Volume 19 Issue 8
Aug.  2021
Turn off MathJax
Article Contents
SHI Yu-xin, XIA Zhong, RONG Wei. Control study on outpatient Morita therapy and cognitive behavioural therapy in the adjuvant treatment of chronic insomnia[J]. Chinese Journal of General Practice, 2021, 19(8): 1318-1321. doi: 10.16766/j.cnki.issn.1674-4152.002050
Citation: SHI Yu-xin, XIA Zhong, RONG Wei. Control study on outpatient Morita therapy and cognitive behavioural therapy in the adjuvant treatment of chronic insomnia[J]. Chinese Journal of General Practice, 2021, 19(8): 1318-1321. doi: 10.16766/j.cnki.issn.1674-4152.002050

Control study on outpatient Morita therapy and cognitive behavioural therapy in the adjuvant treatment of chronic insomnia

doi: 10.16766/j.cnki.issn.1674-4152.002050
Funds:

 17ZDA327

  • Received Date: 2021-01-06
    Available Online: 2022-02-16
  •   Objective   To compare the efficacy of outpatient Morita therapy and cognitive behavioural therapy (CBT-I) in the treatment of chronic insomnia and to understand the difference between the two therapies and to promote the clinical application of outpatient Morita therapy.   Methods   Sixty patients with chronic insomnia who returned to the Fourth People's Hospital of Wuhu City from June 2019 to November 2019 were included and divided into the study and control groups by random number table method. The subjective sleep quality, constraint symptoms and anxiety symptoms of the two groups were compared before and after intervention by Morita therapy and CBT-I.   Results   After the intervention, the scores of the study group except those for hypnotic drugs were found to be significantly different from the scores obtained before the treatment. The scores of the control group were lower after treatment than before the treatment, except the scores for sleeping time and hypnotic drugs. After intervention, sleep quality (1.47±0.63), sleep time (1.73±0.91), daytime dysfunction (1.37±0.93) and total score of PSDI (12.23±4.18) in the study group were significantly lower than those in the control group [(1.80±0.48), (2.67±0.66), (2.03±0.77), (14.23±3.07)]. In SSTN, each dimension and total score of the study group were significantly reduced compared with before the intervention, whereas only symptom tolerance dimension of the control group differed from that before the treatment. In HAMA, after the intervention, the scores of the study group (3.50±2.86) and the control group (4.73±2.46) were significantly lower than before treatment, and no significant difference was found between the two groups before and after treatment.   Conclusion   Both treatments are effective for chronic insomnia. Outpatient Morita therapy is better than CBT-I in terms of sleep quality, time to fall asleep, daytime dysfunction and overall sleep evaluation. Outpatient Morita therapy can relieve the symptoms of confinement in patients and can be promoted in clinic.

     

  • loading
  • [1]
    朱茜, 丘志琼, 张虹桥. 认知行为疗法联合佐匹克隆治疗慢性失眠症的临床研究[J]. 哈尔滨医药, 2020, 40(3): 265-266. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYY202003036.htm
    [2]
    郑丽卿. 药物疗法、认知-行为疗法及两者联合对慢性失眠的短期和长期治疗效果探析[J]. 中外医疗, 2017, 36(28): 100-102. https://www.cnki.com.cn/Article/CJFDTOTAL-HZZZ201728037.htm
    [3]
    张慧芳, 郭华, 祁博, 等. 正念减压治疗对睡眠障碍患者睡眠质量及不良情绪的影响[J]. 国际精神病学杂志, 2020, 47(6): 1166-1168. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202006021.htm
    [4]
    何倩柠, 陶玉倩, 黄民, 等. 慢性失眠的认知行为治疗研究进展[J]. 中国临床药理学杂志, 2018, 34(18): 2235-2237, 2240. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ201818029.htm
    [5]
    高祖涛, 魏慧军, 赵晓东. 失眠障碍认知行为治疗的临床研究进展[J]. 世界睡眠医学杂志, 2020, 7(5): 920-922. doi: 10.3969/j.issn.2095-7130.2020.05.072
    [6]
    中村敬. 门诊森田疗法要点[C]. 第八届中国森田疗法学术交流大会论文集, 2010: 4-9.
    [7]
    张鹏, 李雁鹏, 吴惠涓, 等. 中国成人失眠诊断与治疗指南(2017版)[J]. 中华神经科杂志, 2018, 51(5): 324-335. doi: 10.3760/cma.j.issn.1006-7876.2018.05.002
    [8]
    刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm
    [9]
    李江波, 刘培培, 戎伟, 等. 中文版神经症被束缚自评量表的信度、效度[J]. 中国健康心理学杂志, 2016, 24(6): 897-900. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201606029.htm
    [10]
    陆林. 沈渔邨精神病学[M]. 6版. 北京: 人民卫生出版社, 2018: 573-574.
    [11]
    常婷. 不同亚型慢性失眠患者与焦虑抑郁状态的相关性研究[D]. 银川: 宁夏医科大学, 2019.
    [12]
    郑新伟. 慢性失眠患者认知功能损害的相关因素分析[D]. 石家庄: 河北医科大学, 2020.
    [13]
    姚春玲. 失眠患者焦虑抑郁情绪对认知功能影响的研究[D]. 南宁: 广西中医药大学, 2020.
    [14]
    孙芸. CBT结合右佐匹克隆治疗慢性失眠的临床效果及依从性研究[D]. 天津: 天津医科大学, 2017.
    [15]
    张艳, 李业平. 门诊森田疗法对低受容性抑郁障碍患者治疗一例报告[J]. 铜陵职业技术学院学报, 2020, 19(3): 23-26, 62. https://www.cnki.com.cn/Article/CJFDTOTAL-TLZY202003007.htm
    [16]
    化振, 杨来启, 马文涛, 等. 森田疗法在强迫症中的临床应用[J]. 国际精神病学杂志, 2018, 45(3): 417-418, 436. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201803010.htm
    [17]
    余静, 陈妮, 周宝. 药物结合森田疗法治疗焦虑症88例效果观察[J]. 宁夏医学杂志, 2017, 39(7): 629-630. https://www.cnki.com.cn/Article/CJFDTOTAL-NXYX201707020.htm
    [18]
    宋旭峰. 森田疗法联合运动对失眠患者的临床疗效[J]. 世界睡眠医学杂志, 2017, 4(6): 388-392. doi: 10.3969/j.issn.2095-7130.2017.06.015
    [19]
    张昕红, 陈钊, 裴靖远, 等. 森田疗法合并佐匹克隆治疗轻型脑卒中患者睡眠障碍疗效观察[J]. 内蒙古民族大学学报(自然科学版), 2019, 34(6): 529-531. https://www.cnki.com.cn/Article/CJFDTOTAL-NMMS201906016.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (441) PDF downloads(8) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return