失眠认知行为疗法对抑郁症伴失眠患者的治疗效果  

The therapeutic effect of insomnia cognitive behavior on patients with depression and insomnia

作　　者：王磊 李伟 李永春 WANG Lei;LI Wei;LI Yongchun(Department of Psychiatry,Ji An Third People's Hospital,Ji'an,Jiangxi,343000,China)

机构地区：[1]吉安市第三人民医院精神科,江西吉安343000

出　　处：《当代医学》2024年第24期74-78,共5页Contemporary Medicine

基　　金：江西省吉安市科技计划项目(吉市科计字[2021]8号120)。

摘　　要：目的探讨失眠认知行为疗法对抑郁症伴失眠患者治疗效果的影响。方法选取2020年1月至2022年4月吉安市第三人民医院收治的86例抑郁症伴失眠患者患者作为研究对象,采用摸球法分为对照组与观察组,每组43例。对照组采用常规药物治疗,观察组在对照组的基础上增加失眠认知行为疗法。比较两组临床疗效、治疗前后生命质量综合评定量表评分、汉密顿抑郁量表(Hamilton depression scale,HAMD)、匹茨堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分、睡眠进程[觉醒次数(apperception time,AT)、总睡眠时间(total sleep time,TST)、睡眠效率(sleep efficiency,SE)、睡眠潜伏期(sleep latency,SL)与快速眼球运动睡眠潜伏期(rapid eye movement sleep latency,RL)]及睡眠结构[睡眠阶段1(S1)、S2、S3与快速动眼睡眠(eapid eye movement sleep,REM)占比]。结果观察组治疗总有效率为97.67%,高于对照组的76.74%,差异有统计学意义(P<0.05);治疗后,两组物质生活、躯体健康、心理健康、社会功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组PSQI、HAMD评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组TST均长于治疗前,SE均高于治疗前,AT少于治疗前,SL、RL均短于治疗前,且观察组TST长于对照组,SE高于对照组,AT少于对照组,SL、RL均短于对照组,差异有统计学意义(P<0.05);治疗后,两组S1、S2占比均低于治疗前,S3、REM均高于治疗前,且观察组S2占比低于对照组,S3、REM占比高于对照组,差异有统计学意义(P<0.05),两组S1占比比较差异无统计学意义。结论失眠认知行为疗法用于抑郁症伴失眠患者可提高临床疗效,有效改善睡眠及结构,提升生命质量,值得临床推广应用。Objective To explore the effect of cognitive behavioral therapy for insomnia on patients with depression and insomnia.Methods A total of 86 patients with depression and insomnia admitted to Ji An Third People's Hospital from January 2020 to April 2022 were selected as the study objects,and they were divided into the control group and the observation group by touch ball method,with 43 cases in each group.The control group received conventional drug treatment,and the observation group received cognitive behavioral therapy for insomnia on the basis of the control group.The clinical effects of the two groups,generic quality of life inventory-74,Hamilton depression scale(HAMD),Pittsburgh sleep quality index(PSQI),sleep progression(apperception time[AT],total sleep time[TST],sleep efficiency(SE),sleep latency(SL)and rapid eye movement sleep latency[RL]),sleep structure(proportion of sleep stages[S]1,S2,S3 and rapid eye movement sleep[REM])were compared between the two groups.Results The total effective rate of treatment in the observation group was 97.67%,which was higher than 76.74%in the control group,and the difference was statistically significant(P<0.05);after treatment,the scores of material life,physical health,mental health and social function of the two groups were higher than those before treatment,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05);after treatment,PSQI and HAMD scores of the two groups were lower than before treatment,and observation group was lower than control group,and the differences were statistically significant(P<0.05);after treatment,TST of the two groups were longer than before treatment,SE were higher than before treatment,AT,were less than before treatment,and SL and RL were shorter than before treatment,and TST in the observation group was longer than that in the control group,SE was higher than that in the control group,AT was less than that in the control group,SL and RL were shorter than those in the control gr

关 键 词：失眠认知行为 抑郁症 失眠 睡眠质量 生命质量 

分 类 号：R74[医药卫生—神经病学与精神病学]