时间管理倾向训练对来访者抑郁焦虑情绪和睡眠质量的影响

Time-management disposition training can improve the depression and anxiety and sleep quality in psychological visitors

目的:探讨时间管理倾向训练对心理门诊来访者焦虑、抑郁情绪和睡眠质量的影响。方法:医师与来访者进行交流,依据自愿原则,选择80例来访者为研究对象,随机分为实验组40例和对照组40例。对实验组研究对象开展时间管理倾向训练,并评价其效果。结果:实验组干预后抑郁量表(SDS)评分、焦虑量表(SAS)评分和匹兹堡睡眠质量指数量表(PSQI)评分低于干预前,而时间管理倾向量表(ATMD)总分及各因子评分高于干预前,且差异均有统计学意义(P<0.05);对照组6月后SDS评分、SAS评分和PSQI评分低于基线值,而时间监控观、时间效能感因子评分高于基线值,且差异均有统计学意义(P<0.05);干预后实验组SDS评分、SAS评分和PSQI评分低于对照组,而ATMD总分及各因子评分高于对照组,且差异均有统计学意义(P<0.05)。结论:时间管理倾向训练可有效改善来访者的抑郁和焦虑情绪,提高其睡眠质量。

Objective： To observe the effect of time-management disposition training on improving depression and anxiety as well as sleep quality in patients on psychological outpatient basis.Methods： After full explanation of the program by psychologists,80 visitors volunteered to participate in the study,and were assigned to experimental group and control group（ n = 40 for each）. Visitors in the experimental group were given time-management disposition training for half a year,the control group were given general psychological intervention and the results were evaluated. Results： The experimental group had lower scores on the Self-rating Depression Scale（ SDS）,Self-rating Anxiety Scale（ SAS） and Pittsburgh Sleep Quality Index（ PSIQ）,yet higher total scores on sub-items in Time Management Disposition Scale（ ATMD） after training. The difference was significant（ P〈0.05）. Although the scoring on SDS,SAS and PSQI was below baseline for the control group after six months,yet the scoring was above baseline regarding the time-control and time-efficacy compared to pre-intervention（ P〈0.05）.Lower SDS,SAS and PSQI scoring,and higher ATMD total scores on sub-items were seen in experimental group than the control group（ P〈0.05）.Conclusion： Time-management disposition training can effectively improve visitors＇ depression and anxiety as well as sleep quality.