{"id":37234,"date":"2021-10-01T00:45:34","date_gmt":"2021-09-30T16:45:34","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=37234"},"modified":"2021-09-16T10:54:37","modified_gmt":"2021-09-16T02:54:37","slug":"%e7%96%ab%e6%83%85%e6%99%82%e4%bb%a3%e4%b8%8b%e5%a4%b1%e7%9c%a0%e5%9b%b0%e6%93%be%e7%9a%84%e4%bb%8b%e5%85%a5%ef%bc%8ddcbt-i%e7%9a%84%e4%bf%9d%e8%ad%b7%e6%95%88%e6%9e%9c","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=37234","title":{"rendered":"\u75ab\u60c5\u6642\u4ee3\u4e0b\u5931\u7720\u56f0\u64fe\u7684\u4ecb\u5165\uff0ddCBT-I\u7684\u4fdd\u8b77\u6548\u679c"},"content":{"rendered":"

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\u5716\u7247\u4f86\u6e90\uff1apixabay.com<\/figcaption><\/figure>\n

\u64b0\u6587\uff0f\u8521\u5cb7\u54f2<\/strong><\/p>\n

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\u4e8b\u5be6\u4e0a\uff0c\u6709\u95dc\u5931\u7720\u53ef\u4ee5\u900f\u904e\u91ab\u7642\u5c08\u696d\u7684\u5354\u52a9\u4e0b\uff0c\u5c07\u5931\u7720\u7684\u73fe\u8c61\u6839\u64da\u75c7\u72c0\u767c\u751f\u7684\u524d\u7f6e\u56e0\u5b50\u3001\u8a98\u767c\u56e0\u5b50\uff0c\u4ee5\u53ca\u7dad\u6301\u56e0\u5b50\uff0c\u5206\u5225\u627e\u51fa\u53ef\u80fd\u5c0e\u81f4\u4e00\u500b\u4eba\u51fa\u73fe\u5931\u7720\u7684\u4e0d\u540c\u56e0\u7d20\uff0c\u50cf\u662f\u5bb9\u6613\u611f\u5230\u7dca\u5f35\uff08\u524d\u7f6e\u56e0\u5b50\uff09\u7684\u4eba\uff0c\u53ef\u80fd\u56e0\u70ba\u9577\u671f\u58d3\u529b\u4e8b\u4ef6\u800c\u51fa\u73fe\u7761\u7720\u54c1\u8cea\u4e0d\u4f73\u6216\u96e3\u4ee5\u5165\u7761\u7684\u60c5\u5f62\uff08\u8a98\u767c\u56e0\u5b50\uff09\u3002\u6b64\u6642\u7684\u4ed6\uff0c\u958b\u59cb\u66f4\u5c08\u6ce8\u65bc\u81ea\u5df1\u7684\u7761\u7720\u54c1\u8cea\u3001\u601d\u8003\u81ea\u5df1\u70ba\u4f55\u6703\u7761\u4e0d\u8457\uff0c\u6216\u662f\u5c08\u6ce8\u65bc\u8b93\u81ea\u5df1\u76e1\u5feb\u5165\u7761\u800c\u65e9\u65e9\u4e0a\u5e8a\uff08\u7dad\u6301\u56e0\u5b50\uff09\uff0c\u4f46\u9019\u5f88\u53ef\u80fd\u7121\u6cd5\u9054\u5230\u6548\u679c\uff0c\u537b\u53cd\u800c\u8b93\u81ea\u5df1\u9677\u65bc\u5931\u7720\u7684\u60e1\u6027\u5faa\u74b0\u3002\u90a3\u9ebc\uff0c\u53d7\u5931\u7720\u6240\u82e6\u7684\u4eba\uff0c\u53ef\u80fd\u6703\u63a1\u53d6\u751a\u9ebc\u884c\u52d5\u5462\uff1f\u6709\u4e9b\u4eba\u53ef\u80fd\u900f\u904e\u8abf\u6574\u98f2\u98df\u6216\u751f\u6d3b\u4f5c\u606f\u4f86\u7de9\u89e3\u56f0\u64fe\uff0c\u4f46\u7576\u9054\u5230\u56b4\u91cd\u5931\u7720\u7a0b\u5ea6\u6642\uff0c\u4e00\u90e8\u4efd\u7684\u4eba\u4fbf\u6703\u5c0b\u6c42\u91ab\u7642\u5c08\u696d\u7684\u5354\u52a9\u3002\u9664\u4e86\u900f\u904e\u85e5\u7269\u7684\u5354\u52a9\uff0c\u5fc3\u7406\u6cbb\u7642\u4e5f\u662f\u8655\u7406\u5931\u7720\u56f0\u64fe\u7684\u5229\u5668\u4e4b\u4e00\u3002\u5176\u4e2d\u5931\u7720\u7684\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\uff08cognitive behavioral therapy for insomnia; CBT-I\uff09\uff0c\u4fbf\u662f\u6700\u5e38\u7528\u4ee5\u8655\u7406\u5931\u7720\u7684\u65b9\u5f0f\u4e4b\u4e00\u3002<\/p>\n

