数字失眠认知行为治疗在广泛性焦虑障碍患者中的应用研究  

Application of digital delivery of cognitive behavioral therapy for insomnia in patients with generalized anxiety disorder

作　　者：沈银萍 陈海勤[2] 汤伟丽[3] 沈仲夏[1] SHEN Yinping;CHEN Haiqin;TANG Weili;SHEN Zhongxia(Sleep Medical Center,Huzhou Third Municipal Hospital,Huzhou 313000,Zhejiang,China;Department of Nursing,Huzhou Third Municipal Hospital,Huzhou 313000,Zhejiang,China;Information Center,Huzhou Third Municipal Hospital,Huzhou 313000,Zhejiang,China)

机构地区：[1]湖州市第三人民医院睡眠医学中心,浙江湖州313000 [2]湖州市第三人民医院护理部,浙江湖州313000 [3]湖州市第三人民医院信息科,浙江湖州313000

出　　处：《中国现代医生》2024年第4期15-18,共4页China Modern Doctor

基　　金：浙江省湖州市科学技术局公益性应用研究项目(2023GYB17)。

摘　　要：目的探讨基于互联网的数字失眠认知行为治疗(digital delivery of cognitive behavioral therapy for insomnia,dCBT-I)对广泛性焦虑障碍(generalized anxiety disorder,GAD)患者焦虑、睡眠质量的影响。方法选取2023年4月至10月于湖州市第三人民医院就诊的82例GAD患者为研究对象,根据随机数字表法将其分为干预组和对照组,每组各41例。干预组采用基于互联网的dCBT-I,对照组采用线下失眠认知行为治疗。比较两组患者的焦虑和睡眠质量。结果干预后,干预组患者的汉密尔顿焦虑量表评分、匹兹堡睡眠质量指数评分均显著低于对照组,睡眠障碍的信念和态度量表评分显著高于对照组(P<0.05)。结论基于互联网的dCBT-I可有效缓解GAD患者的焦虑情绪,提高睡眠质量。Objective To explore the effect of digital delivery of cognitive behavioral therapy for insomnia(dCBT-I)based on internet technology on anxiety and sleep quality in patients with generalized anxiety disorder(GAD).Methods A total of 82 GAD patients treated in Huzhou Third Municipal Hospital from April to October 2023 were selected as study objects,and were divided into intervention group and control group according to random number table method,with 41 cases in each group.The intervention group received dCBT-I based on internet technology,and the control group received offline cognitive behavioral therapy for insomnia.The anxiety and sleep quality of two groups were compared.Results After the intervention,the scores of Hamilton anxiety scale and Pittsburgh sleep quality index in intervention group were significantly lower than those in control group,and the score of dysfunctional beliefs and attitudes about sleep was significantly higher than those in control group(P<0.05).Conclusion dCBT-I based on internet technology can effectively relieve the anxiety of GAD patients and improve the quality of sleep.

关 键 词：数字失眠认知行为治疗 广泛性焦虑障碍 焦虑 睡眠质量 

分 类 号：R749.72[医药卫生—神经病学与精神病学]