更年期综合征群体探究失眠症状心理治疗的随机对照研究  

RCT study on psychological treatment of insomnia symptoms based on menopausal syndrome population

作　　者：周璇梓 李桂侠[2] 彭飞[1] ZHOU Xuanzi;LI Guixia;PENG Fei(Beijing Fengtai District Maternal and Child Health and Family Planning Service Center(Beijing Fengtai District Maternal and Child Health Care Hospital),Beijing 100069,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences)

机构地区：[1]北京市丰台区妇幼保健计划生育服务中心(北京市丰台区妇幼保健院),100069 [2]中国中医科学院广安门医院

出　　处：《中国健康心理学杂志》2023年第6期801-805,共5页China Journal of Health Psychology

基　　金：国家自然科学基金项目(编号:82004349)。

摘　　要：目的:探索女性更年期综合征失眠症状的心理治疗。方法:选取60例从2018年2月1日至2019年10月31日至北京市丰台区妇幼保健院就诊的女性更年期综合症失眠症状患者,按照随机数法将符合条件的患者以1∶1的比例随机分配到对照组(低阻抗意念导入疗法,TIP)或观察组(失眠认知行为疗法,CBTI),比较两组临床疗效、患者的睡眠质量。结果:本研究最终纳入60例女性更年期综合症失眠症状患者,其中对照组30例,观察组30例。对照组和观察组在第12周治疗失眠总有效率差异无统计学意义;睡眠质量指标评分差异无统计学意义。在第4周总有效率和第8周失眠的总有效率(χ^(2)=16.275,13.602;P<0.05),差异均有统计学意义,观察组均高于对照组。同时在第4周睡眠质量指标评分和第8周睡眠质量指标评分(t=3.573,3.489;P<0.05),差异均有统计学意义,观察组均低于对照组。结论:失眠认知行为疗法与低阻抗意念导入疗法这两种心理疗法最终都可以很好地改善更年期综合症女性失眠症状,其中失眠认知行为疗法与低阻抗意念导入疗法相比,能更快的改善患者的睡眠状况。Objective:To explore the psychological treatment of insomnia in female menopausal syndrome.Methods:A total of 60 patients with menopausal syndrome and insomnia who visited Fengtai Maternal and Child Health Hospital of Beijing from February 1,2018 to October 31,2019 were selected.According to random number method,all eligible patients were randomly assigned to the control group in a ratio of 1:1(low-impedance ideation therapy,TIP)or observation group(Cognitive Behavioral Therapy for Insomnia,CBTI)to compare the clinical efficacy and sleep quality of the two groups.Results:A total of 60 female patients with menopause syndrome and insomnia were included in this study,including 30 in the control group and 30 in the observation group.There was no significant difference in the total effective rate between the control group and the observation group at the 12th week.The difference of sleep quality index score was not statistically significant.The total effective rate at week 4 and the total effective rate at week 8(χ^(2)=16.275,13.602;P<0.05)were statistically significant,and the observation group was higher than the control group.At the same time,the sleep quality index score at the 4th week and the sleep quality index score at the 8th week(t=3.573,3.489;P<0.05),had statistically significant different,and the observation group was lower than the control group.Conclusion:Both cognitive behavioral therapy for insomnia and low impedance ideation-induced therapy can effectively improve the insomnia symptoms of menopausal women.Compared with low impedance ideation-induced therapy,cognitive behavioral therapy for insomnia can improve the sleep status of patients more quickly.

关 键 词：低阻抗意念导入疗法 失眠认知行为疗法 随机对照 更年期综合症失眠 

分 类 号：R395.5[哲学宗教—心理学]