认知行为疗法治疗慢性失眠症对照研究  

Comparative study on cognitive behavioral therapy in patients with chronic insomnia

作　　者：李冲[1] 陈佐明[2] 杜好瑞[1] 谭春英[1] 张长军[3] 

机构地区：[1]河南省精神病医院睡眠研究室,453002 [2]河南省精神病医院临床心理科,453002 [3]河南省精神病医院精神科,453002

出　　处：《中国行为医学科学》2005年第6期492-493,共2页Chinese Journal of Behavioral Medical Science

基　　金：河南省教育厅科研基金资助项目(200132000)

摘　　要：目的探讨慢性失眠症患者实施认知行为治疗的临床效果。方法对74例慢性失眠症患者随机分为认知行为治疗组(36例)和对照组(38例)。比较两组患者持续治疗4周后及2个月后随访时的疗效。结果(1)两组治疗后睡眠时间(289.9±38.0,239.2±36.1,P<0.01)和SRSS评分(32.1±4.7,38.7±5.4,P<0.01)比较差异均有显著性。(2)随访时治疗有效率认知行为组(75%)明显优于对照组(37%)。结论认知行为疗法可促进患者失眠症状的改善,提高临床治疗效果。ObjectiveTo explore the clinical effects of cognitive behavioral therapy(CBT) home program on reducing subjective sleep disturbance and insomnia symptoms improving for community insomnia outpatients. Methods74 outpatients with insomnia were randomly divided into two groups, 36 patients in CBT group and 38 patients in control group.The process for treatment was 4 weeks,and the follow up was 2 months. Results(1) After treatment,the sleep time(289.9±38.0,239.2±36.1,P<0.01) and the scores of SRSS(32.1±4.7,38.7±5.4,P<0.01) were significant increased in two groups, and changes in CBT group were more significantly. However, (2)The effective rate(sleep latency≤30min;sleep efficiency≥85%,SRSS≤20 score) of CBT group(75%) was significantly superior to that of control group(37%) at the follow up time point (χ 2 =9.51,P< 0.01 ). ConclusionCognitive behavioral therapy is of great importance for improve of symptoms in insomnia and obtain clinical therapeutic effect.

关 键 词：认知行为疗法 慢性失眠症 对照研究 认知行为治疗 临床治疗效果 治疗有效率 临床效果 患者实施 持续治疗 睡眠时间 SRSS 对照组 治疗组 治疗后 显著性 随访 

分 类 号：R749[医药卫生—神经病学与精神病学]