心理治疗对抑郁症合并睡眠障碍患者的干预效果  

The intervention effect of psychotherapy on patients with depression and comorbid sleep disorders

作　　者：卢怀云[1] 刘振花 原伟[1] LU Huaiyun;LIU Zhenhua;YUAN Wei(Shandong Mental Health Center,Jinan 250014,China)

机构地区：[1]山东省精神卫生中心,山东济南250014

出　　处：《心理月刊》2025年第4期131-133,共3页

摘　　要：目的探析心理治疗在抑郁症合并睡眠障碍治疗中的应用效果。方法随机数字表法将本院2023年1月~12月期间收治的74例抑郁症合并睡眠障碍患者分为两组,一组应用常规药物治疗(A组,n=37),一组在前者基础上应用心理治疗(B组,n=37),对比两组患者负性情绪评分、睡眠质量评分以及治疗总有效率。结果两组治疗前负性情绪评分对比无差异(P>0.05);经3个月治疗后,两项负性情绪评分均有下降,相较于A组,B组焦虑评分12.25±3.48分、抑郁12.25±3.18分更低(P<0.05);睡眠质量评分,两组患者治疗前对比无差异(P>0.05);在治疗3个月后,患者睡眠障碍问题均有改善,相较于A组,B组睡眠质量评分更低(P<0.05);临床疗效调查结果:相较于A组72.97%,B组治疗总有效率91.89%更高,对比具有差异性(P<0.05)。结论对抑郁症合并睡眠障碍患者采取心理治疗,有助于改善患者负性情绪和睡眠质量,促进患者病情康复。Objective To explore the effect of psychological therapy in the treatment of depression combined with sleep disorders.Methods 74 patients with depression combined with sleep disorder admitted to our hospital from January to December 2023 were divided into two groups by random number table method.One group received conventional drug treatment(group A,n=37),and the other group received psychological treatment on the basis of the former(group B,n=37).The negative emotion score,sleep quality score and total effective rate of treatment were compared between the two groups.Results There was no difference in negative emotion scores between the two groups before treatment(P>0.05).After 3months of treatment,the two negative emotion scores decreased,and compared with group A,the anxiety scores of 12.25±3.48 and depression scores of 12.25±3.18 in group B were lower(P<0.05).There was no difference in sleep quality score between 2 groups before treatment(P>0.05);after 3months of treatment,the sleep disorders of patients were improved,and the sleep quality score of group B was lower than that of group A(P<0.05).The results of clinical efficacy investigation:compared with group A 72.97%,the total effective rate of group B was 91.89%higher,and the comparison was different(P<0.05).Conclusion Psychological treatment for patients with depression combined with sleep disorders is helpful to improve the negative emotions and sleep quality of patients,and promote the recovery of patients.

关 键 词：抑郁症 睡眠障碍 心理治疗 负性情绪 睡眠质量 

分 类 号：R47[医药卫生—护理学]