Group cognitive behavioral therapy for insomnia in the treatment of comorbid insomnia and obstructive sleep apnea： a case report
10.11886/scjsws20240531002
- VernacularTitle:团体失眠认知行为疗法治疗阻塞性睡眠呼吸暂停共病失眠1例
- Author:
Min LIU
1
;
Rui ZHAO
1
;
Min CHEN
1
;
Rina SU
1
;
Wanting WEI
1
;
Ping YAO
1
;
Dongsheng LYU
1
Author Information
1. Inner Mongolia Autonomous Region Mental Health Center， Hohhot 010010， China
- Publication Type:Journal Article
- Keywords:
Group cognitive behavioral therapy for insomnia;
Insomnia;
Obstructive sleep apnoea
- From:
Sichuan Mental Health
2024;37(6):572-575
- CountryChina
- Language:Chinese
-
Abstract:
This article reported a patient who initially presented with insomnia complaints and was subsequently diagnosed with severe obstructive sleep apnea （OSA） on polysomnography （PSG）. The patient tried continuous positive airway pressure （CPAP）but gave up because wear the ventilator made it more difficult to fall asleep. Then the patient only received group cognitive behavioral therapy for insomnia （CBT-I）， which not only alleviated insomnia severity but also promoted severe OSA into mild status. Such case suggested that， firstly， due to the high comorbidity of insomnia and OSA， evaluation of OSA should be considered a part worth enough attention of the clinical diagnosis and treatment of insomnia patients. Secondly， by relieving insomnia， CBT-I can alleviate both nocturnal apnea and daytime somnolence in patients with comorbid insomnia and sleep apnoea （COMISA）， so the application of CBT-I should be emphasized in the treatment of such patients. ［Funded by the Central Government-guided Local Science and Technology Development Fund Project （number， 2022ZY0028）］
