心理治疗干预继发性不孕症患者的失眠状态  

Psychotherapy intervention for the insomnia status in patients with secondary infertility

作　　者：甄学慧[1] 谢辉[1] 徐鑫[1] 

机构地区：[1]吉林省妇幼保健院,吉林省长春市130061

出　　处：《中国临床康复》2005年第16期33-35,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨心理干预治疗对继发不孕症患者失眠状况的影响。方法:选择2001-05/2004-02在吉林省妇幼保健院门诊治疗的继发不孕症失眠患者516例,随机分成2组,心理干预组(n=258),对照组(n=258)。两组分别接受为期6周的治疗,每周1次,20～40min/次,以个别方式进行。干预组给予心理支持疗法;行为治疗;理情疗法的心理干预治疗。对照组给予刺激限制治疗:包括只有当困倦时才上床,每天早晨按时起床,限制白天的小睡时间等。在治疗前、治疗结束时和随访期(治疗后1个月)分别3次对两组进行失眠症状的测评。请被调查者回答难以入睡、再入睡困难和早醒3个问题[每个问题有3个选择:没有(每周少于1次,计0分),有时有(每周一两次,计1分)和经常有(每周两三次,计2分)]。累计3项得分评估患者睡眠变化情况,得分越高睡眠质量越差。在治疗前和治疗后分别2次对两组进行焦虑自评量表、抑郁自评量表评估(分4个等级:没有或很少时间、少部分时间、相当多时间、绝大部分或全部时间。正向评分题为1～4分;反向评分题为4～1分,得分越高心理健康状况越差)。结果:进入结果分析516人,无脱落者。①心理干预组和对照组治疗后失眠症状、焦虑自评量表、抑郁自评量表评分与治疗前比较显著降低[(1.99±0.98,4.20±1.09;28.93±3.51,52.83±9.24;22.AIM:To investigate the influence of treatment of psychological intervention on the insomnia status in patients with secondary infertility. METHODS:A total of 516 patients with secondary infertility accompanied by inso mnia,who were treated in the out patient clinic of Jilin Provincial Hospital of Women and Children's Health Care between May 2001 and February 2004,were random ly divided into psychological intervention group(n=258) and control group (n=258 ).All the patients in both groups received a 6 week treatment by means of indiv idual,once every week,20 to 40 minutes per time.Patients in the intervention gro up were given the psychological interventions of psychological supportive therap y,behavioral therapy and rational emotive therapy;Patients in the control group were given stimulative restriction treatment,including 'only go to bet when fee l sleepy and tired','get up on time every morning','restrict duration of day time nap'. The symptoms of insomnia were measured before and after treatment an d during follow up period(one month after treatment) respectively.The subjects answered 3 questions of 'difficulty in falling asleep','difficulty in falling asleep again',and 'wake up early'[3 choices for each question:none(less than once every week,0 point);sometimes(once or twice every week,1 point);always(twi ce or three times every week,2 points)].The changes of sleep in the patients wer e evaluated by adding the scores of the 3 questions;The higher the score,the wor se the sleeping quality.All the patients in both groups were assessed with self rating anxiety scale and self rating depression scale before and after treatm ent respectively(4 grades:none or very little time,small part of time,quite a lo t of time,most or the whole time;questions of forward score were 1 to 4 points;q uestions of backward score were 4 to 1 point;The higher the scores, the worse th e metal health status). RESULTS:All the 516 patients were involved in the analysis of results,no one m issed.①The scores of symptoms of insomnia,self r

关 键 词：睡眠障碍 心理疗法 情绪 

分 类 号：R749.055[医药卫生—神经病学与精神病学]