Google Acadêmico | Citações: 958 | índice h: 12 | índice i10: 19
Impacto da terapia cognitivo-comportamental no manejo da insônia crônica
PDF

Palavras-chave

Avaliação do impacto na saúde
Distúrbios do início e da manutenção do sono
Terapia cognitivo-comportamental

Como Citar

Impacto da terapia cognitivo-comportamental no manejo da insônia crônica. (2025). Revista Eletrônica Acervo Médico, 25, e20163. https://doi.org/10.25248/reamed.e20163.2025

Copyright © | Todos os direitos reservados.

A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.

Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.

Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.

Resumo

Objetivo: Investigar os efeitos da terapia cognitivo-comportamental no manejo da insônia crônica, com foco na melhora da qualidade do sono e redução dos sintomas associados. Métodos: Trata-se de uma revisão integrativa da literatura realizadas através de buscas nas bases de dados PubMED, Periódico CAPES e BVS, utilizando os descritores “​​Cognitive Behavioral Therapy”, “Health Impact” e ”Chronic Insomnia”, em conjunto com o operador booleano “AND”. Foram selecionados 19 artigos que iam de encontro com o objetivo da pesquisa. Resultados: A insônia crônica afeta uma grande parte da população, comprometendo a qualidade de vida e a saúde mental. A terapia cognitivo-comportamental para insônia (TCC-I) tem se destacado como uma alternativa não farmacológica eficaz, reduzindo sintomas e melhorando o sono, sendo que suas versões digitais vêm sendo estudadas como alternativas viáveis, oferecendo resultados promissores. Os estudos mostraram redução de até 50% na gravidade da insônia, melhorias na qualidade do sono e diminuição do uso de medicações. A TCC-I é eficaz, mas enfrenta desafios de acesso e escassez de terapeutas. Considerações finais: A revisão evidenciou a eficácia da TCC-I no tratamento da insônia crônica, superando abordagens farmacológicas, e destacou estratégias como adaptação cultural e plataformas digitais para ampliar seu impacto.

PDF

Referências

ALFONSSON S, et al. Digital cognitive-behavioral therapy for insomnia in patients with multiple sclerosis: A multiple baseline single-case pilot study. Sleep medicine, 2024; 124: 443–452.

ALIMORADI Z, et al. Effects of cognitive behavioral therapy for insomnia (CBT-I) on quality of life: A systematic review and meta-analysis. Sleep medicine reviews, 2022; 64(101646): 101646.

BRAMOWETH AD, et al. Insomnia and insomnia-related care in the Department of Veterans Affairs: An electronic health record analysis. International journal of environmental research and public health, 2021; 18(16): 8573.

CHENG P, et al. Digital cognitive behavioral therapy for insomnia promotes later health resilience during the coronavirus disease 19 (COVID-19) pandemic. Sleep, 2021; 44(4): 1-9.

CHENG P, et al. Improved resilience following digital cognitive behavioral therapy for insomnia protects against insomnia and depression one year later. Psychological medicine, 2023; 53(9): 3826–3836.

EL RAFIHI-FERREIRA R, et al. Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial. Revista brasileira de psiquiatria (São Paulo, Brasil: 1999), 2021; 43(5): 504–509.

HE J, et al. Efficacy of simplified-cognitive behavioral therapy for insomnia(S-CBTI) among female COVID-19 patients with insomnia symptom in Wuhan mobile cabin hospital. Sleep And Breathing, 2021; 25(4): 2213–2219.

HINRICHSEN GA e LEIPZIG RM. Efficacy of cognitive behavioral therapy for insomnia in geriatric primary care patients. Journal of the American Geriatrics Society, 2021; 69(10): 2993–2995.

ITO-MASUI A, et al. Effect of an internet-delivered cognitive behavioral therapy-based sleep improvement app for shift workers at high risk of sleep disorder: Single-arm, nonrandomized trial. Journal of medical internet research, 2023; 25: 45834.

KIM WJ e KIM HS. Emerging and upcoming therapies in insomnia. Translational and clinical pharmacology, 2024; 32(1): 1–17.

KYLE SD, et al. The effects of digital cognitive behavioral therapy for insomnia on cognitive function: a randomized controlled trial. Sleep, 2020; 43(9): 1-12.

LIU CY, et al. Acupuncture combined with traditional Chinese medicine e-aid cognitive behavioral therapy for insomnia (TCM-eCBT-I) for chronic insomnia: study protocol for a randomized controlled trial. Trials, 2022; 23(1): 86.

MANBER R, et al. Perspectives on increasing the impact and reach of CBT-I. Sleep, 2023; 46(12): 1-7.

MILLER MB, et al. Cannabis use as a moderator of cognitive behavioral therapy for insomnia. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 2022; 18(4): 1047–1054.

OCK S, et al. Cognitive behavioral therapy for treatment of insomnia in primary care for resident physicians. Med Ed PORTAL: the journal of teaching and learning resources, 2020; 16(1): 11002.

RITTERBAND LM, et al. Real-world evidence from users of a behavioral digital therapeutic for chronic insomnia. Behaviour research and therapy, 2022; 153(104084): 104084.

SPINA MA, et al. Cognitive behavioural therapy for insomnia reduces actigraphy and diary measured sleep discrepancy for individuals with comorbid insomnia and major depressive disorder: A report from the TRIAD study. Sleep medicine, 2024; 114: 137–144.

SWEETMAN A, et al. Effect of depression, anxiety, and stress symptoms on response to cognitive behavioral therapy for insomnia in patients with comorbid insomnia and sleep apnea: a randomized controlled trial. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 2021; 17(3): 545–554.

THORNDIKE FP, et al. Effect of a prescription digital therapeutic for chronic insomnia on post-treatment insomnia severity, depression, and anxiety symptoms: results from the real-world DREAM study. Frontiers in psychiatry, 2024; 15: 1450615.

TU AY, et al. A randomized controlled trial of cognitive behavioral therapy for insomnia and PAP for obstructive sleep apnea and comorbid insomnia: effects on nocturnal sleep and daytime performance. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 2022; 18(3): 789–800.

VEGA-ESCAÑO J, et al. Insomnia interventions in the workplace: A systematic review and meta-analysis. International journal of environmental research and public health, 2020; 17(17): 6401.

VESTERGAARD CL, et al. The effect of sleep-wake intraindividual variability in digital cognitive behavioral therapy for insomnia: a mediation analysis of a large-scale RCT. Sleep, 2021; 44(10): 1-10.

VGONTZAS AN, et al. Effects of trazodone versus cognitive behavioral therapy in the insomnia with short sleep duration phenotype: a preliminary study. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 2020; 16(12): 2009–2019.

WALKER J, et al. Cognitive Behavioral Therapy for insomnia (CBT-I): A primer. Clinical Psychology and Special Education, 2022; 11(2): 123–137.

ZANDIEH S, et al. Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials. journal de l’Association medicale canadienne [Canadian Medical Association journal], 2024; 196(10): 327–340.