Tratamento não farmacológico para a insônia crônica
Open accessAbstract
O objetivo deste artigo é descrever, resumidamente, quais são as terapias não farmacológicas e também a atualização do uso destas para o tratamento da insônia crônica. Além da insônia ser o mais prevalente distúrbio do sono, ela está diretamente associada aos transtornos psiquiátricos. Embora o tratamento farmacológico seja o mais comumente utilizado, as terapias não farmacológicas vêm sendo amplamente estudadas, em particular as relacionadas às mudanças de comportamento. Entre estas estão a cognitiva; a higiene do sono; a do controle de estímulos; a de restrição do sono; a do relaxamento muscular; a da intenção paradoxal e, mais recentemente, a prática regular de exercícios físicos. Inicialmente, o principal objetivo dos estudos realizados com as intervenções comportamentais foi o de melhorar a qualidade do sono dos pacientes. No entanto, alguns estudos recentes têm sido desenvolvidos com o objetivo de avaliar o efeito de tais terapias auxiliando à redução da dose e da freqüência de uso de medicamentos utilizados, bem como à melhora da qualidade de vida dos pacientes. Como a insônia é um problema crônico, os tratamentos de longo prazo têm sido alvos de estudos e de uso comum entre os clínicos.
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- Authors
- Passos, G. S., Tufik, S., Santana, M. G. D., Poyares, D., & Mello, M. T. D.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (BR)
- ORCID
- Venue
- Revista Brasileira de Psiquiatria
- Publisher
- EDITORA SCIENTIFIC
- Published
- 2007-05-22
- Volume
- 29
- Issue
- 3
- Pages
- 279-282
- ISSN
- 1516-4446 (ISSN-L)
- 1809-452X
- OpenAlex
- W2074229020
- Cited by
- 32
- References
- 21
- Citations by year
- 2025: 2 · 2024: 6 · 2022: 7 · 2021: 1 · 2020: 1 · 2018: 3 · 2017: 1 · 2015: 1 · 2013: 3 · 2012: 3
- FWCI
- 0.43
- Type
- journal article
- Language
- pt
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- The Scientific Electronic Library Online (Fundação de Amparo à Pesquisa do Estado de São Paulo) (submittedVersion, other-oa)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Associação Fundo de Incentivo à Pesquisa
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- chronic insomnia, non-pharmacological treatment, cognitive behavioral therapy, sleep hygiene, stimulus control, sleep restriction, muscle relaxation, paradoxical intention, physical activity, psychiatric comorbidity, sleep quality, medication reduction, quality of life
- MeSH terms
- Behavior Therapy, Biofeedback, Psychology, Chronic Disease, Humans, Sleep Initiation and Maintenance Disorders, Relaxation Therapy, Cognitive Behavioral Therapy
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