CBT-I\u900f\u904e\u7531\u5c08\u696d\u6cbb\u7642\u5e2b\u5be6\u884c\uff0c\u4e86\u89e3\u5931\u7720\u60a3\u8005\u7684\u56e0\u61c9\u65b9\u5f0f\uff0c\u4ee5\u53ca\u4e0d\u5408\u7406\u6216\u662f\u975e\u7406\u6027\u7684\u601d\u8003\u7b49\uff0c\u9054\u5230\u7de9\u89e3\u5931\u7720\u56f0\u64fe\u7684\u6548\u679c\u3002\u8fd1\u5e74\u5247\u958b\u59cb\u6709\u5b78\u8005\u9032\u4e00\u6b65\u4e86\u89e3\u91dd\u5c0d\u5931\u7720\u7684\u6578\u4f4d\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\uff08digital cognitive behavioral therapy for insomnia; dCBT-I\uff09\u7684\u6548\u679c\u3002\u904e\u53bb\u7684\u5b78\u8005Luik\u7b49\u4eba\u6307\u51fa\uff0cdCBT\uff08\u6578\u4f4d\u7684\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\uff0d\u4ee5CBT\u70ba\u672c\uff0c\u900f\u904e\u4e0d\u540c\u79d1\u6280\u7684\u8f14\u52a9\u57f7\u884c\uff0c\u5982\u5100\u5668\u76e3\u6e2c\u3001\u5f71\u7247\u3001\u4e92\u52d5\u7a0b\u5f0f\u7b49\uff09\u53ef\u4ee5\u6839\u64da\u5c08\u696d\u4eba\u54e1\u7684\u4ecb\u5165\u7a0b\u5ea6\uff0c\u5206\u70ba\u652f\u6301\u6027\u7684dCBT\u3001\u5f15\u5c0e\u5f0f\u7684dCBT\uff0c\u4ee5\u53ca\u5b8c\u5168\u7531\u500b\u6848\u81ea\u884c\u5be6\u884c\u7684dCBT\u3002\u800cLuik\u7b49\u4eba\u56de\u9867\u6578\u7bc7\u7814\u7a76\u6307\u51fa\uff0cdCBT-I\u5247\u5c0d\u65bc\u8655\u7406\u5931\u7720\u56f0\u64fe\u662f\u5177\u6709\u6548\u76ca\u7684\u3002<\/p>\n

\u25cfdCBT-I<\/strong>\u53ef\u80fd\u5177\u6709\u9577\u671f\u7684\u4fdd\u8b77\u6548\u679c<\/strong><\/span><\/p>\n

