簡短失眠行為療法

Brief Behavioral Treatment for Insomnia

失眠為重要公共健康議題，與情緒障礙、增加心血管疾病及死亡風險密切相關。雖失眠認知行為療法為國際指引一致建議之第一線治療，但其治療週期較長且仰賴專業人力，臨床可近性與推廣性仍受限制。簡短失眠行為療法聚焦於睡眠行為調整，涵蓋睡眠衛生、刺激控制、睡眠限制等，以4週為治療週期，使各層級醫療人員在受訓後可有效執行。實證研究顯示，簡短失眠行為療法可顯著改善失眠嚴重度、入睡潛伏期、夜間清醒時間與睡眠品質，且適用於多元族群及共病病人。在醫療人力短缺與照護需求持續增加之背景下，若能結合遠距醫療與人工智慧輔助之個別化行為指引，將有助提升簡短失眠行為療法可近性、治療一致性與臨床推廣，促進失眠照護之精準化與永續發展。

Insomnia is a major public health issue and is associated with mood disorders, cardiovascular diseases, and an increased risk of mortality. Although Cognitive Behavioral Therapy for Insomnia (CBT-I) is recommended as the first-line treatment, its relatively long treatment duration and reliance on specialized professionals limit its accessibility and implementation in clinical practice. Brief Behavioral Treatment for Insomnia (BBTI) is a four-week intervention that focuses on modifying sleep-related behaviors by incorporating sleep hygiene, stimulus control, and sleep restriction, and is designed to be delivered by trained healthcare providers across multiple levels of care. Evidence indicates that BBTI significantly improves insomnia severity, sleep onset latency, wake after sleep onset, and sleep quality and is applicable to diverse populations, including individuals with comorbidities. In the context of healthcare workforce shortages and rising care demands, integrating telemedicine and artificial intelligence–assisted personalized behavioral instruction may further enhance the accessibility, treatment consistency, and clinical dissemination of BBTI, thereby promoting precision and sustainability in insomnia management.