认知行为干预对强迫症伴失眠患者的强迫症状改善作用以及对患者睡眠质量的影响

Effects of Cognitive Behavioral Intervention on the Improvement of Obsessive-compulsive Symptoms and Sleep Quality in Patients with Obsessive-compulsive Disorder with Insomnia

目的:探讨对强迫症伴失眠患者实施认知行为干预后,其强迫症状改善情况以及对睡眠质量的影响。方法:选取2018年12月至2020年12月中山市人民医院心理科收治的强迫症伴失眠患者66例作为研究对象,按照随机数字表法分为对照组和观察组,每组33例。对照组进行常规疗法,观察组在常规疗法的基础上,同时加入认知行为干预,记录强迫症状评分、睡眠质量评分,比较2组间的差异。结果:干预后,观察组强迫症状评分、睡眠质量评分均优于对照组,差异有统计学意义(P<0.05)。结论:对强迫症伴失眠患者实施认知行为干预,可显著缓解其强迫症状,有利于提升患者的睡眠质量。

Objective:To investigate the effects of cognitive behavior intervention on the improvement of obsessive-compulsive disorder(OCD)and sleep quality in patients with insomnia.Methods:A total of 66 patients with obsessive-compulsive disorder with insomnia admitted to the Department of Psychology of Zhongshan People′s Hospital from December 2018 to December 2020 were selected as the research subjects,and were divided into control group and observation group according to random number table method,with 33 cases in each group.The control group received conventional therapy,and the observation group received cognitive behavioral intervention on the basis of conventional therapy.The differences between the two groups were compared by using obsessive symptom score and sleep quality score.Results:After intervention,the scores of obsessive symptom and sleep quality in the observation group were significantly better than those in the control group,with statistical significance(P<0.05).Conclusion:Cognitive behavior intervention for patients with obsessive-compulsive disorder with insomnia can significantly relieve their obsessive-compulsive symptoms and improve the quality of sleep.