American College of Physicians (ACP) recommends that all adult patients receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. ACP also recommends that clinicians use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term (4 to 5 weeks) use of medications, to decide whether to add pharmacological therapy in adults with chronic insomnia disorder in whom CBT-I alone was unsuccessful. The guideline is based on a systematic review of randomized, controlled trials published in English from 2004 through September 2015. CBT-I consists of a combination of treatments that include cognitive therapy around sleep, behavioral interventions (such as sleep restriction and stimulus control), and education (such as sleep hygiene). Source: http://annals.org/
美国医师学院建议所有成年患者接受针对失眠的认知行为疗法作为慢性失眠障碍的初始治疗。还建议医生和患者共同决策，其中包括讨论短期（4〜5周）使用药物的利害和成本，以决定是否对单用认知行为疗法无效的慢性失眠成人增加药物治疗。该指南是基于从2004至2015年九月以英文发表的随机对照试验的系统性综述。针对失眠的认知行为疗法是综合治疗，包括围绕睡眠的认知疗法，行为干预（如睡眠限制和控制刺激因素），和教育（如睡眠卫生）。来源：http://annals.org/