|本期目录/Table of Contents|

[1]彭 睿,毛富强,苏阳雪,等.内观认知疗法治疗大学生非器质性失眠症临床观察[J].天津医科大学学报,2018,24(05):452-456460.
 PENG Rui,MAO Fu-qiang,SU Yang-xue,et al.Clinical observation on the treatment for college students’non-organic insomnia with Naikan cognitive therapy[J].Journal of Tianjin Medical University,2018,24(05):452-456460.
点击复制

内观认知疗法治疗大学生非器质性失眠症临床观察(PDF)
分享到:

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
24卷
期数:
2018年05期
页码:
452-456460
栏目:
临床医学
出版日期:
2018-09-20

文章信息/Info

Title:
Clinical observation on the treatment for college students’non-organic insomnia with Naikan cognitive therapy
作者:
彭 睿1毛富强12苏阳雪12张志浩12李蔓薇1李一波12李 静1
天津医科大学1.精神卫生学系 ;2.心理学研究所,天津 300070
Author(s):
PENG Rui1 MAO Fu-qiang12 SU Yang-xue12 ZHANG Zhi-hao12 LI Man-wei1 LI Yi-bo12 LI Jing1
1. Department of Psychiatry; 2. Institute of Psychology, Tianjin Medical University, Tianjin 300070, China
关键词:
内观认知疗法非器质性失眠临床观察
Keywords:
Naikan cognitive therapy non-organic insomnia clinical observation
分类号:
R749.055
DOI:
-
文献标志码:
A
摘要:
目的:内观认知疗法治疗非器质性失眠症的疗效观察。方法:非器质性失眠症患者60例,随机分为研究组和对照组各30例,其中研究组采用内观认知疗法(NCT)干预,对照组保持与研究组相同时间的安静独处,治疗周期均为1周。于治疗前和治疗结束1月后对两组同时进行匹兹堡睡眠指数量表(PSQI)、焦虑自评量表(SAS)、自尊量表(SES)、自我和谐量表(SCCS)等心理量表评估,于治疗前和治疗结束后进行1月智能手环(SB)睡眠监测,比较各项指标治疗前后和组间差异。结果:研究组治疗前后PSQI总分、成分1(睡眠质量)、成分2(入睡时间)、成分4(睡眠效率)、成分7(日间功能障碍)有显著性差异(P<0.01);研究组治疗前后SAS、SES、SCCS总分有统计学差异(P<0.01);研究组SB监测结果治疗前后3项指标比较均有显著性差异(P<0.01);对照组所有量表及SB监测结果治疗前后均无显著性差异(P>0.05)。结论:内观认知疗法对大学生非器质性失眠症有治疗作用。
Abstract:
Objective: To observe the efficacy of Naikan cognitive therapy in the treatment of non-organic insomnia. Methods:Sixty patients with non-organic insomnia were randomly divided into study group (n=30) and control group (n=30). Participants in study group were treated with Naikan cognitive therapy. The control group was asked to stay quiet at the same time. The treatment period was 1 week. Pittsburgh Sleep Quality Index(PSQI), Self-rating Anxiety Scale(SAS), Self-Esteem Scale(SES) and Self Consistency and Congruence scale(SCCS) were given to both groups before treatment and one month after treatment. Sleeping monitor were given before treatment and after treatment for one month. The various indexes of psychological scales and monitor between the study group and the control group, before and after treatment were compared to observe the efficacy. Results:Total scores of Pittsburgh sleep quality index scale, component 1(Quality of sleep), Component 2 (The time to fall asleep), Component 4 (Sleep efficiency), Component 7 (Daytime dysfunction) in study group before and after treatment displayed statistically significant difference(P<0.01). There were statistically significant differences in the total scores of self-rating anxiety scale, Self-esteem scale and Self consistency and congruence scale before and after treatment in the study group(P<0.01);The results from the sleeping monitor in the study group were statistically different before and after treatment(P<0.01). There was no statistical difference in all of the scales and the results from the sleeping monitor before and after treatment in control group(P>0.05). Conclusion:Naikan cognitive therapy has therapeutic effect on college students’non-organic insomnia.

