失眠症患者的睡眠行为与应对方式及其心理干预

目的探讨失眠症患者的睡眠行为、应对方式及其心理干预的效果。方法采用睡眠行为特征量表、应对方式问卷对72例失眠症患者(干预组)和72例睡眠正常者(对照组)进行测评,干预组实施心理干预。结果干预组干预前睡眠的不合理信念、非功能性睡眠行为和夜间焦虑以及自责的评分均明显高于对照组(均P<0.01),而睡眠效率以及解决问题的评分明显低于对照组(P<0.01);经过8周的心理干预后,失眠症患者睡眠的不合理信念、非功能性睡眠行为和夜间焦虑以及解决问题、自责因子分与入组时相比,差异有显著性意义(P<0.01,P<0.05)。结论失眠症患者存在睡眠的不合理信念、非功能性睡眠行为和夜间焦虑,解决问题能力低,心理干预能有效改善患者的睡眠行为和应对方式。

Sleep Behavior, Coping Style of Patients with Insomnia and Psychological Intervention

Objective To explore sleep behavior, coping style and effect of psychological intervention in patients with insomnia. Methods The scale for character of sleep behavior and the coping style questionnaire were used for evaluating 72 patients with insomnia (trial group) and 72 normal sleepers (control group). Psychological intervention was carried out in trial group.Results The factor scores of irrational belief, dysfunctional sleep behavior, anxiety on evening and self-blame in trial group were obviously higher than in control group (P<0.01), whereas the scores of sleep efficiency and solving problem were obviously lower than in control group (P<0.01). There was significant difference in the scores of irrational belief, dysfunctional sleep behavior, anxiety on evening, solving problem and self-blame in patients with insomnia between at start of psychological intervention and after 8 weeks (P<0.01, P< 0.05).Conclusion All of irrational belief about sleep, dysfunctional sleep behavior, anxiety on evening and low ability of solving problem exist in patients with insomnia. Psychological intervention could improve their sleep behavior and coping styles.