摘要
目的探讨自助式认知行为疗法(self-help cognitive behavioral therapy, CBT-SH)联合耳穴贴压法对军校大学生慢性失眠的疗效。方法选取2017~2019年在作者单位就诊的36例军校大学生慢性失眠症患者,按随机数字表法分为观察组(CBT-SH联合耳穴贴压)和对照组(单纯CBT)各18例,均干预6周。使用匹兹堡睡眠质量量表(Pittsburgh sleep quality index, PSQI)、焦虑自评量表(self-rating anxiety scale, SAS)、抑郁自评量表(self-rating depression scale, SDS)分别于治疗前、治疗结束、治疗结束4周时评价患者的睡眠情况及焦虑、抑郁情绪。结果治疗前、治疗结束及随访时,两组患者PSQI总分及各因子分、SAS、SDS评分差异均无统计学意义(P>0.05);治疗结束及随访时与治疗前相比,两组患者PSQI总分及各因子分、SAS、SDS评分均显著降低(P<0.05);随访时两组患者PSQI总分及各因子分、SAS、SDS评分与治疗结束相比显著增加(P<0.05)。结论 CBT-SH联合耳穴贴压法有利于缓解军校大学生慢性失眠及改善焦虑和抑郁情绪,疗效与CBT类似。
Objective To investigate the efficacy of self-help cognitive behavioral therapy(CBT) combined with auricular points plaster therapy in the treatment of chronic insomnia for millitary college students.Methods A total of 36 millitary college students with chronic insomnia in author’s outpaitent from 2017 to 2019 were enrolled and randomly divided into observation group(CBT-SH combined with auricular points plaster therapy) and control group(CBTI alone),each group with 18 cases.The duration of treatment were 6 weeks.The sleep quality, anxiety and depression of patients before the treatment, after the treatment and after the treatment for 4 weeks were evaluated by Pittsburgh sleep quality index(PSQI), self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Results The total score, factor scores of PSQI, the scores of SDS and SAS were not significantly differences of the two groups before the treatment, after the treatment and the follow-up(P>0.05).Compared with before the treatment, the total score, factor scores of PSQI, the scores of SDS and SAS of two groups after the treatment and at follow-up were significantly decreased(P<0.05). Compared with after the treatment, the total score, factor scores of PSQI, the scores of SDS and SAS at follow-up were significantly increased.Conclusion CBT-SH combined with auricular points plaster therapy can alleviate chronic insomnia and improve the conditions of anxiety and depression for millitary college students, which is similar to CBT.
作者
王伟
张君毅
史波
闵彬
曾淑红
王婧媛
艾雪瑞
梁晓翔
马鑫
WANG Wei;ZHANG Junyi;SHI Bo;MIN Bin;ZENG Shuhong;WANG Jingyuan;AI Xuerui;LIANG Xiaoxiang;MA Xin(The Sixth Outpaitent of NO.986 Hospital of Air Forces Xian Shaanxi,710000,China)
出处
《华南国防医学杂志》
CAS
2021年第1期44-47,53,共5页
Military Medical Journal of South China
关键词
失眠
自助式失眠认知行为治疗
耳穴贴压
Insomnia
Self-help cognitive behavioral therapy for insomnia
Auricular points plaster therapy