\u81ea\u5f9e\u88abCOVID-19\u8086\u8650\u76842020\u5e74\u8d77\uff0c\u75ab\u60c5\u6642\u4ee3\u4e0b\u7684\u751f\u6d3b\u8b8a\u52d5\u8207\u4e0d\u78ba\u5b9a\u6027\uff0c\u5c0d\u8a31\u591a\u4eba\u7684\u5fc3\u7406\u5c64\u9762\u9020\u6210\u885d\u64ca\uff0c\u5176\u4e2d\uff0c\u5931\u7720\u4fbf\u662f\u4e00\u500b\u5e38\u898b\u4e14\u503c\u5f97\u95dc\u6ce8\u7684\u554f\u984c\u4e4b\u4e00\u3002\u5728\u4eca\u5e74\u65bcSleep<\/em>\u767c\u8868\u7684\u7814\u7a76\u4e2d\uff0c\u5967\u52d2\u5ca1\u5927\u5b78\u7684\u7814\u7a76\u8005\uff0dCheng\u7b49\u4eba\uff0c\u4fbf\u601d\u8003\u524d\u8ff0\u63d0\u53ca\u7684dCBT-I\u80fd\u4e0d\u80fd\u5920\u5c0d\u65bc\u66fe\u63a5\u53d7\u904edCBT-I\u7684\u5931\u7720\u60a3\u8005\u7522\u751f\u4fdd\u8b77\u6548\u679c\u3002Cheng\u7b49\u4eba\u8a8d\u70ba\uff0c\u6709\u95dc\u5931\u7720\u554f\u984c\uff0c\u9664\u4e86\u91dd\u5c0d\u5931\u7720\u76f4\u63a5\u9032\u884c\u4ecb\u5165\uff0c\u627e\u51fa\u76f8\u95dc\u7684\u9810\u9632\u65b9\u5f0f\uff0c\u751a\u81f3\u662f\u80fd\u5920\u4fdd\u8b77\u500b\u9ad4\u514d\u65bc\u56f0\u64fe\u7684\u56e0\u5b50\uff0d\u5fa9\u539f\u529b\uff0f\u97cc\u6027\uff08resilience\uff09\u4e5f\u6709\u5176\u91cd\u8981\u6027\u3002\u6709\u9451\u65bcdCBT-I\u9664\u4e86\u91dd\u5c0d\u5931\u7720\u75c7\u72c0\u9032\u884c\u8655\u7406\uff0c\u5b83\u4e5f\u540c\u6642\u7de9\u89e3\u500b\u9ad4\u7684\u7126\u616e\u3001\u751f\u6d3b\u6eff\u610f\u5ea6\u7b49\u9762\u5411\uff1b\u4e14\u6709\u5931\u7720\u53f2\u7684\u500b\u9ad4\uff0c\u518d\u6b21\u51fa\u73fe\u5931\u7720\u7684\u53ef\u80fd\u6027\u90fd\u8f03\u9ad8\uff0c\u56e0\u6b64Cheng\u7b49\u4eba\u4fbf\u4ee5\u66fe\u63a5\u53d7\u904edCBT-I\u7684\u60a3\u8005\u70ba\u5c0d\u8c61\uff0c\u4ee5\u4e86\u89e3dCBT-I\u662f\u5426\u80fd\u5920\u5728\u5931\u7720\u75c7\u72c0\u3001\u5fc3\u7406\u9069\u61c9\u7b49\u5c64\u9762\u5e36\u4f86\u4fdd\u8b77\u6548\u679c\u3002<\/p>\n

\u7814\u7a76\u8005\u627e\u4f86\u5c45\u4f4f\u65bc\u5e95\u7279\u5f8b\u3001\u57282016-17\u5e74\u9593\u66fe\u63a5\u53d7\u904edCBT-I\u6216\u50c5\u63a5\u53d7\u7761\u7720\u885b\u6559\u7684\u60a3\u8005\u9032\u884c\u7814\u7a76\uff0c\u4e26\u8acb\u4ed6\u5011\u586b\u7b54\u4e00\u7cfb\u5217\u7684\u5fc3\u7406\u9069\u61c9\uff08\u5305\u542b\u53d7\u5230COVID-19\u7684\u885d\u64ca\u7a0b\u5ea6\uff09\u8207\u5931\u7720\u75c7\u72c0\u7684\u554f\u5377\uff0c\u4ee5\u4e86\u89e3dCBT-I\u7684\u5f8c\u7e8c\u4fdd\u8b77\u6548\u679c\u3002\u5728\u7576\u6642\uff0c\u9019\u4e9b\u60a3\u8005\u63a5\u53d7\u4e86\u70ba\u671f\u516d\u5468\uff0c\u900f\u904e\u4ee5\u300c\u865b\u64ec\u6cbb\u7642\u5e2b\uff08virtual therapist\uff09\u300d\u70ba\u8f14\u52a9\u7684dCBT-I\u8a08\u756b\u7684\u4ecb\u5165\uff0c\u4e26\u8207\u53e6\u4e00\u7d44\u96a8\u6a5f\u5206\u6d3e\u7684\u63a7\u5236\u7d44\u5225\u9032\u884c\u6bd4\u8f03\uff08\u50c5\u63a5\u53d7\u5fc3\u7406\u885b\u6559\u7684\u4ecb\u5165\uff09\u3002<\/p>\n

