摘要
目的:考察自我抽离训练对失眠障碍共病焦虑抑郁症状的改善效果。方法:选取云南省精神病医院2020年1月至2021年5月诊断为失眠障碍,并伴有不同程度焦虑抑郁的患者171例,根据患者意愿分为药物治疗组(n=48)、自我抽离组(n=43)、药物+自我抽离组(n=42)和健康宣教对照组(n=38)。干预共持续12周,分别在基线及干预后2、4、8、12周采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评价情绪状态,采用匹茨堡睡眠质量表(PSQI)评价睡眠情况。结果:重复测量方差分析结果显示,HAMA、HAMD、SAS、SDS、PSQI得分的分组效应、时间效应及分组×时间效应均有统计学意义(均P<0.001),药物+自我抽离组8、12周评分均低于药物治疗组和自我抽离组;自我抽离组4、8、12周评分均低于对照组。药物治疗组、自我抽离组、药物+自我抽离组的4、8、12周评分均低于基线(均P<0.05)。结论:自我抽离训练对失眠障碍共病焦虑抑郁有辅助治疗作用。
Objective:To investigate the effect of self-distance training in treatment of insomnia disorder comorbid of anxiety and depressive symptoms.Methods:Totally 171 patients diagnosed with insomnia disorder from January 2020 to May 2021 in Yunnan Mental Hospital January 2020 with varying anxiety and depression were selected and classified as drug treatment group(n=48),self-distance group(n=43),drug combined self-distance group(n=42)and health education control group(n=38).The intervention lasted for 12 weeks.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate emotional state at baseline and 2,4,8 and 12 weeks after the intervention,respectively.The sleep status was evaluated with the Pittsburgh Sleep Quality Scale(PSQI).Results:Repeated measure variance analysis showed that the group effect,time effect and group time effect of HAMA,HAMD,SAS,SDS and PSQI scores were statistically significant(Ps<0.001).The scores were lower in the drug combined self-distance group than in the drug treatment group and self-distance group at 8 and 12 weeks after intervention,and lower in the self-distance group than in the control group at 4,8 and 12 weeks after intervention.The scores in drug treatment group,self-distance group and drug combined self-distance group were lower at 4,8 and 12 weeks after intervention than at baseline(Ps<0.05).Conclusion:It suggests that self-distance training has adjuvant therapeutic effects on comorbid anxiety and depression.
作者
向自仙
高文斌
陶婷
王利刚
樊春雷
鲍天昊
谭汝华
XIANG Zixian;GAO Wenbin;TAO Ting;WANG Ligang;FAN Chunlei;BAO Tianhao;TAN Ruhua(Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Saiences,Beijing 100101,China;Department of Psychology,University of Chinese Academy of Sciences,Baijing 100049,China;Mental Health Center Afliated to Kunming Medical University,Kunming 671000,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2022年第10期831-837,共7页
Chinese Mental Health Journal
基金
昆明市卫生科技人才培养项目暨“十百千”工程培养计划(2020-SW省-34)。
关键词
失眠障碍
自我抽离
焦虑
抑郁
睡眠质量
insomnia disorder
self-distance
anxiety
depression
quality of sleep
