摘要
目的:评估综合心理疗法治疗失眠症的临床疗效。方法:将70例门诊失眠症患者随机分为2组进行治疗,每组各35例。综合心理治疗组（综合组）接受综合性心理治疗,渐进式放松组（放松组）接受渐进式放松治疗。用匹兹堡睡眠质量指数（PSQI）量表评估患者的睡眠变化情况,同时用焦虑自评量表（SAS）、抑郁自评量表（SDS）评估患者情绪的变化情况。结果:治疗后两组患者的PSQI、SAS、SDS评分均显著减低（P<0.01）。1个月后随访,疗效稳定。综合组治疗后的PSQI评分显著低于放松组（P<0.01）。PSQI评分减分率>50％,综合组需治疗2周,放松组需3周。结论:综合心理疗法和渐进式放松疗法对失眠症患者都具有明显的、稳定的疗效;综合心理疗法的疗效优于渐进式放松法,并且起效更快。
Objective:To evaluate the clinical effect of comprehensive psychotherapy in the treatment of patients with insomnia. Methods:70 out-patient patients were randomly selected and assigned to comprehensive psychotherapy (CP) group or progressive relaxation training (PR) group. The CP-patients were treated with CP, while the PR-patients were treated with PR. Pittsburgh sleep quality index(PSQI) was adopted to evaluate sleep changes of the patients, and self-rating anxiety scale(SAS), self-rating depression scale (SDS) were adopted to evaluate morale changes of the patients.Results: PSQI, SAS, SDS scores of two group patients were significantly decreased (P < 0. 01) after treatment. Clinical improvements were well maintained for follow-up of 1 month. The PSQI scores of CP-patients were lower than those of PR-patients after treatment(P<0.01). The decrease of PSQI of CP-patients exceeded 50% after 2 weeks treatment, and that of PR-patients exceeded 50% after 3 weeks treatment. Conclusion: Both comprehensive psychotherapy and progressive relaxation training have significant stable curative effects on insomnia. CP curative effects are more notable than PR curative. CP makes more rapid improvement than PR.
出处
《中日友好医院学报》
2002年第3期145-148,共4页
Journal of China-Japan Friendship Hospital
