认知行为疗法对失眠症疗效的影响

目的观察认知行为疗法（CBT）对失眠症患者睡眠质量和心理健康水平疗效的影响。方法选择符合CCMD-3的失眠症患者72例,药物组36例,服用佐匹克隆,联合治疗组36例,以佐匹克隆合并认知行为疗法治疗,共治疗8周,治疗前后分别用症状自评量表（SCL-90）评价心理健康水平,用匹兹堡睡眠质量指数（PSQI）评定临床疗效。结果治疗结束后,比较药物组和联合治疗组SCL-90评分躯体化（t=2.682,P〈0.01）、人际关系敏感（t=2.685,P〈0.01）、强迫症状（t=2.983,P〈0.01）、抑郁（t=2.045,P〈0.05）、焦虑（t=2.650,P〈0.01）,联合治疗组评分明显低于药物组;匹兹堡睡眠质量（t=2.366,P〈0.05）、入睡时间（t=2.398,P〈0.05）、睡眠效率（t=2.176,P〈0.05）、睡眠药物（t=2.060,P〈0.05）,各因子联合治疗组得分明显低于药物组。结论认知行为疗法可提高失眠症患者的心理健康水平,改善患者睡眠质量和情绪症状,减少药物不良反应。

The Effect of Cognitive Behavior Therapy on Insomnia

Objective To explore the effect of cognitive behavior therapy(CBT) on sleep quality and mental health of insomnia patients.Methods A total of 72 patients with insomnia of CCMD-3 were adapted,of which 36 cases forming drug group were given zopiclone,and 36 cases forming combined treatment group were given the administration of zopiclone combined with cognitive behavior therapy for 8 weeks.Before and after treatment Symptom Checklist 90(SCL-90) was conducted for mental health evaluation,and the Pittsburgh Sle...