Incorporating principles from acceptance and commitment therapy into cognitive-behavioral therapy for insomnia: A case example

被引：31
作者：
Dalrymple K.L. [1 ,2 ]
Fiorentino L. [3 ]
Politi M.C. [4 ]
Posner D. [1 ]
机构：
[1] Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI
[2] Department of Psychiatry, Rhode Island Hospital, Providence, RI 02905
[3] Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA
[4] Department of Surgery, Health Communication Research Laboratory, Washington University, St. Louis, MO
来源：
Journal of Contemporary Psychotherapy | 2010年 / 40卷 / 4期
关键词：
Acceptance; Behavior therapy; Insomnia; Mindfulness; Treatment;
D O I：
10.1007/s10879-010-9145-1
中图分类号：
学科分类号：
摘要：
Although traditional cognitive behavioral treatments for insomnia have demonstrated efficacy for many individuals with primary and comorbid insomnia, not all individuals benefit from treatment and some experience a subsequent relapse of insomnia. Furthermore, many individuals experience difficulty in implementing the sleep restriction and stimulus control strategies, especially over the long-term. The current article describes ways in which principles from a newer type of behavior therapy, Acceptance and Commitment Therapy (ACT), can be integrated with traditional behavioral treatment strategies for insomnia. A major goal of ACT is to increase willingness to experience unpleasant thoughts, feelings, and physical sensations, and to promote engagement in personallyvalued behaviors while non-judgmentally observing these unpleasant experiences. ACT has the potential to enhance the behavioral treatment of insomnia by fostering willingness to experience short-term discomfort (e.g., fatigue) that occurs while implementing sleep restriction and stimulus control strategies. A case example is presented to illustrate how these principles from ACT can be integrated with behavioral techniques in the treatment of insomnia. © Springer Science-Business Media, LLC 2010.
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收藏
页码：209 / 217
页数：8
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