r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2019-24-6-14-20r-n-j-38Research ArticleОБЗОРЫREVIEWSКогнитивно-поведенческая терапия при инсомнииCognitive-Behavioral Therapy in Insomniahttps://orcid.org/0000-0003-4694-4202ПарфеноваЕ. В.ParfenovaE. V.

Парфенова Елена Владимировна - научный сотрудник.

115419,Москва, ул. Донская, 43.

Elena  V.  Parfenova – researcher.

115419, Donskaya St 43, Moscow.

parfenovaelenavlad@gmail.comНаучно-практический психоневрологический центр им. З.П. Соловьева Департамента здравоохранения города МосквыРоссияZ.P. Solovyev Research and Practical Center of Psychoneurology, Moscow Healthcare DepartmentRussian Federation2019270120202461420Copyright © Парфенова Е.В., 20202020Парфенова Е.В.Parfenova E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/38

В развитии хронической инсомнии большое значение имеют когнитивные и поведенческие факторы, что объясняет эффективность когнитивно-поведенческой терапии (КПТ), которая может быть использована как в сочетании с лекарственной терапией, так и без нее. Анализируются вопросы проведения КПТ, ее различные методики, эффективность в сравнении с лекарственной терапией. Отмечается, что КПТ позволяет скорректировать ошибочные мысли (когнитивные ошибки) и поведенческие паттерны, отрицательно влияющие на качество и продолжительность сна. Обсуждаются вопросы оптимизации применения КПТ в клинической практике.

Cognitive and behavioral factors are of great importance in the development of chronic insomnia, which explains the effectiveness of cognitive-behavioral  therapy (CBT). CBT can be used both in combination with drug therapy and without it. This review gathers the existing information about conducting CBT, its various methods and effectiveness in comparison with drug therapy. CBT allows correcting erroneous thoughts (cognitive errors) and behavioral patterns that adversely affect the quality and duration of sleep. The issues of optimizing the use of CBT in clinical practice are discussed.

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The authors declare that there are no conflicts of interest present.