Cheng\u7b49\u4eba\u7684\u7814\u7a76\u7d50\u679c\u986f\u793a\uff0c\u76f8\u8f03\u65bc\u63a7\u5236\u7d44\uff0c\u9019\u4e9b\u66fe\u7d93\u63a5\u53d7\u904edCBT-I\u7684\u5931\u7720\u60a3\u8005\uff0c\u5728\u75ab\u60c5\u8086\u8650\u7684\u6642\u4ee3\u4e0b\u6240\u5831\u544a\u51fa\u7684\u6182\u9b31\u75c7\u72c0\u3001\u7761\u7720\u56f0\u64fe\uff0c\u4ee5\u53ca\u8207\u75ab\u60c5\u6709\u95dc\u7684\u5fc3\u7406\u56f0\u64fe\uff08\u5982\uff1a\u53cd\u82bb\u601d\u8003\u3001\u4fb5\u5165\u6027\u60f3\u6cd5\uff09\u90fd\u8f03\u4f4e\uff1b\u4e5f\u767c\u73fedCBT-I\u78ba\u5be6\u5728\u9019\u4e9b\u60a3\u8005\u8eab\u4e0a\u5177\u6709\u4fdd\u8b77\u6548\u679c\uff0d\u4ed6\u5011\u7684\u5931\u7720\u56f0\u64fe\u8207\u60c5\u7dd2\u75c7\u72c0\u7684\u51fa\u73fe\u6bd4\u7387\u8f03\u4f4e\u3002\u9019\u4e9b\u767c\u73fe\u986f\u793adCBT-I\u5373\u4f7f\u5728\u7d93\u6b77\u6578\u5e74\u904e\u5f8c\uff0c\u4ecd\u53ef\u80fd\u5c0d\u65bc\u60a3\u8005\u7684\u7761\u7720\u54c1\u8cea\u3001\u6574\u9ad4\u7684\u5fc3\u7406\u9069\u61c9\u90fd\u6709\u8457\u4fdd\u8b77\u7684\u6548\u679c\u3002\u91dd\u5c0d\u9019\u500b\u4ee4\u4eba\u632f\u596e\u7684\u767c\u73fe\uff0cCheng\u7b49\u4eba\u8a8d\u70ba\uff0c\u9019\u53ef\u80fd\u8207\u690d\u57fa\u65bcCBT\u7684dCBT-I\u662f\u5f9e\u6839\u672c\u4e0a\u91dd\u5c0d\u60a3\u8005\u7684\u8a8d\u77e5\u601d\u8003\u8207\u56e0\u61c9\u65b9\u5f0f\u9032\u884c\u8655\u7406\uff0c\u56e0\u6b64\u9664\u4e86\u80fd\u9010\u6f38\u964d\u4f4e\u5931\u7720\u7684\u60e1\u6027\u5faa\u74b0\uff0c\u4e5f\u6e1b\u5c11\u6709\u95dc\u7684\u5fc3\u7406\u56f0\u64fe\u7684\u51fa\u73fe\u3002\u5728\u75ab\u60c5\u4ecd\u672a\u5168\u7136\u5e73\u7a69\u7684\u6642\u4ee3\uff0c\u66f4\u6709\u5f48\u6027\u7684\u6cbb\u7642\u65b9\u5f0f\u6216\u662f\u53d6\u5411\uff0c\u4e5f\u5c07\u7372\u5f97\u8d8a\u4f86\u8d8a\u591a\u7684\u95dc\u6ce8\u3002<\/p>\n

 <\/p>\n

\u53c3\u8003\u8cc7\u6599\uff1a<\/strong><\/p>\n

    \n
  1. Cheng, P., Casement, M. D., Kalmbach, D. A., Castelan, A. C., & Drake, C. L. (2021). Digital cognitive behavioral therapy for insomnia promotes later health resilience during the coronavirus disease 19 (COVID-19) pandemic. Sleep<\/em>, 44<\/em>(4), zsaa258.<\/a><\/li>\n
  2. Luik, A. I., Kyle, S. D., & Espie, C. A. (2017). Digital cognitive behavioral therapy (dCBT) for insomnia: a state-of-the-science review. Current Sleep Medicine Reports<\/em>, 3<\/em>(2), 48-56.<\/a><\/li>\n<\/ol>\n

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