摘要
目的了解认知-行为疗法在原发性失眠症患者中的治疗作用。方法使用匹兹堡睡眠质量指数(PSQI)评定单用药物(药物组)与药物结合认知-行为疗法(综合组)治疗原发性失眠症患者80例的疗效。结果综合组与药物组在治疗第4周时PSQI评定各因子及总分较治疗前差异有统计学意义(P<0.05),两组间比较差异无统计学意义(P>0.05),治疗结束后4周药物组PSQI评定各因子较治疗前差异无统计学意义(P>0.05),综合组PSQI评定各因子较治疗前差异有统计学意义(P<0.05)。结论原发性失眠症患者多具有一定的认知-行为特征,认知-行为疗法通过治疗影响失眠的心理社会因素,同时结合作用迅速的安眠药物治疗失眠症,疗效稳定持久,利于撤掉安眠药物,是临床值得推广的治疗方法。
Objective To evaluate the effect of cognitive-behavioral therapy on insomniacs. Methods 80 patients were randomly selected and assigned to comprehensive therapy group or drug therapy group. Pittsburgh sleep quality index（PSQI） was adopted to evaluate sleep changes. Results PSQI scores of two groups were significantly decreased （P〈0.05） ,after 4-week treatment,and the difference between two groups were not obvious（P〈0.05）. PSQI scores in drug treatment group were not significantly decreased 4-week after treatment（P〈0.05）. However, the scores in comprehensive group were constantly significant（P〈0.05）. Conclusion The case of cognitive-behaviour therapy is trying to change patients behavior by means of change his（her） cognition. It＇s a effective constant method combined with drug to treat on insomniacs.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第10期1158-1159,共2页
Chongqing medicine
关键词
失眠症
认知-行为疗法
insomnia
cognitive-behaviour therapy
