{"id":410394,"date":"2025-11-23T00:30:00","date_gmt":"2025-11-22T23:30:00","guid":{"rendered":"https:\/\/medizinonline.com\/la-tcc-i-en-premiere-intention-la-pharmacotherapie-comme-intervention-de-second-ordre\/"},"modified":"2025-11-22T23:48:43","modified_gmt":"2025-11-22T22:48:43","slug":"la-tcc-i-en-premiere-intention-la-pharmacotherapie-comme-intervention-de-second-ordre","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/la-tcc-i-en-premiere-intention-la-pharmacotherapie-comme-intervention-de-second-ordre\/","title":{"rendered":"La TCC-i en premi\u00e8re intention &#8211; la pharmacoth\u00e9rapie comme intervention de second ordre"},"content":{"rendered":"\n<p><strong>Les troubles du sommeil sont souvent associ\u00e9s \u00e0 une fatigue diurne prononc\u00e9e, \u00e0 des difficult\u00e9s de concentration et \u00e0 une perception accrue du stress. Le diagnostic repose en principe sur l&#8217;anamn\u00e8se clinique, mais la r\u00e9alisation d&#8217;une actigraphie ou d&#8217;une polysomnigraphie peut \u00e9galement s&#8217;av\u00e9rer utile. La th\u00e9rapie cognitivo-comportementale (TCC-i) est recommand\u00e9e comme traitement de premi\u00e8re ligne de l&#8217;insomnie chronique, \u00e0 la fois dans les lignes directrices europ\u00e9ennes actuelles et dans les lignes directrices allemandes mises \u00e0 jour en 2025. Les outils num\u00e9riques peuvent aider au traitement. Si des m\u00e9dicaments sont utilis\u00e9s, il faut tenir compte de certains \u00e9l\u00e9ments.    <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/fr\/mon-compte\/paquets\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/fr\/se-connecter\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Ffr%2Fla-tcc-i-en-premiere-intention-la-pharmacotherapie-comme-intervention-de-second-ordre%2F\">Connectez-vous ici<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Les troubles du sommeil sont souvent associ\u00e9s \u00e0 une fatigue diurne prononc\u00e9e, \u00e0 des difficult\u00e9s de concentration et \u00e0 une perception accrue du stress. Le diagnostic repose en principe sur&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/fr\/mon-compte\/paquets\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/fr\/se-connecter\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Ffr%2Fla-tcc-i-en-premiere-intention-la-pharmacotherapie-comme-intervention-de-second-ordre%2F\">Connectez-vous ici<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":410399,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Insomnie chronique chez l'adulte : Recommandations de lignes directrices","footnotes":""},"category":[11527,11383,11448,11464,11489,11535,11549],"tags":[53156,34325,85646,85642,85642,85644,85644,44041,12245,85636,34323,85635,85635,10652,12618,85640,13564,85638,85638,85643,85643,44262,85645,85645],"powerkit_post_featured":[],"class_list":{"0":"post-410394","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","6":"category-etudes","7":"category-neurologie-fr","8":"category-orl-fr","9":"category-pharmacologie-et-toxicologie","10":"category-psychiatrie-et-psychotherapie","11":"category-rapports-de-congres","12":"category-rx-fr","13":"tag-agomelatine-fr","14":"tag-amitriptyline-fr","15":"tag-antagonistes-des-recepteurs-de-lorexine-daridorexant","16":"tag-cbt-i","18":"tag-diazepam","20":"tag-intervention-fr","21":"tag-ligne-directrice","22":"tag-melatonine","23":"tag-mirtazapine-fr","24":"tag-oxazepam","26":"tag-pharmacotherapie","27":"tag-phytotherapie-fr","28":"tag-substances-z","29":"tag-trazodon-fr","30":"tag-trimipramine","32":"tag-zaleplon","34":"tag-zolpidem-fr","35":"tag-zoplicon","37":"pmpro-level-required","38":"pmpro-level-1","39":"pmpro-no-access"},"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-02 11:22:47","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":410428,"slug":"cbt-i-come-prima-scelta-farmacoterapia-come-intervento-secondario","post_title":"CBT-i come prima scelta - farmacoterapia come intervento secondario","href":"https:\/\/medizinonline.com\/it\/cbt-i-come-prima-scelta-farmacoterapia-come-intervento-secondario\/"},"pt_PT":{"locale":"pt_PT","id":410383,"slug":"a-tcc-i-como-primeira-escolha-a-farmacoterapia-como-intervencao-secundaria","post_title":"A TCC-i como primeira escolha - a farmacoterapia como interven\u00e7\u00e3o secund\u00e1ria","href":"https:\/\/medizinonline.com\/pt-pt\/a-tcc-i-como-primeira-escolha-a-farmacoterapia-como-intervencao-secundaria\/"},"es_ES":{"locale":"es_ES","id":410385,"slug":"tcc-i-como-primera-opcion-farmacoterapia-como-intervencion-secundaria","post_title":"TCC-i como primera opci\u00f3n - farmacoterapia como intervenci\u00f3n secundaria","href":"https:\/\/medizinonline.com\/es\/tcc-i-como-primera-opcion-farmacoterapia-como-intervencion-secundaria\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/410394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=410394"}],"version-history":[{"count":3,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/410394\/revisions"}],"predecessor-version":[{"id":410407,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/410394\/revisions\/410407"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media\/410399"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=410394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=410394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=410394"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=410394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}