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불면증 디지털 치료제의 임상 적용

Clinical Application of Digital Therapeutics for Insomnia

조철현
대한수면의학회 (Korean Academy of Sleep Medicine)|2021.06|수면정신생리 (Sleep Medicine and Psychophysiology)|제28권 제1호|pp. 6-12|DOI 10.14401/KASMED.2021.28.1.6

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수면인지행동치료불면증디지털 치료제InsomniaSleepDigital therapeutics실제 임상 근거Cognitive-behavioral therapy for insomniaReal-world evidence
주제분류정신과학

초록

디지털 시대에 의료 현장에서도 거대한 변화를 목전에두고 있다. 이는 무조건 장밋빛 미래만을 의미하는 것은 아닐 것이다. 아무리 기대가 되고 효과가 있을 것 같은 기술이라도, 사람을 대상으로 의학적 적용을 해야 한다면 보다 신중하게 근거 기반의 접근을 해야 한다. 그렇지 않다면 치료라는 미명 하에 무분별한 개발과 적용이 난무하게 될 것이고, 이는 결국 치료를 간절히 필요로 하는 사람들에게 부정적인 영향을 미치게 될 것이다. 불면증 디지털 치료제는 분명 현재 임상 치료 현장에서 부족하고 아쉬운 부분을 보완하고 극복할 수 있는 소중한 기술로 자리매김할 수 있는 가능성을 가지고 있다. 하지만, 수면 전문가들이 주도적으로개발하고 의학적 검증을 하지 않는다면, 오히려 환자에게도움이 되기 보다는 해가 될 수도 있을 것이다. 수면 전문가들이 정말 필요하고 효과적인 불면증 디지털 치료제 개발과 검증에 주도적인 역할을 하여, 실제 임상 현장에서 불면증 디지털 치료제가 신뢰할 만한 효과적 치료적 선택지로인정받고 활용되길 바란다.

Abstract

Insomnia is one of the most common sleep disorders experienced by modern people, and treatment is often not adequate due to various limitations. Digital therapeutics for insomnia are expected to play a revolutionary role in supplementing and satisfying unmet needs in real-world clinical treatment. Digital therapeutics for insomnia were developed based on cognitive-behavioral therapy for insomnia, which is the first standard treatment for insomnia. The effectiveness of digital therapeutics for insomnia developed by several companies has been proven through well-designed clinical research. Various approaches have been used for practical application of digital therapeutics for insomnia. Thus far, meaningful results have been drawn, but there are areas that need to be improved upon based on real-world evidence. Sleep researchers need to validate the safe and effective application of digital therapeutics for the treatment of insomnia.

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