解放军医学杂志2018，Vol.43Issue(3)：224-228,5.DOI:10.11855/j.issn.0577-7402.2018.03.08
团体认知行为疗法对失眠症的疗效分析
The treatment effect of group cognitive behavioral therapy for insomnia
黄庆玲 1乐发国 1蒋成刚 1张婷 1雷莉 1王延江 2高东1
作者信息
- 1. 400042 重庆 陆军军医大学大坪医院野战外科研究所睡眠心理科
- 2. 400042 重庆 陆军军医大学大坪医院野战外科研究所神经内科
- 折叠
摘要
Abstract
Objective To explore the treatment effect of group cognitive behavioral therapy (GCBT) for patients with insomnia.Methods Two hundred and forty-one cases of insomnia were collected in the department of Sleep and Neurology Psychological in D aping Hospital and Field Surgery Research Institute of Army Medical University from March 2016 to June 2017.They were randomly divided into GCBT group (n=128) and pharmacotherapy group (n=113),and the treatment last for 8 weeks for each group.Then the differences of the sleep parameters,Insomnia Severity Index (ISI) scores,Hamilton Depression Scale (HAMD)scores and Hamilton Anxiety Scale (HAMA) scores were compared in two groups at per-treatment,four-week treatment time point and eight-week treatment time point.Results At the four week treatment time point,the differences of sleep onset latency (SOL),total sleep time (TST),time in bed (TIB),number of awakenings (NOA) and insomnia severity index (ISI) in GCBT group compared to pharmacotherapy group were statistically significant (P＜0.05).While the differences of sleep efficiency (SE),HAMA and HAMD were of no statistically significant difference (P＞0.05).At the eight week treatment time point,the differences of SOL,SE,NOA,HAMA,HAMD and ISI in GCBT group compared to pharmacotherapy group were statistically significant (P＜0.05),and there is no significant difference in TST and TIB (P＞0.05).Conclusion GCBT and pharmacotherapy can improve insomnia symptoms,reduce the level of anxiety and insomnia severity.GCBT can also reduce the level of depression,although GCBT improve insomnia symptoms were slower than pharmacotherapy,but curative cffect is superior to pharmacotherapy,and it should be popularized in clinic.关键词
失眠症/团体认知行为治疗/焦虑/抑郁Key words
insomnia/group cognitive behavioral therapy/anxiety/depression分类
医药卫生引用本文复制引用
黄庆玲,乐发国,蒋成刚,张婷,雷莉,王延江,高东..团体认知行为疗法对失眠症的疗效分析[J].解放军医学杂志,2018,43(3):224-228,5.