参考文献/References:


[1] 范肖冬,汪向东,于欣,等. ICD-10精神与行为障碍分类临床描述与诊断要点[M].北京:人民卫生出版社,1993:144-145
[2] 刘贤臣,唐茂芹,胡蕾. 学生睡眠质量及其相关因素[J]. 中国心理卫生杂志,1995,8(4):148
[3] 凌喜欢,辛自强.大学生睡眠质量变化的横断历史研究[J].中国心理卫生杂志,2014,28(10):786
[4] 王祖承.内观疗法[J].国外医学.精神病学分册,1988,3(3):138
[5] 毛富强. 内观认知疗法理论与操作[J]. 中华行为医学与脑科学杂志,2016,25(7):650
[6] 周永安. 焦虑自评量表在我国高校大学生中应用的评价研究[D].广州:南方医科大学,2012:5
[7] 刘佩佩. 医学生社交焦虑内观认知疗法干预研究[D].天津:天津医科大学,2012:9
[8] 范佳丽.班级团体辅导在大学生心理健康教育课程中应用的实证研究[J].中国健康心理学杂志,2016,24(1):93
[9] 李红岩,段莹,卢烨,等.智能手环的应用评价[J].世界睡眠医学杂志,2014,1(6):341
[10] 匡晓,许燕.智能手环的临床有效性评估[J].世界睡眠医学杂志,2015,2(6):330
[11] 王婷,马寅生.近5年来大学生心理问题研究综述[J].中国健康心理学杂志,2007,15(3):267
[12] Jiang X L,Zheng X Y,Yang J,et al. A systematic review of studies on the prevalence of insomnia in university students[J]. Public Health,2015,129(12): 1579
[13] 杜辉,李桂侠,吕学玉,等.失眠的心理生理发病机制探讨[J].世界中医药,2013,8(5):507
[14] 王筱君,阎红,李俊.失眠与焦虑、抑郁相关性的临床研究[J].中国误诊学杂志,2009,9(22):5325
[15] 卢海霞,李霞,韩樱,等.认知行为疗法对中国失眠患者睡眠质量影响的Meta分析[J].中国老年学杂志,2017,37(3):685
[16] 王纯,Pigeon R W,张宁.失眠的认知行为治疗:标准方案及其变式[J].临床精神医学杂志,2017,27(6):428
[17] Metlaine A,Sauvet F,Gomez-Merino D,et al. Association between insomnia symptoms, job strain and burnout syndrome: a cross-sectional survey of 1300 financial workers[J]. BMJ Open,2017,7(1):e012816
[18] Wang W, Wang P, Zhou X, et al. Correlation analysis between fatigue and job stressors of nurses [J]. Wei Sheng Yan Jiu,2010,39(1):76
[19] 鲍振宙,张卫,赖雪芬,等.家庭收入与青少年睡眠质量的关系:歧视知觉、自尊的链式中介作用[J].心理科学,2016,39(2):350
[20] 王登峰.自我和谐量表的编制[J].中国临床心理学杂志,1994,2(1):19
[21] 王德强.900名高中生睡眠状况及其相关因素分析[J].中国校医,2007,21(6):621
[22] Beiter R,Nash R,McCrady M,et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students [J]. J affectdis, 2015,173:90
[23] 陆峥,陈发展. 焦虑性失眠的药物治疗[J]. 世界临床药物,2011, 32(4):205
[24] Sengoku M,Murata H,Kawahara T,et al. Does daily Naikan therapy maintain the efficacy of intensive Naikan therapy against depression[J]. Psychiatry clinneur, 2010,64(1):44

相似文献/References:

[1]程 娟,徐小童,毛富强,等.内观认知疗法改善偏执型精神分裂症康复期社会功能的研究[J].天津医科大学学报,2014,20(04):313.
[2]李慧慧,毛富强,韩邵明,等.内观认知疗法对精神分裂症患者服药依从性的影响[J].天津医科大学学报,2017,23(06):548.
 LI Hui-hui,MAO Fu-qiang,HAN Shao-ming,et al.Effect of Naikan CognitiveTherapy on medication adherence in schizophrenic patients[J].Journal of Tianjin Medical University,2017,23(05):548.
[3]马宏筠,毛富强,张勇辉,等.特大爆炸事故创伤后应激障碍内观认知疗法干预研究[J].天津医科大学学报,2017,23(06):552.
[4]李蔓薇,毛富强,张志浩,等.内观认知疗法对大学生述情障碍干预研究[J].天津医科大学学报,2019,25(06):648.
 LI Man-wei,Mao Fu-qiang,ZHANG Zhi-hao,et al.The Naikan Cognitive Therapy intervention on alexithymia ofcollege students[J].Journal of Tianjin Medical University,2019,25(05):648.
[5]刘瑒,毛富强,李静,等.老年慢性病患者精神症状内观认知疗法干预研究[J].天津医科大学学报,2021,27(02):163.
 LIU Yang,MAO Fu-qiang,LI Jing,et al.Naikan cognitive therapy intervention on mental symptoms of elderly patients with chronic diseases[J].Journal of Tianjin Medical University,2021,27(05):163.

备注/Memo

备注/Memo:
基金项目 天津市哲学社会科学规划后期资助项目(TJJXHQ1401) 作者简介 彭睿(1987-),男,硕士在读,研究方向:精神卫生学;通信作者:毛富强,E-mail: maofq@tmu.edu.cn。
更新日期/Last Update: 2018-09-30