Bilişsel Davranışçı Terapi-Uykusuzluk Protokolü ve Etkililik Çalışmalarının Gözden Geçirilmesi

Yıl 2020, Cilt: 12 Sayı: 2, 274 - 286, 30.06.2020

Umut Çıvgın , Gülay Dirik

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.

Anahtar Kelimeler

İnsomni, Uykusuzluk Bozukluğu, Uyku, Bilişsel Davranışçı Tereapi

Cognitive Behavioral Therapy - Insomnia Protocol and Review of Efficacy Studies

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.

Anahtar Kelimeler

Insomnia, Sleep, Cognitive Behavioral Therapy

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