失眠症患者认知心理特点和认知治疗效果

目的 探讨失眠症患者的认知心理特点和认知治疗效果。方法 93例住院失眠症患者随机分为试验组47例和对照组46例，试验组采用认知治疗加药物治疗，对照组采用单纯药物治疗，疗程均为8周。治疗前后对两组患者各测1次睡眠个人信念和态度量表（DBAS），同时测评45例健康人。采用匹茨堡睡眠质量指数（PSQI）评定疗效。结果 治疗前，失眠症患者的DBAS评分与健康人有非常高度显著性差异（P〈0．001）；治疗后，试验组患者的DBAS评分和PSQI评分与对照组有非常高度显著性差异（P〈0．001）。结论 认知治疗能改变失眠症患者对睡眠的错误认知，提高疗效。

Effect of Cognitive Therapy on the Insomniac

ObjectiveTo explore the cognitive psychological characteristics of the insomniac and the effect of cognitive therapy.Methods93 insomniac in-patients were divided randomly into the trial group (n=47) and control group (n=46). The trial group was treated by cognitive therapy plus medicine. The control group was only treated with medicines. The treatment lasted for 8 weeks. Before and after treatment, patients of all two groups were examined by Beliefs and Attitudes about Sleep Scale (DBAS). 45 healthy individuals were also examined at the same time. The therapeutic effect was evaluated with Pittsburgh Sleep Quality Index (PSQI).ResultsBefore treatment, DBAS scores of insomniacs were significantly different from the healthy ( P<0.001). After treatment, scores of DBAS and PSQI of the trial group were significantly different from that of the control group ( P<0.001).ConclusionThe cognitive treatment can change erroneous cognitions related to sleeping in the insomniac and improve the therapeutic effect.