睡眠是一个自我平衡调节的生理过程，这个自我平衡的特性已经纳入睡眠调控的

睡眠是一个自我平衡调节的生理过程，这个自我平衡的特性已经纳入睡眠调控的双历程模式，即睡眠的稳态调节和昼夜节律调节。如果睡眠的稳态调节和昼夜节律调节功能失调，或者清醒系统功能过强，都可能导致失眠。失眠具有慢性化倾向，3P模型认为，个体的易感性和先天倾向，遇到诱发因素，会导致急性失眠。而负性想法和非适应性的应对行为将产生条件性唤醒，多次重复后即习得并维持至慢性失眠。目前对慢性失眠缺乏行之有效的治疗方法。失眠的认知行为疗法(cognitive behavioral theraphy for insomnia,CBT-I)是一类具有与睡眠药物相当、没有副作用、复发次数更少，并且远期效果优于睡眠药物的非药物治疗方法，该疗法包括渐进性放松、生物反馈、认知方法、刺激控制、时间疗法和睡眠限制疗法等，但目前在临床上未被充分利用，建议将CBT-I作为慢性失眠的一线治疗方法。

睡眠是一个自我平衡调节的生理过程，这个自我平衡的特性已经纳入睡眠调控的双历程模式，即睡眠的稳态调节和昼夜节律调节。 如果睡眠的稳态调节和昼夜节律调节功能失调，或者清醒系统功能过强，都可能导致失眠。 失眠具有慢性化倾向，3P模型认为，个体的易感性和先天倾向，遇到诱发因素，会导致急性失眠。 而负性想法和非适应性的应对行为将产生条件性唤醒，多次重复后即习得并维持至慢性失眠。 目前对慢性失眠缺乏行之有效的治疗方法。 失眠的认知行为疗法(cognitive behavioral theraphy for insomnia,CBT-I)是一类具有与睡眠药物相当、没有副作用、复发次数更少，并且远期效果优于睡眠药物的非药物治疗方法，该疗法包括渐进性放松、生物反馈、认知方法、刺激控制、时间疗法和睡眠限制疗法等，但目前在临床上未被充分利用， 建议将CBT-I作为慢性失眠的一线治疗方法。

Sleep is a physiological process of self balance regulation, which has been incorporated into the dual process model of sleep regulation, namely, sleep homeostasis regulation and circadian rhythm regulation. If sleep homeostasis regulation and circadian rhythm regulation dysfunction, or awake system function is too strong, may lead to insomnia. The 3P model suggested that the individual's predisposition and inborn tendency would lead to acute insomnia when encountering inducing factors. Negative thoughts and non adaptive coping behaviors will produce conditioned arousal, which will be acquired and maintained until chronic insomnia after repeated. At present, there is a lack of effective treatment for chronic insomnia. Cognitive behavioral therapy for insomnia, Cbt-i) is a kind of non drug therapy which has no side effects, less recurrence times and better long-term effect than sleep drugs. Cbt-i includes progressive relaxation, biofeedback, cognitive method, stimulus control, time therapy and sleep restriction therapy. However, it is not fully utilized in clinical practice. It is suggested that cbt-i be used as the first line of chronic insomnia Treatment.<br>