失眠症的三大认知心理学机制的研究进展

Advances in the study of three major cognitive psychological mechanisms of insomnia

  • 摘要: 失眠症作为一种全球普遍存在的睡眠障碍,已成为现代社会中的主要健康问题之一。越来越多的研究表明,失眠不仅是生理机制的结果,而认知机制也在失眠的形成和维持中扮演了重要角色。本文通过首次检索Pubmed、CNKI数据库中现有的相关文献,整理与失眠症的认知信念、元认知和神经认知三大认知心理学机制相关的失眠认知理论模型与量表,随后进行二次检索Pubmed、CNKI数据库近10内发表的3种认知机制交互作用的相关文献,并通过绘制失眠的三大认知机制关系模型图来展示失眠症患者的认知信念、元认知机制和神经认知机制3者之间的交互关系,为临床治疗和未来研究提供理论依据。

     

    Abstract: Insomnia, as a globally prevalent sleep disorder, has become one of the major health problems in modern society. More and more studies have shown that insomnia is not only the result of physiological mechanisms, but also one where cognitive mechanisms play an important role in the formation and maintenance of insomnia. The article first retrieves existing relevant literature in PubMed and CNKI databases to organize cognitive theoretical models of insomnia and relevant scales associated with its three major cognitive psychological mechanisms: cognitive beliefs, metacognition, and neurocognition. It then conducts a secondary search for literature published in the past decade in PubMed and CNKI databases on the interactions of these three cognitive mechanisms, and draws a relational model diagram of insomnia’s three cognitive mechanisms to demonstrate the interaction among cognitive beliefs, metacognitive mechanisms, and neurocognitive mechanisms in insomniacs, thereby providing a theoretical basis for clinical treatment and future research.

     

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