心理干预对躯体化障碍患者睡眠质量及焦虑情绪的影响

Effect of psychological intervention on sleep quality and anxiety of patients with somatization disorders

目的探讨心理干预在伴睡眠障碍及焦虑情绪的躯体化障碍患者临床治疗中的应用价值。方法随机数字表法将88例伴睡眠障碍和焦虑的躯体化障碍患者分为研究组和对照组,各44例。对照组予以常规药物治疗方案;研究组在药物治疗基础上联合心理干预措施。记录两组干预前、干预2个月后睡眠质量[匹兹堡睡眠质量指数(PSQI)]、焦虑症状[汉密尔顿焦虑量表(HAMA)]及社会支持情况[社会支持评定量表(SSRS)]评估结果差异。结果治疗8周后,两组受试者PSQI、HAMA评分结果均较治疗前显著降低,且研究组明显低于同期对照组(P<0.05)。研究组受试者SSRS评分结果较治疗前显著升高,且明显高于同期对照组患者(P<0.05);对照组患者SSRS评分未见明显升高,差异无统计学意义(P>0.05)。结论心理干预疗法能在一定程度上改善躯体化障碍患者的睡眠质量及临床症状,对调节其不良情绪、提升预后恢复效果等具有积极意义。

Objective To explore the application value of psychological intervention in the clinical treatment of somatization disorder in patients with sleep disorders complicated with anxiety. Methods A total of 88 patients with anxiety complicated with sleep disorders and somatization disorder were divided into the study group and the control group,44 cases in each group. The control group were treated with drugs,on the basis,the study group were treated with psychological intervention. The differences in sleep quality [Pittsburgh Sleep Quality Index（PSQI）],anxiety symptoms [Hamilton Anxiety Scale（HAMA）] and social support [social support rating scale（SSRS）] between the two groups were recorded. Results After 8 weeks of treatment,PSQI scores and HAMA scores of two groups were significantly lower than those before treatment,and the scores of study group were significantly lower than those of the control group（P〈0.05）. SSRS score of the study group was significantly higher than that before treatment and that of the control group at the same time（P〈0.05）. There was no significant difference in SSRS score in the control group before and after treatment（P〉0.05）. Conclusion Psychological intervention can improve the sleep quality and relieve clinical symptoms of patients with somatization disorders to a certain extent. It is of positive significance in regulating their negative emotions and improving the prognosis.