A psicoterapia cognitiva e comportamental no tratamento da insônia: um olhar para além de modelos e técnicas

Regina Margis

doi:10.25118/2236-918X-6-2-3

Autores/as

Regina Margis Psiquiatra (área de atuação: medicina do sono). Membro docente, Núcleo de Estudos e Atendimento em Psicoterapias Cognitivas, Porto Alegre, RS. Mestrado em Bioquímica e Doutorado em Ciências Médicas, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS. Vicecoordenadora, Departamento de Medicina do Sono, ABP. Pesquisadora do Grupo de Pesquisa em Cronobiologia Experimental/Modelos Animais e Cronobiologia Experimental Aplicada à Saúde, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS.

DOI:

https://doi.org/10.25118/2236-918X-6-2-3

Palabras clave:

Psicoterapia, terapia cognitiva e comportamental, insônia

Resumen

A terapia cognitiva e comportamental é recomendada como tratamento de primeira linha no transtorno de insônia. Apesar de diversos estudos demonstrarem a eficácia da terapia no tratamento da insônia, há um número significativo de pacientes que não se beneficia do tratamento. Fatores relacionados a não resposta merecem ser investigados. O presente artigo analisa alguns dos potencias fatores que possam contribuir para falha do tratamento da insônia através da abordagem cognitiva e comportamental. Na avaliação desses fatores, diferentes aspectos podem ser apreciados para a compreensão dos mecanismos relacionados à resposta ao tratamento. Entre os componentes envolvidos no processo terapêutico, são ressaltados tópicos que incluem informações a respeito do que está sendo tratado, quem está sendo tratado, como a resposta é avaliada, qual a intervenção que está sendo realizada e quem é o terapeuta. Por meio da avaliação desses componentes, busca-se um olhar da terapia cognitiva e comportamental para além de técnicas; é proposto um pensar de como ampliar os benefícios da abordagem a partir dos resultados não obtidos e/ou descritos até o momento.

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