综合心理疗法治疗失眠症临床疗效分析

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。

Effect of comprehensive psychotherapy in treating patients with insomnia

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.