音乐疗法联合行为干预对抑郁症伴睡眠障碍患者唤醒度及自杀风险的影响

Effects of music therapy combined with behavioral intervention on arousal degree and suicide risk in patients with depression and sleep disorders

目的:观察研究音乐疗法联合行为干预对抑郁症伴睡眠障碍患者的疗效,及其对患者唤醒度及自杀风险的影响。方法:选取2017年12月~2018年12月于我院治疗的抑郁症伴睡眠障碍患者102例,按照随机数字表法分为对照组和观察组,每组51例。对照组患者给予健康教育,观察组患者在对照组的基础上给予行为干预和音乐疗法。两组患者均治疗4周。比较两组患者的匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能(GSES)、唤醒度及自杀风险。结果:治疗前,两组患者PSQI评分、SDS评分、SAS评分、GSES评分、唤醒度无差异。治疗4周后,观察组的唤醒度、GSES评分均高于对照组,观察组的PSQI评分、SAS评分及、SDS评分均低于对照组。观察组的自杀风险得分及SA评分均低于对照组。结论:联合音乐疗法和行为干预治疗抑郁症伴睡眠障碍具有良好的临床疗效,可显著改善患者的睡眠质量,缓解患者焦虑极易抑郁症状,降低患者的自杀风险。

Objective To observe the effect of music therapy combined with behavioral intervention on the patients with depression and sleep disorder,and its influence on the arousal degree and suicide risk of the patients.Methods 102 cases of depression with sleep disorder treated in our hospital from December 2017 to December 2018 were divided into control group(n=51)and observation group(n=51).The patients in the control group were given health education,and the patients in the observation group were given behavioral intervention and music therapy on the basis of the control group.Both groups were treated for 4 weeks.The Pittsburgh Sleep quality Index(PSQI),self rating anxiety scale(SAS),self-rating depressive scale(SDS),self efficacy(GSES),arousal,and suicide risk were compared between the two groups.Results Before treatment,there was no difference in PSQI score,SDS score,SAS score,GSES score and arousal degree between the two groups.After 4 weeks of treatment,the arousal degree and GSES score in the observation group were higher than those in the control group.The scores of PSQI,SAS and SDS in the observation group were lower than those in the control group.The suicide risk scores and SA scores in the observation group were lower than those in the control group.Conclusion The combination of music therapy and behavioral intervention in the treatment of depression with sleep disorder has a good clinical effect,can significantly improve the sleep quality of patients,ease the anxiety of patients easily depression symptoms,reduce the risk of suicide of patients.