychiatric Association. (2013) Diagnostic and statistical manual of mental disorders (DSM-5®) American Psychiatric Pub.
  • Archer M, Brown JS, Idusohan H, Coventry S, Manoharan A, Espie CA (2009) The development and evaluation of a large-scale self-referral CBT-I intervention for men who have insomnia: an exploratory study. Behavioural and cognitive psychotherapy, 37:239-248.
  • Aydın A, Selvi Y, Güzel-Özdemir P (2013) Depresyon Hastalarında Aleksitiminin Bedenselleştirme ve Uyku Kalitesi Üzerine Etkisi. Archives of Neuropsychiatry/ Nöropsikiatri Arşivi 50:65-69.
  • Aydın H, Özgen F (2001) Uyku, yapısı ve işlevi. Turkiye Klinikleri [Journal of Psychiatry], 2:79-85.
  • Aysan E, Karaköse S, Zaybak A, İsmailoğlu EG (2014) Üniversite Öğrencilerinde Uyku Kalitesi ve Etkileyen Faktörler. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 7:193-198.
  • Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, Lombardo, C, Riemann D (2011) Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. Journal of affective disorders, 135:10-19.
  • Bastien CH, Morin CM, Ouellet MC, Blais FC, Bouchard S (2004) Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations. Journal of consulting and clinical psychology, 72:653.
  • Belleville G, Guay S, Marchand A (2011) Persistence of sleep disturbances following cognitive-behavior therapy for posttraumatic stress disorder. Journal of Psychosomatic Research, 70:318-327.
  • Blom K, Jernelöv S, Kraepelien M, Bergdahl MO, Jungmarker K, Ankartjärn L, Kaldo V (2015) Internet treatment addressing either insomnia or depression, for patients with both diagnoses: a randomized trial. Sleep, 38:267-277.
  • Braunwald E, Fauer AS, Kasper DL (2001) Harrison Textbook of Internal Medicine. (15.edition).
  • Brooks AT, Tuason RT, Chakravorty S, Raju S, Ritterband LM, Thorndike FP, Wallen GR (2018) Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial. Pilot and feasibility studies, 4:183.
  • Brooks AT, Wallen GR (2014) Sleep disturbances in individuals with alcohol-related disorders: a review of cognitive-behavioral therapy for insomnia (CBT-I) and associated non-pharmacological therapies. Substance abuse: research and treatment, 8:55.
  • Brower KJ, Krentzman A, Robinson, EA (2011) Persistent insomnia, abstinence, and moderate drinking in alcohol‐dependent individuals. The American journal on addictions, 20:435-440.
  • Buscemi N, Vandermeer B, Friesen C, Bialy L, Tubman M, Ospina M, Klassen TP, Witmans M (2005) Manifestations and Management of Chronic Insomnia in Adults. Evidence Report/ Technology Assessment No. 125. AHRQ Publication No. 05-E021-2. Rockville: Agency for Healthcare Research and Quality.
  • Buysse DJ, Angst J, Gamma A, Ajdacic V, Eich D, Rossler W (2008) Prevalence, course, and comorbidity of insomnia and depression in young adults. Sleep-New York Then Westchester, 31:473.
  • Cheng SK, Dizon J (2012) Computerised cognitive behavioural therapy for insomnia: a systematic review and meta-analysis. Psychotherapy and psychosomatics, 81:206-216.
  • Cohn T, Foster J, Peters T (2003) Sequential studies of sleep disturbance and quality of life in abstaining alcoholics. Addiction Biology, 8:455-462.
  • Cole MG, Dendukuri N (2003) Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. American Journal of Psychiatry, 160:1147-1156.
  • Coleman RM, Roffwarg HP, Kennedy SJ (1982) Sleep wake dis­orders based on polysomnographic diagnosis: a national coopera­tive study. JAMA, 247:997-1103.Cunningham JE, Shapiro CM (2018) Cognitive Behavioural Therapy for Insomnia (CBT-I) to treat depression: A systematic review. Journal of psychosomatic research, 106:1-12.
  • Demir AU, Ardic S, Firat H, Karadeniz D, Aksu M, Ucar ZZ, Peker Y (2015) Prevalence of sleep disorders in the Turkish adult population epidemiology of sleep study. Sleep and Biological Rhythms, 13:298-308.
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  • Drake CL (2016) The promise of digital CBT-I. Sleep, 39:13-14.
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Toplam 102 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Psikoloji
Bölüm Derleme
Yazarlar

Umut Çıvgın 0000-0003-4578-0509

Gülay Dirik 0000-0002-5748-9180

Yayımlanma Tarihi 30 Haziran 2020
Kabul Tarihi 31 Temmuz 2019
Yayımlandığı Sayı Yıl 2020

Kaynak Göster

AMA Çıvgın U, Dirik G. Bilişsel Davranışçı Terapi-Uykusuzluk Protokolü ve Etkililik Çalışmalarının Gözden Geçirilmesi. Psikiyatride Güncel Yaklaşımlar. Haziran 2020;12(2):274-286. doi:10.18863/pgy.557227

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Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.